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Home My WebLink AboutZ-40623 ;f�SvpFpt� Town of Southold 8/15/2019 -oG 53095 Main Rd y Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40623 Date: 8/15/2019 THIS CERTIFIES that the structure(s) located at: 37430 CR 48, Peconic SCTM#: 473889 Sec/Block/Lot: 69.-4-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40623 dated 8/15/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with accessogarage.* Note:BP 43916 electrical survey COZ-40622 The certificate is issued to Sepenoski Jr, John (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. , A ho ' d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 37430 CR 48,Peconic SUFF.CO.TAX MAP NO.: 69.4-9.1 SUBDIVISION: NAME OF OWNER(S): Sepenoski Jr,John OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Sepenoski Jr,John DATE: 8/15/2019 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/27/2019 TIME START: 11:12am END: 11:25am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: P/ (check one) Location of Property:.3? V2o /? � r � House No. I Street Hamlet Owner or Owners of Property: t /�r� 0�. `��eAd-xd- N7),/ Suffolk County Tax Map No 1000, Section t'/ 7 3 ej!r,,f Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signa RV R!((z F"O D CONSENT TO INSPECTION jUN e 6 2019 TOWN OF SOUTHU10 S�,4.ef� , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District 1000, Section 11? Block , Lot . q-2 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: �� e z& That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es)so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 6 (Signature) !� � �c tir /� �P.�moi►a!rk (Print Name) (Signature) (Print Name) 2,a Lt �aoF soulyo # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 Pre, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 9*10av-A V akK-c. 4 DATE 'L INSPECTOR Of SOUT,yo� TOWN OF SOUTHOLD BUILDING DEPT. �y�OUHIV, 765-1802 . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ' t tir [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) � [ ] CODE VIOLATION [ ] CAULKING REMARKS: (o c q Wk b c (lol , ooj,)&\ ack,- 7 E AUG — 7 2019 RTJ7,, DMTCT DE FE, t DATEINSPECTOR SO�r��6 { • TOWN OF SOUTHOLD BUILDING DEPT = 765.1802 I NSPECTI O [ ] FOUNDATION-1ST' [ ] ROUGH [ ] FOUNDATION 2ND [ ] INSULATION . [ ] FRAMING /STRAPPING [ ] FINAL - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY-,INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ . ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL),. _- [ ] CODE VIOLATION [ ] CAULKING REMARKS: -.k� c ov'A f o n, Lq�p4 Rat - - F jLEIIv JUL 2 4, 2P19 DATE (v INSPECTOR VV_ ' T F 5 UTAPROPERTY_ " OWNER STREET- CZS VILLAGE-' DIST. - SUB. LOT FORMER OWNE N �. � �� I E_ ACR. } g S �.� W {„ TYPE OF BUILDING RES.?. SEASVL. FARM COMM. CB. MICS. Mkt. Value" LAND ( IMP. TOTAL DATE REMARKS '� � �� i 3 4- ° E xZ o0sr —-------- ----------- — ----- ------ - -- I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FAIW ( Acre Value Per Value Acre i-Tillable Z ,A. ,-- FRONTAGE ON WATER L- - -� -- -_- Woodland ! FRONTAGE ON ROAD � �. -Meadowland . DEPTH House Plot - BULKHEAD — _- Total' DOCK < (Dcc cam, - t — { .COLOR ' TRIM w r z t ,;�'.^;�ws'',� ;'t!k„�:z�;t s«N�-.•r'_'.,.• ',.^',-"t.1,:�k.,r. � '" p i -- j I ( � I � { "—�i-__'��--E_---t-- . *v -«�yz - t' •vrs..M'.,'°'^•.. 1 I-._t--' 1 � -!_ ;�•'rc., •:"..+'-.'��^a—:H., '.�.�„ j � ! � { i { ' i � j � I I �—I ., mY.,`a', •' _ ... ..w a:,.r,.,.a:'per ., ----�---t—t— � i I ( - --,--�—�---I--�--�-tt�--i--i--' —i j M. Bld a Extension Extension Extension i { Foundation Both / ! Dinette Porch I EBasement --1 . �., Floors Porch j I Ext. Walls - Interior Finish i � I LR, Breezeway Fire Place1 i Heat , DR. Garage J ;Type Roof Rooms 1st Floor ,B R. I , I Patio I — ! jRecreation Room Rooms 2nd Floor FIN. B O. B. IDormer Driveway Total I' SUFFOLK CO.HEALTH,oEPT-,A Nd q4 H�5: 0�,:f kj-r. uq L24�4vutb 4?, n 0 G" u* 4:4 'k P, F OFF t g9i, 5T,11M STATEMENT OF INITENr THE WATER SUPPLY AND,SKWAGE,'O P! 'J" ou"i�"AA� I-EPENU-) SYSTEMS FOR THIS , CONFORM TO THE ST SUFFO LK CO. DEPT% OF' 3, I.T (S) �,cljl� 04 T41 APPLICANT T0WN,oF-.sou rp.I SUFFOLK COUNTY DEPT. OF'11.0� S,ERVICES FOR APPRO�l A10 — CONSTRUCTION 0 V z 4 5. ,A f , ." N L DATE' H.S.REF,NO.. & APPROVED. vx,. ti SUFFOLK CO.TAX MAP OESIGNAT.14 Vial, DIST. SECT. BLOCK "A "k, 10L)c) 4 1ft9 14 OWNERS ADDRESS� L -1 P.O. BOX 120 2r MAP V, DEED:L.68c)5 P.554 Le R>�Ihi y"'most V MP TEST HOLE STA .4 j 7- k TOPSOIL- 7 Ai-CA, 5.19 54&C oomdtb --------- e. owl 7_�svll, 2" LOAM N I' owma lot wwmf#0 'r MO"I , 10d to 'n, VA FEB, Jqqj SEA DEC 18j9py ju 1 1.271,ms 5 Q)A.V E L RICK VAN TUYL.P.C. V c !2�p� 6�j J4 LICENSED LAND SURVIKORS SP INING 70 TH StIbDIVISION GREENPORi NEW YORK 0 Z 4,"'r % 'a —41�.I, j NY,"4, % LOCATION: (number & street) (municipality) SUBDIVISION: MAP-NO.: _LOT(S): NAME OF OWNER(S)- ,&%d 1 OCCUPANCY: S1� IVk D1tJed oro. .dw0 (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP•� . 1000- . " — • SOURCE OF REQUEST: L DATE: V DWELLING TYPE OF CON'STRUCT16: I �/ #STORMS: _#EKTTSi', FOUNDATION: . AS9MENT: CRAWL SPACE: # OF BEDROOMS: IST FLR 2ND FLR: 3RD PLIC: ,BATHROOM(S):� TOILET ROOM(S): UTILITY ROOM: PORCH-TYPE: DECK, TYfPE: .. . PATIO;TYPE: v BREEZEWAY: FIREPLACE: ,, . . GARAGE: DOMESTIC HOTTWA'TER 'T'YPE HEATER: AIkCONDITIONING: TYPE HEAT:, WARM AIR: _ , HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES . GARAGE TYPE OF CONT.: , S ��TO•RAGE, TYPE CONST.: • SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER-14-4 &N.Y. STATE UNIFORM FX PREVENTION & BUILDING CODE LOCATION DESCPIPTION T. SEC. ✓1 � mT- �O , 61- REMARKS: INSPECTED BY: Ayiy% J • JAv&�iDATE OF INSPECTION: J�1pi y 11 TI1w1E START; 6��- Y�YIn END;