HomeMy WebLinkAboutZ-43145 oS�F ai' c Town of Southold 6/11/2022
53095 Main Rd
CO $ Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43145 Date: 6/11/2022
THIS CERTIFIES that the structure(s) located at: 320 Wicks Rd.New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-18
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- 43145
dated 6/11/2022 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 single family dwelling with unfinished basement, covered porch and enclosed porch and accessory wood
frame garage_*
The certificate is issued to Majewski,Lillian
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
100
t ore Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 320 Wicks Rd.New Suffolk
SUFF.CO.TAX MAP NO.: 110.-8-18 SUBDIVISION:
NAME OF OWNER(S): Majewski,Lillian
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Majewski,Lillian DATE: 6/11/2022
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered&enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
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: 5/21/2019
TIME START: 10:35am END: 11:05am
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. 14���/
New Construction: Old or Pre-existing Building: (check one)
Location of Property: W f
House No. Street ` Hamlet ;
q per. r�
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot l
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: $ `� C)Q
J�� Applicant Signature
Co'q `T"G J— 1 �I
Lce o46, Ick 0
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7oa - Uls-
CONSENT TO INSPECTION
� �- c , 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 Ma f.J(C k,5 g ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section de e , Block Lot .
That the undersigned(has) (have) filed, or cause to be filed, an applicati n in the
Southold Town Bui ing Insp tor's Office for the following:
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.
r-
Dated:
(Signature)
(Print Name)
(Signature)
(Print Name)
wCAO qv(l Nuj
*qf SO(/T�°�
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
'1 NSPECTI N
[ ] 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:
4.YI K�
Ca S cin
DATE INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECOR I$
OWNER STREET VILLAGE DISTRICT SUB. LOT
A3 r ea e w,rki9/fks14e a de
FORMER OWNER NW' G�f / odd E ?o / ACREAGE ti
h 40
$ �/2� W ��� TYPE OF BUILDING /
t
ES. 2/0 SEAS. VL. FARM COMM. I IND. I CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS 0/ 7-1 L 3 q Z
--A_o o - a d --
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD a., (� G K.1' Oold, (�
Tillcble 1 BULKHEAD 1
Tillable 2 1 DOCK
Ti I lable 3
Woodland
Swampland
Brushlond
House Plot
Toto I
f"
M'P ,
tCle-s,
-
,
110.-818 03/2016
i
M. Bldg. (��( V/ Foundation Bath
1 /`.34
Extension J Basement y ;Floors
_ - - . _
Extension ,/ Walls (,(/6 Interior Finish f l
19
�- -- -
Extensi re Place �/U Heat , �^
-- -d --- - - - - ------- Porch Roof Type --_----
Rooms 1st Floor �.
Breezewcy Patio Rooms 2nd Floor
Garage i (, Q �9fiveway 1 Dormer
O. B.
S.C.T.M. NO. DISTRICT: 1000 SECTION: 110 BLOCK: B LOT(S): 18
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WICKS ROAD
EDGE OF PAVEMENT
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MON. 4' WIRE 6' STOCKADE MON.
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THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
AREA: 15,000.00 SQ.FT. or 0.34 ACRES ELEVA77ON DATUM:
UNAU774ORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF 7HIS SURVEY
MAP NOT BEARING 7HE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO 774E PERSON FOR WHOM 774E SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777ZE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS 77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS717U770N, GUARANTEES ARE NOT 7RANSFERABLE.
774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM 774E PROPERTY LINES TO 774E S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 7HEREFORE 774EY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL S7RUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE S7RUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT 774E 77ME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: RICHARD SAELI;
MAP OF:
FILED: ,
SITUATED AT:SOUTHOLD
TowN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #19-08 SCALE: 1 "=20' DATE: APRIL 8, 2019 PHONE (631)298-1688 FAX (631) 298-1588
N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. l/oychuk
LOCATION; �Ir �l� 1
<; l�
(number & street) (municipality) ,
SUBDIVISION: A MAP ' -0.: LOT(S):
NAME OF OWNER(S)-:
tov-
O-CCUPANCY: . INS
(type) (owner-tenant),
r.
ADMITTED BY: __ACCOMPANIED BY: .
KEY AVAILABLE: SUFE. 'C0.TAX MAP'NO. 1000- 1/0 --
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: ## STO-MES: # EXITS.
FOUNDATION: , v.• : BASElti'IENT: CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR:
-BATHRQOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH-TYPE: D'E'CK, T`'YfPE: .. . PATIO,TYPE:
BREEZEWAY:' FIREPLACE: GARAGE: a.C�y
DOMESTIC HOTWATET i TYPE HEATER: �0 AIRCONDITIONING:
TYPE.HEAT: d��, WARM AIR: ��Ar HOTWATER:
# OF KITCHENS: Q �
FINISHED BASEMENT:- YES_ _ N0
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: A "Qi STORAGE TYPE CONST.:
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS:. CHAPTER''144 &N,Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE -
LOCATIO D -SC P I - ART. SEC,
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RE ARKS: .
•
INSPECTED BY:�Q DATE OF INSPECTION: Mom v
TIME START: 0 v END: � � �