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Home My WebLink AboutZ-29990_. _.. -_ ... ...,. -,.,e.... FORM NO. 4 TOWN OF'SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 29990 Date: 02/02/04 THIS CERTIFIES that the: building DWELLING Location of Property 56995 MAIN RD SOUTHOLD (HOUSE NO.) (STREET). (HAMLET) .'County. Tax Map No_ 473889 Section 063 Block. 0003 Lot 018.001 Subdivision FiledMap No. Lot No. 'conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9; 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29990 dated FEBRUARY 2, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is. issued is ONE FAMILY DWELLING WITH 3 ACCESSORY STORAGE SHEDS & ONE LARGE * The certificate is issued to PECONIC DESIGN & CONSTRUCTION (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1192123 01/29/04 PLUMBERS CERTIFICATION DATED N/A. *PLEASE SEE ATTACHED Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 55995 MAIN RD SOUTHOLD SUBDIVISION: NAP NO. LOT (S) NAME. OF OWNER (S): PECONIC, DESIGN & CONSTRUCTION OCCUPANCY: SINGLE FAMILY DWELLING PECONIC DESIGN & CONSTRUCTION ADMITTED.. BY: RAY DICKOFF ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP HO.: 63.-3-18.1 :SOURCE', OF REQUEST: RAY DICKOFF 1/22/04 DATE: 02/02/04 .DWELLING: TYPE. OF CONSTRUCTION- WOOD # STORIES: 2.0 # EXIITS: 4 FOUNDATION: STONE &.BLOCK CELLAR: YES CRAWL SPACE: PART TOTAL ROOKS: 1ST FIR, 4 2ND FLA.: 4 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S).: 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTNTATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTMATER: XX OTHER: *REAR MUD ROOM ACCESSORY STRUCTURES: GARAGE, TYPE ,OF CONST.: STORAGE, TYPE CONST.: 3 WOOD STRUCTURES SWIMMING POOL: GUEST, TYPE CONST_: OTHER: 1 LARGE BARN VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE RRMARKS: BP A6775 JCO Z-5434 INSPECTED BY: DATE ON INSPECTION: 01/26/04 M. BOUFIS T114E START: 9:45 AM HND: 10:25 AM APPLICATIONFOR:CERTIFICATE.OF OCCUPANCY A. Form No. 6 inspector with the following: for new building or new use: �' ; qy ` JAN 2 TOWN OF SOUTHOLD �� uU # streets, and unusual natural or topographic features.' BUILDING DEPARTMENT 2. 'Final.Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). TOWN HALL `t e OG.DE ;TOdO 765-1802 4. j APPLICATIONFOR:CERTIFICATE.OF OCCUPANCY ....................................Filed Map ............ Lot ...................... [Permit No... ..........Date Of Permit .. ............Applicant........... ..... ....... Health Dept. Approval .................. .....Underwriters Approval......................... Planning Board Approval ........................ `Request for: Temporary Certificate........... Final Certicate........... Pee Submitted: $...... .............. ..... (CANT Jq .. . A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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, lens 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. Sulimit Planning Board Approval of completed site plan requirements. {B,�) Fir existing buildings (prior, to April 9, 1957) non -conforming uses, or buildings and e� "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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building,$25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 j 3. Co of Certificate of Oceu ane - 25 PY P Y � 4. .. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 IINew Date.........%,,�/a8'"....................... Construction.. .. Old Or Pre-existing Building.. .lam...... (Location of Property ..... 5 We 5 ............. Nlt�//f% �................. ... House No. Street Streett Hamlet Onwer or / Owners of Property ... [.:lewle %�C5' W (ouS (';County Tax Map No 1000, Section... ....... B1ock..3............ Lot..�A/ ............. ....................................Filed Map ............ Lot ...................... [Permit No... ..........Date Of Permit .. ............Applicant........... ..... ....... Health Dept. Approval .................. .....Underwriters Approval......................... Planning Board Approval ........................ `Request for: Temporary Certificate........... Final Certicate........... Pee Submitted: $...... .............. ..... (CANT Jq .. . a r I3 LIT�Li1C�L1C�i�n1717171a�1d�C.l7�]j7C.i�.C1� CI�.1�C '� r l7fr]I7 r1�77r fr717 rr71r7fr:AZ ri�r3171P91raJ7�] �1rr7 rd�ir3GJ17rdl7fJ� ��,,.. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 5 40 FULTON STREET w NEW YORK, NY 10038 5 CERTIFIES THAT u Upon the application of upon premises owned by dIM SAGE ELEC. INC. GEORGE WEISER PECONIC DESIGN P.O. BOX 38 56995 MAIN ROAD GREENPORT, NY 11944-0038, SOUTHOLD, N971 Located at 56995 MAIN ROAD SOUTHOLD, NY 11971 Application Number: 1192123 Certificate Number: 1192123 Section: Block: Lot: Building Permit: BDC: nsl 1 Described as a Residential occupancy, wherein the premises electrical system consisting of, electrical devices and wiring, described below, located in/on the premises at: Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 29th Day of January, 2004. Name QTY Rate Rat Circuit Twe - Miscellaneous x METER MAIN SERVICE Service 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: 1 200 ob Meters: 1 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. rJ@PcPrJrJc frJ@Po frPrlrlrJ�crrn�Pr��PrPr1�J arJ@J orJ�rJ�rJr1�rJ�rJ��PrJ�rJ�rJ�rJ�rJ�rJ�rJ7cPr�cPrJ�rJrJ�rJJrJrSrJ arJ,rJo fo fcJ7r�rJ�rJ@rL3PL. Pr PLL.PL PL jTOWN OF SOUTHOLD PROPERTY RECORDCARD OWNER STREET L7 i m VILLAGE- DIST: SUB. LOT FORMER OWNER N- n a � E, ACR.. w�o, pp c..�J � 1 tc^ � ��;%" w;'" � �r.�,.. S �'�'�c.�, 1✓' W TYPE' OF BUILDING Z u s� ✓� c'L�..: ,, lYJCiI 'F SEAS. VL FARM CdMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS /Q 0 /w/ 0 0 4° ^i Ger--'v Ci ✓ - c Ad✓. .�d/"7,1 e lj '�. L .r„'1. __.'Fi Irt M'" "Y�"6'Cn::i p A 5'"../1Ga'r�l 6 4Nr'. J ��77® fes.. F. _ Ci C✓ /�f JV4'" _ W '��/YIX LUE,_i > '.aa . %Y1d i- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM- `" . Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable ` 3 Woodland Swampland FRONTAGE ON WATER P,vwhland L G � FRONTAGE ON ROAD J a> X i House Plot - t %fad iia d T7 DEPTH �. BULKHEAD Total DOCK II ---------------- COLOR T TRIM ry POP REV armi4 ♦ "1 A. Bld g" X -51e Foundation °x.f U Bath Dinette xtension 1 b,X ) levo ell)0 Z :i Basement ; Floors - K. xtension Ext. Walls - R Interior Finish 'e, LR. . xtension R r a r f yf r SCJ Fire Place Heat -_ DR. TYPe : of Rooms I st Floor BR: 'orch Recreation dao RQo(`hs_-2nd Floor FIN. B. 'arch ' %_�p r e_._ /J 2 a; xz 3 6Z) Dormer Dnvewoy aYi ;arage /0 1 qq U U— �i. - Patio - ---- rota! ^� M-1102 BUILDING DEPT. INSPECTION [ l FOUNDATION 1ST [ ] ROUGH;PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL ] FIREPLACE S CHIMNEY REMARKS: 4 q CONSENT TO INSPECTION do(es) hereby state: the undersigned, 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 Block Lot A�,, That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: .jv �n � e�s� 6 sC 0e2z1'0"9ivc y — ow A. - That . 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ,V16201-13 -sign e) (print name) (signature) (print name) LOCATION: .5 f x w /, ";p (number & street) SUBDIVISION: NAME OF OW] OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) / (owner -tenant) s ADMITTED BY: t� ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1'000- SOURCE OF REQUEST: DATE: 1 i a DWELLING:_^ _� TYPE OF CONSTRUCTION: a l4 # STORIES:, # EXITS: FOUNDATION: o ,�_ CELLAR: CRAWL SPACE: TOTAL ROOMS: 1 T FLR: 2ND FLR: _ 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: t PORCH TYPE: •- DECK, TYPE: "` PATIO, TYPE: r ---- BREEZEWAY: - FIREPLACE: - GARAGE: DOMESTIC HOT TER: TYPE HEATER: L G - AIRCONDITIONING: TYPE HEAT: V� !l WARM AIR: HOTWATER: >4--, OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: _ 9 wtv Z VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE OF r - TIME START: END: i