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Home My WebLink AboutZ-30085 _ m , ~ _ _ ~ _ ~ a _ _ FORM NO. 4 TOWN OF SOUTHOLD i .'BUILDING DEPARTMENT .Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE. OF OCCUPANCY No: Z-. 30085 Date: 03/16/04 I ail THIS: CS&TIFIES. that. the. building DWELLING. I Location of Property 4105 WICKHAM AVE MATTITUCK ~ (HOUSE NO. (STREET) ' (HAMLET) :County Tax Map No. 473889 Section 107 Block 0009 Lot 002 .001.. j SubdiYision Filed Map 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- 30085 dated MARCH 16, 2004 was issued, and conforms to all of the requirements of the applicable provisiens of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY.3 CAR WOOD FRAME GARAGE* ' The certificate is issued to AMELIA P KNESKI (OWNER) ofthe aforesaid building. I SUFFOLK COUNTY DEPARY'NI&N'P OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A ~ PLUMBERS CERTIFICATION DATED N/A i I i *PLEASE SEE ATTACHED INSPECTION REPORT. i " A hori - d Signature i i .Rev. 1/81 f i I i BUILD ING.DEPARTMENT TOWN OF SOUTHOLD i i HOUSING CODE INSPECTION REPORT I i LOCATION: 4105 WICRHAM AVE' - MATTITUCK SUBDIVISION: ASAP NO.: LOT (S) _ _ ':NARffi OF OTia*NHR.. (S)s AM$LIA P. RNESKI L, 'OCCGPANCY: RESIDENTIA I, AMELIA P KNBSKI 'ADPLLTTED BY: AMB.L,IA P. KNESKI ACC~9PANIBD BY. SAME KHY A mAA.nRLH: SUFF. CO. TAK MAP NO.: 107.-9 -2.1 I -SODRCE. OF RHOAEST:, AMEliIA P. KNESKL, 3/09/04. DATE: 03/16/04 'DWELL TNG: TYPB PF CONSTROCTION: WOOD FRAME STORIES: 2.0 )E H&ITS: 2 FODm1DATION: CEMENT BLOCK CBLLAR: 3/4 CRANli SPACH: 1/4 TOTAY. ROONS: 15'T FLR.: 5 2ND FLR.: 3 3RD FLR-: 0 :.BATHROOM.(S 1.0 TOIliST ROOM(S): 0.0 OTILITY ROOM(S): PORCH TYPE: DHCK TYPE: PATdO 'TYPE: BREHZH~+BAY: FIRBPLACH: NONE GARAGE: DOMESTIC HOTNATER: YES TYPH HEATER: OFF BOILER AIRCONDITIONING: it TYPB HEAT: OIL HdARMAIR: HOTNATHR: XX d't"HER' ACCESSORY STRUCTURES: GARAGH, TYPE OF CONST.: 3CAR WOOD FRAME STORAGH, TYPH CONST.: SNIP~9ING FOOL: GUBST, TYPE CONST.: OTBBR: .VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM EIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ART. ~ SEC. xxovnuxcc_ Bp #39802-COZ-3737 (ADDITION) G ,:INSPHCTHD BY: DATB ON INSPECTION: 03/15/04 I GARY J. F S TI@fE S'TAR'T: 9:45 AN S~II): 10:15 AM _ ,m.._, ~ ~ .n y ~~~~~A Form No:6 TOWN OF SOU'CIIOLD I ~ ~ n, n r i BUII,DINGDEPARTMENT fs, L ~ ~ ,1;1. i , TOWN HALL ,1 765-1802 e R - 9 , , v, ( I APPLICATION FOR CE IC tTIF ATE ~F ~CCU?ANCI~ ro~ ,~,_.~..._.J This a hcation must be fslled in b t ewriter or ink and submitted to the Buildin D artmen ~ ~ ~ Y ~I pp " S' 3°p- g ~ t-)~-~a1~a i 'run ugh-----' ( ~ A. For new building or new use: L Final survey of property with accurate location of all buildings, property lines, streets, and unusual nafiural or ( I topographic features. 2, FinalLApproynl from,Health Dept. of water supply and sewerage-disposal, (S-9 form). 3. ,~Ap~XO a1 o£electrlcal insCallatior from Board of Fire Underwriters. 4. Sy~tiY,nstatcpient from ~ulnber cer~afying that the solder used in system cc3ntains less than 2/lfl of 1 % lead. f 5. Cnereital building, indn'strial building, multiple residences and. similar buildings-and installations, a certificate o~~ode CbinplianCe from architect or engineer responsible forthe building.. 6. Sukim?S Flanning Board Approval of completed site plan requirements: B. For yexisting h~u"idmgs (prior to A' ril 9,' 19~7)'iion-conforming uses, or buildings ar<d "pre-existing" land uses: 1. Aecuzate'sprvey ofproli'e s'r~viiig ~ITproperry lines; streets, building and unusual natcual or topographic fe2fures, 2. A properlylcompleted application and consent to inspect signedby the applicant. if a Certificate of Occupancy is deu%eel, tits 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, Sw,ilnming pool $25.00,. Accessory building $25.00, Additions to accessory building $25.00, Businesses $SO.OQ ( 2. Certificate of Occupancy on Pre-existing Building.- $ 300.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50:00 ( 5. Teiuaporary Certificate of Occupancy -Residential $15.00, Commercial $-15.00 / ` ~ i ~/%/~S~ ~ Date. I +I .New COnstrUCtlon: Old or Pre-existing Building: (check one) ':Location of Property: o ~ C ,t/,1,~~,y; ~D~/?u /~/~fi~i fL~e l~ House No. Street Hamlet Owner or Owners. of Property: t~m ~ L' Fi i!/~ .f~J Suffolk CountyTax Map No 1000, Section cG 73 A~ 9 Block / D 7. Lot - y -.zy / ( Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: I P lamung Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ~E i I ~ ,30 ~ ~ Applicant Signature ~ cd ~ 3~og~ I. I I 9 ~M CONSENT TO INSPECTION ~ sn c L~/~ ~ ~JL 5 ,the undersigned, do(es) hereby state: ~ ~ I ~ 'I Owner(s) N e(s) That the.. undersigned (is){are) the owner(s) of the premises in the Town of Southold, located at hL-/~ c ~d ~ f~~`-~-,'~ G 5' Z,rli ~LLr-~-yy a .C~ jf, i which is shown and designated on the Suffolk County Tas~Map as District lt)0 , Section ~~32~ Block I4 ~ ,Lot - -/r"' -.~-a l . ' '4 That the un~iexsi ed as filed, or cause to be filed, an application in the ~ ~ ) ;Southold Tawn Building Inspector's Office for the following: ~W~r~ 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 locatedthereon, to conduct such inspections as they may deem necessary with. respect ~6'the afofcsaid application, including inspections to determine that said premises comp ,fwith all oi'the laws, ordinances, rules and regularions of the Town of Southold. I The unde~slgned, in consenting to such inspections, do(es) so with the knowledge and undetstanding that any information obtained. in the conduct. of such inspections may ~ be used! in subseq~xent prosecutions for violafions of the laws, ordinances, rules or ~ regulations of the Town of Southold: Dated: `~/~f~`~' Ci" (Signature) ~ ~9EL=if~ ~ 7~n%ES~i (Print Name) (Signature) (Print Name) i _ .n~~ t. . ~i. i _ - ~ i ~ R EK \ ~ llllll~ 1VUNAUT~FVORIZED RLiERATION OR ADDITON TD THIS yo g92 SURVEY I A WIOLATION OF SECTION 7203' OF THE ZZ ~ NEW YOR ST&'~IE EDUCATfoVV~ tAW, CDPIES OF 'IRIS SURVEY AP PYOT BEARING IRE SURVEYOR'S• INNEIS OR EMBO SED L SHALL NOT BE CtlN$ItlERED TO ~ 28~ I BE A~ VALID E COPY. CERIiFlCATWNS INDMATED 31EREON SHALL tlN (NlLY: TO THE PERSON~PERSDNB ~ I FOR WHOM THE~BVRffiY IS PREPARED. AND ON y . j i I_ urcNx~ol~emse ~ ~ . 3 OFFSC(S SHDWN N~EDN ARE FDR A&ECIFSCI .x BASIS 1 I ~ iF Ln. ~ i ro. ~ i e J _ _ _ L. ~ V ' I 1 6 W t~ ~ ~ ~ Q~~ 3 Q s 2 ~ TAX LOT 13 TAX 'LOT 2.1 ~ LAND FORMERLY OF AREA: 58,622 Sq.Ft. NATHANIEL S. TUTNILL _ ( or 1.35 Acres TAX LOT 3 f wau L2 W ~ 'GAR, I 0"E, ~ ~ °o a ryoo ~ \ CIeQ. \ ~ _ - - V - V / ~ I \ GAR. 22$ 3 o ~e M ~ / ~ ~ _ ~e r ~ coNCRETE e 5 ° TAX LOT l4 Q. STOOP & STEP ~ cECCaR i? LAND FORMERLY OF E,vr. / ~ y NA 3HANlEL S. TUTHlLL r a /~C~ dagp I - ?pq ~t , / ~ crn~rNEr l //GONG - b ys ~j1\~ ~ s ~ °'~9 so o ztr eo m t6o sO' ~~QF ~O~ k inch =40ft GRAPHIC SCALE { fN FEET ) it ~ ' \ REFERENCED DEED L 11692, P. 139 i EAS4N~.,tA1VD SLTAVEYOI~ SUFF°LKC°fTNTP?ZSI: 27POPt AR S'iRFEI; POBTJEFFEB.S'd2V.£Trk1t01~NYt1776 SEG 107 Rl.K 09 Z.OT 2.1 ~ Pbo~/Fr« (63174-22ti0 iFd She 1EASONE.A2~IDSURVEYOB.COM D~4TE 02/7 ~ -.1"=40' SUKVEY OF PI~OPEBi'YAS IN POSSESSION ~ StTBVEYEDFOI~ JOHN SCHMIDT e. ~ ~ ~IAP OF.• DESCRIPII~ PROPERTY ~~1 ~ ~ ~ ~ 1 LOCATION.• MATTITUCK TOWN OF SOUTtiOLD ~ ~ ~ SUFFOLK COUNTY, NY ~ LEKTEfZED TO: .JOHN SCNMIDT ~1119IX~lS LIG #030430N, US ~ Ii