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Home My WebLink AboutZ-30602FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30602 THIS CERTIFIES that the building DWELLING Date: 12/01/04 Location of Property 3105 PECONIC LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 074 Block 0004 Lot 016.001 Subdivision 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- 30602 dated DECEMBER 1, 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 ACCESSORY STORAGE SHED* The certificate is issued to JULIA DAY LEO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3105 PECONIC LA PECONIC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): JULIA DAY LEO OCCUPANCY: SINGLE FAMILY DWELLING JULIA DAY LEO ADMITTED BY: CARA WELLS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAIL MAP NO.: 74.-4-16.1 SOURCE OF REQUEST: JULIA D. LEO 9/9/04 DATE: 12/01/04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 3.0 # EXITS: 2 FOUNDATION: CONCRETE CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FIR.: 4 2ND FIR.: 0 3RD FLR.: 2 BATHROOM (S) 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: REAR ENCLOSED & UNHEATED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES (1) GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL-H.W. WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD FRAME GUEST, TYPE CONST.: _ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: 214 •J- DATE ON INSPECTION: 09/07/04 clo MICHAEL J. VERITY TIME START: 9:50 AM END: 10:50 AM r r' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEP 9 , TOWN HALL f 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. 1:�B. or 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 $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 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 2 Date. 3 New Construction: Old or Pre-existing Building: (check one) Location of Property: 3/d7 An con/C Aa , -e..- /,e House No. Street Hamlet �l1Are Owner or Owners of Property: �/ �. ,��a ' `"' Suffolk County Tax Map No 1000, Section �� Block f% Lot ol0- DDI Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate AA Fee Submitted: $ /&_ 00 �.C?3.S g,,�Xc0 X306 Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) ApWicant Signature +R CO"C I Ai _. c-1.7�.5Survo rn,", lZ-ara,a .. ,rveyoes mk„d ue., or ed seal shall not be corm asVeO yr .: to ;: a valid hue copy. ? ces indicated hereoniz ri t /iii J he person for t hcm ho cv.nj cidon his b h i J f *"r'1 ,� } Scar( r 50 i At9" o -04r s ::0a+.0 { TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETVILLAGE DIST SUB. LOT 2-4 wse FORMER OWNER N ACR. )'-0Q r s D. S W TYPE OF BUILDING RES. , yj/d SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4' i j ra' !� Z SJ I —L ,4g- /ia %ro N Soo IBoo .4 (Do + 6 a A z - 1'50a 53�- �-o � "' � a/lv �v G R AGE BUILDING CONDITION1zj�� 75 �� `0 0S6p NEW NORMAL BELOW ABOVE 5 17 Fi AQ,555 - Qv LDy I Gh/ nro N L FARM Acre Value Per Acre Value Tillable 1 Tillable 2 billable 3 Noodland swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD 0 K 6 -louse Plot DEPTH BULKHEAD - �„� nnrK 7 44.�h a■NONE N■■■N■m k� 1 1, Trl�r }� NOON■ ■■"Nomm ` , _ --- - NOON■ N /��.�'.'.".'!' �O■■E■■■ ■ IE■ORME CONSENT TO INSPECTION 761&?, Rovito the undersigned, do(es) hereby state: Owner() Name(s) That the undersignedis) (are) the owner(s) of he premises in the Town of Southold, located at �j/P ,6017 / which is shown and designated on the Suffolk County Tax Map as District 1000, Section, Block, Lot 01b —0-6 That the undersigned (has) (have) filed, or cause to be filed, an application in the Id Town Building Inspector's Office for the following: .%VI 1;-'A 10 n, 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 �o the afores# application, including inspections to determine that said premises with all of tht laws, ordinances, rules and regulations of the Town of Southold. compl�� 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: 'k � � � o4 (Signature) TU 1.'a D. - (Print Name) (Signature) (Print Name) LOCATION: 3 /0s (number & street) C' 14-e '- 0'a' � SUBDIVISION: M NO.: NAME OF OWNER(S): OCCUPANCY:' -00e.' -CK -:0-0'v (municipality) LOT(S): (type)/v v F (owner -tenant) ADMITTED BY: i� 4a a., ACCOMPANIED BY: KEY AVAILABLE: 4 09 SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: OS A ye DWELLING: TYPE OF CONSTRU TION: Ll.�.'� # STORIES: 3 # EXITS: .2 FOUNDATION: CELLAR: _ CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: ,Z BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: -- PORCH TYPE: Or DECK, TYPE: PATIO, TYPE: --- BREEZEWAY: FIREPLACE: &-i ♦ GARAGE: DOMESTIC HOTWATER:TYPE HEATER: TYPE HEAT: Del - y 0 WARM AIR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: AIRCONDITIONING: HOTWATER: STORAGE, TYPE CONST.: G4� GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: oe INSPECTED BY: AAL DATE OF INSPECTION: O 11-7 Q TIME START: END: /0 SSI