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Home My WebLink AboutZ-33090FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33090 Date: 06/12/08 THIS CERTZFIE3 that the building DWELLING & ACCESSORY Location of Property 270 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 0003 Lot 005.001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant t0 which CERTIFICATE OF OCCOPANCY NUlBER Z- 33090 dated JUNE 12, 2008 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 NON-CONFORMING AUTOMOTIVE REPAIR SHOP.* THIS CERTIFICATE OF OCCUPANCY UPDATES COZ-21150 DATED 11/18/92. The certificate is issued to MICHAEL E SENDLEWSKI & WF (OWNER) of the aforesaid building. SUFFOLK CODNTY DEPARTMSRT OF HBALTH APPROVAL N/A BLSCTRICAL CERTIFICATE NO. N/A PLOMBSRS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. L thor'zed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RHPORT IMaTr~; 270 PEQUASH AVE CUTCHOGUE SUBDIVISIOM• lU1P NO.• I.OT (S) NAlB OF O1~ (S): MICHAEL 8 SBNDLEWSKI & WF OCCUPANCY: A-1 RESIDENTIAL MICHAEL E SENDLEWSKI 6 WF ADMITT® BY: JOHN DAWSON ACCOlD?ANIB•1 BY: SAMH RHY AVAIIABLH: SUPP- Ca. TAZ MAP NO.: 102.-3 -5.1 SOOYCY OP BBQOBST: MARY E HOLLAND, EXECUTRIX DATE: 06 12 OS DWELLING: TYPE OF OOMSTYLICFIOM• WOOD FRAME ^ S1C1YIB4- 2.0 i SSITS• 2 FOOlN1ATi®: C8M8NT BLOCK CBLLAY: FOLL CBAiU. BPACB: TOTAL HOOMS: 1bT PLY.: 5 ]!ID PLH.: 3 3YD FLY.: 0 BATBYOOM (s): l.o Toissr YaoM(s): l.o DTII.ITY YoaM(s): POYCH TYPN• DYC1C TYPN• PATIO TYPE: HHBHHSIQ\Y• FIBBPLACB• 1 GABAC~• DOl~STIC HD17Q1TBY: YES TYPB HBATBR: OFF BOILER AIHCT~IITI~IG• TYPE HBAT• OIL MABM AIY• BOTMATSY: X ACCESSORY STRUCTURES: GABAGE, TYPE OF CONST.- SYOBIILB3, TYPY OOMST-- SMDl~1G POOL• GOBST, TYPE CONST.• OTBSY: NON-CONFORMING AUTOMOTIVE REPAIR SHOP VIOLATIONS: CHAPTHR 45 N.Y. STATE UNIFORM PIKE PREVENTION & BUILDING CODfi INBPE(TRII HY• DATH ON II~4PYCTIOH• 06 12 OB GAMY P SDQt STAYT: BeID: Form No. 6 TOWN OF SOUTHOLD ~'--~ ~' ~~ r lrI BUILDING DEPARTMENT f 1 ' TOWN HALL ~ ~ ~~_ ~ r 1~. 765-1802 ~! . I~I~ ~ 2 -_. APPLICATION FOR CERTIFICATE OF OC~UP CY_ __ _ _.____.-- This application must be filled in by typewriter or ink and submitted to the 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similaz 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 Apri19, 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. 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. !~ - Io~ - ~ New Construction: Location of Property: No. Old or Pre-exis~ g Building: ~ (check one) D Street Owner or Owners of Property: /U{ I c FF,F~e.L ,S e/~~C P~J S ~ t Suffolk County Tax Map No 1000, Section /U~ Block Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Filed Map. C it_ i c N ~ Hamlet Lot , Lot: Date of Permit. Applicant: Request for: Temporary Certificate Underwriters Approval: Final Certificate: ~ (check one) Fee Submitted: $ ~ D b~ Applicant Signature ~ /h - Diu //%u+~.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-21150 Date THIS CERTIFIES that the building Location of Property 270 PE~UASH AVE. House No. County Tax Map No. 1000 Section 102 NOVEMBER 18r 1992 ONE FAMILY DWELLING CUTCHOGUE~ N.Y. Street Hamlet Block 3 Lot 5.1 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-21150 dated NOVEMBER 18~ 1992 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 DWR. LLING WITH ACCESSORY NON-CONFORMING AUTOMOTIVE REPAIR SHOP * The certificate is issued to ESTATE OF BETTY B. DAWSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. · ding Inspector Rev. 1/81 BUILDIEG DEP.qO, T[.[E?TT TO'.'g~; OF SOUTHOLD, N. ¥. HOUoL~G COD~ IHSPECTIOH REPORT Location 270 PEQUASH A~. ~TCH~, ~ YO~ ~n~ocr ~ sLreeE) ~i'iun~c~paiz~y) Subdivision Ne~me of 0wner(s) Map No. ESTATE OF BETTY B. DAWSON not(s)_ Occupanc~ A~itted by: Key available Source of request A-I RES. JOHN DAWSON ow~- tenant) Accompanied by: SAME Suffolk Co. MARy E. HOT.T.~d~'-D, E~CUTRIX Tax No. 102-3-5.1 Date NOV. 4, 1992 D_Z'~LLI~IG: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 5 Bathroom(s) I F~LL BAT~ Porch, type Deck, Breez eway~ Garage Type Heat OIL 'Warm Air Fireplace(s) OBIE No. Fz~its 2 Domestic hotwater YES Other WOOD FRAME Cellar FULL 2nd. F1 3 Toilet room(s) type ~ torles 2 Crawl space 3rd. Fi ! ~ALF BAT~ Patio, type_. Utility room · Ho twat er XX Airconditioning .Type heater OFF THE BOILER ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swim. ming pool Guest, type const. Other NON-CONFOrMING AUT~oTI~EREPAIR SHOP VIOLATIONS: .CHAPTER 45--N.y. STATE UNIFORM FIRE PILEVENTION & BUILDING COD~---~ L~ncation -------_ Descriotion I Art. I Sec. Remarks. ___Date of Insp. NOV. 6, 1992 TAme start i1:00 a~end 11:20 am Form No. 6 TOWN OF SOUTIIOLD TOWN HALL 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. For existing buildings (prior to April 9, 1957) non-c~nforming uses, or buildings and -pre-existing" land uses: i. 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. · ~. 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 $50.00. Certificate of Occu_pancy on Pre-existing Buildin~ - 100.0 3. Copy of Certificate ~of~-0d'cu~an~-, ~5.~0- 0-per 5'~ea~! ---$ig 00 4. Updated Certificate of Occupancy - $50.00 ' 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · Date .. ~w Construction ........... Old Or Pre-existing Building ..... ~.i.2[.X. ........ ' .................. ~cation of Property.. 2?0 .. ...... . a.v.e. ~ ue. llouse No. ' ............ ~ ............ Street Ha,ulet ~wer or Owners of Property. -'~'~ C ~?y ~ .............. .~. -~' -.~'~C~ ,unty Tax Map No lO00, Section.. ~02. ........... Block ..... ~ .......... Lot ..... ~,l. ?'~ .~A ' ' ' ' ......... bdivision .................................... Filed Map.. ~7/,~ ...... Lot .... ~., ~. ............... rmit No. -- ..Date Of Permit. ?"'/~ ............... Applicant ................... ~ ......... alth Dept. Approval. .......................... Underwriters Approw~l ...... i~ffA ................ anning Board Approval. '~ quest for: Temporary Certificate .......... Final C~rticatn..~__~... ........... .......... . ' CONSE?:T TO INS PEC'FfON t)~mcr~s) Namc(.;:~oLLAN~' ~ do(es) hereby state: --__ , Lhr~ undcrsiqned, That the undersigned (is) (arc) the owner(s) of ti,c premiser; in the Tov,m of Southold located at 270 i'equash Avenue, Cutcho~ue, ?<ew York · which is uhown and designated on the Suffolk County tax map as District 1000, Section 102 . _ _, I31ock ~ , Lot_ ~.1 . That the undersigned (has) (bare) filed, or caused to be filed, an applica- tion in the Southold To~nn I~uildin,~ Inspector,s Office rot the Pre-existin~, Certificate of C:ccupanc.~i for two-s~nry ~well[ng an~ automotive repair fara~,e ha. the undersigned do(es) hereby give consent to the Building Inspectors of the Town of $outhold to enter upon .h_ 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, inc!udLn~-inspec:ions to determine that said premises comply with all of the laws; ordinances, rules and regulations of the Town cf Southold. The undersigned, in consentin~ to such ~spections, do(es) so ~d~h the knowledge and understanding that any ~formation obtained in the conduct such inspections may be used as evidence in subsequent prosecutions for lations of ~he laws, ordinances, rules or re.la,ions of lhe Town of Southold. 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