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Home My WebLink AboutZ-34392FORM NO. 4 TOWN OF SOLVfHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 34392 Date: 06/07/10 THIS C~KTIFIES that the building DWELLING AND ACCESSORIES Location of Property 1700 PECONIC LANE (HOUSE NO.) County Tax~4ap No. 473889 Section 075 Subdivision PECONIC (STREET) (HAMLET) Block 0001 Lot 010 Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,mnt to which CERTIFICATE OF OCuu~ANCY i~q~ER Z- 34392 dated JUNE 7, 2010 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 ENCLOSED PORCH AND TWO ACCESSORY SHEDS.* The certificate is issued to ESTATE OF JOHN M DROSKOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL C~KTIFICATH NO. PLOUghERS c~KTIFICATION DA'r~O *PLEASE SEE ATTACHED INSPECTION REPORT. ~/A N/A N/A Rev. 1/81 BUILDING DEPD. RTMENT TOWN OF SOUTHOLD BOUSING CODE INSPECTION REPORT LOCATIOn: 1700 PECONIC I2tNE PECONIC S~DI%-/SI~: MAP NO.: ~OT (S) ~ OF O~ (S): ESTATE OF JOHN M DROSKOSKI OCC~AN~: ONE FAMILY RESIDENCE ESTATE OF JO}{N M DROSKOSKI DWELLING ACCESSORY STRUCTURES: VIOLATIONS: CN/~PTBR 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~: BP17152 SWIM POOL C022831, BP35517 SHED CO34391 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU][ BED(i, DEPT, _ TOWN OF $OUTHOED This application must be filled in by typewriter or ink and submitted to the Building Department with the IOllOWtng. A. For new building or new use: 1. Final survey of property with accurate location of alt 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 o f 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, ;~'ili~s to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildingff$100.0~ 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: / 7~(~ f~'~cTA2/~ /'~q ~ House Noj~ Street ~7'-~..~2Z: Hamlet Owner or Owners of Property: ~',_~-~2_~__ Suffolk County Tax Map No 100 "7~z~' Block / Lot ! O Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ [OC). d;) C) Final Certificate: (check one) CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are~e owner(s) oft)he prernis~ in the Town of Southold, located at / ? o o /'~7_O-~c~-~e~ ',~2~'~. 7'~.~<~ which is hown and destgnated on the Suffolk County Tax Map as District 1000, Section .ff_5' , Block / , Lot / o That the undersigned (has) (have) filed, or cause to be filed, an application in the So~; old T~wn BuildingsInspeot. or,'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, roles or regulations of the Town of Southold. Dated: (Print Name) '(Signature) (Print Name) TOWN OF SOIJTHOLD PROPERTY RE( FOYER OW~R -- , ORD CARD ~_~ SUB. LOT ACR. ~. TYPE OF BUILD[NG E~:~j~''/ SEAS. 'VL. FARM COMM. CB. MISC. Mkt. Value AGE BUILDING CONDITION ~ NOeL BELOW ~OVE :ARM Acre Value Per Value ~re [Bable ~llable 2 ~mp~nd FRO~AGE ON WA~R .~ ~o.~.e~ ON ROA~ ouse Plot ~PTH BULKH~ DOCK COLOR ~'ension ~tension xtension ~reezewoy ;arage ,..(o ~ ~.1 ~;endotio~ B~sement ~ o ~o, ~. Wo,s Fire PJoce TyPe Roof I O~mer JDrive~y Rooms 1st Floor Rooms 2nd Floor 0 U /o// · -,~CA.L£: .Wi-O'= l" TIT:=_ I~,