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Home My WebLink AboutZ-34909FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34909 ~te: 04/20/11 THIS CERTIFIES that the building DWELLING Location of Property 245 PINE NECK RD (HOUSE NO.) County Tax Map No. 473889 Section 070 Su])division SOUTHOLD (STREET) (HAMLET) Block 0005 Lot 029 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 ~UP/~N~ ~]~4B~ Z- 34909 dated APRIL 20, 2011 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.* · ~ne certificate is issued to ROBERT & KAREN KOWALSKI ( OWNER ) of the aforesaid building. SUFFOLK COO1TI~I DEP~RT~T OF HEALTH APPRO~rAL Rr.R~-rKICAL c~KTIFICATE NO. PLIERS CERTIFICATION DA'r~D *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATI(~: 245 PINE NECK RD SOUTHOLD S~DI-v~SIC~: HAP NO.: LOT (S) ~ OF (~ (S): ROBERT & KA/~EN KOWALSKI O~A~: ONE FAMILY DWELLING ROBERT & KAP~KN KOWALSKI 1.0 ~ EXITS: 2 PATIO TY~E: ACCESSORY STRUCTURES: VIOLATIONS: CFJ{PTEN 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~I~/~KS: BP 35981 RENO COZ34908 ~)AT~ ~ INSNEC~I(]~: 04/07/11 TI~ START: 10:30 AM ~: 11:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 amhitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre 1. Accurate survey of property showing all property lines, streets, building and unusual natura features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certil denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alteratiom Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.0~ 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 Date. New Construction: Old or Pre-existing Building: Location of Property: 'o'Z~5- ~t/')r /(//~ (~/< House No. Street Owner or Owners of Property: ~.tO )O~r--/- --,,/(/O~-~'*-- Suffolk County Tax Map No 1000, Section '~ 0 (check one) Block ~) 62~ ~t C:~ t ~lta~lm i et Lot ~" Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: * t/t~;~, ~tt/~'5/- ~.Ct Final Certificate: f (check one) Applicant Signature CONSENT TO INSPECTION That the undersigned (is) (~e) the owner(s) of..th.e premises in the Town of Southold, locatedat .~q6 ./~,n~ ec..l( /dj which is shown and designated on the Suffolk CounOd Tax Map as District 1000, ' Section '~ , Block _~' , Lot ~2 c] That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for-the following: C'e.~--/c; ~2 ,'~' ,a 7~c.-~ 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 iuspeetious as they may deem necessary with respect to the aforesaid application, ineludiag inspections to determine that said premises comply with ail of the laws, ordinances, rules and' regulations.of the Town of Southold. The undersigned, in 6onsantiag to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used insubsequent prosecutions for violations of the laws, ordinances, rotes or regulations of the Town of Southold. Dated: TOWN OF SOUTHOLD PERTY RECORD CARD DISTRICT SUB. LOT ACREAGE '/7~ TYPE OF BUILDING LAND SEAS. IMP. VL. FARM COMM. ~ FIND. TOTAL DATE REMARKS 4'00 ~' ~,oo0 AGE BUILDING CONDITION CB. MISC. Est. Mkt. Value NEW NORMAL BELOW ABOVE Farm Acre Value 'Per Acre Value Tillable 1 RI ,7'/o, -John ?. l~t),_~lsh; ~J,~ s~d ,t/~- ~,~ FRONTAGE ON W~TER FRONTAGE ON ROAD BULKH~D Total / Brushland Ho~se Plot Tillable 2 DOCK Tillable 3 Woodland Swampland 70.-5-29 11/10 M. Bldg. Extension Foundation .Basement , Ext. Walls Fire Place Extension Extension Porch Bath Breezewoy Garage Floors interior Finish Heat Roof Type Porch Rooms 1st Floor Patio Driveway Rooms 2nd Floor i Dormer LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING: , , /2/ TYPE OF CONSTRUCTIQN: ~4/g~d~ ~ # STORIES' ~ # FO~OATION: ~ ~,,' CELLAR: ~ C~SPACE~ TOTAL ROOMS: 1ST~R: ~ 2ND [LR: ~ 3~ FLR: BATHROOM(S): ~ TOILET ROOM(S). . ] [ ~TILITY ROOM~ PORCH TYPE: ~ DECK, TYPE: ~ PATIO, TYPE: B~EZEWAY: ~ FI~PLACE: ' ~ GAUGE: TYPE HEAT:DOMESTIC HOTWATER: ~ ~.~ ' W~ AIR.T~E HE~T~R: ~ ~ ~ AIRCONDITION~G:HoTWATER: ~/~ OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUiLD1NG CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: TIME START: /F-2:~:;~ END: