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Home My WebLink AboutZ-34947FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 34947 Date: 05/16/11 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 4200 DEPOT LA CUTCHOGUE (HOUSE NO.) (STREET) (HANLET) County Tax ~ap No. 473889 Section 096 Block 0005 Lot 010 subdivision Filed [qap NO. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF (~uPANC"/ ~ER Z- 34947 dated FLaY 16, 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 WITH COVERED PORCH AND ACCESSORY GARAGE WITH SUNROOM.* The certificate is issued to JOAN SAWICKI & ANO (OWNER) of the aforesaid building. SUFFOLK COI~fYDEPART~ENT OF HEALTHAPPRO~-AL EI~L-r~ICAL U~TIFICATENO. PLieRS CERTIFICATION D~£~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT NO.: LOT (S) JOAN SAWICKI & STOPJES: FULL 0.0 ACCESSORY STRUCTURES: C~, R"/?E OF C~ST.: WOOD FRAME WITH SLrNROOM STOP~, TYPE CO~"T.: VIOLATIONS: C~L~PTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION AJRT . SEC . Form No. 6 TO .WN. O?SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765~1802 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted to the Building De MAY - 9 20]1 BLDG. DEPT. rtrn~,nt wi~//t~l~: A. For new building or new use: 1. Final survey of property with accm'ate hicat~on 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. 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, 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 Date. May 6, 2011 New Construction: Location of Property: Old or Pre-existing Building: X 4200 Depot Lane Depot Lane House No. Street (checkon~ for a two story frame - ffw~2IIffg and detached frame garage Cutchogue Hamlet Owner or Owners of Property: Joan Sawicki and Patricia Glowacki Suffolk County Tax Map No 1000, Section Subdivision 96 Block 5 Lot 10 Filed Map. Lot: Applicant: Underwriters Approval: Permit No. Health Dept. Approval: Planning Board Approval: Date of Pennit. Request for: Temporary Certificate Fee Submitted: $100.00 Final Certificate: (check one) //ppli~an(Signature - 2" - Ab±gail A. Wickham, Agent CONSENT TO INSPECTION Joan Sawicki and Patricia Glowacki, , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 4200 Depot Lane, Cutchogue, New York 11935 · ~vhich is shown and designated on the Suffolk County tax map as District 1000, Section 96 , Block 5 , Lot 10 That the undersigned (has) (have) filed, 'or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following: two story frame dwelliug and de,tached frame garage. 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 auy .aud all buildings located thereon· to conduct such inspections as they may deem necessary with respect to the aforesaid application, includiug inspections to determine that said premises comply with all. of the laws, ordinances, ~rules and regulatio'ns of the Town of Southold. The undersigned, Sn cousenting to such inspe?tions, do(es) so with the knowledge aud understanding that any information obtained In the conduct of such iuspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinauces, rules or regulations of the Town of Southold. Dated: May 6, 2011 J /~/ (signature) AbiMail A. Wickham~ AMent (print name) (signature) (print name) LOCATION: (number & str~ ' ''~ (municipahty) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) -~ ~ (~er-tenant) ADMITTED BY: /~ ~*k~._ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: - ~ ,, MAP NO.: ~ LOT(S)~ ..~-- . . DWELLING TYPE OF CONSTRUCTION: FOUNDATION: # OF BEDROOMS: 1STFLR: BATHROOM(S): PORCH TYPE: # ST ES: # EXITS: ~ BASEMENT: ~"~t~C-~L~WL SPACE: ! 2ND FLR: 3 3RD FLR: ~ TOILET ROOM(S): ~l,na-.L UTILITY ROOM: ~ DECK, TYPE: PATIO, TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: # OF KITCHENS: FIREPLACE: ~"~'~ TYPE HEATER: WARM AIR: ~ FINISHED BASEMENT: YES NO OTHER: GARAGE: ' "' AIRCONDITIONING: HOTWATER: ~/~'-~ ACCESSORY STRUCTURES on'~7/X 30,~ / GARAGE, TYPE OF CONST.: M~ ~p~ox~ STORAGE, TYPECONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: "------ VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FiRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: DATE OF INSPECTION: ;--//.-// TIME START: END: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER RES. SEAS. VL. LAND /~-o 0 IMP. STREET J VILLAGE TOTAL ~Tf'o 0 ~]o0 DIST, SUB. LOT ACR. ~ . l.~l I TYPE OF I~ILD!NG FARM ~ COMM. CB: MICS. Mkt. Value AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable Value Per Acre Value FRONTAGE ON WATER Woodland : FRONTAGE ON ROAD Meadowland DEPTH BULKHEAD House Plot Total DOCK / '-,i 0 )LOR TRIM Exteneion Extension Extension Porch Porch Breezeway Garage Patio O. Bo Total 96.-5-10 11/09 Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer [?/t Bath Floors Interior Finish Heet Rooms 1st Floor Rooms 2nd Floor iDriveway ERIC J. BRESSLER ABIGAIL A. WICKHAM LYNNE M. GORDON JANEF GEASA LAW OFFICES WICKHAM, BRESSLER, GORDON & GEASA, P.C. 13015 MAIN ROAD. P.O. BOX 1424 MATTITUCK. LONG ISLAND NEW YORK 11952 631-298-8353 I'ELEFAX NO. 631-298-8565 wwblav,(q!aol.com May 6, 2011 WILLIAM WICKItAM (06-02) 275 BROAD HOLLOW ROAD SUITE 111 MELVILLE, NEW YORK 11747 631-249-9480 TELEFAXNO. 631-249 9484 Attn: Ms. Connie Bunch Town of Southold Building Department P.O. Box 1179 Southold, New York 11971 Re: Property owned by Joan Sawicki and Patricia GIowacki Pre-Existing Use C.O. Application - 4200 Depot Lane, Cutchogue, NY SCTM# 1000-96-5-10 Dear Connie: We represent the owners of the above referenced property. The following items are enclosed: 1. Application for Pre-Existing Use Certificate of Occupancy for two story frame dwelling and detached two car garage; 2. Consent to Inspect; 3. Print of Survey prepared by Peconic Surveyors dated 4/20/11; and 4. $100. application fee. Please contact the broker, Mary Lentini at Daniel Gale Sotheby's, at 734-5439 to arrange for the inspection. Very truly yours, Abigail A. Wickham AA W/dm 30,shdbprecoapp cc: Mary Lentini SUR VE Y OF PROPER T Y A T CUTCHOGUE TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 96- 05 - 10 Scale: 1" = 40' April 20,2011 ANY AL TERA TION OR ADDIT;ON TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVIS]ON 2. ALL CERTIFICATION$ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY ~F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF SURVEYOR WHOSE S/GNA TURE APPEARS HEREON. CERTIFIED TO' GUY A. VALERIOTI DANIELLE M. VALERIOTI FIDELITY NATIONAL TITLE INSURANCE COMPANY AQUEBOOUE ABSTRACT CORP. T#le # A OII-S-I 7'~...,3~. ,.z~, x'~.~t PECONIC ~U~VEYOR~ P.C. (GJI) Y65-50~0 FAX (6JI) 7G5-1797 P.O. BOX 909 SOUTHOLD, N.Y. 11971