HomeMy WebLinkAboutZ-37278 g�FFO�K�D Town of Southold Annex 11/18/2014
��o Gym 54375 Main Road
` Southold, New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37278 Date: 10/21/2014
THIS CERTIFIES that the structure(s) located at: 475 Pipes Neck Rd, Greenport
SCTM #: 473889 Sec/Block/Lot: 53.-1-6.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37278
dated 10/21/2014 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
Two family dwelling with covered front entry, one barn and four accessory storage buildings.*
NOTE: BP 21410 deck with hot tub COZ-2262, BP 39369 "as built"electric for accessory barn COZ-37279
The certificate is issued to Pekunka, Michael& Marczewski, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0071
7t/rize'/gnat&e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 Pipes Neck Rd, Greenport
SUFF.CO.TAX MAP NO.: 53.-1-6.3 SUBDIVISION:
NAME OF OWNER(S): Pekunka,Michael&Marczewski, Barbara
OCCUPANCY:
ADMITTED BY: Debbie Pekunka
SOURCE OF REQUEST: Pekunka, Michael&Marczewski, Barbara DATE: 10/21/2014
DWELLING:
#STORIES: 1.5 #EXITS:
FOUNDATION: Concrete Block CELLAR: 80% CRAWL SPACE: 20%
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): Laundry Room
PORCH TYPE: Front Entry DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: X TYPE HEATER: Off Boiler AIR CONDITIONING:
TYPE HEAT: Oil WARM AIR: HOT WATER: X
#BEDROOMS: 4 #KITCHENS: 2 BASEMENT TYPE: Dirt Floor Unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 1 barn 4 accy bldgs
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: ARYF DATE OF INSPECTION: 10/27/2014
TIME START: 9:30am END: 10:00am
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 I%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. 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
I. 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. f �'
New Construction: /111-AE-5
7 Old or Pre--existing Building: (check one)
Location of Property: '�7�/1� �_'r E 5 42d, 7%
House No. Street Hamlet
Owner or Owners of Property: lvl of "s z�-,I_ X
Suffolk County Tax Map No 1000, Section Block 1` CJ Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
` Applicant signature
CONSENT TO INSPECTION
// -/&OJ , the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at ��� �'� ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block�, Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector'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, rules or
regulations of the Town of Southold.
Dated:
( i ature)
(Print Name)
(Signature)
(Print Name)
CO SOUTHOLD 0 0
'UFFOLK CO NEW YORK
JFFOLK GOUNTI' TAX #'S
)00 - 55 - 1 - 6
)00 - 55 - I - 7
)RVEYED: JUNE 15, 2012
EV15ED: JULY q, 2012, JULY 26, 2012
PPLICAl`T S:
AABAIRA J.MARCZEWS10
OWN OF SO=OLD
®E=NAnONALT=
dSURANC E COMPANY
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ l AL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIO f [ CAULKING
REMARKS:
L
DATE INSPECTOR
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY: .14 --
(type) (owner-tenant)
ADMITTED BY: F � �/} ACCOMPANIED BY:
KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
r
TYPE OF CONSTRUCTION: � w� �� # STORIES: # EXITS:
FOUNDATION: BASEMENT: T CRAWL SPACE: �'�,
# OF BEDROOMS: 1ST FLR: `2/ 2ND FLR: 3RD FLR:
BATHROOM(S): _ Z' TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: 1. DECK, TYPE: _ PATIO,TYPE: —�
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YZJ TYPE HEATER: . -t4IRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES_ NO
OTHER:
ACCESSORY STRUCTURES C � l
Ole
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST,TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: END: l
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNERSTREET j 5 VILLAGE DIST. SUB. LOT
' FIFES IVFWn �_ .
ORMER 01N 'ER
S W TYPE'OF BUILDING
SEAS. i VL. FARM COMM. CB. MICS. Mkt. Value
LAND � IMP. TOTAL DATE REMARKS
/611 913 im,
:+ n
c o� 2 ti rad �� SGS- ut`+ka PL-ku.nra . or b
"1�✓( !�'� �/t' 93 �t�' o -Cry S;F beck,
t )00 �Z)Ino Af)i2 &k
1-
AGE BUILDING CONDITION
NEW ( NORMAL BELOW ABOVE
FARM Acre Value Per Volue
Acre
Tillable fiboo \%4- FRONTAGE ON WATER
Woodland L � FRONTAGE ON ROAD
DEPTH
House Plot yam, BULKHEAD
Total DOCK
°etc-'Y �"ta..y`" � `s� tY' + • •► a
MINE
MINE
ME-=-2:L•. - - e'z-'�'.•-mac- 'r _� � � �_
1
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER - _!J - -STREET 41 -7 ! VILLAGE DIST_ -- SUB.` LOT
�,A (JI0. c (Jc,-- kal)li-q pl\ ae -s e C-) c e e v-.i go r
ACR. l , REMARKS
-a So acit e-)r e L t
TYPE OF BLD- 1 0 �
o .;og 3—L jl&�jjQ
PROP. CLASS
LANG IMP_ TOTAL DATE
FRONTAGE ON WATER - TILLABLE 3, 30cC
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL