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Home My WebLink AboutZ-17799FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17799 Date FEBRUARY 24r 1989 THIS CERTIFIES that the building. Location of Property 205 BOISSEAU AVENUE House No. County Tax Map No. 1000 Section 62 ONE FAMILY DW~I.?.ING Street Block I SOUTHOLD r N.Y. Hamlet Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to requirements for a private one-family dwelling built prior to APRIL 9~ 1957 pursuant to which CERT. OF OCCUPANCY. #17799 dated FEBRUARY 24~ 1989 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 GARAGE The certificate is issued to WESLEY BEDNOSKY JR. & LAURA B. CAREY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING Building Inspector Rev. 1/81 BUI~Dt.,G DEP:LRTi. ZENT TOT;fN OF SOUTHOLD, N. Y. HOUSING CODE INS?ECTION REPORT Location 205 BOISSEAU AVENUE (numoer ~ szreev) Subdivision Map No. Name of Owner(s) WESLEY BEDNOSKY, JR. SOUTHOLD, NEW YORK (Fiunlcipa±ivy) Lot(s).,, Occupancy A~mitted by: RESIDENTIAL {~ype) WES BEDNOSKY Key ~vailable OWNER (owner-tenanv) Accompanied by: SAME Suffolk Co. Tax No. 62-]-]7 Source of request WES BEDNOSKY '~ Dar e 2/17/1989 D~'~LLIMG: Type of construction Foundation BRICK Total rooms, 1st. F1 Bathroom(s) ONE Porch, typq ENCLOSED REAR Deck, WOOD FRAME #stories CellarFULL~rawl space 2nd. F1 5 3rd. F1 Toilet room(s), type Patio, typq__ Breezeway Garage Utility room " ~' oor ~acnral ~ Type Heat ~ Fioor i~!~erm Air Hotwater Fireplace(s) 1st Floo~o' ~cits 2 Airconditioning Domestic hotwater N~tural Gas Type heat'er 30 Gal. Other 2 ACCESSORY STRUCTURES,: ~ good frame Garage, type const. ~ concrete blockStorage, type const. Swimming pool Guest, type const. Other TRAILER VIOLATIONS: _Location ]. Housing Code, Chapter 45N.Y. Stats Uniform Fire Prevention ' & Buzldin~ Cod~ Descriotion I Art. f Sec. No smoke ~et~c~3rs outside sleeping areas. No hand raj.[ on stairs to End zloor. I Door from ' " ~ ~ nC in front of building does not have a se~ of stairs and does not provide continous enit from the building. 11242. A Remarks: OARY/F S 2/22/1989 Date of Insp. -Time start3:30 end 3:50 CONSENT TO INSPECTION Wesley Bednoski, Owner(s) Name(s) do(es) hereby state: Jr, # · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at BOi~$¢au Avenue~ Southold, NY · which is shoxvn and designated on the Suffolk County tax map as District 1000· Section 62 , Block 1 , Lot 17 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: __ pre-existing certificate of occupancy 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 xvith 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. , 1989 Dated: February (signature) Wesley Bednoski, Jr. (print name) (signature) (print name) FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OC~CUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m m to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildingsI property lines, streets, and unusual natural or topographic feature~ 2. Final approval of Health Dept. of water supply and sewerage disRosel-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwrite~'s. 4. Commercial buildings, Industrial buildings, Multiple Residence~ and similar buildings and installa- tions, a certificate of Code compliance from the Architect or E,hgineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p=operty showing all property lines, street~, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. : C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(IO, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ !00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. House No. ,~ ^ ,$~reet / J ,/ Hamlet Owner or Owners of Property ..~.~ .... County Tax Map No. 1000 Section ..... ~{~.~ .... Block ....... ~ ....... Lot ...... 1..~. ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...... /~ .~.~ ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ~. ................... Fee Submitted $ .e~..~, ~ Construction on above described building a~ Rev. 10-10-70 ~e~ a~s and regulations. V": · :'7 ....... ................ B OISSEA U A VENUE S 75° 39' 50" E ~0,00' ROOF OVER i ? ~ SURVEY OF _ ~. ~ .. ~; PR OPER T Y '~ ~" ~'4i-- TOWN OF SOUTHOLD . ~ A T SOUTHOLD '" ~. SUFFOLK COUNTY, N Y. ~ ~ '/ ~ ~ Scale I" = 30 ~ ~ ~o's CERTIFIED TO~ o~ 5X. O0' ~,~ SUFFOLK COUNTY NATIONAL BANK : N 11'2~00'' W ~ES B~DNOSKY~ Ur, N/O/F SOUTHOLD FIRE DISTRICT Prep;red in accordance w/Ih the minimum si;nd;rd; for lille survey; as esloblJshed by the L.I.A,L.$. and approved end adopled for eush use by The New York Sial; Lend Title Asso~lelion. 49668 88 - 466