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Home My WebLink AboutZ-19067FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19067 Date MAY 21~ 1990 THIS CERTIFIES that the building Location of Property 1400 WICKHAM AVENUE House No. County Tax Map No. 1000 Section 139 Subdivision Filed Map No. ONE FAMILY DWELLING MATTITUCK ~ N.Y. Street Hamlet Block 3 Lot 48 Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19067 dated MAY 21~ 1990 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 ONE CAR GARAGE * The certificate is issued to FANNIE BI~-L~WICZ (owner) 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 *PLEASE SEE ATTACHED INSPECTION REPORT. ~~J~li~ng~nspector Rev. 1/81 BUILDIHG DEP.~d{T[LENT T0;'~I OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT 14oo WICKHAM AVE. MATTITUCK, N.Y. ~numoer ~ street) (l,iun~cipa±i~y) N0. Lot(z) Name of Owner(s) Occupancy {type) A~mitted by: EDWARD THOMPSON FANNIE BIELEWICZ (owner-Eena~r) Accompanied by: EDWARD TROMPSON Key available Suffolk Co. Tax No. I 39-3-48 Source of request. FANNIE BIELEWICZ ' Date MAY 7. 1990 ~%'~LLI~: Type of construction WOOD FRAME #sTories Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 5 2nd. F1 3rd. F1 Bathroom(s) ONE FULL Toilet room(s) Porch, type FRO~TENCLOSED Deck, type Patio, type Breezeway Garage Utility room Type Heat O~L 'Warm Air xx .Hotwater Fireplace(s) No. ~cits ~ Aircondition~ng Domestic hotwater LILCO GAS ~ype heater Other ONE ACCESSORY STRUCTURES: W~OD FRAME Garage, type const. ONE CAR Swimming pool' Other Storage, type const. 2 additions to Guest, type const, garage. V~IOLAT!ONS: _Location .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING GODE Descriotion I-A~t.'[ Sec. Remarks: B.P. ~6918-Z Co Z-6826 for add to house. B.P ~13130-C0 Z-15410 add. to ~a~ ~ish 'Time start end APPLICATION TOWN OF $OUTHOLD BUILDING DEPART21ENT TOWN HALL ' ~ SOUTI]OLD, NE~ YORK ll97l~ ~'~ I BLDG. DEPT. ...... ~ TOWN OF SOU~OLD FOR CERTIFICA~g OF u~u~ .... ~ - Owner or Owners o Proper ..... co..=y Ta~ .ap "o. '000 'ee=ion ../X?. Subdivision ....................... Permi~ No ........... Da~e of Permit Heal~h Planning Filed Hap ........ LoC .......... .......... ApplicanK ................... Dept. Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Cer~iflcacn ....... Fioal Cercificace ..~.. ........ Fee Submitted: $ rev. I0/ 14/88 De FORHNO. 6 TO~N OF SOUTI10LD BUILDING DEPAETHENT TO[/N rlALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be filed in type~rriter OR ink and submitted to the Building Inspector vlth the following; for new buildings or new use: I. Final survey of property vith accurate location of all buildlags, property llnes, streets, and unusual natural or topographic features. 2. Final approval of Health Depto of water supply and sewerage-disposal(S-9 form). 3. Approval of electrlcal installatlon from Board of Fire Underwriters. 4o Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of 11 lead. 5. Co-mercia1 buildlngs, industrlal buildlngs, multlple residences and similar. buildings and installations, a certificate of code compllance from the Architect or Engineer responslble for the buiIding. §. Submit Planning Board Approval of completed site plan requirements. For existing buildln§s (Prior to Aprll 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. A properly completed application, a consent to inspect signed by the appllcant and a~__L~-.~:~ aL_-~-~.c~_~ ~"I~. issued by a title company vhlch shall show single and separate o~rnershlp of the entire lot prior to April 9, 1957. · I£ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~riting to the applicant. 3. Date of any housing code or safety inspection of buildlngs or premises, or other pertinent information required to prepare a certificate. For Vacant Laud'Certificate of Occupancy: ]. An applicatlon for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company sho~ing single and separate o~rnership of,the entire 10t prior to April ~, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in eating to the applicant. FEES: ]o CERTIFICATE OF OCCUPf~qCY - New Dvelliug $25.00, Additions to D~elling $25.00, Alteratlon to Dvelllng $25.00, Swlmmin§ Pool, $25.00. Accessory buildln§ $25.00 Addition to Accessory buildln§s, $25.00 -Businesses ~ of Occupancy on pre-exis~inE d~e11inE CertiflcaCe ~100.00. Copy of CerclglcaCe of Occupancy - $5.00 - over 5 years - ~I0.00 Vacant Land CerClficaCe of Occupancy - ~20.00 Updated Certificate of Occupancy - ~50.00 Temporary Certificate of Occupancy -~15.0.0 Resldenclal Co~ercial er. 10/14/85 CONSENT TO ' f999 INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (~) the owner(~ of the premises in the Town of Southold located at /.~o o [J2' I~/f H,,~.,~ ,/~V &-,,'V U ,~.i /fi/~TTl'7~c IV ? fi/, ~ , which is shown and designated on the Suffolk County tax map as District 1000, Section /3 ~ , Block 3 , Lot That the undersigned (has) (b~) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the foll0wing: 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 ail 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances· rules or regulations of the Town of Southold. Dated: (signature) /~_ print ~ (signature) v (print name) 506~..,Z~ - ;'dAP OF Pf-2OPEP. TY ~.2f2VEY E rD '-'-,-, ' '~'"-'I~- ~ ~ ELE ~,,,/'" "-'--'" . , q ~ ! /