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Home My WebLink AboutZ-26572FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26572 Date: 07/20/99 THIS CERTIFIES that the building Location of Property 32240 MAIN RD (HOUSE NO.) County Tax Map NO. 473889 Section 103 Subdivision DWELLING CUTCHOGUE (STREET) (HAMLET) Block 0001 Lot 019.003 Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26572 dated JULY 20, 1999 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 FAMTLy DWELLING * The certifioate is issued to FRANK CICHANOWICZ III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: ~240 ~AIN P~D SUBDIVISION: NAME OF OWNER (S): FI~ANK CICB~/gOWICZ III OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY= SELF CUTCHOGUE MAP NO.: -- LOT (S) __ ~t%~E CICNA~OWICZ III ACCOMPANIED BY: KEY AVAILABLE: SUFF, CO. TAX MAP NO,: 103.-1-19.3 SOURCE OF REQUEST: FRANK CICHANOWICZ III 7/2/99 DATE: 07/20/99 TYPE OF CONSTRUCTION: W°OD FRAME FOUNDATION: BRICE TOTAL ROOMS: 1ET FLR,: ~ 2ND FLR,: _.~ BATHROOM(S): 1.0 TOILET ROOM(S) PORCH TYPE: DECK TYPE BKEEZEWAY: FIREPLACE: DOMESTIC HOTWATER: YES TYPE HEATER: ~ TYPE HEAT: ~]~ WARM AIR: XX HOTWATER: OTHER: pANTRY OEP KITCHEN ~ STORIES: 1,~ # EXITS: ~ CELLAR: P~ CRAWL SPACE: __ 3RD FLR.: ~ UTILITY ROOM(S): PATIO TYPE: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE I DESCRIPTION ART. SEC. R~S: BP #14610-Z-C0 ~14604 (ALT & ADD.) DATE ON INSPECTION: 07/14/99 TIME START: 9:40 AM END: 10:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~L BLDG. DEPT. .tm .,. ~_B~. N OF SOUTHOLD This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. 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 c6mpleted site plan requirements. B. . For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '~pre-~xisting" 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 a 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, Sw~,~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Fre-existinR Buildine - $i00.00 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 ..~?..~.~. ~-~t ~?R~ ...... New Construction ........... Old Or~Pre-existing Building ....... ~ .... Location of Property ............... ~ ...... i...~ ~ O House No. Street Hamlet ..... Onwer or Owners of Property... · ........... t ....... ..... County Tax Map No i000, Section .... Block ...... Lot ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... :Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fi · Fee Submitted: $ ................. s s .... .............. CONSENT TO INSPECTION OWner(s) Name(e) do(es) hereby state¢ That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold loc.ted at 300t . . which is ~ho~ and designa[ed on the Suffolk County fax m~pas District 1000. Section /0~ . Block I . Lot /9.~. ThaE ~he undersigned (has) (have) filed. 'o~ caused [o be filed, an ~pplica- tion in the Southold To~ Building Inspectop's Office for the follow,g: __ 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 ali 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 Dated: ~/~/~lati°ns of the laws, ordinances, rules or regulatio~~f.~,..~ _° t ~T ~ h outhold. ,~ ~ignatur e) ~. (print name) (signature) (print name) ;~'F~AbJld MAP OF PI~OPEF2TY' A. 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