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Home My WebLink AboutZ-25761FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25761 Date: 06/04/98 THIS CERTIFIES that the building DWELLING Location of Property 200 PIERCE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 136 Block 0001 Lot 035 Subdivision 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- 25761 dated JUNE 4, 1998 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 WALTER M & VERA D DOROSKI (OWEER) 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 ~QUSING CODE INSPECTION REPORT LOCATION: ~QQ ~IERCE DR CUTCHOGUE SUBDIVISION: MAP NO.: -- LOT (S) __ NAME OF OWNER (S): WALTER M & VERA D DOROSKI OCCUPANCY: A-1 RESIDENTIAL WALTER M & VERA D DOROSKI ADMITTED BY: VERA DOROSKI ACCOMPANIED BY: SAFzE KEY AVAILABLE: HUFF. CO. TAX MAP NO.: 136.-1-35 SOURCE OF REQUEST: VERA DOROSKI - MAY 28. 1998 DATE: 06/04/98 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: CE~4ENTBLOCK TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 1.0 PORCH TYPE: FRONT COVERED BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OIL OTHER: YES WARM AIR~ LARGER CLOSET - 1ST FLOOR 219I) FLR.: ~ TOILET ROOM(S): ... DECK TYPE: FIREPLACE: TYPE HEATER: OIL HOTWATER: ~ STORIES: 1.5 # EXITS: 3 CELLAR: FULL CRAWL SPACE: 3RD FLR.: ~ UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: XX ACCESSORY STRUCTUP~S: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE OONST.: SWIPING POOL: GUEST, TYPE CONST.: OTHER: *ATTACHED TO GARAGE. WOOD FRAME * VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: DATE ON INSPECTION: 06/04/98 TIME START: 10:30 AM END: ll:0O A~ Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 FOR CERTIFICATE OF OCCUPANCY 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. F~nal 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. ~worn 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 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. 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 Bnildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .ZS~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Oate ~..: ~..~.- R~. ......... Construction ........... Old Or Pre-exist~ng Building~... ........... Houee No. Street .... H~m"'~t~'' ' ~.er or 0~ers o~ property.~X~X. ~..~.. ;~?~.~..~-~/~ ..................... · - ~oumty T~ Map No lOOO, sectio~..../~~ .... Bloe~ ..... /. O,t~-- Subdivision .................................. . . Filed Map ........ .. .. Lot ...................... Permit No ............. .. . Date Of Permit ................ Applicant ............................. ~ealth Dept. Approval............. ........ .... . Underwriters Approval ........................ . ~lanning Board Approval ........................ Keguest for: Temporary Certificate ......... . . Final Certicate ........ .. . CONSF. NT TO NS1 [C[1ON O~er(s) Name(a) do(es) hereby That ~he under~i~ned (i8) (are) the owner(s) o[ the prem[~e~ In the To~ of Southold located at ~O0 ~C~ County tax ma6as District 1000. Section /3b , Block / , I~ot That the undersigned (has) (have) filed, or caused robe filed, an applica- tion in the Southold To~ Building Inspector's Office for the following: __ That the undersigned do(es) hereby give convent to the Building Inspectors of tim Town of Southo]d to enter upon the above described property, iucludlng any and all baildings located thereon, to conduct such inspections as they may deem necessary with respectto the aforesaid application, including Inspections to determine that said premises comply with all of the laws, ordinances, rules and re~ulatioas of the Town of Southo]d. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such 'nspecttons nmy be lived lis evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) (print name) (sianatare) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS P.~E 1 ~:850,'? .UREAU OF ELEC~.,C,TY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date NO:.~I'~BER 13,1998 Application No. on J~le 17011098/98 N 471399 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SEAN LAWTON, 2~3 PIERCE DRIVE, POLE # 1, CUTCHOGUE, NA' In the following location; [] Basement [] 1st FI. [] 2nd Fl. OUT Section Block Lot was examined on NO\~E~ER ~6,199E and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'P% TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT OTHER APPARATUS: s E R NO. OF CC COND. PER ~ OF CC. COND, NO. OF HI.LEG OE HI-LEG OF NEUTRAL RO£L~f ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 LIC.#3677 GENERAL MANAGER ThlK certificate must not be altered In any manner; return to the office of the Board If Incorrect, Inspector; may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.