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Home My WebLink AboutZ-28374FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28374 Date: 04/30/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 51250 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 070 Block 0002 Lot 005 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- 28374 dated APRIL 30, 2002 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 COVERED FRONT PORCH AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to MARY JANKOWSKI & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 00 ADtA33&130 8WM0VL4.ID1BIB$M*2D14101 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 51250 MAIN RD SOUTHOLD SUBDIVISION: NAP NO.: IAT (S) NAME OF OWNER (S): MARY JANKOWSKI & ANO OCCUPANCY: SINGLE FAMILY MARY JANKOWSKI & AND ADMITTED BY: DENISE CORNELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAR MAP NO.: 70.-2-5 SOURCE OF REQUEST: JOHN P TAGGERT ESQ. DATE: 04/30/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CKLJAR: CRANI, SPACE: TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 4 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM (S) 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: NAT AIRCONDITIONING: TYPE HEAT: OIL NARK AIR: HOTHATER: X STEAM OTHER: *MUD ROOM, BILCO CELLAR EXIT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD STORAGE, TYPE CONST_: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: !/ /{'i DATE ON INSPECTION: 04/30/02 JOWN BOUFIS TIME START: 10:00AM END: 10:35AM - —z Form No. 6 a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL AR 2 2 2V 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 followilig: 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 1 % 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 "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 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, 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. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of Property: 61 J-50 N,41 Al X b,* House No. Street Owner or Owners of Property: W FY c1 M KOW $ K Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ /1/1w CWS@ ;7,,;? 7 - 040 ahs U,(,5 . 070 Date. rt�a�cclL a� , aoo a (check one) SUtJI H0 Cb Hamlet Jv Se Pq Inl6 Pt4W?, Block 012 Lot Filed Map. Lot: 065 Applicant: 0 *Al /�C�Ej A!2 (E ES�CsZ Underwriters Approval: Final Certificate: V (check one) AppliczWignature C-1J��y �c�Cois ik Survey for: ROBERT C. PLANZ & JOSEPHINE T. PLANZ At Southold Town of Southold Suffolk County, New York S. C. T. M .: 1000-070.00-02.00-005.000 40 0 40 p J SCALE: 1 "=40 W now Or for Q Z d Davi mer/ Q 8 DeFre1$t NOTES: Oi j 577�3p'00"c / 1. AREA = 25,671 S.F. N W ^ i n° 2. ■ = MONUMENT FOUND, • n =PIPE FOUND, W Lu a O i p W °r fOr O= SPIKE SET. � O . 16 FEN , avid i Demerly / 3. REFERENCE DEED L. 8329 CP. 534 } y,O www 1 U J>.2' kiRF FENCE / rei.] t 22.2' %FN Z J I\ y B.B.Q i.gg I 2 h FRTORY �F O C R CE 33Q , , C`/ •5I.0' o HoU a.s• QQ !FN I 19 h 75.00. MqN FEN 0.9'E CRASS ,k STONE z DATE: 1 2002 I)R/WWA'( zz OBN0:20 2-105 N77.30,00„w 4 c� IN CERTIFIED CERTIFIED TO: p 94.00. 0O �O- C •i ROBERT C. PLANZ k JOSEPHINE T. Qd RBS ^ i3O FIRST AMERICAN TITLE INSURA COMPANY OF NEW YORK ARBOR 92.1 p' 0'0 O Pau/ nowOr 330. /y 00' 37.50' s v ROdich 11_ M°a�' � I erlyL,C o FEN c (forrherly George R d h)t ROdlch 0 CONSENT TO INSPECTION the undersigned, Owne�(s) Name(s) do(es) hereby state; That the undersigned (is) (nre� the owner(s) of the premises in the Town of Southold located at TSU /►lin Qoa_d which is shown and designated on the Suffollz I County tax mapjas District 1000, Section Block 602 Lot u That the undersigned (has) Utarve) filed, 'or caused to be filed, an applica- tion in -the Southold Town liuilcting lnspeaLw, orrL�. ro,. +60 fnll0winL1: Ak 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 i 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 maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (s tuI " 7 R QL (print name) (signature) (print name) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLA�JC�}E & CHIMNEY Q REMARKS: DATE INS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING A [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: - & - & " 9, 3a �jo: .3e -q: �/O - Vzo axQ xe4-a_ — DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING L [ ] FIREPLACE & CHIMNEY REMARKS: ,p=� ] ROUGH PLBG. ] INSULATION ] FINAL 1 /- LOCATION: J-47-1 c4a f/ (number & SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: c MAP NO.: - L (municipality) _ LOT($): Z -- (type) #I(owner-tenant) ADMITTED BY:r C ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1 00- SOURCE OF REQUEST: DATE: Z j - DWELLING: TYPE OF CONSTRUC'rJk0N- w �7�R/ , # STORIES: 7►�" # EXITS: FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): T ROOM(S): U,'ELiW�W ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATEIt: TYPE HEATER: -- AIRCONDITIONING: TYPE HEAT: 1 WARM AIR: HOTWATER: � OTHER: ! U 2 ACCESSORY STRUCTURES - GARAGE, GARAGE, TYPE OF CONST.: 64 GtJG-T�� STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ENNOW.402"Mm mm eA 0 0'U111111 L REMARKS: INSPECTED BY: DATE ON INSPE(-TION: TIME START: !,U END: ze l TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER J STREET 51-Z, C) VILLAGEDIST. SUB. LOT -.� 0 CJS ifirl•C� Jas Z r- FORMER OWNER N.�\ �. e, E� ACR. _ S= W ., TYPE OF BUILDING RES. 02 p SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ✓ 'q 9 7 ,gir,, l �,v •✓s �p G _ 8'3.t 9 ' � _� O _ /y/ TR9i✓Xo c✓ r chi e� �4.re AGE BUILDING CONDITION NEW -NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 79 ' f Z c�►� Meadowland DEPTH House Plot BULKHEAD Total DOCK �\.�tC\` 3 `� x ..