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Home My WebLink AboutZ-23551 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS S%ISTING CERTIFICATE OF OCCUPANCY No Z-23551 Date MARCH 16, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 39390 MAIN ROAD PECONIC, NSW YORK House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 3 Lot 11.2 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-23551 dated MARCH 16, 1995 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 ONS FAMILY DWELLING WITH ACCESSORY GARAGE & BARN The certificate is issued to ROSS RORALESRI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NJA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SBE ATTACHED INSPECTION RE RT. Building Ins ctor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTiIOLD HOUSING CODE INSPECTION REPORT LOCATION: 39390 MAIN ROAD PECONIC, NEW YORK number b street municipality SUBDIVISION HAP NO. LOT(s) NAME OF OWNER (s) ROSE KORALESRI OCCUPANCY SINGLE FAMILY 6 FARM type owner-tenant ADMITTED BY: ANN ELAR ACCOMPANIED BY: SAME REY AVAILABLE SUFF.CO. TAX MAP NO. 100 - - - JOHN McNULTY, ATTY DATE: MARCH8, 1995 SOURCE OF REQUEST: • DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # E%ITS 2 FOUNDATION CEMENT BLOCK CELLAR FDLL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) OME TOILET ROOM (s) OME IITILITY ROOM PANTRY PORCH TYPE REAR ENCLOSED DECK, TYPE PATIO BREEZEWAY FIREPLACE NO GARAGE DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES ' OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. LARGE BARN SWII~7MING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y_ STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION MARCH 13, 1995 TIME START 9:00 END 9:25 } Form No. 6 '~ti ~ ?Fa .,.w.. TO[dN OF SOUTHOLD , ~ ' ~ Q 1p~ BUILllING DEPARTDIENT ~i 11 • TO[dN HALL ~ s„•. 765-1802 T0~N9v E7r •8~h,~a . a . . APPLICATION FOR CER'PIPICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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-O form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying Chat the solder used in system contains less than 2J10 of 17 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 EuildinQ - $10.0_00__ 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, CommerciQal $15.00 Date ~~~..~.'~.g...d S New Construction.........~.\Old Or Pre-existin/g~,Buildin~ Location of Property.....l U~ ~ ..........~.4'~ .~.`1~....:~4~~.1 ~?d C House No. Strenet I Hamlet Onwer ~s of Property... 1.~....~~4~~.1e~ ~ ....................tt.LI .~.1.. County Tax Map No 1000, Section. • .Block..~~ ~ b~.....Lot.Q~. ~ ! ~ ~ Q.l.l, Q~~ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporar//y,~-~Certff''i~~;;f icate........... Final Certic Fee Submitted: $.../(./o : v • • - Q\~. _7 Ia0 { .....APPLICANT. ~ ~ ~ a3s5i ( KINGS 7'04.7 MAiN ° ~,~_ ~' .... v/ , t'~ LOT ~~ ~ LOT(~ AREA = 50.4829 Acres SURVEY OF PROPERTY A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 85- 03- 11 Scale: I"= 100' Feb. 28, 1995 N/O/F EDWIN W. KORALESKI RO ,65t. tF-.'5 CERTIFIED TO JOHN PETROCELLI STG ASSOCIATES, INC. PECONIC (5161 765 P. O. BOX MAIN ROAD SOUTNOLD, 909 N.Y. 11971 NO, 49618 95-128