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Home My WebLink AboutZ-28848FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28848 Date: 09/06/02 THIS u~TIFIES that the building DWELLING Location of Property 4420 OREGON RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 095 Block 0003 Lot 001 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 CERTIFICA~ OF OCCUP/~NCYNIH~BER Z- 28848 dated SEPTEMBER 6, 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 ACCESSORY GA=~AGE & 2 STORAGE SHEDS* The certificate is issued to JOSEPH A. DEERKOSKI & ANO (OWNER) of the aforesaid building. SUFFOLK COUI~TY DEPARTMENT OF ~ALTH APPROVAL ELEC~RICAL c~RTIFICATENO. PLU~4BERS CERTIFICATION DA'£~D *PLEASE SEE ATTACHED INSPECTION REPORT. N/A Rev. 1/81 ature LOCATION: 4420 OREGON RD BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MATTITUCK SUBDIVISION: MAP RO.: NAME OF OgF~ER (S): JOSEPH A. DEERKOSKI & ANO LOT (S) O~C~3PANCY: SINGLE FAMILY DWELLING JOSEPH A. DEERKOSKI & ANO aDMl-l-r~u3 BY: JOSEPH DEERKOSKI ACCO~PANI~ BY: SAME KNY A%rAXLABI~: S~3FF. CO. TAX NAP RO.: 95.-3-1 SOURCE OF REQUEST: PETER S. DAMOWSKI JR., ATTY 7/17/0 DATE: 09/06/02 DWELLING: TYPE OF CORSTRUCTIOR: FOUNDATIOR: BRICK WOOD FRAME TOTAL ROOMS: 1ST FLR.: 4 2ND F~.: 2 BA'£~u(OO~{S): 1 . 0 TOIleT ROO~{S): PORCH TYPE: WRAP AROUND COVERED DECK TYPE: BI~EEZEWAY: FIREPLACE: D(~STIC HO~A'r~K: YES TYPE HEAT]~R: TYPE HEAT: 0IL WARM ~tIR: SIDE ENTRY WITH WASHER & DRYER STORIES: 2.0 # ~XITS: 2 1/2 CRAWL SPACH: 1/2 3RD FLR.: 0 UTILITY ROOM (S): PATIO TYPE: GARAGE: ~RCONDITION~: OIL ACCESSORY STRUCTURES: GAP3%GE, TYPE OF CONST.: 26'X42' 2 CAR WOOD FRAME S"~OI~/~E, TYPE CORST.: * SWIPING P(K)L: ~ST. TYPE CORST.: ~£~K: *WOOD FRAME SHED 36 X 24 & WOOD FR3%ME SHED 10 X 20 VIOLJ%TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPEt-r~u BY: DATE ON INSPECTION: 07/30/02 TIM~ START: 10:00 AM ~ND: 10:45 AM Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and sublnitted to the Building Depart~nent with the £ollowing: 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. Bo 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 consent to inspect sigued by the applicant. Ifa 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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 3u1¥ 17t 2002 New Construction: Old or Pre-existing Building: ~ (check one) Location of Property: ~i~2~} ~)~I~'~d tl~l}~ ~,~t House No. Street Hamlet Owner orOwners ofProperty: ~r"~ ~[ ,~l~l~$ll~t Scrtt Suftblk County Tax Map No I000, Section ~ Block ,~ Lot Subdivision Permit No. Health Dept. Approval: Plmming Board Approval: Request for: Temporary Certificate Fee Submitted: Filed Map. Lot: Applicant: O~'0~".~ ~. ~}t[~r~t Date of Permit. Underwriters Approval: Final Certificate: t/ (check one) cant ,g. tur r BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by SABAT ELECTRIC JOE DEERKOSKI 50 PAT LANE 4420 OREGON ROAD MATTITUCK, NY 11952, MATTITUCK, NY 11952 Located at 4420 OREGON ROAD MA'VI-ITUCK, NY 11952 Application Number: 1073857 Certificate Number: 1073857 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 30th Day of August, 2002. Name QTY Rathe Rating Circuit Type Additional Charges electrical survey of detached garage No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory ~ condition was found. ~ seal 1 of 1 [~ This certificate may not be altered in any way and is validated only by the presence of' a raised seal at the location indicated. ~_ 409' OREGON ROAD 165.15' MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. ~, N 62'02'1~"E '~64,9t' FENCE WO.9' L!C£NSFh L~,,tg 5U~qVF_¥'OR INVOICE Kevin Rempe Plumbing & Heating Corp. P.O.Box 2575 Aquebogue, NY 11931 913/02 Tel. (631) 722-5451 Fax (631) 722-7814 To: Joseph Deerkoski Job Name: Cindy Lane Mattituck, NY Parent's Home Oregon Rd Cutchogue, NY QUANTITY DESCRIPTION UNIT PRICE AMOUNT -Sealed flue connection between smoke pipe and masonry chimney Service Call 75.00 Sub-Total 75.00 Sales Tax 6.38 Total $ 81.38 CONSENT TO " INSPECTION Owne~(s) Name(s) do(es) hereby stat{:: That the undersigned ~ (are) the owner(s) of the premises in the Town or Sou,hold oca ed at ~ff~ ~0~ , which is sho,m and desi,nated on the Suffolk That the u~dersigned ~) (have) filed, 'or caused to be filed, an applica- tion in'th~ Sout~old To~ Bu~lfling inspec[~ .~ orr[.~ t.~ +h~ tnllnwin~: That the u~der~ned do(~) hereby give consen~ to the Building Inspectors or the Town or Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessar7~ with respect to the aforesaid application, ~elud~'inspections to determine that said premises comply with all or the laws, ordinances, rules and re~ulations~of the Town of SouthOld. The undersigned, in consenting to such ~sp~et[ons,.do(~) so x~th the knowledge and Cnderstanding that any ~rormation obtained tn the conduct or such ' ' mspectton$ may'be used as evidence in subsequent prosecutions for lations o~ the l~ws, ordinances, rules or re~lations of the Town orSouthold. July 17i, 2002 Dated: 0 - ( p r i_j2.t~ a__m e ),~ ~ (si~nnture)