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HomeMy WebLinkAboutZ-38600 Of F64 Town of Southold 10/18/2016 53095 Main Rd co Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38600 Date: 10/18/2016 THIS CERTIFIES that the structure(s) located at: 245 Wickham Ave.,Mattituck SCTM#: 473889 See/Block/Lot: 140.-3-12 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38600 dated 10/18/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with front and rear brick and concrete entries.* Note:BP 40897 "as built"int. alters. COZ-38599. The certificate is issued to Orlowski, Walter (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 910 rized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 245 Wickham Ave.,Mattituck SUFF.CO.TAX MAP NO.: 140.-3-12 SUBDIVISION: NAME OF OWNER(S): Orlowski,Walter OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Orlowski,Walter DATE: 10/18/2016 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: concrete block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: conc/brick entries DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: yes GARAGE: DOMESTIC HOTWATER: electric TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil baseboard WARM AIR: HOT WATER: #BEDROOMS: 3 #KITCHENS:, 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 5/6/2016 TIME START: 9:55am END: 10:25am form No.6 0I � , 7 T I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL I 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 following: 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. B. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00' 3. C6py of Certif fate"of Ocdit0Rk y $.25" 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. ® �. New Construction: Old or Pre-existing Building: y (check one) Location of Property: S W 'c l�G-t�t� kcvtkt� b T r c7 ru c.,k— House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section / ►- D Block_ 3 Lot 1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: _ Health Dept.Approval: Underwriters Approval: Planning,Board Approval: Request for: Temporary Certificate Final Certificate:- (check one) Fee Submitted: $ ( 0 0 Applickit Signature CONSENT TO INSPECTION - �'" ►-n-� +)p �'�.c,c a the undersigned,do es hereby state: Owner(s)Name(s) That the undersigned(is)(are) the owner(s)of the premises in the Town of Southold, located,afz •� ,/-� � . • which is shown and~desxgnated on the Suffo ounty Taxc Map as Distt-1000,c Section_� `-� ,Block ,lot That the undersigned(has)'(have)filed,or cause to be filed, an application in the Southold'i'owt -Building Inspector's Office tor,-the following:' • That the,uddersigned'do(es).hereby give coiisent to the Buildinglnspectoa"s ofthe' Town of Southold to enter 4911 theabove descrilied property, including any and all .buiklir gs located°thereon;,to cbndudt such.inspecdons as they ni4y deem necessary with respect io'the aforesaid application,including inspectioxis:to determine that said preises eomplywith all of the laws; btdihatices,iules=atid_regitlations.ofthc Town of Southold, ' The.undexsigtted,in,consent3ng 0-such inspections,.do(es) so,witli the 6owledge and uriders indAng that any information obtained in the.conduct•of suchirtspections.may . be-usedini.subsequeniprosecutions for violations of the'lauws;ordinances,nzles or regulations of the Town-of.Soutliold Dated: attire) (Print Name) •(Signature) (Print Nance) t TOWN OF SOUT1HOLD PROPS 'Y RECORD CARD - 'k; f; w _OWNER v STREET VILLAGE DIST. 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First you need the smoke detectors and carbon monoxide detectors. A permit is required for the hot water heater and boiler. He also said it looked as if the kitchen was opened up to a big great room,so he is looking for dates and information on the kitchen alteration as well as the bathroom alteration . Sorry it took so long to get back to you, it's been super busy this week. Thank you. Susan Pontino Clerk/Typist Southold Town Building Department E 1 OF SObTyO! � o �r n cOUM`I,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FqUNDATION 2ND [ ] !lr6LATION FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: t rdt-fl Vkke' +•lu b4l A, ole�o bo� v�✓' � LsUl- G wJ- S aw- DATE INSPECTOR 7f740 74 LOCATION: ��� Gam• (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): . NAME OF OWNER(S): OCCUPANCY: ype) (owner-tenant) ADMITTED BY: ACCOMPANIED;BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: 499 024 DWELLING TYPE OF CONSTRUCTION: CrP . , # STORIES: 6 # EXITS: FOUNDATION: •�• BASEMENT ✓ CRAWL SPACE: a # OF BEDROOMS: IST FLR:" 2N1),FLR: 3RD FLR: BATHRO'O S). TOILET ROOM(S): UTILITY ROOM: _ PORCH.TYPE: AST Aokl)ECK, E: PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: �AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS FINISHED BASEMENT: YES ✓ NO OTHER: ACCESSORY STRUCTURES 1 GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: �— GUEST, TYPE CONST: c� i OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE!UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. S p v ® � REMARKS: ; INSPECTED BY: _ _� .DATE OF INSPECTION; TIME START: �r �� END: J�- �S