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Home My WebLink AboutZ-23391FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23391 Date DECEMBER 6, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 30697 COUNTY ROAD #48 PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 4.1 Subdivis 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-23391 dated DECEMBER 6, 1994 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 ATTACHED GARAGE The certificate is issued to MARGARET TROYANO MOORE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 30697 COUNTY ROAD #48 PECONIC, NEW YORK number b street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) MARGARET TROYANO MOORE OCCUPANCY SINGLE FAMILY DWELLING type (owner -tenant) - ADMITTED BY: JENNIE PUPECKI ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. IOOU-/3-4-4.1 SOURCE OF REQUEST: GARY FLANKER OLSEN, ATTY DATE. NOV. 30, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK CELLAR FULL TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE BEAR SCREENED COVERED DECK, TYPE BREEZEWAY FIREPLACE ONE DOMESTIC HOTWATER YES TYPE HEATER L.P. GAS TYPE HEAT OIL WARM AIR YES OTHER: GARAGE: SHOWER STALL S F BATH. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: # STORIES 1 # EXITS 2 CRAWL SPACE UTILITY ROOM BACK OF GARAGE GARAGE PATIO ONE CAR AIRCONDITIONING HOTWATER STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION DECEMBER 5, 1994 TIME START 9:15 AM END 9:35 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �I�U i 765-1802 e BLDG. 9 TOWN OFSOUTHOLD APPLICATION FOR CERTIIICATE OF OCCUPANCY A. 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. 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 Boars Appruval 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 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. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 November 21, 1994 Date ......................................... New Construction........... Old Or Pre-existing Building..X.............. Location of Property... Private Road, Petoniic, NY ............................... House No. Street Hamlet Margaret T. Moore „ •.. Onwer or Owners of Property..... ....................... . �• .. 3 County Tax Map No 1000, Section.. 73........ Block. 4 ••••••••••••.Lot....2.'. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters App oval''......................... Planning Board Approval ........................ Request for: Temporary Cert'd*hANNTTOLSEN, tE eal Cert ca 100.00 P.A. '3X 706 Fee Submitted: $.. • . • • ' • • • • j (lY�jIOGUE,•L.L, Y. 11935 �^ ....................................... G,,. co 2 2�i)� 1 - APPLICANT nine 10 P94 BLDG.DEPT TOWN OF Eoi: CONSENT TO INSPECTION M Margaret T. Moore the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Private right-of-way, Peconic, New York n which is shown and designatedAon the Suffolk- County uffolk County tax map as District 1000, Section 73' Block 4 ,Lot >,2, & part of i That the undersigned (has) (have) filed, 'or caused to be filed. an applica- tion in1t -Southold Town Building lnspecw& •o OULt a Sow ♦tie fnllowing: One story frame house with attached garage . 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 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 may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 16OV l 0(signature)l (print name (signature) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD ''�� HOUSING LOCATION: =306 1? number & street SUBDIVISION NAME OF OWNER OCCUPANCY INSPECTION REPORT MAP NO. 0 �1 l , -/ municipality LOT(s) JADMITTED BY: ftiAl,.e ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP NO.,et2k:t2 -- -7_ — - y /.'L SOURCE OF REQUEST: �c' ( �DATE: j?/ Wl�--Ze-z DWELLING:- _ TYPE OF CONSTRUCTION (, 00d r� /Yl7 / # STORIES_ FOUNDATION (2/A01 CELLARS �/ CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. # EXITS - BATHROOM ( s ) OA/%e_ TOILET ROOM (s)- - . UTILITY ROOM /3 11. �! 6 i91r PORCH TYPE ,�24,e DECK, TYPE — PATIO BREEZEWAY V-1" FIREPLACE ON --e, GARAGE 011Y k- ej4,C DOMESTIC HOTWATER TYPE HEATER A1/0, AIRCONDITIONING TYPE BEAT �� n WARM AIR YC-- Cj HOTWATER OTHER: (sad/ �� J .r, ?�k�'�/' f 13,wlt — ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. -� SWIMMING 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 TIME START' ' ; / END , 3 }