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Home My WebLink AboutZ-25535FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25535 Date: 02/10/98 THIS CERTIFIES that the building DWELLING Location of Property 1375 PECONIC LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 075 Block 0005 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 CERTIFICATE OF OCCUPANCY NUMBER Z- 25535 dated FEBRUARY 10, 1998 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 STRUCTURES * The certificate is issued to JOHN WILLIAM NIERODZIK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Bu lding InPIN ector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1375 PECONIC LA SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): JOHN WILLIAM NIERODZIK OCCUPANCY: SINGLE FAMILY JOHN WILLIAM NIERODZIK ADMITTED BY: DAN DROBNY ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 75.-5-1 SOURCE OF REQUEST: CAMINITI & GIBBONS. ATTYS DATE: 02/10/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: BLOCK CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: 1ST FLR.: 4 BATHROOM(S): 2.0 PORCH TYPE: BREEZEWAY: 2ND FLR.: _I TOILET ROOM(S): 0.0 DECK TYPE: FIREPLACE: 3RD FLR.: _Q UTILITY ROOM(S): YES PATIO TYPE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: GAS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: OTHER: *COVERED ENCLOSED PORCH UNHEATED. GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: WOOD FRAME SWIMMING POOL: OTHER: BARNS (SEE BELOW) GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y- STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION 1 DESCRIPTION 1 ART, SEC. BARNS - BUILDING # 1 - ROOF REPAIR NEEDED SEE ATTACHED BUILDING #2 - POOR CONDITION BUILDING #3 - POOR CONDITION BUILDING #4 - POOR CONDITION BUILDING #5 - FAIR CONDITION BUILDING #6 - FAIR CONDITION CLEAN-UP REQUIRED: VEHICLES & MACHINERY) REMARKS: REINSPECTED ON 2/9/98 INSPECTED BY: MICHAEL J. DATE ON INSPECTION: 01/16/98 TIME START: 10:25 AM END: 11:45 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP 1, I I i4 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 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 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 I. 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. Businesses00. � Certificate of Occupancy on Pre-existing Buildine $100.00 3. Copy of Certificate of Occupancy - .25C 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 . Q�} ...... Location of Property....1 5.... �. ccow x....(e INtz .....I.EC(�p �J................. . House No. ` Street Hamlet Onwer or Owners of Property. � Q�:J.....` )\CcQ"0�2'�K` County Tax Map No 1000, Section.. r).5 .......B.lock. 5............Lot... .................. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Fee Submitted: $.a.�i7.:S .............. (5. co ?� a Zal. Ue ticate... ..... kQol� . �-- _- . J) ' APPLICANT JON►-) N 1 (LO bZ Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION i the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section Block S Lot _. 1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: u� 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 regulation 'o the Tow f Southold. Dated:__q b _ j✓i� (signa 1P2qUL e T7 (print name) \C t AJ r)3U-SLfS) (signature) (print name) ' 5URVE1' OF PROPERTY 51 TUATE : FEGON 1 G LAND NOGG Fes" P TOWN OF 5OUTHOLD 433:18 3 5.� ' 5UFEOLK COUNTY, NY N48 °2310„E Hw cu IJ o - SOD OF W F� Ep6E W I' N. 5-70.13' 096. HDC. 1.153°02'00"E 4' N 2'N. HEDGE ROW ....... - .... ....... '�{°W6. .... ....:.......... I EDGE OF 50D 163' BM61 633' P N h 13.4' 111 136' i \ Z DO' Q 133' \ v FpAm / 63 303' .... / / W V J Z �(� z 'f, RE/g•E mvl! 1' O Ln g ros. Q (o O w UJ ° n � Z I �AA (�� • U I. J DETAIL FOR SCALE: BUILDINGS I" z 50' -- SEE �as DETAIL -9 �� a iN V o �, d < b - �I ,DIRT b ROI*D _ i Z 1 EDGE OF, t: _ w ............... 14• 4450 W !L 5A6° 558024'30111,faq 150.00' FOR7"TE�RL(OF: i LAND NOW OR LANDTOVN pFTHOLD FORMERLY OF: THOMAS PERRY 4 N JO ANN PERRY 0 SHED N �D LAND NOW OR FORMERLY OF: THEODORE F. 5AKOWIGZ O h 5TELLA SAK-OWIGZ Os' w NOTES: Q LAND NOW OR REFERENCE DEED: LIBER 5140 PAGE 25-7 v JOHN HALLIK US5<A5 n h A[ -ICE MALINAU5KA5 0 MONUMENT FOUND 1�n7 os' � 0 FIFE FOUND Ob' WOODEN FENCE LAND NOW OR "tet ” FORMERLY OF: AUGUST ANDRADE f 11 WIRE FENCE h 5OrHIE ANDRADE A p' AREA = 645,226 S.F. OR 14.81 ACRES OA'o.6, °24'30"W 113.14' OF NEW), SURVEYED 12 24 '—I O LAND NOW < FORMERLY OF: ��P ,a C. F.014 �� 'una�ennruea attention ar eaoluon to e e r.ey .IIMMI' 1'SOKANOS h 01 -HERS i" deo be moa licensee lona wrvavara Seel°Ie e SUFFOLK COUNTY TAX MAP �O �s °101°1'°° .f section 7011.. Sub-dtvf.tdn Q. °' the New vork State Education La..' 1000 i5 5 I 'only cools Iran the original of this .urwey erked v'tn a original of ane land aurveyor'a stamped esel shall oe cbnstderee to oe velfd true 1'� f cap lee' U� 'certirfcsclone mdmetee hereon signify that this .urwey .a. or.oaree In eceord.ne. with IN CERTIFIED 70: � e,- lifting (bee of orectics for Land survey. adopted h'O. 50� by in... v.rk Scat....°.fallen .f mr.fs.Icnef Lend surw.ybrs. said certifications ideal,run an), REYNOLD BLUM ur0 tc the dorsal 1.1 whom the .urv.v I. orao.red. kAhis behalf tc the title ND and on como.nv. .oe"rnmen- T,.encu ane ."name fmututfan tlaed n ono t -n Ina .:.notate of me lento. ditional ,nerec.rtiftce- lith, "re not transferable to additional fnat°tlpn, N1p�1N GRAPHIC SCALE 1"= 100 N.Y.S. LIC. N0. 50202 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD•N.Y. 11901 0 100 200 300 369-8288 Fax 369-8287 REFERENCE # 97-0105 i 765-1802 - BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE A CHIMNEY [ ] ROUGH PLSG. [ ] INSULATION [ ] FINAL DATE INSPECTOR d-1 m/|uD|nG okyxkrxxxT lnww OF SOU xnlm Snunmsrnw Nxwu OF owmsn (n) OCCUPANCY uDMrrnRIn By- xuY AVAILABLE�� a, /rco /ux n^r nu00 SOURCE OF noqnoSz � .^^Tu: ^ , "",. ^"" TYPE —OF-- 0 nx[T�___�___� U01IwDA*rToN CELLAR cRAW/. SPxrK tnlx/. Kn0aS: 7'T F/.� nxn|no0M (r) 1011,11111, C()DK S N Uxy Vz ro:xT/nN: rnxCU TYI!I1r (number & )�'-----'------- YIVEr//uz 1111111 Fc I Snunmsrnw Nxwu OF owmsn (n) OCCUPANCY uDMrrnRIn By- xuY AVAILABLE�� a, /rco /ux n^r nu00 SOURCE OF noqnoSz � .^^Tu: ^ , "",. ^"" TYPE —OF-- 0 nx[T�___�___� U01IwDA*rToN CELLAR cRAW/. SPxrK tnlx/. Kn0aS: 7'T F/.� nxn|no0M (r) Tzn/.nT KnOtr (o) ------- /nr� rnxCU TYI!I1r HECK, TYPE ~---- ' ��mo -------- ` oxxKUUxY ------- YIVEr//uz unmcGzTc 110TWATIM TYPE onxzcnu'ncmmm��x�mxmn: ------ TYyK nKk' nAnM «}n 1107`wAT911 -_---- � ACCESSORY STRUCTURES: GARAGE, TYYo OF (:01,19T.nlz�xxn�, T�nx CONST. 8U�M/Ng �VO� , coxoT, cnmsT' V]o|.K[l0NS: CxAPT�1t, 45 N.Y. SlAo'o nm/Voxn 1111n YunvnwT/nm & onnJrIm0 Conn LOCATION imrsmurrioti Awr. BEC. ---------------- -- |---------------- 17, -M, -. ' REMARKS:� -'-_._-_. - � |novn:Tm` x oxl�x OF IN o/kGr/ w � T/nK START rwn ______�__