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HomeMy WebLinkAboutZ-24575FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS EXISTING CERTIFICATE OF OCCUPANCY No Z-24575 Date AUGUST 15, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 46005 MAIN RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 75 Subdivision Block 2 Lot 15.1 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-24575 dated AUGUST 15, 1996 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 GARAGE & STRUCTURES* The certificate is issued to JOHN W. NIERODZIK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 46035 MAIN ROAD SOUTHOLD, NEW YORK number ✓4 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) JOHN W. NIERODZIK OCCUPANCY SINGLE FAMILY & FARM owner -tenant) type ADMITTED BY: LIZ McCAY ACCOMPANIED BY: SHARON KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-75-2-15.2 SOURCE OF REQUEST: PAUL CAMANITI, ATTY DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK CELLAP TOTAL ROOMS: IST FLR. 4 2ND FLR. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE ggAR MUD RpOM� FRONT ENCLOSED BREEZEWAY FIREPLACE DOMESTIC HOTWATER II TYPE HEATER TYPE HEAT OIL WARM AIR OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: DATE: AUG. 2, 1996 # STORIES 1 # E%ITS 3 FULL CRAWL SPACE 3RD FLR. UTILI'PY ROOM DECK, TYPE PATIO L.P. GAS II GARAGE AIRCONDITIONING HOTWATER 1 CAR WOOD STORAGE, TYPE CONST. 5 WOOD FRAME & WATER TOWER GUEST, TYPE CONST. (SEE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. #1 1 CAR WOOD FRAME GARAGE WITH SIDE STORAGE & REMNANTS OF GREENHO SE 2 LARGE ACCESSORY BARN - UNSAFE PARTIALLY COLLAPSED. 3 SHED - ALMOST TOTALLY GONE - UNSAFE 4 SHED - UNSAFE PARTIALLY COLLAPSED 15 SHED - SABLE CONDITION #6 SHED - UNSAFE - PARTIALLY COLLAPSED TOWER17 WATER - STEEL OK - TOP PARTIALLY COLLAPSED. REMARKS: SEE ATTACHED SURVEY TO IDENTIFY ACCESSORY BUILDINGS. INSPECTED BY C��<i DATE OF INSPECTION AUG. 6, 1996 JOHN M. BOUFIS TIME START 10:10 AM END 10:50 AM ..� 0 �► U 'I,U vnicr(s) Name(s do(es) hereby state: CONSENT TO INSPEC'T'ION 1 G—sO, 6 Q2 i k- , the undersigned, That the undersigned (is)(are) the owner(s) of the premises in the Town of Southold located at 41/ 6e ✓7 h A I which is shown and designated on the Suffolk - County tax map as District 1000, Section , Block Lot 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: o 0c fAw(tly wl (n Aceeyso2ro, 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 lams, 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 prosect:tions for vio- lations of the laws, ordinances, rules or regulations of t e Town of Southold. Dated: s-42—'96 _ ignature) Ickul A aeIAl .n ( print name) IV (signature print name) 4 X73-_1�14S7 2 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 2 I" 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY "'rOM1' 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 1Z,1ead. 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 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 Date ...... ............................. New Construction......... /. Old Or Pre-existing Building ... r/........... Location of Property.... AlC p0�....�IAo d :�o.�.�?......................................... House No. Street Hamlet Onwcr or Owners of Property ......: J�?.h.^�...u%•. �IL ..©. 214E •....••.•.....•........ ., County Tax Map No 1000, Section...0.75 ......Block ..... ..........Lot... ...(............. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... °ee Submitted: $.IQ4,..................... % y i�4R i 9 9ICANT 761 y 9 a c)......... . � Ccs �.� y � �s - • M 3° p� N bd Zi � ,BN N3 T N1EpODt,p ,IF o� z 52 E x NE z 65. /f SEpD \\ 0 o o N xeRO rPv�° ple 6)PiC r �. BP / 0 I64 j9 g8 #00 5 rtw` s. (aeac r05. NEI X00 ,If v0 56`•5 N/f SIEpNOsa �^ 0 559 22� l N 5 2 \ �o O Jq E F � 5 E YrP [E 1 \ O `Ew P 0 .a'29 °° Jr. Iw �IOOO'O)l-S-/]r SUnv[Y Or Sunv(Y(0 S9 JUN(, /f96 Po WIN • WOON,, x M N(Nf DESCRIBED PROPERTY Lb.Ne...e .Nmn:....arN�, a Oar (.[(M I xIJ NC W/ O Al0 SSU 'CrON G�NN °P M �•T ^w1 ++ bnp ' SOUTHOLO, TOWN OF SOU THOLD So°saB I^^ '#a SUFFOLK COUNTY, NY ia[5 SURVEYED FOR WILTfB 5/L BEBNAGEL MILDRED SILBERNAGEL 4vaxeH)Ff0 rp WALTER ERIC SILSEBNAGEL . .111. �llt.WAREL REBECCA SILBERNAGEL sB9.(r[O nr ..J�l.� WA On[Ol)(9 [WRNrCB(NH14ft N SIIBIRNILfI (iucn,+, N:FI4. si A/ T 5). NLCY J. ISIxJ(x. Jw wrBlKl SI(B(PN14, 15 TOWN rY l( rx5 CO N. n n.. pnv M.Mu. WN W,uY Po BO+ S9J M.NI IUIN. N1,I191( swrwL )Owx ry Jp/)rgLO w,.e. w W, r ` r 4N b Nr. T9.mv. (]r61 )JN.nJ] m'N.,4..rv.xur ,uinrn al M Nn!�.i FON.°.. Lb.Ne...e .Nmn:....arN�, a Oar (.[(M I xIJ NC W/ O Al0 SSU 'CrON G�NN °P M �•T ^w1 ++ bnp F" LOCATION: BUILDING DEPARTUENT TOWN OF SOUTHOLD HOUSING,CODE INSPECTION REPORT r & street SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY (type) owner -tenant. ADMITTED BY: ,LIZ C�' a y ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP NO. SOURCE OF REQUEST: G�i�( ��� / DATE: ty DWELLING: ®, TYPE OF CONSTRUCTION �� > Ax STORIES _ !� EXITS_ FOUNDATION t �- CELLAR °-:' CRAWL SPACE TOTAL ROOMS: IST FLR. .2ND FLR. 3RD FLR. BATHROOM (s) ��� TOILET ROOM (s) UTILITY ROOM PORCH TYPEfi2���,,'►r��OS��i' DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER �f� AIRCONDITIONING TYPE HEAT_ �� WARM AIR A10- HOTWATER OTHER: ACCESSORY STRUCTURES: _ GARAGE, TYPE OF CONST,_ C _ e- �4` STORAGE, TYPE CONST. , � ✓G �g2 SWIMMING POOL , GUEST, TYPE CONST. l® OTHER: ---------------------------------------------------------------------------------------------------- - VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY ,���' �� DATE OF INSPECTION TIME START ! END"�� J/ m A ART. SEC. Ma OFF 1AME"ffig, I .. T REMARKS: INSPECTED BY ,���' �� DATE OF INSPECTION TIME START ! END"�� J/ m A