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Home My WebLink AboutZ-26516FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26516 THIS CERTIFIES that the building SEASONAL DWELLING Date: 06/21/99 Location of Property 1630 LEETON DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 058 Block 0002 Lot 006 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- 26516 dated JUNE 21, 1999 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 SEASONAL DWELLING WITH ATTACHED REAR COVERED PORCH AND ON GRADE WOOD DECK.* The certificate is issued to M R PAWLIK (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. ja',�,Q \ //Bu'Ading Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1630 LEETON DR SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): M R PAWLIK OCCUPANCY: A-1 PRSIDENTIAL M PAWLIK ADMITTED BY: IRS, PAWLIK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 58.-2-6 SOURCE OF REQUEST: M. R. PAWLIR DATE: 06/21/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _1 FOUNDATION: TOTAL ROOMS: 1ST FLR.: _A BATHROOM(S): 1.0 CELLAR: CRAWL SPACE: PART. 2ND FLR.: TOILET ROOM(S): 0.0 3RD FLR.: 0 UTILITY ROOM(S): X* PORCH TYPE: COVERED REAR PORCH DECK TYPE: WOOD. ON GRADE PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC H07WATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NONE WARM AIR: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 06/14/99 GARY FrH - / TIME START: 9:50 AM END: 10:10 AM TOWN OF SOUTHOLD R M BUILDING DEPARTMENT TOWN HALL 765-1802 ? i 31999 j APPLICATION FOR CERTIFICATE OF A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property lineE 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 buildi 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 a '-'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 applican 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 $25.002 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 Buildins - $100.00 3. Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1P.00, Commercial $15.00 Date ......0111 I ......................... New Construction....... . Old Or Pre-existing Building. . ...••••• Location of Property .... [600 .................. LE&7bA..MIV(..........504rWO 35.... . House No. Street Hamlet Onwer or Owners of Property..... ............................................................... ................. cr 7 County Tax Map No 1000, Section.... s�.......Block.....v .........Lot... ......... Subdivision....................................Filed Map ............ Lot .................. Permit No................Date Of Permit ................ Applicant ......................... Health Dept. Approval..........................Underwriters Approval..................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final C r •• Fee Submitted: $.....!�e..�................. flo 27 Ac G APPLICANT CONSENT TO INSPECTION M, 9• PA�J(-0t , 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 1�oo LeeroA bgtv(<' which is shown and designated on the Suffolk County tax map as District 1000, Section 5'g , Block Z , 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: - CC--fl-T1C(W af- occL4,PNJcy f;0- A Q 57 -f/46 (L Id ( POP_ ro APLtL 9, lgS? ) 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, Dated: �121l 1 rules or regulations of the Town Southold. r v (signat re) M. A. 'PW I -m, (print name) (signature) (print name) i L�� C�'(-� �o(SC�-Co�,bjEt.�. 6��— cEc.i� 5lto -�s�- ��J �� ro ��fa gcc�ss-�D1'ffe (��scs R - Arc 1"JSPeCIA ��'� V C , 5�� 5�P P�p,y� J SSS `\qj / `y 0VIM V 2 Z \ E r° /00 EP IL V• s Vl 6UUU 00 vE SSS.5. 5.- a 0% tE OF Nay Y yC Ln Gr�/L� NO 49263 ��yO? LAND SVP 11414 P OF nc SRieEn PRuf-,�,� TTy CEi.')/�rEr• '��. D C. 6JMM('0NWE,,lL?A• LANU T/TLE SUUTHcJLD rN.SUfi�NCf G'vNFANY 7/ TL NO. G6' r� •u92 -S TCJYI-•N OF S<)UTNL•'�'./ PA,=RrG'ra .: CU.•./SE SUFFUL K COP / Y" 4 RE4 = 732 9 S u. f T OR O, /663 4Cfr6 donack associates 313 we si main srreet riverhead ,new york 11901 (5 16) 369-1717 DEQ.15119A3 M Ni NIP IOU U -58 -02 -Ob SC91e! C'= 39' LOCATION: BUILDING DEPARITtENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SUBDIVISION NAME OF OWNER (s) /%}W OCCUPANCY MAP NO. LOT (s) t'type) (owner -tenant) ADMITTED BY: AfAs. ACCOMPANIED BY: Or✓��a� KEY AVAILABLE SUFF. CO. TAX MAP N0. SOURCE OF REQUEST: /Lf . )4e. C/,y DATE :� 9f DWELLING: (� TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION CELLAR CRAWL SPACE , TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s)Q_, TOILET ROOM �UTILITY ROOM PORCH TYPE DECK, TYPE TIO, TYPE BREEZEWAY FIREPLACE '— GARAGE DOMESTIC HOTW TER f TYPE HEATER / a AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: 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. REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START ?115D ENd /02