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HomeMy WebLinkAboutZ-20457FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20457 Date JANUARY 8, 1991 THIS CERTIFIES that the building AGRICULTURAL Location of Property 22600 COUNTY RD. #48 & 5450 COX LANE CUTCHOGUE,NY House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 4 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Agricultural structure built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20457 dated JANUARY 8, 1992 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 FOUR AGRICULTURAL FARM BUILDINGS, TWO WITH LIVING QUARTERS FOR FARM HELP * The certificate is issued to ALBIN PIETREWICZ (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. A'Ie�-4 *10 Y.4� uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 22600 COUNTY RD. #48 6 5450 COX LANE CDTCHOGDE, N.Y. number & street 141-micipa ity Subdivision Map No. Lot(s) Name of Owner(s) ALBIN PIETREWICZ Occupancy (type) owner-•-tenar_t Admitted. by: OAR Accompanied by: OWNER Key available Suffolk Co. Tax No. 84-4-1 Source of request. ALBIN PIETREWICZ Date DEC. 6, 199 DWELLING• Type of construction #stories Foundation Cellar Crawl space Total rooms, lst. Fl 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Type heater Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description JArt. Sec. 1. Large 2 story barn, "wood framed" attached shed BP #83362 - CO Z-6948) 2. 2 small wood framed buildings. 3. 3 Car wood framed garage with living quarters 3 rooms and bath. Farm Help Occupied. 4. Small wood storage building with living quarters 2 rooms and bath, farm help occupied. Remarks: All buildings are in good shape. Inspected by: ,vl,in�/ v ate of Insp. Dec. 20, 1991 CDRTIS W. HORTON Time start 2:30 end 3:00 E C E I V E t l� � c Liu •' �"�..-11L'�_• Form No. 6 T014N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1. 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 17 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. 3. 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 O/,) r``Pre-existing Build�iing.. p Location of Property. .�QLS4�4Caxs-a- House No& Qyj� �S�s vect-fes ��J �o Hamlet Unwer or Owners of Property.. � �1�.....%. �. ��✓. , r�J I�J.�L r ................. . ,.ounty Tax Map No 1000, Section..9.Z/ ...... Block ...... .......Lot.....1 ............... :;ubdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. :?ealth Dept. Approval..........................Underwriters Approval......................... :Tanning Board Approval ........................ i,equest for: Temporary Certificate........... Final Certicate....!�....• :ee Submitted: $............................. y3��7 �v� co X20 Lfs 7 APPLJ.................. ...... MNT CONSENT TO INSPECTION _::/ Zj Y� vV /t -- , the undersigned, Owner(s) Ndmc(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at .-2-Z( dl) e' ,-) 1" K -"j) k' .%- which is shown and designated on the Suffolk County tax map as District 1000, Section , Block , Lot 11 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Totem Building Inspector's Office for the following: 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 cf 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: Zz- J - 9/ (signatu (print ) sionat ,a.' 1 , � t r �✓ (print n me) C BUILDI::G DEP:;RT;IE;iT T01'11\1 OF SOUTHOLD, N. Y. HOUSI ,M CODE INSPECTION REPORT Location ' " O � Afd knUMD do street Subdivision Map No. r Alt" A Name of Owner(s) /"� r icipa-Lity) —Lot(s)__ Occupancy (type) (owner -tenant) Admitted by: Accompanied by: Key available Suffolk Co. Tax No.,`f ,1 7 •-- r I� Source of request Date /224e 6 D4MLIMG Type of construction #stories Foundation Cellar Crawl space Total rooms, lst. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS:- CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Inspected by:,�. Date of Insp. _'�-- Time start.,;Z/ end ,- ' l ''.`�" i a , r ��.t ` •'r �°(/ , gyp+ t '� s,Y °,�„9s1�+��{ x ;{ +L�rc" s.<, r Af v ME TOWN OF SOUTHOLD PROPERTY RECORD CARD;;''" OWNER STREET VILLAGE DIST. SUB. LOT .r FORMER OWNER N .. ACq. S W ' TYPE OF BUILDING s , 6 / of e / LU. Gk RES. �O SEAS. VL. ARMS COMM. CB. MISC. Mkt. Value4 LAND IMP. TOTAL DATE REMARKS y V17 / P i eWed. G ! G6 ov' ao ad d C2 $ DDD .2 t ao 3,� 3 1600 AGE ,. • .: �d G,.,a °x• BUIL ING. C ND 10 7 N EW '{ . NO L B V1d`" AB E s ► s' �9 �2 Q d ,�9Ltedt Pxf,� F t cre.. varui Per alu d..0 Acre 704 3� l `�1� �7� ��D„ �� R, 3 3(, Z, u�J,D %e �J ,M 40. C oo 2j r Iva Tillable 3 �n gra'lr7 . c...... ,,.. see Woodlond `.•� o�30,2AC/ A�alaz Swampia d U FRONTAGE ON WATER -'l3 a 112 .. �'�U e B Brushla FRONTAGE ON ROAD �"�,���P3 Q*f•u� House PlotDEPTH a Z 5: ��j BULKHEADwil „� Total DOCK ���/ ;M y. !.s'a�v so i� A R�YkiAi.:i.'MLLni��»�,w� A t � � � yr'+w v - .- Z 1v� z. ��� n, of �fd�i a"..w �.�'. �.. ,. e �* Ate. .�+'r�"��'„N *t� s4.� [` t � i:r9 i � n '�` :}^ ����^ �:«=