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Home My WebLink AboutZ-22963FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22963 Date APRIL 25, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 345 BARTLEY ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 3 Lot 25 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-22963 dated APRIL 25, 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 * The certificate is issued to FRANCIS & KLEMENTYNA PILESKI (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. i ,/building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 345 BARTLEY ROAD MATTITUCK, N.Y. number street)municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) FRANCIS A. PILESKI & WIFE OCCUPANCY ONE FAMILY DWELLING ONWER type owner -tenant) ADMITTED BY: OWNER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. IOUU-144-3-25 SOURCE OF REQUEST: OWNER DATE: MARCH 18, 1994 DWELLING: TYPE OF CONSTRUCTION F FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR._ BATHROOM (s) I PORCH TYPE BREEZEWAY DOMESTIC HOTWATER II TYPE HEAT OIL OTHER: Arr77CCnDV cTVTrrTrrorc. GARAGE, TYPE OF CONST._ SWIMMING POOL OTHER: STOCKADE FENCE CELLAR II 5 2ND FLR. 3RD F TOILET ROOM (s) DECK, TYPE # STORIES — CRAWL SPACE I.R. UTILITY ROOM WOOD - PATIO I # E%ITS 2 FIREPLACE GARAGE TYPE HEATER OFF FURNACE AIRCONDITIONING WARM AIR HOTWATER %X STORAGE, TYPE CONST. GUEST, TYPE CONST. FRAME WITH TRELLIS VSQLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS: INSPECTED .FISHER DATE OF INSPECTION APRIL 19, 1994 TIME START 10:00 A.M. END 10:30 A.M. Form No. 6 lei TOWN OF SOUTHOLD l BUILDING llEPARTMENT X65'18 zL oz &/0 APPLICATION FOR CERTIFICATE 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 Board Approval of completed site plan requirements. (31 For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and �� "pre-existing" land uses: r 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 ......... Manch.L&,.LR14................. New Construction...... ... Old Or Pre-existing Building ..... X........... Location of Property.. .......... Bartley.Road. ............... MautituGk .............. House No. Street Hamlet Onwer or Owners of Property..Francis. A..Pileski. ax" &l,emsntyna.Rrle9ki •••.....•.•........... County Tax Map No 1000, Section.14A.......... Block...3............. Lot.25................... Lots 9 and 10 on Subdivision., Ma�.of.Lida.Bartley..Mattituck LI Filed Map,.%Q..7.7.Q...Lot..9.& 10 Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.Q£.Qccupaucy for Pre -Existing Use Fee Submitted: $..1QQ,QQ....................• .• !{." Francis A. PiIV4RICANT cam- K-0 £ asg63 � .......:�; CONSENT TO INSPECTION FRANCIS A. PILESKI , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Bartley Road, Mattituck, New York Which is shown and designated on the Suffolk County tax map as District 1000, Section 144 , Block 3 , Lot 25 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: Certificate of Occupancy for Pre -Existing Use 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 inspec- tions to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Tcwn 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: March 18, 1994 ignature Francis A. Pileski rint name gnature rint name I CERTIFIED TO, DR. NORA HICKEY P H H U.S MORTGAGE CORP. ADVANCE ABSTRACT CO. Prepared in accordance with the minimum standards for title surveys as established by the L.I.A.L.S and approved and adopted for such use by The New York State Land Title Association. a S F °°' A J.L N�0 ER -L SURVEY OF LOTS 9 & 10 "MAP OF PROPERTY OF L/DA BARTLEY" FKED"Y 27,1922 AS MAP NO. 770 A T MA TTI TUCK TO WN OF SOU THOLD SUFFOLK COUNTY, N. Y. 1000 - 144 - 03 - 25 Scale: 1" - 30' April 15, 1,994 E artu� �. N. Y.S. LIC. NO. 49618 PECONIC SURVEYORS, P.C. (516) 765 - 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 94-16 LOCATION: a BUILDING DEPARTMENT \ TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SUBDIVISION MAP NO LOT(s) NAME OF OWNER (s) OCCUPANCY (type)U C/ // k0WUer-LenauLl ADMITTED BY: d/ �L_ ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP NO. /!� �3 - 2S SOURCE OF REQUEST: ,�� yj,�� DATE:_ ox ill' DWELLING: TYPE OF CONSTRUCTION # STORIES_ # EXITS 2 FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO �— BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTW TE TYPE HEATER AIRCONDITIONING �- TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. !!i SWIMMING POOL ,_GUEST, TYPE CONST. OTHER: Q- _,jf4A ee— -_ ---------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED DATE OF INSPECTION / %r l " TIME STAR t-07 iND �Q r .l o a o _ 3 _ ,� -f- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET J? VILLAGE DIST. SUB. LOT q �d rID FORMER OWNER N ACR. S W TYPE OF BUILDIN RES,�/o SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 00 02 9" y��G3 SCctes�i' �'�Qo 0 c3 b oZ o % AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH f7o BULKHEAD Total IDOCK SMA' .1.".figF;vy.a"°�"`