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Home My WebLink AboutZ-12284FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z12284........ Date ....... FebruarX. 21 ............. 1984. THIS CERTIFIES that the building .:'dwel ling .................................... 3300 Peconic Lane Location of Property ..33250, , , , , , ,, , , , , , County„Road 48 , , Peconic House No. Street Hamlet County Tax Map No. 1000 Section ......Block ..43...........Lot ... 01,3 Subdivision ..... X ........................Filed Map No. ... X ...Lot No. X ........... Requirements for a private one—family dwelling built prior to conforms substantially to the Application -for Bu Mirtg-Pernrit`fheretofore-ficd-in-thisbffire-dated Certificate of Occupancy Z1228.4 April 23. , . , , 19 .57pursuant to which BuitchngPermit No. .... ......... . -dated .....FOT.uax'y..21 .......... 198.4 . , 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 ......... a privateone-family. dwelling: , . . The certificate is issued to .... EMIL, PUPECKI lowner,aecaee�er�enei+tl of the aforesaid building. Suffolk County Department of Health Approval .... no , , , , , , , , , , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO............ F%o .xresroz$........................... See attached Housing Code Inspection Report. Building Inspector ROV. 1/81 BUILDII.`G DEP!`-.RTI1IENT TOL9N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 33250 County Rd. 48 & 3300 Peconic Lane Peconic (number & street) (Municipality) Subdivision x Map No. Lot(s) Name of Owner(s) Emil Pupecki Occupancy R-1 owner type owner -tenant Admitted by: Mrs. Pupecki Accompanied by: same Key available ` Suffolk Co. Tax No. 74-3-13 Source of request Emil & Jennie Pupecki Date DWELLING: 12/27/83 Type of construction wood framed ##stories 1� Foundation cement block Cellar full Crawl space Total rooms, lst. Fl 4 2nd. Fl 1 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type Breezeway closed in Garage one -car Utility room Type Heat oil fired Warm Air Hotwater Fireplace(s) No. &zits 3 Domestic hotwater yes Type heater. Other ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Airconditioning tankless Storage, type const. Guest, type const._ VIOLATIONS: Housing Code, Chapter 52 Location Description JArt.j Sec. cellar as stove --no shut off V 52-52-E6 kitchen as stove --no shut off V 52-52-E6 Remarks: Inspected by: Date of Insp. February 1, 1984 Curtis W. Horton -Time start 11:05 end 11:50 r FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling land use --Pre-Existing C . 0$1 5.00 3. Copy of certificate of occupancy $1.00 Vacant land C . 0. . 00 Date I . / ap/// z� ............ New Building ..N-S�q, ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .......33.0.0 ....... ..............pq, (4�.y11 L / .'V'/' House No. Street Hamlet Owner or Owners of Property ?Y1�.ir. Sa .{'?1 v! l . p. IRI .� k ........................... County Tax Map No. 1000 Section -N 73— -3... Block ............... Lot ................ Subdivision ../� .............................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .............. Health Dept. Approval ........................Labor Dept. Approval .... Underwriters Approval ........................Planning Board Approval . . Request for Temporary Certificate .....................Final Certificate .. . Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant G Gay? �1:%G� C �J ✓- - - ��, .......... Rev. 10-10-78 / o C..%� CONSENT TO INSPECTION L boJe--v,-v,(. Owner(s) Name( do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Pe cc >n, C/—a W P w P Ly -f E C 0--), /C , V'4-' /// S -P 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: 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 regulations of the Town of Southold. A r,4, Dated: (signature) 110 ( print ame) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE/INSPECTION REPORT Location, number & stree Subdivision Name of Owner(s) Occupancy_ tvp e cip Map No. Lot(s) owner-tenan Admitte& by: ��ic ccompanied by: Key available Suffolk Co. Tax No. Source of reques ,c Date DWELLING: Type of constructi Foundation _,#stories rawl space Total rooms, lst. Fl 2nd. Fl 1 / 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway .-- Garage �,�_ _ Utility room Type HeatWarm Air Hotwater Fireplace(s) No. Exits _� Airconditioning Domestic hotwater -rc Type heater Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: Date of In.sp.� Time start�'� end �7 6