The URL can be used to link to this page

Home My WebLink AboutZ-20353FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector. Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20353 Date NOVEMBER 19, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1750 SMITH ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 20 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-20353 dated NOVEMBER 19, 1991 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 DONALD RAYNIS & KATHY GRAHAM (owners) 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. ` IIe4' V uilding Inspector Rev. 1/81 BUILDIG T0dii OF SOUTIIOLD, N. Y. HOUSIiJG CODs INSPECTION REPORT Location 1750 SMITH ROAD PECONIC, N.Y. number & street) �i-iunlcipaiity ) Subdivision dap No. Lots} Name of Owner(s) DONALD RAYNIS 6 KATHY GRAHAM Occupancy A-1 Residential OWNER (type owner -tenant) Admitted by: lit. RAYNIS Accompanied by: SAME Key available Source of request DONALD RAYNIS DWELLING: Suffolk Co. Tax No. 98-3-20 Date NOV. 12, 1991 Type of construction WOOD FRAME ,stories 1 STORY Foundation CEMENT BLOCK Cellar PARTIAL Crawl space PART' Total rooms, 1st. Fl 7 2nd. Fl 3rd. Fl Bathroom(s) 1 FULL BATH Toilet room(s) Porch, type Deck, type Patio, typeCONCRETE IN Breezeway Garage Utility room FLOOR Heat GAS (PROPANE) 'alarm Air II Hotwater Fireplace(s) ONE No. Exits 3 Aircor_ditioning Domestic hotwater YES Type heater PROPANE Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const._ VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: BP #17371Z/CO Z-17832, BP #19437Z/CO Z-19634, BP 120274/CO Z-20354 Inspected by: Date of Insp. NOV. 13, 1991 Y J. FISH - Time start 9:30 end 9:45 e Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY :. This application must be filled in by typewriter OF, 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. 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....� / / /. �...................... ::ew Construction........... Old Or Pre -ex ist}ng Buillding. Vl . Location of Property.. ,% 7 S. U .... M r.%`TY .... !1. �......... r, D l✓.1. ... ... .. 1.� House No. Street Hamlet %� / 1�`2,� Unwer or Owners of Property.�l 4!�Alp.rr, q/ ./,,, .. ..... County Tax Map No 1000, Section....!. a...... Block ... U.3........Lot... o ............... 'subdivision....................................Filed Map ............ Lot: ...................... Permit No................Date Of Permit ................ Applicant ............................. !iealth Dept. Approval..........................Underwriters Approval......................... :Tanning Board Approval ........................ i)equest for: Temporary Certificate........... Final Certicate... .... :ee Submitted: $............I ............... (5/U Cz i)r a 5 Qtc,. �A�fa� 16 ........r .•:.... ... ...................... APPLICANT CONSENT TO INSPECTION Owner(s) Namc"(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ��cjv �i'Y �� 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 ince Southold Town Building Inspector's Office for 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. Dated: //—/ 7__ `�/o% (signature) (print n me) (signature) (print name) NECK ROAD INDIAN I� LOT I 11 00" 0 C% 79 3T - N LMM< CMIN Iu I� a 100�0. R C S� W Q4. d W O O a CONC. n .FOUNDATION U W S t4 - � LOT o �'► O �tu .mac - � .1 A CHAO a FNDZ (Accu "°" 204.29' (DEEP) 1 205.2' AREA = 20,127sq. ft. I (DEED) 190.2' (ACTLIALh98•31 Q o°c Lu Q OC CL SURVEY OF LOT 35 _ MAP OF. "INDIAN NECK PARK" FILED MA Y 27, 1919 FILE NO. 551 AT INDIAN NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. F 1000 - 98 - 03 - 20 Scale 1" = 30' A ugus t 6, 1990 %u Oct: 25, 1990 (found. loc.) - o (1 0 IZ � W H • O h 1r Q, o Q 0 o Q WALL o o:t't,r OFND r+o� ,LL T V s W ■ N. Y.S. LIC. NO. 49618 1 - AO :D, MY. 11871