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Home My WebLink AboutZ-25064FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING cERTIFICATE OF OCCUPANCY No Z-25064 Date JUNE 3, 1997 THIS CERTIFIES that the building Location of Property 41705 MAIN ROAD House No. County Tax Map No. 1000 Section 75 subdivision ON~ FAMILY DWELLING PECONIC, N.Y. Block 5 Filed Map No. Lot No. Street Hamlet Lot 11 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25064 dated JUNE 3, 1997 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 F/%MILY DWELLING WITH ATTAu~D DECK, TWO ACCESSORY BUILDINGS, & A THIRD ACCESSORY BUILDING WITHAN OFFICE USE * The certificate is issued to JOAN W. SIT.TmCK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-055134 - MAY 6, 1997 PLUMBERS CERTIFICATION DATED N/A *PT.~SE SEE ATTACHED INSPECTION REPORT. NOTE~ THIS UPDATES PRECO CO Z-9768 DATED JAN. 3A, 1980. Rev. 1/81 LOCATION: 41705 MAIN RI). (number & street) SUBDIVISION NAME OF ONNER (s) JOAN N. SILLECK BUILDING DEPARTHENT TOI~I OF SOUTflOLD HOUSING CODE INSPECTION REPORT PECONIC, N.Y. (municipality) MAP NO. LOT(s) OCCUPANCY (type) (owner-tenant) ADMITTED BY: JOHN DeREEDER ACCOMPANIED BY: SANE KEY AVAILABLE SUFF.CO. TAXMAP NO. 1000-05-Il SOURCE OF REQUEST: ~L~THONY B. TOHILL, ATTY DATE: NARCH 28, 1997 DWELLING: TYPE OF CONSTRUCTION FOUNDATION BRICK CEI.I.AR TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE COVERED BREEZEWAY FIREPLACE WOOD FRAME # STORIES 2 { EXITS 3 PARTIAL CRAWL SPACE DOMESTIC IIOTWATEE LILCO GAS TYPE IIEATER TYPE HEAT LILCO GAS NARMAIR OTHER: 3RD FLR, BECK, TYPE NO UTILITY ROOM WOOD PATIO GARAGE AIRCONDITIONING HOTWATER XX' ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ONE STORY WOOD FRAME OFFICE BUILDING. CONCRE~ BLOCK VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #10763Z-COZII626-(FOOD COOLER), BP #1m521Z-COZl1627 (FOUND.UNDER ACCY) DATE OF INSPECTION APRIL 16, 1997 TIME START 10:O0 AM END.__~ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 Updated Pre- · APPLICATION FOR/CERTIFICATE OF OCCUPANCY 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. 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 complected ap~plication and a consent to inspec~t signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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. ~ Certificate of Occupancy on Pre-existin~ng - $100.00 3. Copy of Certificate of Occupancy--~- $5.~--~0 over g y--e~r~ i $-~6.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... Mar~.~,..%~97 ................... ~:ew Construction ........... Old Or Pre-existing~ Building...~ ............. 4170~ ~$~ ~q~ Peconic Location of Property~ ......................................................... House No. Street Hamlet 0nwer or Owners of Property ...... ~toan.~~.SiJ, leck .......................................... County Tax Map No 1000, Section..075..~ ..... Block..O5.OD. ........ Lot...~lloD.~Q ........... Subdivision .................................... Fi. le~ Map ............ Lot ...................... ?ermit No ................ Date Of Permit ................ Applicant ............................. i!ealth Dept.. Approval .......................... Underwriters Approval ......................... ?lanning Board Approval ......... .- .............. ?,,quest for: Temporary Certificate ........... Final Certicate ........... ................ CONSL~NT TO INS P P.C'FION , the undersigned· Anthony B. Tohill ' Agent forOx~mer(s) Name(s) do(es) hereby state: agent for That the undersigned (is) (x~ the/owner(s) of the premises in the Town of Southold located at 41705 Main Ro~d, Pecon~c · which is shoxwn and designated on the Suffolk County tax map as District 1000, Section · 075.QOBlock 05.007 Lot 011. That the undersigned (has) (%ha~e~ filed, 'or caused to be filed, an applica- 'tion in the Southold To~vn Buildin,g Inspector's Office for the ~ollowin~: __ Updated Pre-certificate Of occupancy That the undersigned do(es) hereby give consent to the t3uilding Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located ~here0nl to conduct such inspections as they fnay deem necessary with respect {o the aforesaid application, including inspections [o determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consentin~ 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 rio- Dated: lations of the laws, ordinances, rules or re~rrUlations or the Town of Southold. March 28~ 1997 (signature) Anghony B. T6hill (print 'name) (signature) (print name) and on his ~half lo the Title C~pany, Governmental A~cy end Len~ SURVEY OF: ' DATE: "~lJ)' I~ SCALE: ,~ DESTIN G. GRAF LAND SURVEYOR 73 WOODLAWN ROAD ROCKY POINT, NEW YORK 11778 PHONE (516) 821-3442