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Home My WebLink AboutZ-26426FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26426 Date: 05/06/99 THIS CERTIFIES that the building DWELLING Location of Property 28225 CR 48 PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 074 Block 0001 Lot 042.006 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- 26426 dated MAY 6, 1999 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 WITH ACCESSORY GARAGE & 2 BARN STRUCTURES, PUMP HOUSE, & ONE ACCESSORY SHED * The certificate is issued to FRANCES SIMON & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. /P(Uildind Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 28225 CR d8 PRCONIC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): FRANCES SIMON & ORS. OCCUPANCY: A-1 RESIDENTIAL FRANCES SIMON & ORS. ADMITTED BY: RETTH u RCE.. ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 74.-1-42.6 SOURCE OF REQUEST: MARY JANE PURCEL•L• 2/26/99 DATE: 05/06/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: _ 5 FOUNDATION: BRICK CELLAR: PART, CRAWL SPACE: PART, TOTAL ROOMS: 1ST FLR.: 2ND FLR.: �, 3RD FLR.: -_.Q_ BATHROOM(S): 1.0 TOILET ROOM($): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED REAR DECK TYPE: PATIO TYPE: _ BREEZEWAY: FIREPLACE: 3 -SEALED OFF GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: PANTRY OFF KITCHEN GARAGE, TYPE OF CONST.: 2 CAR -WOOD FRAME STORAGE, TYPE CONST.: 2 BARN STRUCTURES ** SWIMMING POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ! DESCRIPTION 1 ART, 1 SEC. 1 i I I i I I I I REMARKS: **ELFCTRICA?• INSPECT.SERVICE-4/2/7/99 RErNEPECTED 5/5/99 INSPECTED BY GARY J DATE ON INSPECTION: 03/11/99 TIME START: 10:00 AM END: 10:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 1 765-1802 lr�ul�C �(e7 S � 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. FB.Forexisting buildings (prior to April 9, 1957) non -conforming uses, or buildings and -existing" land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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, PAdditions to accessory building $25.00. Businesses $50.00. 2. ertificate of Occupancy on Pre-existing Buildine - $100.00 . Copy of Certificate of Occupancy - .25F. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. e Y� r�..Z.�.�..�.(Y 2 ............... New Construction........... Old Or Pre-existing Building ... K_:�'.......... Location of Property....%�'... .- e .�:5................!.e.`e n -sc— ............... House No. Street Hamlet Onwer or Owners of Property..Xj :f.,. Aa 41 C" C �e_ (.(.................................. County Tax Map No 1000, Section. .0?.1'ee6..Blockv4!0 / ........Lot../.. '..U.� ........ Subdivision....................................Filed Map ............ Lotw.., ................. PermitNo................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $. O�. ................... _.- ....� S X ............. 7� JQWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET '/ VILLAGE DIST. SUB. LOT 1 1LPc rim L 5 Li FORMER OWNER N E J ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4p- �- - r', ryy� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Valu e Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Pl BULKHEAD Tntnl __. DOCK TOWN OF SOUTHOLD MOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE �( d 1 St .H 0 At S �L-lam? ` ! f W D /7, L i ,/ { TYPE OF BUILDING ZES. SEAS. VL. FARM � � comm. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS ''�°'4"i" ` Su+2�.r/� f+- _ 73 1900 3 0 Ov 0 ao Ay -- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE 5 Form Acre Value Per Acre Value "illable i C) Z -- --_--- -illable 2 J 'i I lable 3 Voodland wampland - - - rushland -louse Plot % {/•••. �R� /7 o o (JV /q V ota 1 % 9 - ' T N. Bldg. L6 ( /y 1 N. Bldg. I iz L �s 70 { _ ( ��ym Foundation =x1 -tension a i� i 4 a S Basement 2` Floors P h Extension is '' i i ' ��' 7 7 Ext. Walls �j Js� Interior FinishLees 3 xtension .3 Fire Place 0 2 Heat Porch ,v . Attic — x`n Porch Rooms 1st Floor 3reezeway Patio Rooms 2nd Floor Saroge k 2 .. , f Y c S 3 Driveway �. B. 4C 4 TOWN OF SOUTHOLD PROPERTY RECORD CARD RES. STREET VILLAGE DIST. SUB. LOT LAND IMP. TOTAL DATE REMARKS FORMEA OWNER N ua vl c i1 � E ct ACR. �� S W TYPE OF BUILDING RES. SEAS. VL. 31 FARM COMM. LAND IMP. TOTAL DATE REMARKS a _C6 H4& ke-,A FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL s do(es) hereby state: Name(s) CONSENT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Z �d % �o�ce p c cc3 yr C- N -- / `! /- 71 which is shown and designated on the Suffolk County tax map as District 1000, Section67'/ , 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: c' �(S+C0-�� J•C-aJc d�yc c i{ ccttc� 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: ✓ MQ2� si ture) Qf� pati �u,r-c�l f (print name) �Ilf':✓� C�E'T�tfttrk��i: roC�.sus — -- 'ra _0All '. SA»p tC3i ��f`rtif�it t�a�r...`S)dez,�nie S t.,.v, a G94':Z L I ' n ...: �^+r-.+.x----•sir-"--tr_ L .�... � _ _ 'P^ -___ - r�.....,...�..�....la•. - -.m.,u..+�.nr t _ -._ - -'�_ _ _ -- - __"._ - -__ _ - -- .: .__- - _ - _ - _ '- _ _. �� - �_ _ - - _ _.-. -_ . - _- - - _ .. _ _- _- - .-- _� _ -_.__� .- =T'.y-car, - �_ _ - 'f �---'--�•s-.a-r�azm""�'---�a�x - nr _ _.�+i+.ea�a-..r�.0 ..a,�m.,c _ ---�=--w� _ ._ ....<._,..�. r.` t_«._..�,� �..�.>......_ ..._�,.r_._��..._.....�. ..,.�_�-.Y_.,�._�.._�_.��..�._ ��_ arida scale: I04`= ,• O= il-or Yipo 0 r rc-.-r HoLL` roC�.sus — -- 'ra _0All S` SA»p S t.,.v, G94':Z L I r n C ` i-. Fes. _ ;'-.l r K f: i i_ L_ F, Z k I C_UTI_H L ✓ A _ S c:)G 1 4 7 E M1�Ot Sueu!vIf)f()N MADE Wi_ �ON —SiIv10N (ESTATE. AT ifECdp,ItC. T�;.rra of '50L,THOt,I) , Y 1 M IC – -- - J - — c. VA T,'{L_ A _(D AMENPeV Dec. '3, ; JS c' Ar'"...i 6• tom$: JULY, JU 3 30,19&7_ a�.eaim era,- . cl]inempv. All 0 r� 1 ` I 1 0 BUILDING DEPARITIENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 151d I k c6h✓% (number & street) .(municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY (type) (owner -tenant) p ADMITTED BY: ACCOMPANIED BY: (�! KEY AVAILABLE ^�- UFF. CO. TAR MAP NO. p/ - cZ . SOURCE OF REQUEST: J - S� DATE: "24;;, /99� DWELLING: TYPE OF CONSTRUCTION 44t/Q (MiIIIIIII # STORIES # EXITS FOUNDATION < CELLAR CRAWL SPACE rTAL ROOMS: IST FLR. 2ND FLR.��_ 3RD FLR. 0ATHROOM (s) Vl(Li' TOILET ROOM (s) UTILITY ROOMRCH TYPEj�DECR, TYPE PATIO, TYPE BREEZEWAY FIREPLACE 3 V44!�vj V/ GARAGE �-- DOMESTIC HOTWATER "s' TYPE HEATER AIRCONDITIONING -� TYPE HEAT ' 'l WA AIR HOTWATER OTHER: PA—ZMa ` TT. rr;•1�_-'AT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. W!^'ORAGE, TYPE CONST. "✓P SWIMMING POOL GUEST, TYPE CONST. OTHER: 'VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE � DESCRIPTION. IQM --� ��% 21 ._.� 1i/ f ' • 2 JI '• 1p. e rLi r. FRA36 o "I A MAMMA ��LY,.L Rel tam i REMARKS: INSPECTED BY:. DATE ON INSPECTION/��/9? ' TIME START 10l LVEND �11 h,