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Home My WebLink AboutZ-28105FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28105 THIS CERTIFIES that the building DWELLING Date: 12/07/01 Location of Property 64380 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 040 Block 0003 Lot 004 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- 28105 dated DECEMBER 7, 2001 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 THREE CAR GARAGE * The certificate is issued to VIRGINIA SLEDJESKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A a 0a op -AXI Q&4 Do MWM0V-1141.00 Authorized Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 64380 CR 48 GREENPORT SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): VIRGINIA SLEDJESKI OCCUPANCY: SINGLE FAMILY DWELLING VIRGINIA SLEDJESKI ADMITTED BY: VIRGINIA SLEDJESKI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 40.-3-4 SOURCE OF REQUEST: ABIGAIL A. WICKHAM, ATTY 10/25/01 DATE: 12/07/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): REAR* PORCH TYPE: SIDE COVERED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATEa2: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTKATER: XX OTHER: *MUD ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: SWIMMING POOL: OTHER: WOOD STORAGE, TYPE CONST.: GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 10/31/01 J iHN M_ BOUFIS TIME START: 9:30 AM END: 10:00 AM Form No. 6 " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY �I LOCT CDU 25 BIOG. D PT. 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 Apprbval of completed site plan requirements. B. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. October.....,, 2.001 ..................... New Construction........... Old or P e-existin Builds x ,for Pre -Existing Use C. 0. for 1- fi/� s o fromekdwelrkng & detached'?came garage Location of Property .............. .Roa.... ..ut old. New York House No. Street Hamlet Onwer or Owners of Property „ Virpinia.Sled�eski .............. ... .... .... . .. County Tax Map No 1000, Section..40.......... Block .... 1 ........... Lot .. 4 .................. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate... X ...... i Fee Submitted: $100.00 ....... ... ......... .................. �a6sa C Abigai A. PLICANT Wickham, as Agent 0 ?--a&lo5 CONSENT TO INSPECTION VIRGINIA SLEDJESKI the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 64380 County Road 48, Greenport, New York 11944 which is shown and designated on the Suffolk County tax map as District 1000, Section 40 Block 3 Lot 4 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: a Pre -Existing Use C.O. for 1 1/2 story frame dwelling and detached frame garage 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: October .2 ,2001ljlm�xwlz� 1)_ signature) Abigail A. Wickham, as Agent print name (signa ure) print name) i AJ4` ya y TOWN OF SOUTHOLD PROPERTY RECORD CARD, /4 OWNER STREET 6 4-1 VILLAGE DI§T.1 SUB. LOT xe) 'F6RXAER OWNER �e 0 N iC E'E'C 1. r o �,.d�r ACR. , y $ s f WTYPE Ntclaz y d OF BUILDING RES., /0 SEAS. . . VL. FARM COMM.. CB. MICS. Mkt. Value Q / ' QO lyd °L s , LAND IMP. TOTAL DATE REMARKS / / - �o 0 30 '��'0a o 43 (ae 00440 z AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable r - FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Za 6;,' Meadowland DEPTH ct G I House Plot BULKHEAD Total ,�,, ..,; DOCK LOCATION: SUBDIVISION NAME OF OWNER (s)� OCCUPANCY er. & street Y .(municipality MAP NO, LOT (s) ype owner -tenant o ' ADMITTED BY: 1(Qi ' ACCOUPANIED BY: KEY AVAILABLE SUFF. CO. TAX HAP NO._, — SOURCE OF REQUEST : �� , 99z � L04�r j DATE: o j 10 DWELLING: TYPE OF CONSTRUCTION STORIES # EXITS C -_T FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD FLR. BATHROOM ( s ) TOILET ROOM ( s ) (f)t'Qi UTILITY ROOH iwry,,., PORCH TYPE r- `; *j DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER a�jGp� Pi(, AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER�� OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. p�( STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------- --- ------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION ,rj�, cel 6 TIME START �� END' i �' `r