HomeMy WebLinkAboutZ-23721FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
cERTIFICATE OF O~UPANCY
No Z-23721
Date JUNE 21, 1995
THIS CERTIFIES that the buildin~
Location of Property 475 MAIN ROAD
House No.
County Tax Map No. 1000 Section 35
Subdivision
ON~ FAMIL~f DWELLING
Street
Block
Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 22
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 ~-23721 dated JUNE 21, 1995
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/%MIL¥ DWelLING WITH ACCESSORY GARAGE & WOOD BA~N *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PT.~%SE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
RICHARD W. SLEDJESKI
N/A
N/A
N/A
LOCATION: 475 MAIN ROAD
(number & street)
SUBDIVISION
NA~E OF OlaqEg (s) RICHARD SLEDJESKI
OCCUPANCY
ADHII'i'ED BY:
KEY AVAILABLE
BUILDING DEPARTMENT
TOWN OF SOIJTHOLD
HOUSING CODE INSPECTION REPORT
GREENPORT, N.Y.
SINGLE FAHILY
(type)
MRS. SOPHIE SLEDJESKI
SOURCE OF REQ?EST:
HAP NO.
(municipality)
LOT(s)
O{,~ER
(owner-tenant)
~ 16, 1995
ACCOHPANIED BY:
SUFF.CO. TAX HAP NO. 1000-35-1-22
WILLIAM PRICE, Al-r¥ DATE: ~ 16, 1995
DNELLING:
TYPE OF CONSTRUCTION WOOD FRANE
FOUNDATION C~I~NT BLOCK CELLAR PART.
TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR.
BATltROOM (s) ONE
TOILET ROOM (s)
STORIES I { EXITS 2
CRANL SPACE PART.
UTILITY ROOM
PORCH TYPE FRONT COVERED
BREEZEWAY FIREPLACE
DOMESTIC HOTWATER YES TYPE HEATER
I'¥FE HEAT OIL WA1OIAIR
OTHER:
DECK, TYPE
OIL FIRgD
Pfia~io
GARAGE
AIRCONDITIONING
YES
HOT~ATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
S~II~ING POOL
OTBER:
WOOD F~ - 2 CAR STORACE, TYPE CONST.
, GUEST, TYPE CONST.
LARGE 2 STORY WOOD BARN
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
OItN M:-BOUFIS - /
DATE OF INSPECTION JUNE 20, 1995
TIME START 9:30 END 9:50
TOWN OF SOUTHOLD
BUILDING DEPAKTHENT
TOWN l~LL
765-1802
i · APPLICATION FO~.CEgT~FICATE 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 ~ith accurate location of all buildings, propert~lines,
streets, and unusual natural or topographic features.
2. Final Approval free Realth Dept.' of water supply and sewerage-disposal(S~9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statelhent from plumber certifying tha~ the solder used in uyscem
}. less than 2/~O of lZ lead. ,'
5. Commercial building, indus.trial building, multiple residences and similar building
and installs=ions, a certifica=e of Cod= ~ompllance from;archi=ec= or
responsible for the building.
6, Submi= Planning Board Approval of completed site plan requiremen=s.
: B. For existing buildings (prior to April 9, 1957) non-conformin~ use~, or buildings ant
~' pre-existing" land uses:
.'. [. Accura=e survey of property showing all property lines, streets, building
unusual natural or topographic features.
¢ 2. A properly temple=ed application and a consen= to lnspec~ signed by ~he applican=,
'.: If a Cer:ificate o~ Occupancy is denied, the Building Inspector shall s=a=e the
, reasons ~herefor iR writing to the applicant.
C.
Cer~ifieate of Occupancy - New dwelling $25.00, Additions ~o dwelling $25.00,
Alterations =o 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 o£ Occupancy - $50.00
5. Temporary Certl£icate of Occupancy - Residential $15.00, Commercial $15.00
une
New Construction ........... Old Or Pr~-exis:in~ Bulldin~...F~ ...........
North Road and Sound Avenue
Locp~ion of Property.... ..................................................................
House No. Street Hamle=
Onwer Owners of P ..... ~,, Richard Sledjeski
County Tax Map No IO00, Section. 035.00 hie.k01.00
.... , .......................... I, ou. 9 ~.2.-.q Q 9 ..........
Subdl~lsion ' Filed Map Loc
Permi= No..,.& ....... '~.'.'.Da[e Of Permit ................ Applicable ..........................
Real~h Dept. Approval ...... , ................... Underwriters Approval .....................
Planning Board Approval ........................
e, -C.0 ag 3 79, I
Request for: ,Temporary Certificate ........... Final Cer£icate ...........
r s b itt d $ Aqq PP '
APPLICANT
CONSENT
TO-
iNSPECTION
· William H. Price, Jr., attorney for the o~wner .&j., thc undersigned,
' 'b W','" C.'" ('S) N~.),m~ (:-;)
do(es) hereby state:
the attorney for
That the undersigned (is)/(~c~) th~ owner(s) of the premises in the Town
of Southold located ut Sound Avenue and North Rooad ...... _
Greenport, New York . which iu sho%%q% and designated on the Suffolk
County tax map us Distric~ lOOO, Seczion 035.0Q, Block~ Lot QP2.QQ~
tion in the Southold To~ ~uildin~ Inspector's Office for the follow~: _
_one. story fr'ame dwell~nq .wSth detach~ g~g~ _=_nd ~ctachcd
barn.
of the Town of Southold to enter upon the above described property, including
a~y and all buildings located thereon, to conduc~ such ~nsp~ct~ons as ~h~y may
to determine that said p~emises comply with all of
~d ve~ul~t[o~ 0~ the Town of Son,hold.
The undersigned, in consen~[n~ to such ~spections, do(~s) so %~th the
knowledge and understandin~ that any ~fo~mation obtained
such Lnspcct~ons ~aybe used as evidence in subsequun~ prosecut%ons for vLo-
%=tion5 of the [=w~, ordnances, rules o~ =e~lations of the Town of Southold.
D~ted: 'June 16, 1995
William H. Price, Jr.
(print name)
' (pr lnz name)