HomeMy WebLinkAboutZ-26108FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26108
Date: 11/16/98
THIS CERTIFIES that the building COMMERCIAL STORAGE BUILDING
Location of Property 2740 PECONIC LA PECONIC
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 074 Block 0003
Subdivision Filed Map No. __Lot No.
conforms substantially to the Requirements for a BUSINESS STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26108 dated NOVEMBER 16, 1998
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 COMMERCIAL STORAGE BUILDING*
(HAMLET)
Lot 019.001
The certificate is issued to HENRY & STELLA SMITH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Build~g I nspect~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2740 PECONIC LA PBCONIC
SUBDIVISION: MAP NO.: -- LOT (S) --
NAME OF OWNER (S): HENRY & STHLLA SMITH
OCCUPANCY: CO59~ERCIAL STORAGE-C4 NON-HABIT HENRY & STELLA SMITH
ADMI~ED BY: HENRY SMITH ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 74,-3-19.1
SOURCE OF REQUEST: HENRY SMITH DATE: 11/16/98
TYPE OF CONSTRUCTION: WQQD FRAME
FOUNDATION: CONCRETE
# STORIES:
CELLAR:
TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: ._~
BATHROOM(S): 0,0 TOILET ROOM(S):
PORCH TYPE: DECK TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC HOTWATER: TYPE HEATER:
TYPE HEAT: WARM AIR: HOTWATER:
OTHER: NO PLUMBING OR HEATING. EXISTING ELECTRIC
1.0 # EXITS: ~
CRAWL SPACE:
3RD FLR.: ._~
UTILITY ROOM(S): --
PATIO TYPE:
GA-RAGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
STORAGE, TYPE CONST.: W.F.-NO ELEC. OR PLUMBING
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
REMARKS: BP25326Z- ROOF ADDITION- CO Z~IQ~
DATE ON INSPECTION:
TIME START: 10:30 END: 11:00
Form
AI'I'I~ICAT lot! FOR CERT[FICATF. 01'" (}CCIIPANCY
'l'ht.~ nppIlcntl, on mu,~t l)e filled tl~ Ivy typewriter OP, I.Ic ;~.d .~,bmttted l:o I:he l,~lldtn~
2. Ftnnl Approval from llentth Uept. of water ~upply m~d ~we~n~e-dt~po~nl(S-9 Form).
3. Approval of e.tectric~l installation from Board of Fi~e goderwr:tter~.
S~orn ~tntement from plumber certlfyln~ that the ~otder t.med In ~y~tem co~tnJ,~
le~ tlmn 2/IO of 1~ lesd.
5. Co~erclat building, J. ndu~trln], building, mul.~Iple reCtdence~ and ~tmItar bu[Idtns~
m~d ir~ta.l, lattos~s, ~ certificate of Code Compl. J. anee [rom a~chItect or engineer
re~pou~tble for the bulldtng.
6. ~ubmtt fflannlng Board Approval of completed ~l~e plno requirements.
For exl,~ttng bt~tldtng,~ (prior to ^pr11 9, 1957) uou-cou~ormtng uses, or bul.l, dln~ ami
"pre-exi~tt,g" laud uses:
I. Accurate s~rvey o~ p~op~rty shouJ, n8 nt1 proper~y I lues, ~tree~, bt~.[Idin~ nnd
uuum~nt nntur~t or topogrsphte ffeatures.
2. A properly completed nppt~c~tion and a co,~sent to :lo,peet ~tg,ed by the nppttcn,t.
if n Certificate of Occupnncy Js dented, the Butldi.~ l. nnpector nhall ~nl:e the
rennmm therefor D~ urttt,g to the Cppltcant.
I. Certificate of Occupn.cy - New d~eJ.l£ng $25.OO, AddLtto,.~ to d~elL.tn
Ai. terat.lon,~ to dwellt,g $25.00, 5~tmmtng pool $2~.OO, Accessory
Addttton~ to accessory buttdJ, ng $25.00. Bostnes~e~ $50.00.
2. Certificate of Occupnncy on Pre-existing BuJidJt]g - $IOD.OO
3. Copy of Certificate of Occupnncy - $5.00 over 5 years -StO.OO
4. Updated Certificate off Occulmncy - $50.00
5. Temporary Certificate of Occupancy - Re~iden~ln.I $15.O0, Commerctnt
flew ¢;on.~tructJon .......... : Old Or Pre-ext,~ttng Bul:tdtn~ .... ~ ...........
..... BO. . ............ ..................................
ilou~e N~. Street llmnle~
,~ubd I v t~tr~n .................................... Flied H:q~ ............ l,ol: ......................
Permit No ................ Date Off Permit ................ ^ppi (taut .............................
Ilenltls Dept. Approval .......................... Underwriters Approval ..........................
Plan..tng Board Approval ........................
Reque,~t for: Temporary Certificate ........... Ftna[ (;ertl. cate ...........
Fee 'qul'mttted: $'~/"~?'~"C'~'f,~J_C-O ~lO~~ ............ . .~~~.~___..~...'~ ~~'
' ..............
CONSENT
TO
INSPECTION
t)w'ner (s) Name(s)
do(es) hereby state:
Tbnt the understgnr~d (is) (are) the owner(n) of tile premises [, tile 'l'r)wn
. which is shmvn and dasi~nntcd on the SufFolk
That the undersigned (has) (have) filed, or caused to be filed, n, nppllcn-
itoh in the Southold To~ Building Inspector's (Office for H~e following:
That [he undersigned do(es) hereby give con.~ent to the 13uildlng I.spectors
of the Town or Southold to enter upon tire above described property, including
any and all buildings located thereon, to conduct such inspections as they may
t
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of tire laws; ordi.a,mes, rules
and regulations o[ the Town vt $outhold.
Tile undersigned, in consenting to such h~spections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such i. speetions may be used as evidence in subsequent prosecution.q for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:
AFFIDAVIT
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
I (/) We ( ) ~cd~IP.._~SprleOa~ ~-¢ ~0 t'[-~ being duly sworn, depose(s) and says:
That I (/) We ( ) reside at /ffO~:r/~ ~[~t) ~D, "~£ .~.~;C_y /ti' V
That I am ~ We are ( ) very, very familiar with the Henry Smith property located on the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Railroad;
That I (~) We ( ) can state that based upon my (/) our ( ) knowledge, that the structures,
as they exist, have been on that property before November, 1957;
That I (/) We ( ) know that the Town of Southold will be relying on this affidavit,
Dated: March ~29~, 1998.
Sworn to before me this
~.fl-~'~y of March, 1998
/
#o~uy Pubirn 8tlae d New Yo~
AFFIDAVIT
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
That I ( ) We ( ) reside at
That I am (~) We are ( ) very, very familiar with the Henry Smith property located on the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Rvfilroad;
That I (dr) We ( ) can state that based upon my ( ) our ( ) knowledge, that the structures,
as they exist, have been on that property before November, 1957;
That I ~ We ( ) know that the Town of Southold will be relying on this afffidavit.
Dated: March,,~ , 1998
being duly sworn, depose(s) and says:
Notary Public
AFFIDAVIT
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
I (~) We ( being duly sworn, depose(s) and says:
That I (,~) We ( )reside at /c/ ~ ~¢7'~- .~~fr~g-~~ ,
That I am 0~) We are ( ) very, very familiar with the Henry Smith property located on
the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Railroad;
That I ~) We ( ) can state that based upon my ( ) our ~ knowledge, that the structures,
as they~xist, have been on that property before November, 1957;
That I t~)
Dated: March
We ( ) know that the Town of Southold will be relying on this affidavit.
,1998 t~d
Sworn to before me tNs
day of March, 1998
Notary Public
BERNADETTE L. IA.°LIN
NOTARY PUBLIC #4844893
State o! New York
Residing in Suffolk County
J~,ii Expires Sept. 30,
AFFIDAVIT
STATE OF NEW YORK:
ids
COUNTY OF SUI?FOLK:
I (c.)4Ve ( ) .. being duly sworn, depose(s) and says:
ThatI(t~We( )resideat (/.~¢9,,C,/~/t%/ ,//~ PzS:~- c~d:7~/(--L' ;
That I am (~We are ( ) very, very familiar with the Henry Smith property located on the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Railroad;
That I (/,')/We ( ) can state that based upon my ( 10~ur ( ) knowledge, that the structures,
as they exist, have been on that property before November, 1957;
That I (t/)~e ( ) know that the Town of Southold will be relying on this affidavit.
Dated: March ,1998 ~.~/ ~///~
Sworn to before me this
t2 ~ day of March, 1998 8EaNAD~TTE t. TAPLm
NOTARY PUBLIC Jt~44893
Residing in Suffolk County
...y ~-- St,to of New York
Notary Publi-c cSa~?~'"'~ Commission Expire: Sept 36, lO.Ts-]
AFFIDAVIT
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
being duly sworn, depose(s) and says:
That I ( ) We ( ) reside ¢,0 L~ ~'~' ~Z~ (4/ ;
That I am (5/~We are ( ) very, very familiar with the Henry Smith property located on
the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Railroad;
That I ~/j' We ( ) can state that based upon my Q/J our ( ) knowledge, that the structures,
as they 6xist, have been on that property before November, 1957;
That I ~ We ( ) know that the Town of Southold will be relying on this afffidavit.
Dated: March ~,1998
(/'
Sworn to before me this
c~ _~tay of March, 1998
Notary Public
HELENE D. HORNE
Notary Public, State of New York
No. 495 ~ 3,~34
AFFIDAVIT
STATE OF NEW YORK:
:ss
COUNTY OF SUFFOLK:
That I (,~) We ( ) reside at Z u/~ /D r2,
being duly sworn, depose(s) and says:
That I am (,/) We are ( ) very, very familiar with the Henry Smith property located on the
east side of Peconic Lane, Peconic, New York, just south of and abutting the Long Island
Railroad;
That I (,,)/We ( ) can state that based upon my ('5 our ( ) knowledge, that the structures,
as they exist, have been on that property before November, 1957;
That I (v') We ( ) know that the Town of Southo~ff'~l be r~ng on th/s affidavit.
Dated: March~/ ,1998 \'"'~~./]
Sworn to before me this
2.~/~.~./' day of March, 1998
JOOITH B. Wu~'rz
91n?~nv PU'~LIC ~:~3 cf i'm/York