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Home My WebLink AboutZ-19551FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19551 Date DECEMBER 3r 1990 THIS CERTIFIES that the building ONE FAMILY DWE. LLING Location of Property 31675 COUNTY ROAD #48 House No. Street County Tax Map No. 1000 Section 74 Block 1 Subdivision Filed Map No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9~ 1957 pursuant to which PECONICr NEW YORK Hamlet Lot 22 Lot No. CERTIFICATE OF OCC. #Z-19551 dated DECEMBER 3~ 1990 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 ATTACHED GARAGE & ACCESSORY SHED * The certificate is issued to (owners) 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 HENRY & HELEN STEPNOSKI N/A N/a Building Inspector Location 31675 COUNTY ROAD #48 BUILDI['~ DEPJ=RTS'~NT ' '. T0';~I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT PECONIC, N.Y. (numBer ~ s~ree~) Subdivision ~lap No. Name of Owner(s) Occupancy A-I (tYPe~ A~itted by: HELEN STEPNOSKI Key ~vailable Source of request HENRY & HELEN STEPNOSKI ~i'iunzczpaii~y) Lot(s) [ own er- 5 enan~ ) Accompanied by: SAME Suffolk Co. Tax No. 74-1-22 HENRY STEPNOSK~ - NOV- 27, 1990 Date D%'~LLING: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 4 Bathroom(s) ! FULL BATH Porch, ~fpe WOOD FRAME Cellar FULL 2nd. FI Toilet room(s) Deck, type Patio, type__ #slories ! STORY Crawl space 5rd. F1 Breezeway ENCLOSED Garage CAR & I/2 Utility room Type Heat OIL ' Warm Air XX .Hotwater Fireplace(s) _O_I~_.?N LIVINGNo. F;cits 3 Airconditioning. Domestic hotwater LILCO GAS Type heater Other LAIn~DRY ROOM, ENCLOSED BREEZ~AY ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. ONE WOOD FBAME Guest, type const. VIOLATIONS: Lncation .CHAPTER 45--N.Y. STATE UNIFOI~I FIRE PREVENTION & BUILDING CODE Descriotion I Art. I Sec. Remarks: BP #8477-Z CO Z-19550 FOR ADDITION Inspected by: ~~r~.~ ~i~s~ Date of Insp. NOVEl, flIER 30, 1990 · Time start I:00 pm end 1:25 pm Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ::ew Construction ........... Old Or Pre-existing Building ............... <. Location of Property ~ 7~... ~~.~. [~.4~..~....~.~.QO-/~.~.~t ~"' ~' ~' ' ' House No. Street Hamlet Onwer or Owners of Property ................ County Tax Map No 1000, Section ..... ~.~ ..Block. ! .Lot.. .... Date Of Permit ................ Applic~.~~-~. '~ Permit No. . . ~~ Health Dept. Approval .......................... Underwriters Approval..,, ...................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ........... e Submitted: $ ..... ./~0., ................. ..- __ CONSENT TO INSPECTION do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town , xvhich is s wn and designated on the Suffolk County tax map as District 1000, Section Z-- f' Block f , 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: 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.