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Home My WebLink AboutZ-19757FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19757 DATE: February 25, 1991 THIS CERTIFIES that the building. Location of Property 37295 MAIN ROAD House No. County Tax Map No. lO00 Section 85 Block 2 Subdivision Filed Map No. OWE FAMILY DWELLING PECONIC~ N.Y. Street Lot Lot No. 13.1 Hamlet conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19757 dated FEBRUARY 25~ 1991 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 LAWRENCE STOJAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PI~ME SEE ATTACHED INSPECTION REPORT. '-~ 'uild~g ~ ' ~-J~/Inspector Rev. 1/81 Location BUILDI~ DEPJ~RT['~NT '. TO';~[ OF SOUTHOLD, N. Y. HOUSIi~G CODE IHSPECTION REPORT 37295 MAIN ROAD PECONIC, NEW YORK (numoer ~ s~ree~) Subdivision Map No. (i,iunzcZpali~y) Lot(s) Nmme of 0wner(s) LAWRENCE STOJAN Occupancy A-i [type) A~mitted by: LAWRENCE STOJAN OWNER [owner-senanz) Accompanied by: SAME Key ~vailable Source of request Suffolk Co. Tax No. 85-2-13.1 LAWRENCE ST~AN Date FEB. 15, 1991 DI'~LLI~: Type of construction Foundation STONE Total rooms, 1st. F1 Bathroom(s) 2 FULL Porch, ~fpe FRONT OPEN Breezeway Type Heat OIL Fireplace(s) 3 Domestic hotwater Other WOOD FRAME #sTories 2-1/2 Cellar PARTIAL Crawl space 7 2nd. F1 6 Toilet room(s) . Deck, type. Garage. · Warm Air No. ~cits YES REAR ENTRY WAY (MIIDROOM) 3rd. FI 2 Patio, type.__ Utility room .Hotwater ~w% - SYEAM% 4 Airconditioning Type heater OIL ACCESSORY STRUCTURES: Garage, type const. 3CARGARAGE Swimzning pool Other Storage, type const. Guest, type const. VIOLATIOMS: Location .C~APTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion'--}-Art-.'[ Sec. Remarks: Date of Insp. · Time start 9:30 FEB. 22, 1991 end lO:O0 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be fille~ in by typewriter OR ink and submitted to the building · inspector ~ith the following: for new building or new h'se2 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 certffyin~ that the solder used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings znd 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: I. 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. 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 pf 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 Date .... $ ................ ':ew Construction ........... Old Or Pre-existing Building .... ~ ............ Location of Property. ~3~.~ ........ ~.~. ~P.~ ..................... ~.q~? .................. House No. Street Hamlet )nwer or Owners of Property .... L.a..w.r,e.n.c.e...S.t. qj.a.n ................................ - ~ounty Tax Map No 1000, Section.~,QQ ....... Block ..... 0~.~p ....... not...P~:99~ ............ ubdivision .................................... Filed Map ............ Lot ...................... ermit No ................ Date Of Permit ................ Applicant ............................. ealth Dept. Approval .......................... Underwriters Approval .... ..................... lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate...X. ....... ee Submitted: $...1.0.0...q0. .................... ~/ ~z~ ? . , .~,~ ~ ................ ~ -)- ................ ~'q~ ' ~PLIC~ ~awrence Stoja~'' Et' L~ CONSENT TO INSPECTION LAWRENCE STOJAN · the undersigned, Owner (~-) Name(]~) do(es) hereby state: That the undersigned (is) (m,'r~) the owner(m) of the premises in the Town of Southold located at 37295 Main Road, Peconic, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 085 , Block 02 , Lot 013.001. That the undersigned (has) (t~e~ filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of Occup.ancy on Pre-Existing Building 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 xvith 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 To~vn of Southold. ~ ~ (signature) ~ Lawrence Stojan (print name) (signature) (print name)