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HomeMy WebLinkAboutZ-23298 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23298 Date OCTOBER 20, 1994 THIS CERTIFIES that the building -ONE FAMILY DWELLING Location of Property 57635 MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 3 Lot 23 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-23298 dated OCTOBER 20,. 1994 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 The certificate is issued to ALICE WOKOSKY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Insp ctor r' Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 57635 MAIN ROAD SOUTHOLD, NEW YORK number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ALICE WOKOSKY OCCUPANCY SINGLE FAMILY DWELLING type owner—tenant ADMITTED BY': CAROL CASE ACCOMPANIED BY• SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-63-3-23 SOURCE OF REQUEST: KENNETH P. WOKOSKY DATE: OCT. 17, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 2 # EXITS 3 FOUNDATION BRICK CELLAR PART. CRAWL SPACE TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) NONE UTILITY ROOM NONE PORCH TYPE SIDE COVERED DECK, TYPE NONE PATIO CEMENT REAR BREEZEWAY NONE FIREPLACE NONE GARAGE NONE DOMESTIC HOTWATER YES TYPE HEATER AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER_ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION- DESCRIPTION ART. SEC. REMARKS: EXTENSIONS EXISTING PRIOR TO 1957 INSPECTED BY DATE OF INSPECTION OCT. 20, 1994 S TIME START 9:30 END 9:55 RK� oWS Kl NIO�F � K E• 88 86 N 72030'30� Pad `•n Z Pe °" O . •Nw m 7. o 'p p r C � � O tC 11A c v Z. to s G 3,00 5 7D m g5 015 � . zm�� 566g �. �r , 0 Q a'm 0 P l SURVEY FOR J. CASE CA ROL A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y CERTIFIED TO: 1000 - 63 - 03 23 CAROL J. CASE PECOMC ABSTRACT, INC. SCALE 1 40` FLA TBUSH FEDERAL SA VINGS 8 LOAN OCT 177 1994 �SAND sUR ME 4�` c o ANY ALTER477ON OR ADDITION TO THS SIRVEY IS A VIOLATION OF SECTION 7209 OF THE AEW YORK STATE EDUCATION LAW, EXCEPT AS PER SEC770VV 7209-SLWVk9ON 2 ALL CERTFICA77ONS 49618 hEREON ARE VALD FOR TIM MAP AAD COPES TMfWOF OAL Y F SW MAP ORCOPES PPEAS IMMAI SEAL OF THE sLftvEYOR PECONIC SUR .WHOSE SIMA 8.4 f516) 765 - 502 'fi of N AOlG►TKWALLY TO CQ{FLY W/1H SAD LAW ThE TERU "AL TERED BY' P. O. BOX 909 AW r BE USED BY ANY AAD ALL SGRVEYOpRRS UMOVG A COPY OF ANOT}FR"VEYOl?S MAP. 7EW SM AS W7E`C7ED'AAD MAIN ROAD *M0(Xr7IT-T"TE'ARE NOT N COAFLMW WITH RE LAW. SOUTHOLD, N.Y. -1197I 94 - 330 Form No. 6 6W/ ��� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 i 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. B. - For existing buildings (prior to April 9,pre-existing" land uses: 1957) non-conforming uses, or buildings and " 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 Alterations to dwellingg $25.00, $25.003 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinit - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .ve.-co New Construction. . . . . . . Old Or Pre-existing Building .X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property. . .'ti . (.�:.''� . . . .. . . . . . . .�\.. A�.� o . . . . . . . . . . . . . . so�-tom . . . . . . . . . . . . . . . . . House No. Street . . . . . . . . . . . . . . . . . . . . Hamlet Onwer or Owners of Property. �� p y. . ':`;�... . . . . . . . ... . . .4 �XEc.scm�2 .6T . �s-�'fi-cE .� . . .L.�. . . . . . . .`'Xr-St'i County Tax Map No 1000, Section. . . .6i� . . . . . .Block. . . . 0.� . , . . , . . .Lot. . 2; . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant . . . . . . . . . . . .. . . .. . . . . . . . . . . . . :iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . ;Tanning Board Approval. . . . . . . . . . . . . . . . . .. . . .. . 'Zequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . 'ee Submitted: $,l,v D.G d. . . . . . . . . . . . . .. . . . .. . qg�as . . . All-� . . . . . . . . . . . . .. . . . . . . . . APPLICANT--- z.: STATE OF NEW YORK COUNTY OF SUFFOLK ss. : KENNETH WOKOSKY, being duly sworn, deposes and says: 1 ) That he resides at Church Lane, Box 361 , Aquebogue, New York, 11931 . 2) That he is the Executor of the Estate of Alice M. Wokosky, late of the Town of Southold, County of Suffolk and State of New York, who died on January 7, 1994, having been appointed Executor by the Suffolk County Surrogate' s Court on January 28, 1994 under File No. 87 P 94. 3) That he is the son of Alice M. Wokosky and the late Stanley Wokosky, who died on or about March 11 , 1957, a resident of the Town of Southold, County of Suffolk and State of New York. 4) That Stanley Wokosky and Alice M. Wokosky were the owners of and resided in a house located on the North side of N.Y.S. Route 25 in Southold, New York, �whtch premises is now known as 57635 Main Road. 5) That as the son of Stanley and Alice M. Wokosky, he was raised in the premises referred to in Paragraph 4, supra, and knows that the northerly areas of the house which are listed on the Town of Southold Property Record Card as 12 ' x 10 ' and 14 ' x 17 ' foot extensions were in fact built prior to 1957. Indeed, the most northerly such area served as the family kitchen while he was a youth. 6) That he makes this affidavit at the request of the Town of Southold Building Department knowing that it will be relied upon in the issuance of a "pre-existing" Certificate of Occupancy covering -the premises referred to in Paragraph 4, supra. Kenneth Wokosky Sworn to before me this 20th day of October, 1994 Notary Public EDWARD JOHN BOYD 5th RTARY PUBLIC, State of New Yotk No.0376625,Suffolk County Commission Expires'Mweb 30,'1y95 Ape- CONSENT TO INSPECTION. the undersigned, 0 vner(s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section (O3 , Block 03 , Lot �1 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: �C-R� FtCA�C� ©Cca 4��c-t O— 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: CDCrTo3E2 V''1 , (signature) (print name) (signature) (print name)