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Home My WebLink AboutZ-26179 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- 26179 Date: 12/18/98 THIS CERTIFIES that the building DWELLING Location of Property 390 OYSTER PONDS LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 024 Block 0001 Lot 002 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- 26179 dated DECEMBER 18, 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE & STORAGE SHED The certificate is issued to BENNIE & ADELAIDE WYSOCKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building I pector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 390 OYSTER PONDS LA ORIENT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : BENNIE & ADELAIDE WYSOCKI OCCUPANCY: SINGLE FAMILY BENNIE & ADELAIDE WYSOCKI ADMITTED BY: CHARLES THOMPSON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 24.-1-2 SOURCE OF REQUEST: CHARLES THOMPSON-12/22/98 DATE: 12/18/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: ENCLOSED SIDE & FRONT DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: OIL TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: BILCO EXIT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: ONE CAR - WOOD STORAGE, TYPE CONST.: WOOD STORAGE SWIMMING POOL: GUEST, TYPE CONST. : OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION i DESCRIPTION ART, SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 12/16/98 JOH BOUFIS TIME START: 12:50 PM END: 1:05 PM Q V I TOWN OF SOUTHOLD �S BUILDING DEPARTMENT I ( t i' TOWN HALL DEC I i � 765-1802 TOWN O SQEPT_ gyp', PLICATION FOR CERTIFICATE OF OCCUPANCY UTW 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. [2- A xisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and existing" land uses: ccurate survey of property showing all property lines, streets, building and nusual natural or topographic features. properly completed application and a consent to inspect signed by the applicant. f a Certificate of Occupancy is denied, the Building Inspector shall state the easons 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, QAdditions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy .of Certificate of Occupancy - -251,%. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .. �:. .. . . . . . . . . .. . . . . .. . . . . . . . . aw Construction...... ..... Old Or Pre-existing Building. 167 3cation of Property...,.s✓� . ..0-Y-4 ...Z.OJ7 d• .�h?'. . . .. . ... . . . 0�A7 . . . . . . . . . House No. /// �Street / Hamlet zwer or Owners of Property.. . .�l.5T :•• a•% •• •�'��'+/•�1 �• • '•�R ,' ' ' ' ' • ' aunty Tax Map No 1000, Section. ... .J.4. .. ....Block. .. . . . .. ... . .. .Lot. . . .t-IR . . . . . . . . . . . . . . . . sbdivision. . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. .-._. . . . . . . . . . . . . . . . . :rmit No.r�. - . .Date Of Permit. . Z�.!�.I.�°• • • • • •Applicant. . . f r - :alth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . tanning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . aquest for: Temporary Certificate. . . . . . ... . . Final Certicate. .� . • . eeSubmitted: $. . . . . . . . . . . . .. . . . .. . . . . . . . . .. - APPLICANT 63�'Le c� oZ�OI 79 CONSENT TO INSPECTION S�a-�e �3� �� Z I-Clo the undersigned, Owners) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at j 19 C2 - K-)k>-S 41/- �o v�Qz LQ N 0 J T which is shogun and designated on the Suffolk County tax map as District 1000, Section Block 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: • r , 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: /z _ (signatu (print name (signature) (print name) �-"". -- -'-'--- --- - - - � ---^ ---,--_ - .. - - -. -.' _•r•�•�-`. _ter,^.-•�---.-ffy-+-. - zw-..x.,7.+r�.�►�.-±us+.--"-_^.... �.a�-s --. .- -- a - - .. _ 1 77 ! i 1 Li I f"1 A P OF PQ'_•.��r P_ I._1 , BL-1 � ! � ail• , i Rr11L FF tCE: Ali: Nl LI.Nff j , i S.64 1900 E, _ liz.d9 JF ;, TOWN fcit ! � o ( a, du :aFi1t. GQIV� J oo _—T i 1 l ) �:'� � v FvUnlCA.- 1�25tG¢y i� � � �•- WIfLE FEtiGE-h+.-OF L`��E- 4 fi LAW a 1G 1 ►— 1 e t— MCA!E-ACA=111 0_MGW-IUM:.1 Ji_ Y". t { _,,J P F _U TA,x. M-I AP L'/0 A ICCXi) 024_- fib 7!J:fC ':S 6urvC1'n.^�nri t^fro : !`.�• J , -�1-_' T�I V'Y r� � Ys:HcW slinO rmlW Csn:C�•wr ', _-_._.....-_.._...__.. ___....�. —._-_ _ _ _f��. ! ' u G�P.kcoa Ytd,�fed hereon chat-t F4 a-r.r:`a Damon farr.Mm Ca a.•rvr ! C"-' C'�� ` r. ..r�_'.C.a tic�h`s 7:-.::1'�� Z ��.__.__•—�_ ��L�.,_�T_ r �� _.�_-._ 1 Y _ L(C.LP,tJD UQ`f `(02S E Et•JPGWE t_�W Y. L L' __7 1