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Home My WebLink AboutZ-24060 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-24060 Date DECEMBER 6, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3475 WELLS ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 2 Lot 9 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-24060 dated DECEMBER 6, 1995 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* The certificate is issued to LURA KRUEGER (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 REPOR Building Inspect Rev. 1/81 fill 1 LD(NC DEPARTMENT TOWN OF SOU'fIIOI,lJ IIOUSING CODE INSPECTION REPORT LOCATION: 3475 WELLS ROAD PECONIC, NEW YORK —�numbcr b strc:ct uwnlcihatiCy� ----- Sl11iDIVISION — MAP NO. 1.0'I'(s) NAME OF OWNER (s) LURA KRUEGER O(:COPANCY SINGLE FAMILY (t 71—)c owner-tenant• ADM t'l 1'I?I) fly: KENT & NANCY DeLoiselle SAME _ ACCOMPANIED IiY: KEY AVA l 1.Ali1,l? _:illl'1'.CO 7 AX MAP NO. 100 - - - - SOIIRCE OF REyUES'f: NANCY deLOISELLE DA'['h: Sept. 18, 1995 TYPE OF CONSTRUCTION CEMENT BLOCK Il STORIES 1-1/2 / EXITS I FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE: TOTAI. -ROOMS: IST FLR._ 4 `_2ND FI.R._ I 3RD FI,R. 11AT11ROOM (s) --ONE 'TOILET ROOM (s) lONE UTILITY ROOM I'Olt(:II 'I'YI'1? DECK, 'TYPE L'ATIO MUEZE.WAY ONE FIRE'I'LACE ONE GARAGE CAR- DOMIiS'r IC I10TWATEIR YES TYPE IIEA E' It OIL FIRED AT RCONDI'f ioN I NG TYPE IIEAT OIL WARM AIR — — 110'I'F!A'1'Elt' XX OT11ER: OUTSIDE SHOWER ACCESSOItY STRIIC'I'URES: GARAGE, 'TYPE OF CONST. STORAGE, TYPE CONST. SWIMMIN(: POOL, GUEST, TYPE CONST. ----------------------------------------------------------------------------------- --------------------------------------------------------- VIOI..A'I.'IONS:- CIIAPTER 45 N.Y. STATE 11NIFORM FIRE PREVENTION & .ISIIILDING CODE LOCATION DESCRIPTION SEC REMARKS: IN(;I'rC'1'1:1) IfY DATE OF INSPECTION SEPT. 20, 1995 JOHN M. BOUFIS TIME START 9:30 AM END 10:00 AM— S _ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG.DEPT. TOWN OF SOUTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY �1 A- This application must be filled in by -typewriter • inspector with the following: e building OR ew.used submitted to the building 1• Final surveyof for new building or neGi use:. 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 hnd 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 l% .lead. 5• Commercial building, industrial buildin similar and installations, a certificate of Code�Compliancerfromearchitences ctor engineer dings responsible for the building. 6• Submit Planning Board Approval of completed site plan requirements. B. 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 ro erty lines, streets, building and unusual natural or topographic features. 2.. A properly completed application and a consent to inspect signed by the applicant. ` 3If 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 dwelling $25.00, Swimming pool $25.00, Accessory- building $25. Additions to accessory building $25.00, Certificate- of Occupancy on Pre-existing Buildingz 100.00. 3. Copy of Certificate of Occupancy _ - $100.00 4• Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of' Occupancy - Residential $15.00, Commercial $15.00 Date �j. . J,%J . New Construction. . . • . . . . . . . e�existing Build Old Or Pr JJJ • • . -- • Location of Property.. . , , . , J Ar - House No. . . . . . . . . . . . . . . . _ Street .� Hamlet )nwer or Owners of Property. . . �v�9-- . _ . . . ��i� • • . . . • • . • .. . . . . . . . . . . . . . . . :ounty Tax Map No 1000, Section.. . .! . - . • - - • . • - • - • . • - subdivision. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . 'ermit No. . . . . . . . . . . . . .Date Of Permit. . . . . . . .--- . . . . . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . .. . . . . . . . . eal.th Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . lanning Board Approval. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . equest for: Temporary Certificate. . . . . . . . . . . Final Ccrticatc. . ;✓/ • . • ee Submitted: :.�C. . . . . .. . . . ... . . . .. . . . l .. .w..��s.. y • . ..-:W:.O_.> »'.h ':i A :..:`c�'�N _i. .rA nTw• �..�.•.• • •.L. -._.3•;i••-a....- n. •.•w�.c..-.vyt CONSENT TO INSPECTION 20"P/' IA) -oC , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s), of the premises in the Town of Southold located at 1Ae0.V v.,hich is shown and designated on the Suffolk County tax map as District 1000, Section (��ji ', .Block �, Lot That the undersigned (has) (have) filed, or'caused to be filed, an applica- tion in the Southold Town Building Inspe.ctor'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. Dated: 5 _ (sf nature)- (print name) (signature) SEP 1 81995 =a N - (print name) BLDG. DEPT. TOWN OF SOUTHOLD 3 L 1 l M4 P OF PevPe:e-F ' SU12VEYE'D �Q O AT j TOWN/ OF SOUTHOL , N-Y \ o qjpLG \\ \\9- Qj } ` ;o ,. Co W � ✓ ,35 � e�� - � �y. ;, � � `,` Scale : 40 = ! � e o� o - Pipe 00 >y �, o Af a * {TOU Se Ell Courr-{f TcxX Ma� D�St�'r-taf iorr: x _ 1yconc. _ , walk /OOO, 5er.+- 086, Silk. 2, Pcl.9 -IZ''- _ O Gonc. �_ enc(. dock wa 1 k � --- -- -------•_GC —Shower 6 m j r-�- - blacicfnn�b drrv� garage W - ----------------- N_69 2940 W rail n DAJv51GE12 \ I '.'-' curvy is ! 72C2 Gi�178 t�2;,I YoeR.St3L! - Scjrveveci `Icrrr. 9, 1994 Ed:,c Von Law. VAN ar� L-icerrsed Lard ajv- Ct-s ,.: . z.d nlew York 3v. _ TOWN OF SOUTHOLD P4OPERTY RECORD CARD .__ 'STRE ,5 VILLAGE DISTRICT SUB. LOT LA jr..i� F�C •� G-rl t�-C - FORMER OWNER- N n, o _ E ACREAGE w. - ,. < 3 S 't W ^� TYPE OF BUILDING. ., RES.�D.. SEAS. _ .. - VL. - FARM_-_�._.._ -=COM/N1 IND. GCB:_ MISC. I LAND v_ ._ IMP. TOTAL ' --_,.,_DATE_ REMARKS } , s AGE BUILDING'CONDITION NEW NORMAL BELOW ABOVE _ - E'. v _ {. __ mwOr r Farm Acre Value Per Acre Value Tillable - !, TillaGre '- ... Tillob .. ;«as ' ,; .� -w.u,tiro - }y�--. ..��+�y f �wampl .. - 3rushtartd ,_ M. House Pr rotal _ T T Tt" t. vC rr Fr , a 1 , a t + l{ A. 6t on Found - -- - — p 1 - -+ '1 er Fns� Extension .. ; i .. - S ✓ c'�D for h6 > Fire•,1?laceF, i/ s Heot Extension I - - Porch` t;D4. Attic ►+_ zz t. � Floor, rl2ooms 1st`Floor _ rns�2 d 3 I Breezeway _ - - �. _ .3•lie -..Roo Fi - Gorage _ Driveway - - �'' 7 .s i hiss tj BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY tY owner-tenant ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF/F.CO. TAX MAP NO. O6 _ 2 _ SOURCE OF REQUEST:_ f�Q/SQ �, DATE: G� DWELLING: TYPE OF CONSTRUCTION p STORIES EXITS FOUNDATION c/.. � CELLAR CRAWL SPACE 'y TOTAL ROOMS: 1ST FLR. 2ND FLR. / 3RD FLR. BATHROOM (s) /) e ,,. TOILET ROOM (s) UTILITY ROOM ter---- PORCH TYPE DECK, TYPE PATIO BREEZEWAY lel FIREPLACE GARAGE_ DOMESTIC HOTWATER C TYPE HEATER ,E ---- AIRCONDITIONING _ TYPE HEAT ®(� WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: 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. r REMARKS: IN!�I'I C1ED BY DATE OF INSPECTION TIME START / 30 END �UC