HomeMy WebLinkAboutZ-26394 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- 26394 Date: 04/20/99
THIS CERTIFIES that the building DWELLING
Location of Property 59945 MAIN RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 056 Block 0003 Lot 009
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- 26394 dated APRIL 20, 1999
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 STRUCTURES
The certificate is issued to EDWARD J RECKNER
(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 nspect
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 59945 MAIN RD SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : EDWARD J RECKNER
OCCUPANCY: SINGLE FAMILY EDWARD J RECKNER
ADMITTED BY: CAROL BOHN ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 56.-3-9
SOURCE OF REQUEST: EDWARD J RECKNER 4/7/99 DATE: 04/20/99
DWELLING-:
TYPE OF CONSTRUCTION: WOOD # STORIES: 2.0 # EXITS: 3
FOUNDATION: STONE c BRICK CELLAR: PART CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : 5 2ND FLR.: 4 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : REAR*
PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OTT, WARM AIR: HOTWATER: XX
OTHER: ROOM-PANTRY
2 LARGE STORAGE ROOMS 2ND FLOOR
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 3 CAR CONCRETE BLOCK* STORAGE, TYPE CONST.: 5 WOOD FRAME* SEE BELOW
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION 1 ART ' SEC.
* #1 LARGE STORAGE BARN WITH ELECTRIC
#2 LARGE STORAGE BARN WITH ELECTRIC
{ #3 STORAGE SHED
#4 OLD STORAGE SHED
i
#5 PRIVEY (OUTHOUSE)
i
#6 3 CAR GARAGE ACCESSORY GARAGE WITH
STORAGE ONLY.
(SEE ATTACHED SURVEY DATED APRIL 3, 1999.)
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 04/20/99
JOHN M. BOUFIS TIME START: 10:45 AM END: 11:30 AM
Form No. 6
R. TOWN OF SOUTHOLD
_ 7 BUILDING DEPARTMENT
APR
. TOWN HALL
765-1802
BLDG.DEPT.
-_ TOWN OF SOUTHOLD
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
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, 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 Buildiniz - $100.00
3. Copy of Certificate of Occupancy - .25c,
4. Updated Certificate of Occupancy - $50.00
} 5. Temporary Certificate of Occupancy - Residential
aa$15.00, Commercial $15.00
Datee. . ./�o? / �. �. . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existin Building. //" .•• . . . . .
Location of Property. . . . . :�::? . �q • V.o;^. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•r
House No. Street Hamlet
Onweror Owners of Property. . . !? . . . , . , . . . . , . . , . • „ • , . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. ..0 .. .C. . . . ..Block. .q:3. . . . . . . . . .Lot. CQ 9. . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant.
`�:`:`.�.��. .`�. . .( .� . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . ... . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
�Fee Submitted: $ 0(:)
. . . . . . . O . . . . . . . . . . . . .
. . . . . . . �. . . . . . .
AP CANT
C,-It `/
CONSENT
TO
INSPECTION
c-A,j ✓1�' 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 �j q��� /`—Ict i,, 7da<4
which is shown and designated on the Suffolk
County tax map as District 1000, Section0,6 , Block o.3 Lot Cad
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 3 GR -
- (si ure
(print name)
(signature)
(print name)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: ;::�_ ��
4-
(number & street municipality
SUBDIVISION _ _ MAP NO. LOT (s)
NAME OF OWNER�(s)
OCCUPANCY f c'
'ype�^ , / (owner-tenant)
ADMITTED BY: ( �/ J/ �� .�V ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO.
SOURCE OF REQUEST: j�jnC4 DATE:
DWELLING:
TYPE OF CONSTRUCTION STORIES ... EXITS
FOUNDATION CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND FLR._ 3RD FLR.
BATHROOM (s) @j jam_ TOILET ROOM (s) UTILITY ROOM ` ZX 6?6�
PORCH TYPErJZS ��Q' �w� DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER j TYPE HEATER . 0 AIRCONDITIONING
TYPE HEAT Q � / WARM AIR HOTWATER P
OTHER: �;,��c v
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST C ' /�G�. STORAGE, TYPE CONST. c� ' LC✓ -`
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
-----------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SECIV
4"
17
REMARKS:
—
or
INSPECTED BY: e'dr DATE ON INSPECTION
TIME START L)p �f,� ' END j
No. REVISION DATE
1 ADDED BEARING AND DISTANCE TO SOUTHERLY 4/12/99 O ��; PE
a'WEST N
o'r HEST
PROPERTY LINE. �� ��
2 REVISED 3 CAR GARAGE. NO SURVEY WORK DONE AT 4/16/99
THIS TIME. 0.
No ,F)
GRAPHIC SCALE
NG N1 ,/ 50 0 25 50 100 2100
0
E'oasT STAKE \
\ ( IN FEET )
2 1 inch = 50 ft.
0A
AREA OF PROPERTY=195.769 S.F OR 4.494 ACRES
FT) 1Z^,
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1000- 056 - 03- 009
/
/
SURVEY OF PROPERTY
SITUATE AT
SOUTHOLD
TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y.
CERTIFIED TO. PREPARED FOR:
°� NEw
o�� IRA D. HASPEL AND KATHY K. HASPEL
P LAB
°2
J.C. LAND ABSTRACT CORP. �P
STEWART TITLE INSURANCE COMPANY "' PREPARED BY: NORTON BROTHERS DU�IN
UNAUTHORIZED ALTERATION OR ADDITION T A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION CENDANT MORGAGE COMPANY I a�
OF SECTION 7209, SUB—DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW.
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH A ORIGINAL OF THE LAND SURVEYOR'S INKED SEAL IRA D. HASPEL AND KATHY K. HASPEL F` 4'o Engineering and Surveying, L.L.P.
OR HIS EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. �Ls, LS 0 JQ.
CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE �t) LAND 6 294 Medford Avenue (516) 475-1452
OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, Patchogue, New York 11772 516 475-0403/fax
SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO
THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE a
LENDING INSTITUTION, CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 7—T FILE No. DATE: SCALE: ��
DATE 21 ,245 APRIL 3, 1999 1 = 50