HomeMy WebLinkAboutZ-24893FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24893 Date FEBRUARY 7, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 975 SHIPYARD LANE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 38 Block 1 Lot 10
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-24893 dated FEBRUARY 7, 1997
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 & HEN HOUSE*
The certificate is issued to CONRAD VOLINSKI
(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.
it ing Inspector
Rev. 1/81
1
BUILDING DEPARI'MEN'r
TOWN OF SOUTHOLD
DOUSING CODE INSPECTION REPORT
LOCA'r10N: 975 SHIPYARD LANE
number & streeC�
EAST MARION N.Y.
municipality
SUBDIN TS10N MAP NO. LO'r(s)
NAME OF OWNER (s) CONRAD VOLINSKI- _
OCCUPANCY A-1 RES. OWNER
ftypej---- - - — - --- owner -tenant --
ADMIT'T'ED BY: ACCOMPANIED BY:
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-38-1-10
SOURCE OF REQUEST: _ CONRAD VOLINSRI DATE: JAN. 29, 1997_
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME I STORIES ]-] 2 / EXITS2 -
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE _
TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 3RD PLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO CENT
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER - YES TYPE HEATER OFF BOILER AIRCONDITIONING
TYPE HEAT WARM AIR IIOTWATER
OTIIFR,.
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. HEN HOUSE
SWIMMING TOOT.— _— , GUEST, TYPE CONS-r.----
OTHER:
ONST.__OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
---
LOCATION DESCRIPTION
--------
ART.
HEN
ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION.
NYCRR
_SEC.
VOL 9B
HOUSE
PART.
1242.5
,CCESSORY
UILDING 6
- - --- -
--
GARAGE
-----
REMARKS:
INSPECTED BY_ DATE OF INSPECTION FEB. 5, 1997 -_
GA SH TIME START 10:00 AM END 10:20 AM
d)
_U lv0 J: �:�U_EiO LD
3i_ J=:,TC �EP1Ri
-OWN ?s_L7
;5?02
JAN _
APDLIC T=ON =0R C� T__F=CA-= OF OCC 7P?INC'_r
A. his apD1iC8LiCn gust be Billed in by _.. writer OR ink and submitted to t e bu_ldiag
,Llspector with the -fo1low_n g: -for aew bu_id g or hew use:
]1na1 Si1rTeV of .proper -7 :r_Ch accurate Lo Cation of all bul.ldinss, DroDerVT Lines,
streets, and unusual aaturai or tonOgraptiic features.
2. feel approval from He-7=hDebt. oS water supD17 and sewerage-disoosal(3-9 form)
?. ADDrOval JS alectr=cal 'i—stallat_on `om 3oard or =ire Under7r4ters.
1. Swora statement -from plumber certl_F ing that tele solder used :n syscem contains
less than 2/10 of 1 lead.
CJmmerc_ai buiid_ng, industrial build ng, multiple residences and similar buildin'S
and inStallaL_OIlS, a certificate of Code Comp'l'ance from arcn tact or engineer
rasponsible for the building.
O. Submit Planning 3oard Approval of completed site plan requirements.
3_ For existing buildings (prior to April 9, 1957) non-con;orming uses, or buildings and
pre- x sting" land uses:
1. accurate survey of property shcvi=g all propery lines, streets, bu± diag and
unusual aatural or topographic -faacures.
2. a ?rODer17 Complared anDl=cation and a consent to inspect signed Ov the applicant.
�= a Cert_=:'ata OS Occupancy is aen-ed, tae 3uilding inspector shall state. tae
reasons there;or in Writing to the applicant.
C. fees
Cart_=icate of 'Oc=ipa= 7 - New dwell yg 325.00,. additions to dwelling 525.00,
al_arat_cns to dwelling 525.00, Swi�g ?col $25.00, 3ccessor-r building 525.00,
additions co accessory u'?ding 325.00. 3usJ- esses 5:0.00.
2- Car=i=:'3Ce OS OCCUDdnCy on ?=e-aYistiaQ 3uildiae - 5100.00
Copy of Certificate of Occupancy - .25c.
-- updated Carti;;cace of Occupancy - 550.00
5. 'emporarT Cer_i icate of OCcupa=7 - Resident_at 515.0^0/x, Commercci_'n �SSi5.00
Date 3 nA) /T//!? � . o/ � ?V .............
New Cons trsct_on..... .... Old Or Pre-es_st_ng 3uildin$ ....lam .........
Location of Propert,..9� .......�N.! .1!�4K�..L41..... sT/32gvoN...........
House No. Street Hamlet
Onwer or Owners of nropert,. o9.
"i,
i.C.�N1YT.. ..................
CounC7 Tax iap No 1000, Section
......Lbt. 0.', OO C . • • • _ • • .
SubdiTision
..................................... -ad wap ............ Lot ......................
Pezmit No................Date Of "ermit................ dpnl_cant.............................
Heal -_L, Deoz. approval..........................Jndervritars aoproval.........................
D1ana_ng 3oard approval ........................
ReauesL for: TamT)orar7 Cart_l-4ca. te........... nt
al Car_cata..l........
-eo Suom__.ad: 5 .............................-.-.:...Y../.-...-....... ..........
''DOT 7! _J : ;y
lel'!/ " /,.� li��%' � ✓,
(u c0 L/�93
CONS I -;NT
`1'O
INSIII-iC'I'I()N
� 0j O1 -)---_A L((1l—Vb�S I�I-------------- the Ilnllersil;ne c1,,
I (- wner(s) Hail)e(s)
do((;s) hereby stabi:
'I'I);tt the under13igned (i:3) ;t1, a) he ownel•(s) of ill(: premises in lilt: 'Town
ofd ,it
>oulhold locate
wlich is shown ;tall designated on 11c Sllffnik
Colully lax Inuit its I)fslr•ict 101)(1, Seclioo�� (�, I31oc1< �l..K�iJ I.ot-0/0,-OOc)
That the nnclet•signed (has) Iav ) filed, or mused to 1,)e filed, an applica
lioll in lite Southold Town Puildiof; fospeclov's Office for the follotviolf;
'111:11, the und(n:•aif,ncd do(CS) hcr•(:by 16VO cooscut. to (It(,' liuildiuf; ItUilWOol•:;
OF Ilio 'Town of Southold to e:nlel uporl 11e above described properly, includinf,
'Illy aid i:ill'buildinf;s lac;Il.c:d thereon, to conchlet stash inspect.tolls Its t.he.y lolly
d(:(—.Io Necessary with respect to tho aforesaid applicalion, inciccclitiff inspc cl ions
to duh!r line that said prentisc:s colrlply with all of the laws, ordinances, rule.i
itild J•ejfolations of lhc: ']'own of Southold.
Tlw undersigned, in con:serllinf; to such inspections, do(es) so with 1,h(:
knotn•L:clf;e rill(] understandirtf; that any informaliou obtained In [lie conduct of
t>ne1 ir:ipecliorls roily be used as evidence in suhseyuent prosecolions for vio-
laliooE; of the laws, ordinances, rules or regnlLit to] s of lite 'Town of Sot ItIIold.
1>alud: l9q7
,L
(signature)
VOLI
(print Haute)
(sif�ru)lurc:)
(1)rlllt ItdlnP.)
�DL/n1, Sal
SCS"{ LO F— 7 ° ! E tom'.,.
WT[O
401
{ t
r
I i
+
r A 49--- .
i
I `
i
q-U(2:-vE,Yi�D FDQ/-
U L
E -A5 T MAlf - (C I .
DWIN Or: �50UTP LD.
tn ;his survBy wo viplaiibA of
Section 7208 of the New Ynrh fiat.
U-!satlon Low.
Coptosotthis survey map not bearfrq \
tre land surveyor's inked seat or / Yf
ombmed seat shall not be considered i
to be a valid Into copy.
GuaranteeS indlaged hereon shall rn
only to the person for whom the survey
Is prepared, and on his behalf to 1113 ti
fife ccmpany, governmental agency 'end
lending institution listed hemon and
Insti-
tc the crsi;;nees cl the tending
nsti-tuticr. Cu::r� �tccs are not trnsf orabis?
tut c,,,.
to or sub seµuc-%
r
/ �: _ _til a
,�,��
�^;{
C' I.Y.
{ t
r
I i
+
r A 49--- .
i
I `
i
q-U(2:-vE,Yi�D FDQ/-
U L
E -A5 T MAlf - (C I .
DWIN Or: �50UTP LD.
/.008T|
SVnVivrSlVN
NAME OF OWNER 0;�
OCCUPANCY ft - /
type
BVI.{.U\NG DI"PAnTMEImT
TOWN 01, S0UTUVO)
ADMITT1,31) BY! ACCOMPANIED BY:
SOURCE, 01" REQU" /7W If
TY1113 OF- CONSTRUCTION mAq. L9
FOUNDATION _-CELLAR- CRAWL SPACE
TOTAL ROOMS. IST FLR. 7 -ND FLR ._
J3Al'IIROOM Tou,wr Room UTILITY ROOM
PORCH TYPE arm, TYPE PATJO'.
WARM. AIR 1101VATER
oC0uUuVnY STRUCTURES-
GARAGE,
TxocTuKux GAK8GE, TYPE OF CONST,/', TYPE CU0S?'
SWIMMING POOL `---' , gVEST, TYPE CONST' -
�
nT|}ER: �
__--------___-_-_----__---_--_--_--____-_-- ---__-_-_
-------------------------------------------------------------------------------------------
Vl0LATlONS: CDAPTER 45 N.Y_ STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
ART. Svc.
'
}NnPFCTrD DY DATE -OF INSPECTION-
.