HomeMy WebLinkAboutZ-26723FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26723
Date: 10/05/99
THIS CERTIFIES that the building DWELLINGS
Location of Property 720 SECOND ST NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 0008 Lot 013
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- 26723 dated OCTOBER 5, 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 THREE ACCESSORY SEASONAL COTTAGES & STORAGE
SHED*
The certificate is issued to ATHANAS & RUTH ZAMPHIROFF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
ld~g Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7~Q SECOND ST NEW SUFFOLK
SUBDIVIHION~ MAP NO.: __ LOT (S) --
TYPE OF CONSTRUCTION: WQOD F~A~ME
FOUNDATION: CEMENT BLOCK PIERS
~OTAL ROOMS: 1ST FLR.: _~
BATHROOM(S): ~,Q
BREEZEWAY:
2ND FLR.: ~
TOILHT ROOM(S):
DECK TYPE:
FIREPLACE:
YES TYPE HEATER: HOT~ATER
WARM AIR: HOT~ATER:
CELLAR: -- CRAWL SPACE: __
UTILITY ROOM(S) : .-
PATIO TYPE:
AIRCONDITIONING:
ACCESSORY STRUCTL~S:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIPING POOL: GUEST, TYPE CONST.:
OTHER: * BUNGALOW A ON ATTACHED SURVEY,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I ~ESCRIPTIQ~ : ART.
R~%RKS: EPE9510Z-COZ-901~ {PORCH I~DD) BP ~14779Z-COZ-14~90 {2ND STY ADD&DECK)
DATE ON INSPECTION: 09/30/99
TIME START: 10:45AM END: ll:20AM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
BOUSIN~ CODE INSPECTION REPORT
LOCATION: 7~Q SECOND ST NEW SUFFOLK
SUBDIVISION: MAp NO.: -- LOT (S) --
TYPE OF CONSTRUCTION: WQQD FRAME
FOUNDATION: CEMENT BLOCK PIERS
TOTA~ ROOMS: 1ST FLR.: ~
BATHROOM(S): 1.0
PORCH TYPE: COVERED PORCH
BREEZEWAY:
DOMESTIC NOTWATER: YES
TYPE BRAT: NONE WARM AIR:
OTHER:
~ STORIES: 1-O ~ EXITS: ~
CELLAR: CRAWL SPACE:
2ND FLR.: ~ 3RD FLR.: O
TOILET ROOM(S): O,O UTILITY ROOM(S): --
DECK TYPE: PATIO TYPE:
FIREPLACE: GARAGE:
TYPE BEATER: BOTWATER AIRCONDITIONING:
HOTWATER:
C~GE, TYPE OF CONST.: STORAGE, TYPE CONET.:
SWIEMING POOL: GUEST, TYPE CONBT.: *
VIOLATIONS:
LOCATION
CEAPTER 45 N.Y. STATE UNIFOP~ FIRE PREVENTION & BUILDING CODE
DESCRIPTION I ART.
SEC.
DATE ON INSPECTION: 09/30/9
TIME START: 10:45AM END:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ROUSING CODE INSPECTION REPORT
LOCATION: 7ZO SECOND ST NEW SUFFOLK
SUBDIVISION: 51AP NO.: LOT (S) __
NA~ OF OWNER (S): ~TBASIAS & RUTE ZAMPEIROFF
OCCUPANCY: R~SIDENTIAL ATRANAS & RUTH ZAMPBI~OFF
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 117.-8-13
SOURCE OF REQUEST: kBIGAIL A. WICKFu%M. ATTY 9/8/99 DATE: 10/05/9~
TYPE OF CONSTRUCTION: WOOD FP3U4E
FOUNDATION: C~MENT BLOCK PIERS
TOTAL ROOMS: 1ST FLR.: ~
BATHROOM(S) ~ 1.0
# STORIES: l.O # EXITS:
CELIa%R: CRAWL SPACE:
2ND FLR.: ~ 3RD FLR.: ~
TOILET ROOM(S): Q,Q UTILITY ROOM(S): --
DECK TYPE: PATIO TYPE:
FIREPLACE: GARAGE:
~fYPE HEATER: EOTWATER AIRCONDITIONING:
EOTWATER:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWITCHING POOL: GUEST, TYPE CONST.: *
OTEER: * BUNGALOW C ON ATTACBED SURVEY,
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFOR}4 FIRE PP,~VENTION & BUILDING CODE
] DESCRIPTION I ART.
SEC.
DATE ON INSPECTION: 09/30/~9
TIME START: 10:45A~ END: ll:20AM
BUILDING DE PART~ENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 SECOND ST NEW SUFFOL~
SUBDIVISION: MAP NO,: -- LOT (S) --
NA~ OP OWNER (S): ATF~S & RUTB ZAMPEIROFF
OCCUPANCY: ~SIDENTIAL ATHANAS & RUTH Z~/gPHIROPF
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF, CO. TAX MAp NO,: 117. -8-13
SOURCE OF REQUEST: ABIC~IL A. WICKHAM. ATTY 9/8/99 DATE: 10/05/99
TYPE OP CONSTRUCTION: WOOD FRAME
FOUNDATION: CEMENT BLOCK PIERS
TOTAL ROOMS: 1ST FLR.: 1
BATHROOM(S}: ~,Q
2ND FLR,: O
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
YES TYPE HEATER: HQT~;ATER
WARM AIR: HOTWATER:
STORIES: 1.0 ~ EXITS: ~
CELL~: CRAWL SPACE:
3RD FLR,: O
UTILITY ROOM(S): --
PATIO TYPE:
GAP~GE:
AIRCONDITIONING:
GARAGE, TYPE OF CONST.= STOP. AGE, TYPE CONST.:
SWIPING POOL: GUEST, TYPE CONST.: *
OTEER: * BUNC~OW D ON ATTACHED ~URVEY.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP. M FIRE PREVENTION & BUILDING CODE
SEC.
REMARKS
DATE ON INSPECTION: 09/30/99
TIME START: 10:45AM END: ll:20AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FORCERTIFICATE OF OCCUPANCY
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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.
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 Buildin~ - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building.~.~...~.]C.°-~..~O~C~%~--~
Location of Property l~q ~e~ ~,.~ Su~lk, New 7pTk
House No. Street Hamlet
Onwer or Owners of Property...~'..~a~ ~fl. ~>. E. Zamphiroff
County Tax Map No 1000, Section. 117 .. .Block..~ .Lot. JP .....
Subdivision .............................. .... . Filed Map ............ Lot ......................
Permit No .............. .. Date Of Permit ............... Applicant .............................
Health Dept. Approval ......................... Underwriters Approval .........................
Planning Board Approval .......................
Request for: Temporary Certificate ........... Final Certicate...x. .......
Fee Submitted: $..!qq:qq ..................
~/2L CO--~?o~ mbigai~ m. Wick~,L~g~ for Owners
CONSENT
TO
INSPECTION
ATHANAS A. ZAMPHIROFF AND RUTH E.0ZAMPHIROFF
· 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 720 Second Street, New Suffolk, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 117 , Block 8 , Lot 13
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:
Pre-Existing Use C.0. for three cottages
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.
~ ~ ~ ? ,
Ai~ga (sign'ature)
il A. Wickham, Agent for Owners
(print name)
2