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Home My WebLink AboutZ-27788FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27788 Date: 07/05/01 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 38220 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 069 Block 0002 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- 27788 dated JULY 5, 2001 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 ONE CAR GARAGE.* The certificate is issued to CAROL ZEBROSKI SAVAGE & ORS (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. -""'L �' /-W'� Autbe6rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 38220 OR 48 SOUTH/PEC SUBDMSION: MAP NO.: LOT (S) NAME OF OWNER (S): CAROL ZEBROSKI SAVAGE OCCUPANCY: SINGLE FAMILY CAROL ZEBROSKI SAVAGE ADMITTED BY: STANISLAW ADAMCZUK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 69.-2-2 SOURCE OF REQUEST: STANISLAW ADAMCZUK DATE: 07/05/01 DWELLING: NYCRR VOL 9B TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: IST FLR.: 3 2ND FIR, 3 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROGM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPR: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTHATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING: TYPE BRAT: LILCO GAS MARK AIR: X HOTMATHR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE BATHROOM EXTERIOR STRUCTURAL MEMBERS SHALL BE PROTECTED AND NYCRR VOL 9B MAINTAINED TO RESIST AND PREVENT DETERIORATION 1242.7 (A) EXTERIOR SURFACES SHALL HE MAINTAINED IN GOOD 1242.5 (E) CONDITION. SURFACES NOT INHERENTLY RESISTANT TO DETERIORATION SHALL BE TREATED W/A PROTECTIVE COATING OF PAINT OR OTHER SUITABLE PRESERVATIVE � SEE NEXT PAGE REMARKS: REINSPECTED 6/27/01 INSPECTED BY: Y- ADATE ON INSPECTION: 06 OS O1 GARY IFISH TIME START: 10:20AM END: 11:OOAM BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 38220 CR 48 SOUTH/PEC SUBDMSION: MAP NO.: IAT (S) NAME OF OWNER (8): CAROL ZEBROSKI SAVAGE & ORS OCCUPANCY: SINGLE FAMILY CAROL ZEBROSKI SAVAGE & ORS ADMITTED BY: STANISLAW ADAMCZUK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 69.-2-2 SOURCE of REQUEST: STANISLAW ADAMCZUK DATE: 07/05/0 DWELLING: TYPE OF CONSTRUCTION FOUNDATION: TOTAL ROOMS: IST FLR BATHROOM(S): 0.0 PORCH TYPE: BRREZEWAY: DOMESTIC HOTWATER TYPE BEAT: m # STORIES: 0.0 # EXITS: 0 CELLAR: CRAWL SPACE: 2ND FLR, 0 3RD PLR.- 0 TOILET ROON(S): 0.0 UTILITY ROOM(S): DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: TYPE HEATER: AIRCONDITIONI:NG: WARM AIR: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ACCY GARAGE STRUCTURAL MEMBERS SHALL BE PROTECTED AND MAINTAINED TO RESIST AND PREVENT DETERIORATION WALLS SHALL BE MAINTAINED IN A SAFE AND SOUND CONDITION. REMARYS: REINSPECTED 6/27/01 1242.7 1 (A) INSPECTED BY: DATE ON INSPECTION: 06/05/01 GARY 7 FISH TIME START: 10:20AM END: 11:OOAM _. _. .. TOWN HALL [( s c„ oe I. - 765-1802 --- " APPLICATION FOR CERTIFICATE OF OCCUPANCY ----A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property linee 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 buildi 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 9pre-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 applicar 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 Buildine $100.00 3. Copy of Certificate of Occupancy - _ .24_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155ty .00, Commercial $15.00 Date A/I l .......................... New Construction........... Old Or Pre-existing Building . ............. ,/ j Location of Property...3&L2 0 r!avt-�• n'p�� ' ys .iv&iYY�n�!/ ............. ....... ...! u ..... ................ House No. Street Hamlet Gv.^,1'✓e..d_'f Vz^CtIPIZ_ '" 6 / 4 Onwer or Owners of Property. County Tax Map No 1000, Section. F1.L.........Block..?............. Lot.2 ............. Subdivision....................................Filed Ma Lot................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final. Certicate........... Fee Submitted: $.... (PART ............... 'p G�} O Weil....... ^Glr c1.t............. C. S 1 Ay ICAN'C CONSENT TO INSPECTION tans S /4a /je4at"t e Owner(s) Nar do(es) hereby state: he"undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at .3F2_2_'9 Lout e jp d�-[,p/'l , which is shown and designated on the Suffolk County tax map as District 1000, Section �7q , Block Lot 2– That That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in -the Southold Town Building lnspecw. orti— re.. rtia fnllnwing: �i. � �'O✓y �rGt �'L /� o r-1 S C' �/7� �r�z.rr7P /�e,r�t� T = 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: ,S/Z,;*/b/ (signature) (print name) J (signatu) J (print n. e) - \ tk 4000 woo AWT USEDTBY A AA AftYAL SURRVEYORS TL�AATERED COPYBY' OF ANOThFd? SUMEYORS YAP. TEAMS SUCH AS VA PELTED' AND WOU GHT - TO - DATE" ARE NOT M COY WIRE UITN TAE LAM. 5 It 4 d• 5P � *. T,p , 6 Tw SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD v SUFFOLK COUNTY NY WO - 69 - 02 - 0b SCALE r' = 30' W r A 2001 AREA =. 19,126 sµ k. e' 5p , ot A 00 \X , yf0 121-00 w. S. 78'06.�• ROAD NORTH P. O. 1230 (11- f.5n NO. 496/8 765 -1797 LOCATION: number & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY .%muni i.palzry MAP NO. LOT (s) ktype) owner -tenant o ' ADMITTED BY: Akm4C-7-U K ACCOMPANIED BY: X02-& KEY AVAILABLE, SUFF. CO. TAX MAP N0. /0p0 -61�1-Q�-�� SOURCE OF REQUEST: ,S77jj15-/A4,J v-wILZuK DATE: J T �� DWELLING: TYPE OF CONSTRUCTION LJ& -&J F ; # STORIES �� # EXITS o2 FOUNDATION �� 6,rr 610c4L - CELLAR CRAWL SPACE_ TOTAL ROOMS: 1ST FLR. -3 2ND FLR. 3 3RD FLR. BATHROOM (s) eIA�, TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACEGARAGE DOMESTIC HOTWATER LII TYPE HEATER ,/ kc, G*.�- AIRCONDITIONING TYPE HEAT- A [,Cor A.5 WARM AIR e/ HOTWATER OTHER: - - ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. J CJ�,� CJp�-� . FL,o�j� STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: --------------------------------- -_ ----------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. LOCATION REMARKS: INSPECTED BY: nVcnnvn... -- DATE ON INSPECTION W0.1 q- �1��o / TIME START '. END // _7 rSb