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HomeMy WebLinkAboutZ-30996FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30996 Date: 06/20/05 THIS CERTIFIES that the building DWELLING Location of Property 355 OLD SHIPYARD RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0005 Lot 014 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- 30996 dated JUNE 20, 2005 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 * The certificate is issued to JOSEPH J. SLAVONIK & ANO (OWNER) of the aforesaid building. SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Affthorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 355 OLD SHIPYARD RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) MAMH OF OWNER (S): JOSEPH J. SLAVONIK & ANO OCCUPANCY: SINGLE FAMILY DWELLING JOSEPH J. SLAVONIK & ANO ADMITTED BY: JOSEPH SLAVONIK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF_ CO. TAR MAP NO.: 64.-5-14 SOURCE OF REQUEST: PETER DANOWSKI, ESQ. 05/23/05 DATE: 06;20/`05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 $ ERITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: PART TOTAL ROOMS: 1ST PLR.: 5 2ND PLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): POIZC31 TYPE: DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: OIL AIRCONDITIONIMG: TYPE BEAT: HOT WATER WARM AIR: BOTWATER: OTBER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: INGROIUND GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP 48802-Z-COZ-7595 (INGROUND SWIMMING POOL & ACCESSORYS) INSPECTED BY: TB ON INSPECTION: 05/25/05 GEORGE GILLEN TIME START: 10:20 AM END: 10:55 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY` This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: %. For new building or new use: I. Final survey of property with accurate location orall buildings, property lines, streets, and unusual natural or topographic features. 2. Final .Approval from Ilealth 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance hon) 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. 'remporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. may ig vnns New Construction: _ Old or Pre-existing Building: _ x _ (check one) Location of Property: 355 Ols Shipyard lane Southold (louse No. Street Itamlet Owner or Owners of Property: Joseph L. Slavonik and Susan Danowski Suffolk County Tax fvlap No 1000, Section 64 Block 5 Lot 14 Subdivision _ Founders Estates Filed Map. _ 834 Lot: _ 99 Permit No. Date of Permit._ Applicant: Ilealth Dept. Approval: Underwriter Approval: Planning Board Approval: Request tor: fentporaryCertilicate Final Certificate: x (check one) Pee Submitted: $ 100.00 Applicant tgnature �3 S PETER S. D WSKI, JR. ESQ. Ion 36� tet; i. TOWN OF SOUTHOLD PROPERTY RECORD CARD M -L9 0 00— - - STREET, VILLAGE DISTRICT SUB. LOT - 9 OWNER 1 FORMER WNER N E ACREAGE s� S TYPE OF BUILDING � I C) vo 1L = RES. SEAS. VL. FARM COMM. IND, CB. MISC. I Est. Mkt. Value �/© LAND IMP. TOTAL DATE REMARKS V d J I t 7(o'ci 2 � S/a✓o),7ik � La e la✓on�k�o v Esf C 6a r� 2- z 1 5s � —L 14 411 / ✓ J, lao ih5 4A 65 9� n 38 a o as ✓ .s 7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD 7-S 1 C -� ®.� Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total M. sax i a -. 3 9 v T711�4� Foundation B Bath ExtensionBasement aye —��I k.tC I Floors t T Extension _ _ _ Y li -- - -T- 5 fe ' a M. Bldg.E�.x sax i a -. 3 9 v Foundation B Bath ExtensionBasement aye —��I k.tC I Floors — Extension _ _ _ Y li -- 5 fe ' a �� Ext. Walls —j Interior Finish --- .. — — Extension j So Fire Place Porch Heat Roof Type ~I i zs � Porch Rooms lst Floor ----�—— Breezeway PatioRol oms�2nd Floor --- — — ----� —--- Garage 0 Driveway— Dormer _ 'UARANTFES INDICATED HERE ON SHALL RLIN SNL Y TO THE PERSON FOR µNOM ME SLIRKY I PREPARED, AND ON HIS BEHALT TO THE 'ILC COMPANY,, GOWRNMENTAL AGENCY, ENDING INCGTTZUTION, IF LISTFO HEREON, AND 0 THE A59GNEES W THE LENDING INSOTLIDON. UARANTECS ARE NOT TRANSFERABLE TO DDIOONAL IN'TITI/TION-S OR Z/BSEOUENT OWNERS NALIMCRIZED ALTERATION OR ADDI TICIN TO MIS JRVCy I` A WAA116N Of F.FCDON 7104 IF iE NEW YORK .TATE EDUCARON LAW "PIC, LN THIS 9JRKy" MAF' NOT BCAi'ING IC LANG SUR4y,,R' EMB"' Ell ;CAL SHALL IT BE IDNWOCRE0 10 BC A VAI IO TRUE ?Py FRAME NiF SCHNDDEP W0G[, FENCE 1211.84 _CHAIN LINK FEN[E -01)z Oi A CHGMMEOIEU LANE `ice Z m O / N 64'05'00"E LUT va col IIN 7) Z I- �y n z bw � r z u 4.5 1 -=;TORY 11.5 Iwl I'T _ r ZE > RESIDENCE xmo 1 r c n oma" 0 w _ w wiunr. 225' 0 OO &ll[STOf gtryflYAY WRX CONCRETE CV G S 64'05 00"W LOT 100 'UARANTFES INDICATED HERE ON SHALL RLIN SNL Y TO THE PERSON FOR µNOM ME SLIRKY I PREPARED, AND ON HIS BEHALT TO THE 'ILC COMPANY,, GOWRNMENTAL AGENCY, ENDING INCGTTZUTION, IF LISTFO HEREON, AND 0 THE A59GNEES W THE LENDING INSOTLIDON. UARANTECS ARE NOT TRANSFERABLE TO DDIOONAL IN'TITI/TION-S OR Z/BSEOUENT OWNERS NALIMCRIZED ALTERATION OR ADDI TICIN TO MIS JRVCy I` A WAA116N Of F.FCDON 7104 IF iE NEW YORK .TATE EDUCARON LAW "PIC, LN THIS 9JRKy" MAF' NOT BCAi'ING IC LANG SUR4y,,R' EMB"' Ell ;CAL SHALL IT BE IDNWOCRE0 10 BC A VAI IO TRUE ?Py FRAME NiF SCHNDDEP W0G[, FENCE 1211.84 _CHAIN LINK FEN[E .`mncRrrt; L TWL_ SURVEY OF LOT 99 IN SUBDIVISON MAP OF FOUNDERS ESTATES SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: LOREN FITZSIMON I":UARANTEED TO LOREN FITZSIMON FM# 834 LIBERTY LAND TITLE ACENCr DATE FILED MAY 10, 1927 rM# 1000-064-05-014 Lf) N Cw N/F LOCROTnNPO (D TI m ca+c Mcv I V IO 0 N/F JERNICK SURVEYED. 17 MAY 2005 SCALE 1" 30' AREA = 15.923 S.F. OR 0.365 ACRES _URVEYED BY STANLEY J. ISAh:FN, IR, P.O. BOX 294 NEW FFOLK N. r. 1 1 631-,4-583` /EN'' ) LfVD t VEYLIR' NY, Lf. No. 492 05R140g -01)z Oi A C `ice Z �x O .`mncRrrt; L TWL_ SURVEY OF LOT 99 IN SUBDIVISON MAP OF FOUNDERS ESTATES SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: LOREN FITZSIMON I":UARANTEED TO LOREN FITZSIMON FM# 834 LIBERTY LAND TITLE ACENCr DATE FILED MAY 10, 1927 rM# 1000-064-05-014 Lf) N Cw N/F LOCROTnNPO (D TI m ca+c Mcv I V IO 0 N/F JERNICK SURVEYED. 17 MAY 2005 SCALE 1" 30' AREA = 15.923 S.F. OR 0.365 ACRES _URVEYED BY STANLEY J. ISAh:FN, IR, P.O. BOX 294 NEW FFOLK N. r. 1 1 631-,4-583` /EN'' ) LfVD t VEYLIR' NY, Lf. No. 492 05R140g LAW OFFICES PETER S. DANOWSKI, SJR. 616 ROANOKE AVENUE P.O. BOX 779 RIVERHEAD, NY 11901 (631)727-4900 FAX (631) 727-7451 JOHN P. TAGGART, ESO. Attn: Mike Verity Southold Town Building Dept. Town Hall Annex Main Road Southold NY 11971 May 20, 2005 RE: PRE-EXISTING C.O. PREMISES 355 OLD SHIPYARD LANE, SOUTHOLD Dear Mike: With reference to the above, enclosed please find application for pre-existing use together with my check for $100.00 to cover the filing fee. Please note that this is my wife's dad's former home, which had been deeded to she and her brother, subject to a life estate. Also enclosed is a copy Mr. Slavonik's death certificate. I would appreciate you scheduling an inspection of the premises at your earliest convenience as we have entered into a contract to sell the premises with an immediate closing. Thank you. Very truly yours, (9L_ PETER S. DANOWSKI, JR. PSD/bp encls. CONSENT TO INSPECTI0N PETER S. DANOWSKII, JR., ESQ., FOR JOSEPH L and SUSAN DANOWSKI , s) Name(s) the undersigned, do(es) hereby state: That the undersigned (-9) (are) the owner(s) of the premises in the Town of Southold located at 355 Old Shipyard Lane, Southold, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 64 , Block 5 Lot 14 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in -the Southold Town L'uilding lnspecw. orf;.., row Fhn fr,11nWinL: Certificate of Occupancy for Pre-existing use 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, includins'inspections to determine th4t said premises comply with all of the laws, ordinances, rules and regulations; of the Town of Southold. i The undergigned, in consenting to such inspections,. do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: May 19,12005 (signature) Please call Pete , anowski 727-4900 to schedule inspection PETER S. DANOWSKI, JR., ESQ. (prixA name) n • (print name LOCATION: -35s- o 1,D .5 Y" ----5,0 47 H C L -L -b (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): Z-0 S IE- P H LA V O 1V OCCUPANCY: ON h c (type) (ner-tenant) ADMITTED BY: 015�'M -- V d A1l ACCOMPANIED BY: KEY AVAILABLE: It % SUFF. CO. TAX MAP NO.1000- ^S— SOURCE OF REQUEST: E7-1:�-©W-'; 1_4C-7SQ. DATE: , 5-X3 —res DWELLING: TYPE OF CONSTRUCTION: 0"01 FM M E # STORIES: d N # EXITS: FOUNDATION: C t'M eNT 15"C --K CELLAR: F4(L L CRAWL SPACE: IOMC7 TOTAL ROOMS: IST FLR: � 2ND FLR: 3RD FLR: BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: W 6 o PATIO, TYPE: BREEZEWAY: FIREPLACE: No GARAGE: DOMESTIC HOTWATER: YZ�5 TYPE HEATER: AIRCONDITIONING: ^' TYPE HEAT: /fOT \A/ WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: 76�75 GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE 1%7 Or=�® Wnril -PARI I 'EM DIMON J ��� .. 1 � /.-�� _��+� Ila /.� •�.i ... _ ��__ INSPECTED BY: DATE OF INSPECTION: TIME START: END: /0; s�jZ7