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Home My WebLink AboutZ-31183 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31183 Date: 09 29 OS THIS CERTIFIES that the building DWELLING Location of Property 2600 SOUTH HARBOR RD SOUTHOLD (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 075 Block 0007 Lot 00'.001 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- 31183 dated SEPTEMBER 29, 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 WOOD FRAME STORAGE SHED* The certificate is issued to JENNIE ELAK (OWNER) of the aforesaid building. SUFFOLK CODNTY DBPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIPICATS NO. N/A PLDMBSRS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / ` Author ed ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOH: 2600 SOUTH HARBOR RD SOUTHOLO SOBDIVISIOH: MAP HO.: I.O'P (S) HAMS OP OHHBR (S): JENNIE ELAK OCCOPAHCY: SINGES PAMILY DWELLING JENNIE FLAK ADMITTBD BY: ALEC ELAK ACCONPAHIRD BY: SAME KHY AVAILABLH: SOPP. CO. TAY MAP HO.: 75.-7-4.1 SOURCR OP RHQOBSf: OLSEN & OLSEN, L.L.P. 9/21/05 DATH: 09 29 OS DWELLING: TYPR OP COHSTAIICTIOH: WOOD FRAME ~ STORMS: 1.0 = HYITS: 2 POD®ATI~1: CEMENT BLOCK CB<J.AR: 3 4 CRAHL SPACR: 1 4 TOTAL ROOMS: 1ST PLR.: 6 2HD PLR.: 0 3RD PLR.: 0 BATHROOM(S): 1.0 TOILBT ROOM(S): 0.0 DTILITY ROOM(S): MUD POR® TYPB: DRCK TYPH: PATIO TYPH: HRSBZRfWY: PIRHPLACS: NONE GARAGH: DOMBSTIC HOTHATB&: YES TYPH BSATHR: PROPANE AIRCOHDITIOHIHG: TYPH BRAT: OIL ID1Rl1 AIR: XX HOTMATRR: OTHRR: ACCESSORY STRUCTURES: GARAGH, TYPR OP COHST.: STORAGH, TYPH COHST.: WOOD PRAMS SMIINIHG POOL: GORSP, TYPH 01ST.: OTHBR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~ I I ~ ~ I uwaorc ffiSPBCTBD BY: ~ DATB OH ffiSPRCTIOH: 09 2$ OS GARY J. P H TIMR START: 9:50 AM BeO: 10:15 AM i r r Form No. 6 TOR~IN OF SOUTHOLD 2 ~ ZOO5 BUILDING DEPARTMENT f •`'~N TORN H.V,L 765-1802 ~ 1--~~~ ~ i APPLICATION FOR CERTIFICATE OF OCCUPANCY' This application must be filled in by typewriter or ink and submitted to the•Building Department with the following: A. For new building or new use: L Final survey of property with accurate location of all buildings, property lines, streeU, 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 [he solder used in system contains less than 2/10 of 140 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 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.OU, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinmting 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 4. Updated Certificate of Occupancy - $50.00 5. Temporat}c•Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. September 21, 2005 New Construction: Old or Pre-existing Building: _ % (check one) Location of Property: 2600 South Harbor Road, Southold House No. Street Hamlet Owner or Owners of Property: Thomas Elak, Alec Elak and Joseph Elak Suffolk County Tax Map No 1000, Section ~ S Block ~ Lot Subdivision Filed Map. Lot _ Permit No. Date of Permit. Applicant: _ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ Final Certificate: check one) Fee Submitted: $ LSEN & OLSEN LLP 82495 MAIN ROAD ~~-•(pQ>q"1j CUTC 0 UE,NY11Y4S PPlicantSignature 6?~t Co 3 I I $ 3 i ~ , ~O r ~X J ~ l ~ ~ m ~ z ~ y" m t Q ~I LL Q ~ ~ a ~ > ; V Y W ~ ~ ~ ~ ~ ~ r t~ ~ ~ r, _v - ~ ~ a O W J o 0 c~ t u ~ 1 a g , ~ Y ~ ~ ~ u+ ~ ~ ~ ~ Z Z ~ Y Y Q J 0 ~ ~ ~ ~ m O O y _ O U ~ G Q ~ m d~ Z H Z N ~ E O Z O y u` F J ~ ~ m 1a ~ ~ ~ M ~ ~ m F Q O J ~ o ~ ~ r 0~ l1J ' 'I N ~ ~ Z ~,,ff~~ W ~ s ~ Z ~~~J z ~ ~ a ~ ~ o. ~ d o ~ ~ g z LL , ~ 3 ~ ~ r° t•d sssissctes saossassd do aadoe azo:oz so sz des m a= Z ay n ~ w o ~ ~ ~ ~ w i o ~ 3 $ o s - s ~ N 3 ~ ~ ~ o w ; ~ o o ~ e r O m ti 1 q 'c H ~ ~ ~ 8 c r V ~ w' d 4 C d ~ ~ m N ~ 0. OC m u5 t'' a ~ ~ M ~ ~ ~ ~ ~ ~ a o cx, o.l _ ~ ~ ~ t„ ~ Vii. ` V a ~,j •s: O . ~ ~ ~ ~ - k;: 1 an o t 'ly` ~ ' y ~ ~ o ai o ~ ~ ~ ~ a ° r Yid ~ d # a a2p:p[ Sp t. 'M.- W ~ ~ ~ aadp8 H jD 5T10SS3S5 95£[59L~£9 LOCATION: ~f~ ~,.9~ C~4~.7E. ~-~~~CCY: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): ffsiat,4 S f-~es~if .L~LAxG OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ~ EG4K ACCOMPANIED BY: C//f~l+~ KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: G~ # STORIES: # EXITS: Two FOUNDATION: ~.Frh~J; c~ CELLAR: 3~CRAWLSPACE:~ TOTAL ROOMS: ~1,SnT FLR: (y 2ND FLR: 3RD FLR: BATHROOM(S): V I~.K~ TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: ^ DOMESTIC HOTWATER: ~ES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: /,t/ SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECpTION: oZU RI TIME START: ! ~ END: • CONSIrNT TO INSPL•'C'fION Gar Flanner Olsen as Attorney for Thomas Elak, Alec Elak tk;e undersigned, Owncrls) Name(s) an osep a do(es) licreUy stag:: That the undersigned (is) (are) the owner(s) of the premises in the Town oC Southold located at 2600 South Harbor Road, Southold, NY which is shown and designated on the SuCtolh 7 4.1 Counly tau map as District 1000, Section 75 131oc1c Lot That the undersigned (has) (have) tiled, 'or caused to be filed, an applica- tion in tho Southold Town liu;laing lnspec~... p[r:~e ro.. ~h~ fnl7nwinC: One-story residence and shed ' That the undersigned do(es) hereby give consent to the IIuilding 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 oC the laws, ordinances, rules and regulations oC the Town of Southold. Tlie undersigned, in consenting to such inspections, do(es) so with tlic knowledge and understanding that any information obtained In the conduct of such inspections may~l~e used as evidence in subsequent prosecutions for vio- lation= of the laws, ordinances, rules or regulations the own of Southold. ' September 21, 2005 Dated: (signature) Gary Flanner Olsen (print name) (sienature) (print name) I 2 3 zoos t. ~ M d K ~ ~ cG ~~G .f"i ~ ~O ~ Iw O ° - ~ > = Z Nz o ~ OZ O a~ ~ w ~ ~ ~ x~ m ~ Y z~ `pv w ~ ~ K ~ •SY~ G ~ !W- U ~ J W Y W I.,, u'~ tW.~ g W p a , N Q~ Z O ~ Z S ~ t ~ cc ~ ~ N O ~ t.,_ 1I Z o~ W ~ 4 0 0 00 ~ ~ a co w 1p Il w cn ~ 'Z Q Y I I ~ ~ II ~ Z 3 ! } ~'Q ~~,V s'r owaZ ~i w ~-gO,wrn ~ Z ~ in K r` o W w U 0 7 "1 ~ W t--- Z cC3 711 O+, Q ~ I r-~a~ ~ V Q N~ N m F... 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