HomeMy WebLinkAboutZ-31948
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z-
31948
Date: 10/24/06
THIS CERTIFIES that the building
DWELLING
Location of Property 235 PEQUASH
(HOUSE NO.)
County Tax Map No. 473889 Section 103
AVE
(STREET)
Block 0007
CUTCHOGUE
(HAMLET)
Lot 031
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-
31948
dated OCTOBER
24, 2006
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 2 CAR GARAGE*
The certificate is issued to CHESTER ORLOWSKI
(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.
~~.
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
CUTCHOGUE
MAP RO.:
LOT (S)
LOCATIOR:
SOBDIVISIOR :
HAME OF OWNER (S): CHESTER ORLOWSKI
235 PEQUASH AVE
OCCUPAHCY; ONE FAMILY DWELLING
ADMITTED BY: KAREL ORLOWSKI
CHESTER ORLOWSKI
ACCOMPAHIlID BY: SAME
KEY AVAILABLE:
SUFF. CO. TAX MAP RO.: 103.-7-31
SOURCE OF REQUEST: CHESTER ORLOWSKI 10/7/06
DATE: 10/24/06
DWELLING:
TYPE OF COHSTRUCTIOIl; WOOD FRAME
I: STORIES: ~ # EXITS; ----1.
FOUHDATIOR:
WOOD FRAME
CBLLAR.; FULL
CRAWL SPAC8:
TOTAL ROOMS: 1ST FLR.; -2
BATBROOM(S), ~
PORCH TYPE:
2ND FLR.; ..2
TOILET ROOM(S) , ~
DECK TYPE: WOOD
3RD FLR.; --9.
UTILITY ROOII(S); ~
PATIO TYPE:
BREEZEWAY:
DOMBSTIC HOTiIATER.: YES
FIREPLACE:
NO
GARAGE:
TYPE HEATER.: OIL BURNER
AIRCQlIDITIONING:
NO
TYPE HEAT:
OIL
WARM AIR:
YES
HOTWATER. :
YES
OTHER: SEPARATE HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COIlST.: 2 CAR DETACHED GARAGE
STORAGE, TYPE COllST.:
SWIMMING POOL:
GUEST, TYPE COHST.:
0'l'IIER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP #18196-Z-CQZ-19496 (ADDITION)
~~4-DATE
OIl IHSPECTIOIl: 10/23/06
INSPECTED BY:
GEORGE GILLBIl
TIME START:
END,
.
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
;\',', \
v-, .
- 6 '
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:
1. Final survey of property with accurate location of all buildings, property liues, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation from Board of Fire UndeIWriters.
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 eugineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
~or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
Qft. 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.
Location of Property:
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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy. Residential $15.00, Commercial $15.00
/0/ 'I / 0 C:,
I ( In ?
(check J;~r- 1 =I t..; \
Qj- 4o~ k~~
Hamle
Date.
House No.
Old or Pre-existing Building: X
?~I.tdsh Ave,
Street
(' ~Q"+e.r- ()..lo wsL
/03
New Construction:
QG-!::J -
Owner or Owners of Property:
t-(
Lot _at
Suffolk County Tax Map No 1000, Section
Block
Subdivision
Filed Map.
Applicant:
Lot:
Permit No.
Date of Pennit.
Health Dept. Approval:
Planning Board Approval:
UndeIWriters Approval:
Request for:
Temporary Certificate
Final Certificate:)(
(check one)
Fee Submitted: $ / 0 (), -
tl"d.se c.,,,+.ct 0'3/- t,%'l - {,,/q I
-to set l,eJ:Cl7\
~. 7 IJ. r'f
6'~C.Ot3f~ifr
~~~t~a~e
C':J~~
(<y~p\)
. . .
.pI'\! =...
~
CONSENT TO INSPECTION
C-h~s+~ () rlowsk~
Owner(s) Name(s)
, the undersigned, doe es) hereby state:
That the undersigned (is) are) the owner(s) oj the premises in the Town of
Southold, located at 35 e k'd- f.I Vt". Q.d-c.ho ~ lie. AJ Y ,
which is shown and designated on the Suffolk County Tax Map as District 000:
Section ID3 , Block '1 ,Lot~ I
119'35
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Ce..r-t:-f; c-",i~ of (J C'<:>~'a-h~Y On 'P,...,.. -€.X ,'d i"1 I::,~: 1c:L' ':J
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 South old.
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 in subsequent prosecutions for violations ofthe laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
10/7 / O~
I I
~~\~~~~(~
j\gnature) I
4<~ 1'1" C'\r\OI>)~JL,' (POA)
(Print Name)
\ ~~}-fo<;icr-i,/9/
f hoh~
, 1\
IhS iQ c.-f") OJ-)
~c:\htCld
s..J
(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
,.41-2
/rJao - /6,'1 _ 7- 3/
OWNER STREET '235 VILLAGE DIST. SUB. LOT
-:: , e.]' f -e f-- () L /1\ lu 0:-'- Peq v A,f:'A I1ve ru fc A, tJ/ve /4 !)MC h'h eel
FORMER OWNER N " E v ACR. ,
Gi\deys\~eve . By&d IpL-f O.3.:c..o I
\r-is.' W ~ TYPE OF BUILDING
fE, o.Af!k'lfJJJ.. Peq..ui>.rh Ave
~E~.1i? SEAS. VL FARM COMM. CB~ MISe. Mkt. Value
LAND IMP. TOTAL DATE REMARKS , CAJ \Q4Q\.o
L;;J 11 29 ;J() :71" Oil , 1/ 10;;;;.. IRq - 8p'tJ= 1!119~ - (PJ)Mi'fr t1Jl~:+, to rdo OM ~rllY\~ I l'\lJJla jJ.t;' /"lnI1
c."o 3 8 1>2> .(1/00 I //.//o/?~ / , -.J
h .f1J L/..3 0-" J./tjtJ.() / 6/;. y/C;-o
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Nalue Per Value
Acre /) ..
Tillable 1
nllable 2
rillable 3
N'oodland
;wampland FRONTAGE ON WATER
lrushland FRONTAGE ON ROAD 7o::ff; C!- 8" d i) ~ .s-iO 0
;ouse Plot DEPTH 1/J().///
-- ....", ""-'" BULKHEAD
rota I DOCK
L-..
~
. I
, +t, .
IIf( " . ,~ COLOR
"" I ,"I, -
... j!iJ....',., -~,. .'" -,' I~
..~ '._:'f.= , r-' I,'
~ ..-!,". GI?A-/
.'" /,--, It)
r , ,
,", .-.~. TRIM
. ~ pr'f 3'
fA}"" r;' IV
!
~ f. 'J !
rl s ~ "
, I
. P I!. ,+
i Ii
...
. - - ,
I
M. Bldg. .:23 '1,,'-6,: ..r '? t? </,'lJ'" :28'1'/ Foundotion c::..B, Bath / Dinette
Extension S,. (/ . ,,- S- bO. J 10 Basement F,)/..L- Floors o .<11(, K.
.
,170 ej',c/F JO.. ,3:!:!! '-Ix' Ext. Wolls Interior Finish
Extension 000 0 <;/.J.fM l LtI JCI t. L l?P lR.
"-
Extension Fire Place Heat PHA. DR.
NO ./ ~ 50
Rooms 1 st Floor !
Type Roof BR.
Porch 3''1..3 ;. /~ ',/ L -:,-. 1-/ tD 0 Recreation Room Rooms 2nd Floor FIN. B.
Porch 'Dormer
Breezeway Driveway
Ga rage 2-" X2-L. .. <./ 't'/'). t'R 0 1S' <13':;'"
.
Patio :, lOp ~ ~ II... ~ rt:.J
o. B.
Total 'is) l--
4::)0
~'1j
o Q,
Qj~
'::,. 0'
:::;; -\'
,..
r~'
SURVEY OF PROPERTY
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-103-07-31
SCALE 1"=20'
AUGUST 13, 2006
,ff.,'c.
0'
S'
'l1"s.
"''l1''>
~
0>>
~
<l'~
~~-1-
"'-1-.-1>~
~-~
<5>>0-
'-'''''~
, '<;S>
~"'0s-
0s-
AREA = 1...93 sq, ft.
0.333 DC.
i>i,~"
";,\i";,v
\~ s,~ s,~
_,\(l\\~~
'" c; c;
~' '1"
.';;(,\'1'
.~<p
'I
11-
<v
.'
.rye>
.,0)
~
~
NOTE.
DEED REFERENCES ARE TO DEED UBER 2672 PAGE 593
~
.'
,,:P
.~~
~~
'?
U~UTHORIZEO AlTERATION OR AOomON
TO ntS SUR\'EY IS A 'v1Ol..ATlON OF
SEClION 72811 Of THE NEW YORK STATE
EDUCATION LAW.
COPIES Of TttS SURVEY loW' NOT BEARING
THE \.NIID Sl.JRw'E't"QA'S NKED S[J,l OR
D8JSSa) SDI.. SHW. NOT BE CONSIDERED
TO BE: A VALID TRlJ[ COPY.
CER1lF1CATJONS INDlCAttD HEREON SI-W.L RUN
ON.Y TO THE PERSON FOR WI-IDM THE SURVEY
IS PREPARED. AND ON HIS BDW..f TO THE
TIT1..E COtFNtr. GOJEIIMiIENTAI.. NiEHC'f AND
l..DDNG INSmUTJON usrm HEREON. AND
TO M ASSIQNEIS OF THE 1..fNDlNG INSTl-
TlJTlON. CERTlF'lCATlOHS ARE NOT TRANSFERABLE.
N.Y.S. Lie. ~:_~4J)~
~ .,~~~;I;,
\(lI'l)'I''I)'I'
~ ~.~.
.i"
.,(l~~
11-
Nathan Taft Corwin III
Land Surveyor
THE EXISTENCE OF" RIGHTS OF WAY
AND/OR EASDlENTS or RECORD, IF
ANY, HOT SHOWN ARE NOT GUARANTEED.
992 Roanoke Avenue
Riverhead, New York 11901
PHONE & FAX (631)369-5473
7~Tr