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Home My WebLink AboutZ-32609 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- 32609 Date: 09/18/07 THIS CERTIFIES that the building DWELLING Location of Property 650 OLD (HOUSE NO.) County Tax Map No. 473889 Section 064 SHIPYARD RD (STREET) Block 0002 SOUTHOLD (HAMLET) Lot 044 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- 32609 dated SEPTEMBER 18, 2007 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 & ACCESSORY TWO CAR GARAGE* The certificate is issued to CHESTER JANKOWSKI (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SUBDIVISION : ~ OF ONNER (8): CHESTER JANKOWSKI OCCUPANCY: SINGLE FAMILY DWELLING ADMITTED BY: MARY REICHERT SOUTHOLD MAP RO. : LOT (S) LOCATIOliJ : 650 OLD SHIPYARD RD CHESTER JANKOWSKI ACCOMPABIIID BY: SAME KEY AVAILABLE: SOURCE OF REQUEST: BUFF. CO. TAX MAP RO.: 64.-2-44 JOHN P. TAGGART, ESQ. 06/07/07 DATE: 09/18/07 DWELLING: TYPE OF COHSTRUCTION: FOURDATIOliJ: CEMENT BLOCK TOTAL ROOMS: 1ST F'LR.: --.i BATHROOM(S): 1.0 PORCH TYPE: BREEZEilAY: DOMESTIC HOT'NATER: 2ND FLR.: ~ TOILET ROOM (S): ---2....:....Q DECK TYPE: # STORIES: ~ .. EXITS: -2 CELLAR: FULL CRAWL SPACE: 3RD F'LR.: 0 UTILITY ROOM(S) : WOOD FRAME PATIO TYPE: YES FIREPLACE: TYPE HEATER: OIL GARAGE: AIRCOIIDITIORDlG: TYPE BRAT: OIL OTHER: SUNPORCH WARM AIR: HO'lWATER : xx ACCESSORY STRUCTURES: GARAGE, TYPE OF CORST.: SWIMMIRG POOL: OTHER , 2 CAR WOOD FRAME STORAGE, TYPE CORST.: GUEST, TYPE OOHST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE m~IFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. SEC. REMARKS: BP #33351-Z-COZ-32608-ALTERATION(SUNROOMl IRSPECTIID BY: DATE OR IRSPECTIOR: 00/00/00 TIME START: 10:35 AM 1DiID: 10:50AM .. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 fa.; Ijj I.oj, ( I' ~ W l~ .'!'~ 12f 6, I APPLICATION FOR CERTIFICATE OF OCCUPANCY-' bLU\..i. DEPT. Te/IVI' OF SO"IliQ1.'2---1 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: I. 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 watcr 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 2/1 0 of I % lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a celiificate of Code Compliance from architect or engineer responsible for the building. 6, Submit Planning Board Approval of completed site plan requirements, (0or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ~', 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 I. 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.existiug Building. $100.00 3, Copy ofCeliificate of Occupancy . $,25 4, Updated Certificate of Occupancy. $50.00 5, Temporary Certificate of Occupancy. Residential $15.00, Commercial $15.00 - Date, "fI.~ 7. 2.()() 7 '/,_~ (check one) New Construction: " Old or Pre.existing Building: Location of Property: "5t) "c..O> j,/tpytfllb flb. House No, Street S~UT1("L~_ Hamlet Owner or Owners of Property: GHn ra iTA'" ICBWSj:./ Suffolk County Tax Map No 1000, Section __~1___". Block _".2- _,_._ Lot." ttL._____ ;]6 --..-------- Applicant Cf/67Ul iT~IClwjA:( Ht/lIIl>aS 8TATt"S Filed Map. 'B4 Subdivision Lot Permit No, Date of Permit. Health Dept. Approval: Underwriters Approval: Plalming Board Approval: __ Request for: Temporaf'Y Certificate. Final Celiificate: ../ (check one) Fee Submitted: $ I()t). ()() ~'7JOI~ ~c..o:t.3).bt)~ .~. licant Signature A-~~tliflMl-IC/hV'''- CONSENT TO INSPECTION WI/N P. ~4~r; ~~ " tf-n6Jt~et hlf. QIa;-a ii79N'~t I, bWAlE1'l , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) 'tf:e~'~t:t) of the premises in the Town of Southold, located at 650 tx.'bSlhnlH'Il 1Zb, :iDtt7lloc...b. IJ Y which is shown and designated on the Suffolk County Tax Map as District 1000, Section 1,4 , Block tJl. , Lot 4" That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Cf{2n~IC.4TE tJp OGCIIP,fNCV ffJll P/rE- EJtISYIN6j S'(N4U-~;f11IIc...Y Ra/~ENt:.~ J-Nj 'IJ€r,4<.lfd) RlAmE"CiA-IU6&' 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 of the laws, ordinances, rules or regulations of the Town of Southold. Dated: c,hlo? clf~{- _ ignature) \J,IIN . J~~ t1If-r (Print Name) (Signature) (Print Name) . TOWN OF SOUTHOLD 'OPERTY RECORD CARD . /1- .2. 7 VILLAGE DISTRICT SUB. LOT N E r ACREAGE {{2fj TYPE OF BUILDING 37;. / /, . -J /i/~[,;f;;:A OWNER --- . "ksle ,.-:JaY] kOW8 k-; tJwsJn ~hes-kr :]Qn/wvvsk; 1M RES. 2. I/) SEAS. VL. .JI'.Yl .1 ~ ~~'':I''.i ~-"._-......... S W FARM COMM. I IND. I CB. I MISe. I Est. Mkt. Value LAND IMP. TOTAL 4tJ() :JO{)O 00 c>-O ODd 3 G; Lk.-" ~O6 if.s-t> " ~-3 a <> I DATE REMARKS .z../17/71 AGE NEW NORMAL BUILDING CONDITION BELOW ABOVE Farm Acre Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK G /<? ....-t> .:. ? :,-6 Tillable 1 Tillable 2 Tillable. 3 Woodland 5wampland 3rushland -lause Plat fatal - _ ""1 -----..-- -~.- _.~. ---~--- - - ------ ---~ -- 1 I i , , , , i , i 1 I / i)... 1 I i , U i i I i T -.~ , I +- i i i , i I , : , , , I i I , , I I , i , --: , I ~~ I I I I . , I , , , '", i I I i I : ! i ,., I i , i i I/':iJ I i i i I I i i , i ! I I i II f'/ , i i I i , , I , , 1 I i !" / :1 , i . I , , , , I i j I - j ,- I I ; , , , , I I I i I i ! ! i ! 19 i I I i I I i I , i , I i I I , , . I I ! i I i I I , I i I I I i , ! ! ! I , i : : i I ! , I , , +-~ I i : : l I , I i I T I : I i , , I I , I , vt Bldg. 19t jFoundation 111 !Bath I, X 3.:l.:: i I' I ..... I I ! :xtension 19 > j 3S/) 3 t fL!BaSement " IFloors , o ICI '" 3 x I / I .' I I :xtension 'I K II , :Ext. Walls ASB i' nterior Finish IW"1'-~ !!>,/) I I ! ; :xtension 9 )( /2- > !F i re Place No Heat 1-/ ....J '1-'" I /OYI::; I.$"' () 71' U~_ Porch i IRoof Type I .1 Porch T IRooms 1st Floor I i 1 reezeway Patio I IRooms 2nd Floor I~~ i , -t ;arage 1-..:U. :: <11'1 /"" '-I''; Driveway IDormer I I 1,,"nJ : ). B. i I I . . . @ \,.01 '.~ '0 to ~".~ "" Y'/\ "0". $"'\.) 1, J ;L <~ <0 "'~ .% 0 q. \. '<\7 ~.. <J . " SURVEY OF LOT 80 SUBDIVISION MAP OF FOUNDERS ESTATES FILE No. 834 FILED MAY 10, 1927 SITUA TED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-64-02-44 SCALE 1 "=20' MAY 15, 2007 / I AREA = 11,250.00 sq. ft. 0.258 oc. r o ,.." @ CERTIFIED TO: CHESTER JANKOWSKI " . / . "'~1)-" ' 9 0,<, / / " . Jose Lan WITH THE lotlNlIlMI TInE SUIM"S J>S ESTASUSHED . >>I/) N'PRO\/ED >>I/) ADOPTED BY THE NEW YORK STAll: lAND , . . , b ,.." " "' ,'''",", . ~>~ '\ "\' :'> . \ ..,1i ''/ J f N.Y.S. Lie. No. 49668 @ , , " 0 ~$ ~ ~ '" '0 O. " " ;,.~ ~ -" ~<P- U> : ..~O~ <. V~~ V ~_.~ . ~,..,... # ~ ";~l" ,. < " UNAUTHORIZED AI... TERATlON OR ADOmON TO THIS SURVEY IS A VIOlATION OF SECTION 7209 Of THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE lAND SURVEYOR'S INKED SEAL. OR EMBOSSED SEAL SHAll NOT BE CONSIDERED TO BE A VAllO TRUE COPY. CERTIFICATIONS INDICATED HEREON Stwl.. RUN ONLY TO THE PERSON FOR WHOM THE SURVEY 1$ PREPARED, AND ON HIS BEHAlF TO THE TrTlE COMPANY, GO\IERNMENTAl AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTInCATION$ ARE NOT TRANSFERABLE. ,-- A. Ingegno Surveyor Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEllENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. OFFICES LOCATED AT 322 ROANOKE AVENUE RIVERHEAD. New York 11901 MAlUNG ADDRESS P.O. Box 1931 Rivemeed. New York 11901-0965 27-139