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HomeMy WebLinkAboutZ-33086FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING KATE OF OCCUPANCY No: Z- 33086 THIS CERTIFIES that the building DWELLING Location of Property 700 KOKE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 087 Block 0005 Lot 006 Subdivision Filed Map No. Lot No. conforms substantially to the Rern,i rements for a ONE FAMILY DWELLING built prior t0 APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NOMBSR Z- 33086 dated JUNE 10, 2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is 18Sned i6 ONE FAMILY DWELLING WITH DECK AND PATIO.* The certificate is issued to MARJORIE D PETRAS (OWNER) of the aforesaid building. SIIFFOL% COUNTS[ DEPARTMENT OF HBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDNIDERS CHRTZFICATION DATBD N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Auth ed ignat re Date: 06/10/08 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPHCTION RHPORT LOCJITION: 700 RORH DR SOUTHOLD SOBDIVISION• MAP NO.- LOT (S) HAlQZ OF OMNBB (S): MARJORIE D PETRAS OCCOPANCY: WOOD PRAME MARJORIE D PETRAS AA4IY TED BY: JERRY CIEULSKI ACCOMPANIBD BY: SAME BSY AVAILABi.R: SOFP. W TA% MAP ND.: 87.-6-6 SODBCB OP EHQOB4T: GARY OLSEN, ATTY DATE: 06 10 OS DWELLING: TYPE OP CONSTROCYION• WOOD FRAME ~ S'YOBrAC• 2.0 ^ HIITS• 4 POOtH)ATI®: CHMHNT BLOCX CBLLAR: CBANL SPACE: X TOTAL BOOlRi: ]3P PLR.: 5 2ND PLH.: 2 3BD PLR.: 0 BATHROOM(S): 2.0 TOILSP BOOM(S): 1.0 OSII.ITY HOOM (S): PORCH TYPE: DHCR TYPE: WOOD (WATERSIDE) PATIO TYPR: STAMPCRETE BBBBZ6IQ\Y• PIBBpLACR• 1 GABAGN• 2 CAR D[IIBSTIC Bi717O\TNB: YES TYPE HBATNB: OIL AIBCO®ITIQ7IH[': TYPN HBAT• OIL MABM AIB• HOTMATSB• X OTHER: •WASHER/DRYER ACCESSORY STRUCTURES: GABAGE, TYPE OF CONST.: SMO~!@Ri POOL: OTHNB: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIKE PREVENTION 6 BUILDING CODE BH4ARRS: BP15085 ADD/RENO COZ16529 INSPHCIED BY: OATH ON IR.4PHCTION: 06 09 OB GARY J TIZffi START: 10:00AM ®ID: 10:30AM _ __- _ _l 'l Form No. 6 TOWN OF SOUTHOLD ~ ~ BUILDING DEPARTMENT _ - , ~ ~-, TOWN HALL - -. JJI 765-1802 ~~ 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 lines, streets, and unusual natural or topographic features. v 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/] 0 of 1 % 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 l . Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2.00, 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.-Certi£icate of Occupancy -Residential $15.00, Commercial $15!00 ~r Date. V~d~/6 New ConsWc[ion: Old or Pre-existing Building: X (check one) Location of Property: 700 Koke Drive, Southold House No. Street Hanilet Owner or Owners of Property: Mari orie D Petras Suffolk County Tax Map No 1000, Section g7 Block OS Lot 06 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept Approval: Underwriters Approval: Plamring Board Approval Request for: Termporary Certif Cate Final Certificate: ( ck one) Fee Submitted: $ 100.00 OLSEN & OLSEN LLP C D ~ 3 Q~ 52495 MAIN ROAD ~ 1 t I y~ PO 60X 708 KQ ~, `t l CUTCHOGUE, NY 11935 App icant Signature CONSEN'T' TO INSPECTION D. Petras by Gary Flanner Olsen the undersigned, do(es) hereby state: Owner(s) Name(s) As Attorney That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 700 Koke Drive, Southold, NY 11971 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 87 ,Block OS ,Lot 06 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Single family residence That the undersigned do(es) hereby give consent to the Building hrspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections 2s they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the Taws, 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~ hi S~~ ~a_ra~rie D. Petras (~{int Natrbell by Gary anner sen, as Attorney (Signature) (Print Name) (~rgnature) ~ , OLSEN H~ ~LSEN, L.L.P ATTORNEYS AT LAW GARY PLANNER OLS EN ATTORNEY AT LAW 32495 MAIN ROAD PO. T30X 706 CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-Z34-7666 FAX 631-734-7712 olsenlaw a optonline.net May 12, 2008 2e: i~lazjorie D. Petras Our File 9136 To Whom It May Concern: Enclosed herewith please find the following: u 1. Application. 2. Consent to Inspect Form. 3. Check in the sum of $100.00. 4. Copy of existing survey. Please contact Mazjorie Petras to arrange for the inspection (765-5691). DAVID WORTHINGTON OLSEN ATTO RN EI' AT LAW Very truly yours, :,~i~~F~ ...D:: vl.u GFO:Imk Enclosures Southold Town Building Dept. P. O. Box 1 i 79 Southold, NY 11971 ~ ~~~~ ~~~~~ 1K ~ _ S_ ~ TOWN OF SOUTHOLES- PROPERTY RECORD CARD OWNER STREET `7.~ I V L LAGE DI~T. SUB. LOT J~ ~ // /J ~ / ~r J! FORME OWNER . ACR. N P ~. ESQ ~~ ~„' M'~,~c,efa D. c,e,o-;g mn+aa N.. Ra,q .e 4.re F- A , / I S ~ ~ TYPE OF BUILDING ,n '(~°"'Lc- Cf2.te +L, ~~ ''~ ~:-a_~~ ..-~^_~ ~ ~y` IN O U~ ~ ~~! .~1 M e . 2ES. 2 { ~ SEAS. ~J/ VI- FttRM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS DU / Ud 00 ~3~4J o-au s,R awl _de / /Y l i ~l U ~ Q(~ 3 76 . . 9 a _ Car/!or'Y C. C. ~ f ~.~ S ~~~ ""RN t ~` At L/• L~.Pfi~4 CPC P/!V'C~ 3/ %AGE BUILDING CONDITION ~~~r ~~G C1/? 5'05 c' ~r cto/~f ~=/c ~/a®ora ~/' o-c~ ~~,~~ NEW NORMAL BELOW ABOVE ~ ~ ~~ ;) ~ /' FARM Acre G Value Per Volue Acre (ni ~/J N _ tillable 1 ~l Q ~a~ C ~ 3~ , /~ f/ tillable 2 ) ~~ 'illoble 3 ~ Voodland 1 wampland FRONTAGE ON WATER - / @ i y, o m , ~ ~ Ashland FRONTAGE ON ROAD /rvo~ .3~5'~~ 35q~n /s.;~o._ /7/ louse Plot DEPTH "- /0~ / BULKHEAD 'otol „~, ~ ~. Y DOCK POLAROID ~J606461A ~~,; . . s_ .. ,~ ,~ _y ~. ~ ~ ' ,; :- i ;k; y, ~ /- --- - --- OLOR \ LLIt~J TR6M i I r3L ~- - - r a ~ r4 1 1 ~.. ~ c I I I I ~, 8"7 s ~e ~ E~S~~ e ~ n _ Extension _ _ I'lo.K l4X 1'7'- Z . zS ~ li 3,b'~ ~, Zb Foundation Basement Ext Walls Fire Place GriAw r- ~ U~rti~- 1-~-p2 Ve @v 1 Both Floors Interior Finish Heot Z ~,c~~ rj' Z , ~1~~1 66 Dinette K. LR. DR. - _ Type Roof Cs /~,~31._1=. Rooms 1st Floor ~{ BR. Porch S~C~ _.q~ t `"~ ,~Z Recreotion Room Rooms 2nd Floor ~ FIN. B. \ p X = U 2 t Z 5 Dormer Breezeway Driveway Garage Potio ~,1 >L Z + 5 X 2 5 - O. B. Total ~C~T/~ ~~ • , •