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.~
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V
L
LAGE
DI~T. SUB. LOT
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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
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'(~°"'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
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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 )
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'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 "-
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BULKHEAD
'otol „~, ~ ~. Y DOCK
POLAROID ~J606461A
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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.
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DR.
-
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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/~ ~~
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