The URL can be used to link to this page

Home My WebLink AboutZ-34901FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34901 Rte: 04/14/11 THIS CERTIFIES that the building DWELLING Location of Property 500 OLD SHIPYARD RD (HOUSE NO.) County Tax Map No. 473889 Section 064 Subdivision SOUTHOLD (STREET) (HAMLET) Block 0002 Lot 046 Filed Map No. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which C~KTIFICATE OF ~cuFANC"f ~]~4B~ Z- 34901 dated APRIL 14, 2011 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 ATTACHED GARAGE.* The certificate is issued to SOPHIE HAPONIC of the aforesaid building. ( OWNER ) SUFFOLK CO~TYDEPARTMENTOFHF~%LTHAPPRO%FAL ELRt-rKICAL uK~TIFICATENO. I~H~ERS CERTIFICATION DA'r~,]3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/a N/A N/A Rev. 1/81 BUILDING DE P/LRTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MAP NO.: LOT (S) SOPHIE FL~PONIC ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOR~ FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION /~RT. SEC. IIA~'E ON II~SI~CT~(~: 04/14/11 TI~ START; 10:15AM ~); 10:45AM TOXVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application umst be filled in by typewriter or ink and submitted to tb~Building Depar[ment with the following: A. For new building or new nse: - 1. Final smwey of propmly with accurate location of all buildings, propm'ty lines, streets, and unus~.ml natural or topographic rearm es. 2. Final Approval from Health Dept. of water supply and sewerage disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undem'nters. 4. SWOlTi statement froin plumber certifying tlrat tim solder used m systeur contains less than 2/10 of 1% lead 5. Conunercial building, industrial building, nmltiple residences and similar buildings aud ~stallations. a cmtificate of Code Compliance from architect or engineer responsible for tEe 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 nses: 1. Accm'ate smwey of property showing all property lines, streets, building and unusual natural or topographic rearm'es 2. A properly completed application and cnusent to inspect signed by the applicanl, tf a Certificate of Occupancy is denied, the Building Inspector shall state the ~easons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy New dwelling $25.00, Additions to dwelling $2500, Alterations to dwellin~ $25.00, Swinmm~g pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00 2. Certificate of Occupancy on Pre-ex/sting Building - $]00 00 3. Copy of Certificate of Occupancy - $25 4. Updated Certificate of Occupancy - $50 00 5. Temporm2~-Cehificate of Occupancy Resident/al $15 00, Commercial $1500 Date. April 11, 2011 New ConstlXlCtion: Location of Property: (check one) House No. Old or P~e-existing Building: X 500 Old Shipyard Lane, Southold Street Hamlet Estate of Sophie G. Haponic Oat, _00 Block 02.00 Lot 046.000 Filed Map. Lot: Applicant: Owner or Ownm s of Property: __ Suffolk County'Tax Map No 1000, Section Subdivisiou Permit No. Date of Permit Health Dept. Approval: UndetTvriters Approval: Plmming Board Approval: Request lbr: Temporary Certificate 100.00 Fee Submitted: $ Final Ceitificate: __ / (check one) OLSEN & 0LSEN LLP / /' 32495 MAIN ROAD /~ ~ Applicant Si~maature CONSENT TO INSPECTION David Worthington Olsen, as Attorney Owner(s) Name(s) ~. , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 500 Old Shipyard Lane, Southold, NY 11971 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 064.0.0, Block 02.00 , Lot 046.000 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: On~ ~nry frama dwelling with attached garage 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 Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any infommtion obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: April i1, 2011 David Worthington Olsen (Print Nmne) (Signature) (Print Nmne) OLSEN ~ OLSEN, L.L.E ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW D^ViD WORTHINGTON OLSEN ^TTORN£Y AT LAW 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEW YORK ]1935-0706 PHONE 631-734-7666 FAX 63t 734-7712 olsenlaw@optonline net April 11,2011 Re: Estate of Haponic to Oliva Our File 9613 To Whom It May Concern: Enclosed herewith please find the following: I. Application for Pm-existing Certificate of Occupancy. 2. Consent to Inspect Form. 3. Survey. 4. Check in the sum of $100.00 for the application fee. Please contact Thom Uhlinger at (Office 298-6120) or (cell 516-319-0323) to make the arrangements. Very truly yours, DAVID WORTHINGTON OLSEN DWO:hnk Enclosures Southold Town Building Dept. P. O. Box 1 t79 Southold, NY 11971 Hand Delivered TOWN OF SOUTHOLD P~OPERTY RECORD CARD OWNER S VILLAGE W DISTRICT SUB. TYPE OF BUILDING RES. ~,//_,.). SEAS. VL FARM COMM. I IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushlond House Plot Total M. Bldg. ~~'''u/ ~' 3 ~- :- ~ ~' ¢ $,:~- ~ 3 ,7. ~ ~ Foundation ~ ~ I Bath / i j Floors Extension II i Basement ¢,j:z~ ~ ~. Extension Jl !Ext. Walls !] F95~'. Interior Finish Extension j Fire Place ~ V E 3 j Heat ! j Porch[ [ Roof Type I [ Porch Rooms 1st Flor oom, Breezew~ /~ ~/O ..~ / ~ ~ Z,~ ~ ~ Patio _ 2nd Floor Garage /~ ~ ~ 3 ~ ~ 7~ /co ~7~ Driveway Dormer i O'B' ~ t~Oa~LI~a~L uO~, S64'05'00"W ~ sr~ LANDON LANE LOCATION: (number & street) (mudi~ipal~ty5 SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: LOT(S): (type) ADMITTED BY: ~-'~ KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) L{/~(-ZO~--~--ACCOMPANIED BY: f ~_ SUFF. CO. TAX MAP 1~0.~ i000- DATE: DWELLING TYPE OF CONSTRUCTION: FOUNDATION: ~,~,~ BATHROOM(S): PORCH TYPE: BREEZEWAY: # OF BEDROOMS: 1ST FLR: DOMESTIC HOTWATER: TYPE HEAT: # OF KITCHENS: FINISHED BASEMENT: YES OTHER: 2ND FLR: TOILET ROOM(S): DECK, TYPE: ~) FIREPLACE: TYPE HEATER: WARM AIR: # STORIES: BASEMENT: ~ ~ # EXITS: CRAWL SPACE: " 3RD FLR: UTILITY ROOM: PATIO, TYPE: (~ GARAGE: // C_~ ~--- AIRCONDITIONING: HOTWATER: ~ ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: