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HomeMy WebLinkAboutZ-35850Town of Southold Annex 54375 Main Road Southold, New York 11971 7/31/2012 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 35850 Date: 7/31/2012 THIS CERTIFIES that the structure(s) located at: 800 Champlin Pi, Grecnport SCTM #: 473889 Sec/Block/Lot: 34.-3-34 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35850 dated 7/31/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with enclosed front porch.* NOTE: BP 423 for breezeway, attached one car garage and dormer COZ625. The certificate is issued to Montgomery, Lynn & Kruszeski, Roberta (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 800 Champlin PI, Greenport SUFF. CO. TAX MAP NO.: 34.-3-34 NAME OF OWNER(S): Montgomery, Lynn & Kruszeski, Roberta OCCUPANCY: SUBDIVISION: ADMITTED BY: Mathew Kapell SOURCE OF REQUEST: Montgomery, Lynn & Kruszcski, Roberta DATE: 7/31/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: IST FLR.: BATHROOM(S): 1 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: 4 OTHER: # STORIES: 1.5 # EXITS: 3 concrete bl0ck CELLAR: 85% CRAWL SPACE: 15% 2ND FLR.: 3RD FLR.: TOILET ROOM(S): one UTILITY ROoM(S): DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: 1 car yes TYPE HEATER: offboiler AIR CONDITIONING: i st floor WARM AIR: HOT WATER: X # KITCHENS: I BASEMENT TYPE: unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: REMARKS: INSPECTED BY: DATE OF INSPECTION: 7/16/2012 TIME START: /~ ,~ c9© END: ft0 /~ ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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. 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 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ce~'tificate of Code Compliance from architect or engineer responsible roi' the building. 6 Submit ?lanning 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: h 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. Ifa Certificate of Occopancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Occnpancy - Residential $15.00, Commercial $15.00 Date. July 5 , 2012 New Construction: Location of Property Old or Pre-existing Baildiug: x (check one) 800 Champlin Place a/k/a 201 Champlin Plaee Greenport House Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Street Lynn K. Montgomery and Roberta L. Kruszeski 034.00 Lot Lot: Permit No. Date of Permit. Health Dept. Approvah Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 Block 03.00 Filed Map. Applicant: Underwriters Approvah Fioal Certificate: 034.000 x (check one) W i i 1/i aAmP 5 c, a a~rSigcnea: u '~ r' CONSENT TO INSPECTION William H. Price, Jr., as Agent for Lynn K. Montgomery and Roberta L. Kruszeski , me unoerslgneo, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 800 Champlin Place a/k/a 201 Champlin Place, Greenport which is shown and designated on the Suffolk County Tax Map as District 1000, Section 034.0,0Block 03.00 ,Lot 034.000 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-Existing Certificate of Occupancy 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 alt 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 information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules regulations of the Town of Southold. Dated: July 5 , 2012 William H. Price, Jr. (Print Name) (Signature) (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~/,O,'O I L' 'F'I' ~ '"" ~ ''~ //'-" VI .L~A. GE J DIST{ SUB. s /:, · w I TYpE OF BUILDING RES; ~_ / D SEAS. VL FARM COMM. CB. LAND AGE NEW IMP. NORMAL TOTAL DATE ",,-,.' ':/?1 BUILDING CONDITION BELOW ABOVE FAPJV~ Acre Value Per [ Value Acre I LOT - Tillob[e ~ J FRONTAGE ON WATER I ¢Voodrand I / / FRONTAGE., ON ROAD ~eadowland DEPTH 4ouse Plat ~ BULKH~D REMARKS 3/~/.~',~ - £ ~,,¢-90 ,¢~-/~t,,~ ~ i . ~ t ....... ~"' ~ / ~ - COLOR TR1M Bldg. xtension xtension 'crch 'orch ~ re ezewoy ~arage ~tio total Ext. Walls JFire Place · ,~ Type Roof Recreation Room Inter[or Finish Heat i Dinette ,~ .:,. I~' K. Rooms 1st Floor Rooms 2nd Floor Driveway · ._ /., JLR. DR. BR. S.C.T.M. NO, DISTRICT: 1000 SECTION: 34 BLOCK: 3 LOT(S): 34 CHAMPLIN PLACE -- \ 7 N 72°58'53" E og CONG. CURB 4' CONG. SIDEWALK 100.12 17..3' - ~ ~_~ ~/2 STY. _ 14.2' *.,J.~[~]~ FRAME ~. .~ DWELLING ~ ~GARAGE 11.9' #201 STORAGF~L/~ I C014,2'~ ~ NC. 44.]' 24.4' MON F( -- ;~.r 6' FE. FE. 0.7'. N 73°18'03'' E ~.~'~ 100.06' FE. MON LAND N/F OF PETER LOUIS KRUK NOTE: NO PHYSICAL EVIDENCE FOUND A THE CORNER OF CHAMPLIN PLACE AND ATLANTIC AVENUE. CORNER POINT ESTABLISHED FROM ADJOINING DEEDS. BEARING CONFORM TO THAT OF SOUTHERN PARCEL. AREA: 7.411.7 S.F. OR 0.17 ACRES ELEVA ZION DA TUM: ......................... UNAUTHORIZED ALTERATION OR ADDITION TO TI-IlS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAI~ COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALL Y EVIDENT ON THE PREMISES A T THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY MAP OF: FILED: SITUATED AT: GREENPORT TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE # 12--76 SCALE: 1"=20' DATE: JUNE 25, 2012 N. Y. $. MC NO. 50227 CERTIFIED TO: JOSEPH WHITECAVAGE; DIANA WHITECAVAGE; JP MORGAN CHASE BANK; FIDELITY NATIONAL TITLE INSURANCE CO.; KENNETH M. WOYCHUK L.S. Land Surveying and Design P.O. Box 3, Matt/tuck, New York 11952 PHON~ (831) 298-1588 FAX (831) 298-1588 LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: tO~,,~/~Sq~CO KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: ~ SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: FOUNDATION: # OF BEDROOMS: 1ST FLR: . BATHROOM(S): ' ~ TOILET ROOM.(S): .. PORCH TYPE: CIE, TYPE: BREEZEWAY: ~"~q~IREPLACE: BASEMENT: ~ CRAWL SPACE: 2ND FLR: _ ~ 3RD FLR: ~ UTILITY ROOM: PATIO, TYPE: DOMESTIC HOTWATER: TYPE HEAT: ~ WARM AIR: # OF KITCHENS: 67x'z-c..-~..-~ FINISHED BASEMENT: YES TYPE HEATER: .O'~ ~RCONDITIONING: 1 HOTWATER: NO OTHER: 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: t / TIME START: //~ ¢d0 END: