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HomeMy WebLinkAboutZ-37032 yFpt � Town of Southold Annex 7/18/2014 54375 Main Road Southold, New York 11971 AL PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37032 Date: 7/18/2014 THIS CERTIFIES that the structure(s) located at: 875 Youngs Ave, Southold SCTM#: 473889 Sec/Block/Lot: 63.-7-31.1 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- 37032 dated 7/18/2014 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 breezeway and rear brick patio.* Note:BP 3956 addition to dwelling COZ-3262. The certificate is issued to Koke, Michael&Koke, Tracey (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho Sig ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 875 Youngs Ave, Southold SUFF.CO.TAX MAP NO.: 63.-7-31.1 SUBDIVISION: NAME OF OWNER(S): Koke,Michael OCCUPANCY: ADMITTED BY: Alexander Koke SOURCE OF REQUEST: Koke,Michael&Koke,Tracey DATE: 7/18/2014 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: Concrete block CELLAR: 2/3 CRAWL SPACE: Partial BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: Brick BREEZEWAY: Enclosed FIREPLACE: 1 GARAGE: 1 car DOMESTIC HOTWATER: Yes TYPE HEATER: Off Boiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: ARYF DATE OF INSPECTION: 7/17/2014 TIME START: 10:loam END: 10:40am 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 I% lead. 5. Comunercial 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 .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�Cefti-ficate of Occupancy-Residential $15.00, Commercial $15.00 . Date. 7/2/f4 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 875 Calves Neck Rd. , Southold, NY 11971 House No. Street Hamlet Owner or Owners of Property: Michael Koke, etal Suffolk County Tax Map No 1000, Section 63 Block 7 Lot 31.1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: , Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100.00 litS aturetioal MidVaef K �e CONSENT TO INSPEC'T'ION Michael Koke the undersigned, Owncr(s) Name(s) do(es) hereby state;: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 875 Calves Neck Rd Southold NY 11971 which is shown and designated on the Suffolk County tax map as District 1000, Section 63 Block 7 Lot 31.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion iri tho Southold Town Building lnsp(:QL--#.L Orf"'.. fo.. +ho fnllmvina: One story frame house and 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 inspactions, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: July 2, 2014 (signature) Michael Koke (print name) (signature) (print name) t OWN OF SOUTHOLD PROPERTY RECORD CARD /y)— z a OWNER STREET VILLAGE DIST. SUB. LOT ' e reo242 FORMER OWNER N }� E _ ACR - 7 e__1 ; . c�h Md Y C� 1 W ,, TYPE OF BUILDING tES,gJ4 f SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ; � y . , .ate ° �� ► � - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable j FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 17 Meadowland I DEPTH ' House Plot BULKHEAD Total ' DOCK i ■r ,kLi #.O� i t, . .• till Alt jjMEMOMMEM AMON I MAN ■��■■..■.■..■■.■...■■■�.MOM ME■��EMOMME■�■■■■ME ■ ■■.EEE ■■■■■■■.■■■■.mom.■■�■ ON ME ■■.MANE■■■■■mom■Mom=.A■■.N■A l _ ■E■M■■■■�■A■■■■A■■M■■ m■■■o� ■■■ ...EM WMEMMEMENSE■■■M 4 ; y ® , j . _ . _. r, *' _ . � ■■■ �M !ME®NSM■■MMM ��.■■.■..■� ■■�N.MN�N#iYiEN■�iiAri■ii.■■NM.� ■AMMAN■M■ MM■MANE.■ ■■E Basement Interior Finish , �� coms I st Floor :• 6. ADDRESS: 875 CALVES NECK ROAD a ro X7527' 2 •�cw io Z Q P ,� rJ y s$,• cvr STy, :W Ay c0 A 16p 00, R ASPHALT Aote . N74es- ��''2p�W SURVEY IS A WOLA nav C-4•L y -rATS EDUCAT70N LAw. WSION 2. ALL CER77MAT106 N�,Crl °A ST 0 COPIES THEREOF ONLY IF `1 N :SSEO SEAL OF THE SURVEYOR775, ROWD °0 OLSEN & OLSEN L.L.P. ATTORNEYS AT LAW GARY FLANNER OLSEN DAVID WORTHINGTON OLSEN ATTORNEY AT LAW ATTORNEY AT LAW 32495 MAIN ROAD • P.O. BOX 706 • CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 • FAX 631-734-7712 • olsenlaw'@opconline.ner l� July 2, 2014 Re: Koke to Rocklem [� Our File 10342 To Whom It May Concern: Enclosed herewith please find the following: 1. Application for pre existing CO. 2. Copy of Consent Form. 3. Copy of survey. 4. Check in the amount of$100.00. . Please contact Al Koke to arrange for the inspection(516-428-0106). Very truly yours, DAVID WORTHINGTON OLSEN DWO:Imk Enclosures Southold Town Building Dept. Hand Delivered LOCATION: (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: � - /� tCIEACCOMPANIED BY: od� KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: A # STORIES: �'`�.- XITS: FOUNDATION: & BASEMENT: _CRAWL SPA # OF BEDROOMS: 1ST FLIP: 2ND FLR: 3RD FLR: BATHROOM(S TOILET ROOM(S): UTILITY OM PORCH. PE: DECK, YPE: PATI TYP p _ BREEZEWA FIREPLACE: . GARAGjE: �C'�7Cr- DOMESTICHOTWATE `. TYPE HEATER AIRCONDITIONING: TYPE HEA WARM AIR: HOTWATER: # OF KITCHEN • FINISHED BASEMENT: YES_ NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: s INSPECTED BY: DATE OF INSPZZEND: TIME START: © -��