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Home My WebLink AboutZ-22781FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22781 Date DECEMBER 10~ 1993 THIS CERTIFIES that the buildin~ Location of Property 180 CAROLE ROAD House No. County Tax Map No. 1000 Section 52 Subdivision ONE FAMILY DWELLING Street Block 2 Lot 6 Filed Map No. Lot No. SOUTHOLD~ N.Y. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22781 dated DECEMBER 10r 1993 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 DW~?J.ING * The certificate is issued to J. MOOR-JANKOWSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. NOTE: THIS UPDATED PRE CO Z-9570 DATED JUNE 26, 1979 /p / ~il~i~g knspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. Z9.570 .......... Date ............... Jure .26., ......... 19.7.9 THIS CERTIFIES that the building ................................................ Location of Property ...1.8..0..C.a.r. 9.1.e' . .Rg~a.cl ........................ Sou~:/aold ......... House No. Street Hamlet County Tax Map No. 1000 Section .. G5 ....... Block ..... 02 ........ Lot ... ~.06 .......... Subdivision ........ XY~ ................... Filed Map No.. X~X · · .Lot No .... XK.~ ...... Reciui~e~R~n~s ~or_~. ~ri~ate One. family, dw~llil~t k~ui~t prior conforms substantially to me Certifi~.~t~ .of O~cu~o. ncy ~a .April. 23., ....... , 19.5.7pursuant to whic~ ~I~-Nd ..... Z 95.7.Q ........... dated .......... J.u..n.c..2.6. t .........19 .~..9, was issued, and conforms to all of the requkements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... The certificate is issued to ... F.r.~ql. l~.uch, and. 1amrbara .E o. ~irucb. .................. of the aforesaid building. Sut'fo~k County Department of Hea~th Approval .... ~E-~×.T.~ING ....................... UNDERWRITERS CERTIFICATE NO ............ ~R~-~..×.T~T~G ....................... BctVl~i~[spector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. Location Subdivision HOUSING CODE INSPECTION REPORT (number & street) (Municipality) ------- Map No. - Lot(s) Name of Owner(s) ~/ // ~ · Occupancy (~t--yp/e) Admitted by: Key available (owner~t~m~) Accompanied by: Suffolk Co. Tax No.~_~Z~ Source of request_ Date DWELLING: Type of construction ~Y~oO~-/F,~/~- Foundation ~~7--~L~c~ Cellar -- Total rooms, 1st. Fl~'(z~)2nd. F1 -- Bathroom~) ~&~' Toilet room(s) -- Porch, type ------- Deck, type ~ Patio, Breezeway -- ' Garage Utility room Type Heat~-~Z~c~Warm Air~c~£~ Hotwater -- Fireplace(s) ~ No. Exits ~D Airconditioning Domestic ho'~ate~~'Pe heater Other #stories Crawl space 3rd. F1 ty~e ~ ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const.~ Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. ~])~T-T.ING DOES HA~E glOAT - STORAf'-E SHED ( BP ~I7821Z-CO Z-17909 ISSUED FOR DECI(~;'/"~ Form No. 6 TO~N OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. 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 certificate of Code Compliance from architect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and~ "pre-exxstxng 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 a 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. 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 - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4.Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 November Date .......................... w Construction ........... Old Or Pre-existing Building 5 cation of Property ........... Carole Road ..................................... ~.q~o~.. House No. Street Hamlet ~er or Owners of Property..~% Moor-Jankowski ,nty Tax Map No 1000, Section. O52%OO -~ - 02.00 .......... omocK .............. Lot 006.000 'division N/A . ................................ Filed Map..~ ....... Lot..~[A ................ mit" N/A N/A mo ................ Date Of Permit. · .... Applicant ............................. N/A N/A lth Dept. Approval .......................... Underwriters Approval ......................... nning Board Approval.. ~/~ . ~ ............. dated Pre-Existing uest for: Temporary Certificate ........... Final Certicate...~ .... ~.. Submitted: $ 50.00 CONSI~NT TO INS PiECTION James J. Cron, as attorney for J. the owner of subject premises,., Otto]er(s) Name(s) do(es) hereby state: Moor-Jankowski, the undersigned, /the attorney for That the undersigned (is)'~ the Owner(s) of tile premises in the Town of Southold located at 5 Carole Road, Southold, · which is shown and desi~na[ed on the Suffolk County tax map as District 1000, Section 52 , ]Block 2 , Lot 6 That the undersigned (has) ~z~ filed, 'or caused to be filed, an applica- tion in the South01d Tot%~ Building Inspector,s Office for the f'ollowing: private one-family dwellin_~__with deck and shed · ~as attorney,' ---------------- That the undersigned do(es) heresy give consent to the Buildin~ Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located ~hereonl to conduct such inspections as. they may deem necessary with respect t'o the aferesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and re.~ulations of the Town of Southold. · /as attorney The undersigned, in consentin~ to such inspections, do(es) so with the knowledge and understandin~ that any information obtained [n the conduct of such inspections may be ·used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: November 23,. 1993 ~--~or-~anKowski (print name) (siRnature) (print name)