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HomeMy WebLinkAboutZ-19313 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19313 Date AUGUST 22, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 300 BIRCH ROAD & 755 CHESTNUT RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Slock 9 Lot 18.1 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19313 dated AUGUST 22, 1990 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 ACCESSORY WOOD FRAME GARAGE' The certificate is issued to FRANCES EPP, SUSAN KUJAWSRI, CONSERVATOR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. ~ it ing Spector Rev. 1/81 i BUILDI's;G DEPP,RTi•IE~iT T0,'l~i OF SOUTHOLD, N. Y. HOUSIi;G CODE IidSPECTION REPORT Location 300 BIRCH RD. fi 755 CHESTNUT RD. SOUTHOLD, NSW YORK ~num~er do street) ldunicipality) Subdivision Ntap No. Lot(s) Na,-ne of 0~•m er(s) FRANCES EPP, (SUSAN RUJAWSRI, CONSERVATOR) Occupancy ONE FAMILY DWELLING OWNER (VACANT) hype owner-tenant Ad,-zitted by: F-HEIGL,RSALTOR Accompanied by: SAME Key available Suffolk Ca. Tax iJo. 54-9-18.1 SOUrCe Of request SUSAN RIIJAWSRI, CONSERVATOR FOR Date 8/15/90 D ~~TELLI aG Type of construction FRAME stories 1 Foundation CEMENT BLOCK Cellar 40Z Crawl space 6~ Total rooms, lst. Fl 4 2nd. F1 ` - 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, t•~pe CLOSED IN Deck, type Patio, type Breeze:•~ay Garage Utility room Type Heat OIr. ~'~Iarm Air .Hotwater ~ Fireplace(s) 1 No. E:cits 3 Airconditioning - - Domestic hotwater ~ Type heater Other ACCESSORY STRUCTURES: ' Garage, type const. WOOD FRAME Storage, type const. Sc•~i~:uning pool Guest, type const. Other NOTE: GARAGE HAS TOILET 6 SHOWER VIOL ATI0~1S: .CHAPTER 45-N.Y. STATE UNIFORM FIRE PREVENTION ~ BIIILDING CODE - Lncation Description ~Art.~ Sec. - (FRONT ENTRANCE GROWN OVER i 1242.3 E%IT CELLAR ELECTRIC GENERATOR 1243. CELLAR FURNACE (OIL BUKNER) CH7tIlJEYS l 11243.1 1 i . Remar.-cs• BP #12530-Z CO Z-17875 f addition i Inspected by. Date of Insp. $/21/1990 Th ma Fish • Time start 9=30 end 10:00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFZCATE OF OCCUPANCY .1. This application must be filled in by typewriter OR ink and submitted Co the building inspector with the following: 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 LZ lead. r 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. Far existing buildings (prior to April 9, 1457) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of groperty 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. 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 - $5.00 over 5 years - $10.00 L'pua[eu Certificate of Occupancy - $50.00 _ 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 p Date ....K.1~~ ~ D :;ew Construction........... Old Gr Pre-existing Building.. ~ Location of Property.. ~s"3~~L~.CH..~,D:.. SYJ,I-{(~OLA----..... House No. StreeC Hamlet Onwcr or Owners of Property...~~:~~C~.~....~~~~ ~J County Tax Map No pn~,1000, Section......,/........Block...~...........Lot...~~'.j.............. Subdivision......J:.~ .........................Filed Map............Lot...................... Permit No ................Date Of Permit......,.........Applicant....................._....... ({ealth Dept. Approval ..........................Underwriters Approval. ..............s. c ' r - e-' 4 ~'L~I~~; ~L,?~ Planning Board Approval ; 4 ` { !i li I ;i' 2equest for; .Temporary Certificate........... Final Certicate.. J: AUG { rj {~Q ; ~ Fee Submitted: ~ ~ • ~ ~i ie- ~ BLDG, DEPT, T WN OF SOUTHpLD .J.ti. Q~Q,c-.~~033~~ Cp,~sE~•vA~ot~- ~~I~~t~cES Ei'p ~ . ~{9,33 CONSENT TO INSPECTION SuSAl,J' K~.TAtuSKl the undersigned, 48) Name(s) do(es) hereby state: -the Crur+-4~~arwted Cv~Sevvafor ~ r That the undersigned (is) (.nib) the owner(!i) of the premise,~sf ins )the Town of Southold located at ~-I!~4'f~~ ~i r C~ ~ • D~d t 1~e, 7, which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Q10?-~`tD~c-u ~`rQVh~ ~IVW~E-~Qwl~~u resid~~e2 ct wo-oe(--~v-o~v„e QYA 2 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 cf 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Tow/n of Southold. " / L/ Dated: O ~4 I~ (signature (print name) (signature) (print name) OM '~F~ AUG I ~ ; 519gp ; N OF SOU-.,_TH~~ I TITLE No. TS /"¢228- S P//ti/E S° • ~e o /1/~7'9L9'~i 0'" E off' /30.31 N ~ 0` 0 IV (?t /?~f aA,euscE E 0 eoay,~a? .ie. s N 1o F ~ ~ z Z ~o~ ~ e `i .y 0 P , N ~ N 4'7° 49' 40•E /30.9 / ' o ~ o fi~ M~ w, 1 a i t P 22.8' 1eC y ~a M ~ .ti f~' `.i~ ~ O r 4 • R~ i~ • c F D ~ Q W A. ~80i A W 3l. t ' 0!, M A ' 7, e, t J t_ ~ 1• e,~ ~ ~9 n ~ 9 °f• N W N.~~ : N a~ ~.yfN~= N /f '7NY, NoT ~ SNeWK~ /YeT 6uq l.~ N rtQ D SS2• e~3 :3o"tti //moo. s2 ~ S47' 49' ¢O.. w /2~. 6~'~,~. CHES TNt~ T So, ~?D. SUf"fOC.,C Coc~N Ty TAX M.n P I'I MEA8UREMENTSINU.8.8TANDARD Disc, iooo sec, s~,c ,gcocnc,y ce7- ie.i THE OIMENSKNMi SHOWN HERlON, FROM THE STRUCTURES TO THE PROPERTY LINE ARE FOR A 8PECIFlC PURPOSE ONLY. THEY ARE NOT INTENDED TO SE USED FOR THE ERECTION OF FENCES, STRUCTURES OR ANY OTHER IYPROVEMENT. GUARANTEES INDICATED HEIIEON SHALL RUN q~LY TO COPIES OF THR! SURVEY MAP IiOT TFM FOR WH011 THE SURVEY W PREPARtt."~ A.M© UNAUTHOROt:D ALTERATIONS OR ADDF' SEARING THE LAND iURVEYOR'S ~ ~ BEHALF TO TH! TITLE COMPANY OOVIOM~YEN• TIONS TO THNi SURVEY N7 A VIOLATION INKED SEAL OR EMBOSSED SEAL AND TONNE ALEIS NEE~~TH~B L~~mDINO OF SECTION 790S,SUS•DRIMION40FTNE BHALL NOT SE CONSIDERED TO EE A ~ION• NEW YORK EDUCAl10N.LAW. VALID TRUE COPY. GUARANTEES ARE NOT TRATMFERASLE TO ADTN610NAL Ni871iliTWNS OR LWSS~UENI OWNER6. KULHANrBK~~:~1~I=_, sECTiON BLOCK DATE LAND $Iif1YEYORB,'P C = ~ ` 6 • to . ~o - - _ ~ QUA NTEED TO SouTN No L p = 7'i t~sc.e v /...c. ,i~ COUNTY ONO Ut ~ F '•'~I IM~tTO11EtlTER OFFICE i' 4 P.o. Box 16T P.0. aox t76 ~ ~ ~ ~ ~~~r M•~ JOB No. LONG BEACH, N.Y. 11651 POU~N~ p100E, N.Y. 10675 7 r, ,5 r E <;rJUTHOL3 FAX (5181131.9167 FAX0i111761-0,906 SroP.Y~',e f V/z6/N /.a C.CENNA../ „90- 35009 • I