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Home My WebLink AboutZ-25787FORM 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- 25787 Date: 06/23/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 750 BROOKS ROAD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 053 Block 0001 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25787 dated JUNE 23, 1998 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 8 X 10 WOOD DECK * (HAMLET) Lot 016 The certificate is issued to EMMAGENE KAMAIKO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A NOTE: Tills UPDATES PRECO Z-20163 DATED AUGUST 23, 1991. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 750 BROOKS ROAD SUBDIVISION: MAP NO.: NAME OF OWNER (S): EF~4AGENE KAMAIKO OCCUPANCY: RESIDENTIAL ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: VALERIE MARVIN - JUNE 17. 1998 -- LOT (S) -- E~4AGENE KAMAIKO ACCOMPANIED BY: SUFF. CO. TAX MAP NO.: 53.-1-16 DATE: 06/23/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRA~XE # STORIES: ~.0 # EXITS: ~ FOUNDATION: CEMENT ~bQQK CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: 1ST FLR.: -5- 2ND FLR.= __~ 3RD FLR.: _~ BATHROOM(S): ~.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: WOOD-8 X 10 PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: ACCESSORY STRUCTURES; GARAGE, TYPE OF CONST.: ..... STORAGE, TYPE CONST.: SWIPING POOL: .... GUEST, TYPE CONST.: OTHER: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. NOTE: THIS UPDATES PRECO Z-20163 DATED AUGUST 23, 1991. SEC. REMARKS: BP83640-Z-COZ-2860 (ADD&ALT) BP 810960-Z-CO Z-10367 {ADD WITH DECK) INSPECTED BY: DATE ON INSPECTION: 00/00/00 GARy J. F~HJ / TIME START: END: / Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: 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 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 Ppre-existing" land uses: I. 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. 2. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw4mming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - .Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / /-- ~ .... .......................... ~ew Construction ........... Old Or Pre-existing Building ................. ~oc.tion of ~roperty...~..'e'Zq.. ..... ..~..r~.q~ .... ~.~.- ........ .C7...~...'--e.~...'.?. ............. House No. Street Hamlet ~nwer or Owners of Property.. ~.mlrYl~.~ .-~..~.~ ~ounty T~ ~p .o 1000. Section ..... ~ ..... Bloc~ ...... ~ ......... ~ot...!.~. ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ce~icat~.. ........ ~a ~ ~ ~57 M~ APPLICANT FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20163 Date AUGUST 23, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 750 BROOKS ROAD House No. Street County Tax Map No. 1000 Section 53 Block 1 Lot 16 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 GREENPORT~ N.Y. Hamlet CERTIFICATE OF OCC. #Z-20163 dated AUGUST 23, 1991 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 * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.RASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 EMMAGENE KAMAIKO BUILDING DEPARTMEk T TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 750 BROOKS ROAD (number & street) GREENPORT, N.Y. (Municipality) Map No. Lot(s) N~me of Owner(s) EMMAGENEZ~MA~O Occupancy R-! 0ImER (type) (owner-tenant) Admitte~by: E~qAGENEKANA~KO Accompanied by: E2~AGENEKA~A~KO Key available Suffolk Co. Tax No. 53-1-16 Source of request ~4ACENE KAMAIKO Date JULY 29, 1991 DWELLING: Type of construction Foundation CE~E~rrBLOCK Total rooms, 1st. F1 5 Bathroom(s) ONE FULLBATH Porch, type Breezeway Type Heat OIL Fireplace(s) ONE Domestic hotwater Other WOOD ~.A~ #stories oNE Cellar ~/2 Crawl space ~/2 2nd. F1 3rd. F1 Toilet room(s). Deck, type Patio, type__ Garag~ Warm Air No. Exits YES Utility room Hotwater xx 3 Airconditioning Type heater ACCESSORY STRUCTURES: Garage, type const. Sw]mming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Remarks: BP ~3640/CO Z-2860 FOR ADD & ALT. BP [10960/CO Z-10367 ADD. Inspected by: ~,~-~;~6~ Date of Insp. AUGUST 2, 1991 - GARY//.~. FI'Sa 9:30 9:50 Time start end /-- CONSENT TO INSPECTION Owner(~) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 7 ~ 0 l~'~2-K.~ ~'~oq & County tax map as District 1000. Section .~-'~. Block t . Lot / G That the undersigned (hms) (lave) filed, or caused ~obe filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,f: 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 xvith 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 Toxvn of Southold. f ~ ' I ~ (sigr~tur e) (print name) (signature) (print name) BLDG. TOWN OF