HomeMy WebLinkAboutZ-22018 FORM 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-22018 Date DECEMBER 11, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 575 CHAMPLIN PLACE GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 34 Block 3 Lot 28.2
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-22018 dated DECEMBER 11, 1992
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 ONE CAR
GARAGE WITH ATTACHED STORAGE SHED
The certificate is issued to ROBERT & KAREN KOWALSRI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. NjA
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS UPDATES PRE CO Z-18351 DA SEPT. 8 1989
Building Inspector
Rev. 1/81
e i _ - ~
-
' 130USE
BUILDI:'~G DEP~";I~T:•IEiiT
TO'~~id OF SOUTHOLD, D1. Y.
HOUSIidG CORE Ii'iSP~CTIOi`T REPORT
Location 270 STERLING PLACE GF.EENPORT, N.Y.
~numder ~ s~ree~) ~i~iunicipaiity)
Subdivision Map No. Lot(s)
EDWARD T. ROUSE
Name 02' 0~•mer(s )
Occupancy RES. R-40 -HOUSE OWNER
ttYPe o~•~ner-zenanz )
Admitted by: EDWARD T. ROUSE Accompanied by: SA~%
Key available Suffolk Co. Tax No. 34-3-28
Source of request EDWARD T. ROUSE Date MARCH 9,. 1989
D'.~TELLI:IG
Type of construction wooD FRAME rrstories oNE
Foundation cEMErrr BLOCR Cellar FULL Crawl space
Total rooms, lst. F1 6 2nd. Fl - - 3rd. Fl - -
Bathroom(s) oNE Toilei room(s) NONE
Porch., t~rpe BRICR IN FRONT Deck, type - - Patio, type_ - -
Breeze:•~ay Garage Utility room
Type Heat LILCO GAS '~1arm Air ~ Hotwater
Fireplace(s) No. Exits 2 Airconditioning NONE
Domestic hotwater HEATER No GOOD Type heater
Other
ACCESSORY STRUCTURES: WOOD FRAME ATTACHED
Garage, type const. WOOD FRAME 1 CARStorage, type const.TO GARAGE
Se~imming pool Guest, type const.
Other
VIOLATIOITS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Ln_cation De~cri~tion ~Art.~ Sec.
ROOF ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CHAPT.i F
ONDITION. 1242.4 D
BASE1"IE T ~ STAIRWAYS SHALL HAVE HAND RAILS ON AT LEAST HAFT. F
FRONT STEPS. ONE SIDE. I1242.3I D
Il ~ '
HOT WATER HOTWATER SHALL BE SUPPLIED WATER HEATERS OR CENT CHAPT F.
HEATER I WATER HEATING EQUIPMENT SHALL BE MAINTAINED IN 1243.7
OPERATING CONDITIONS.
Remarks•
Inspected by: ~ Date of Insp. JULY 5, 1989
GARY J~ FISH -Time start 9:30 end9:50
Form No. 6 ~6~ f~~~
TOWN OF SOUTHOLD ~~O
BUILDING DEPARTMENT
TOWN HALL /JJ
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, 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 l~ 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.
b. 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 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
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.10{0, Commercial $15.00
Date I`~/.I; 1
New Construction...... Old Or Pre-existin`g~ Building... Y ``II
Location of Property... C'.OS C:~l~':M~.~.11Y....l ~a~..........~~.Pn~ST......
House No.'{~ Street \ Hamlet
Onwer or Owners of Property....`. ~v~ ~....~A ie.f~.. , , , ! \C~~QI.
~~1, , , , , , , , , , , , , , , ,
County Tax Map No 1000, Section.. U.~.~.•.VU..B1ock..U~ U~.....Lot d~'~.~~~~::"
tt~ .Filed Ma ~ ...Lot.. ~ .
Subdivision.. p..
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..Underwriters Approval.........................
Planning Board Approval ,
Request for: Temporary Certificate........... Final Certicate..~.......
Fee Submitted: S ~.:.D~J
~j - APPLICANT
~ , ~
Standard N. Y. B.T.U. Form 8002 • -Bu gain and Sale Deed, with Covtnant against Gnnwr's Aas-Ind~s'id ual or Corpora non (single sheer)
W C 82
'~~~7QI ~ O CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THlS INSTRUMENT SHOULD BE USED 8Y LAWYERS ONLY.
S~j THIS INDENTURE, made the 2nd day of DeC2mber , nineteen hundred and ninety-two
BETWEEN EDWARD T. ROUSE, Individually and as Administrator of
the Estate of Wanda B. Rouse, deceased, Suffolk County
Suffolk County Surro~at~ C;;urt file no. 88P89.
party of the first part, and ROBERT KOWALSKI and KAREN KOWALSKI, husband and
wife, both residing at 565 Pine iveck Road.,
Southold, New York
party of .the second part,
WITNESSETH~ that the party of the first part, in consideration of Ten Dollars and other valuable consideration
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the party of the second gart forever,
AI.I, that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being~t~dC north of the Village of Greenport, Town of Southold,
County of Suffolk and State of New Xork known and designated as Lot 2
on minor sub-division of property surveyed for Edward Rouse, filed in
in the office of the Clerk of the County of Suffolk on 10/19/92 as
Map No. 9276. Said lot is more particularly bounded and described
as follows:
DISTRICT BEGINNING at a point on the northerly side of Champlin Place said
1000 point being a distance of 73.57 feet measured in an easterly direc-
tion along the northerly side of Champlin Place from the intersection
SECTION formed by the northerly side of Champlin place with the easterly side
034.00 of Sterling Place;
RUNNING THENCE North 20 degrees, 35 minutes, 00 seconds West 37.00
BLOCK feet to a point;
03.00 THENCE South 73 degrees, 25 minutes, 00 seconds West 12.00 feet
to.a point; West
LOT THENCE North 25 degrees, 02 minutes, 00 secondsv60.27 feet to a
P/o point on lands now or formerly of Arthur P. Cooper and Etta Mae
028.000~v Cooper;
THENCE North 73 degrees, 24 minutes, 20 seconds East along the
last mentioned land 45.00 feet to a point on lands now or formerly
of Barbara C. Ebeling;
THENCE South 30 degrees, 47 minutes, 10 seconds East along the last
mentioned land 99.58 feet to a point on the northerly side of
Champlin Place;
THENCE South 73 degrees, 25 minutes, 00 seconds West along said
Champlin Place 46.00 feet to the point or place of BEGINNING.
BEING AND INTENDED TO BE a portion of the same premises conveyed
to Edward T. Rouse and Wanda B. Rouse by deed dated 3/31/87 and re-
corded in the Suffolk County Cler)c's Office on 5/5/87 in Liber 10309
CP 51b.
TOGGTIIL'R with all right, title and interest, if any, o[ the party of the first part in and to any streets and
roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances
and all tl~e estate and rights of the party of the first part in and to said premises; TO HAVE AND TO
}TOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of
the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of
the first part will receive the consideration for this conveyance and will hold the right to receive such consid-
eration as a trust fund to be applied first for the purpose of paying the cost of tl~e improvement and will apply.
the same first to the payment of the cost of the improvement before using any part of the total of the same for
any other purpose.
The «rord "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF: ~ ~ ~
C%rctv'~c-ru ~l~ LZ- a-,.
EDWARD T. ROUSE, Individually
and as Administrator of the
Estate of Wanda B. Rouse
tiWj~
O~~O~
~~~~'2
O
r~
C~aa~OQ W `rJ
tu~Ok~ 1.. ~
W ~~t~Q Q Q
~~Qi~ h$J
3~~ •QV~ O
Q ~ ~ ~ ~w ~O O ~ J
~ Q~0`
~p~~VV WtiY~
Jcj~p~ ~O~V ~ O~N
ZpjZY v~Yti ~ ~ QvZO
oZ~~W O QO~~ N
~~~Z~ 4
~ ~
~ C'3 O ~ ' ~
~Q~~O~~Z
S1 ~Dj
0 ~
Z
~
C `
U ~
M
O ~ ~ W
9• g' v op ~ ~
p~~~~ 5
(G" g ~ ~ y
PRP G
~o.i
er
PR0
G m Qi g
8 J 3~ ~ ~ ~i o 11
in
~ ~ N W
~ gyp' E• g e N ~3 ° S g ti
3Q.Q o ~ ~ vi
S• ~ 3,y y
B,s Z
~ (f N 4
°~ao~ o ~ y
_ E
' O w~ G /1 c 3 ~ ~ ~ ~
OC ° ~ ° ~ e
1i.1 2,9 3 0, " ~ J ~ 1 C
C. ~
••~~1
U _ NN O
N ~ 602 ti / W• ~ ~a
Q -,3a.~ m ~ i2 B ~ x,35• p0• $ u ~ o
~ in .W• N•2 37• ~bo3.
Q .p2 LOt 1 ~ ~ ~
z 5 ~
W ~ N 2 oy~~
o
~ T v~ ooh ~r
oe ~ J•C•+Q
1~ ~ ` •C Q 4 V
0. O~J,C y
Q OOO j•Q
0 OC~NO
v ~~~s=
w~,~
a.
oc,
PGE
P~ Z
O ~
Z vi
~
~G~~ 3 tio```
(:a V z w 2
? ~ ~p o
~ ~
sor
~ O
f .Zi=