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HomeMy WebLinkAboutZ-27712 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- 27712 Date: 05/23/01 THIS CBRTIFIES that the building DWELLING Location of Property 990 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473869 Section 078 Block 0009 Lot 002 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- 27712 dated MAY 23, 2001 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 GARAGE & ACCESSORY SHED. The certificate is issued to ROBERT S & DOLORES KRAMKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTM@1T OF HBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. th ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 990 CEDAR DR SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAMH OF ONNHR (S): ROBERT S & DOLORES KRAMKOWSKI OCCUPANCY: SINGLE FAMILY ROBERT S & DOLORES KRAMKOWSKI ADMITT~ BY: DOLORES V. KRAMKOWSKI ACCOMPANIHD HY: SAME RSY AVAILABLH: SUFF. CO. TA% NAP NO.: 78.-9-2 SOIIRCH OP RSQUHST: DOLORES KRAMKOWSKI 4/10/01 DATH: OS 23 O1 DWELLING: TYPH OF COMSTRIICTION: WOOD FRAME # STORMS: 2.5 # H%ITS: 2 FOUNDATION: CEMENT BLOCK CB'LLaQ: FULL CRANL SPACE: T(YrAL ROOMS: 1ST FLR.: 5 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILSP ROOM(S): 0.0 DTILITY ROOM(S): PORCH TYPH: DHCR TYPH: REAR COVERED PATIO TYPH: BRSHZSiN\Y: FIRHPLACH: GARAGB: 1 CAR ATTACHED DOMHSTIC HOTNATHR: YES TYPH HHATSR: OIL AIRCONDITION]BG: TYPH HHAT: OIL HARM AIR: XX HOTI~TSR: OTHHR• ACCESSORY STRUCTURES: TYPH OF CONST.: STORAIGH. TYPH CONST.: SHED SWITQIING POOL: GOBST, TYPH CONST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~ I ~ ~ I ~ I ~ I I I I I ~ ~ ~ I I ~ ~ I ~ ~ I ~ ~ I Rra~nuxS: HP#54962-COZ48239 (ADD)HP#7798-COZ7524 (ACCY)BP#273292-COZ27712 (ADDS) INSPBCTBD BYe DATH ON INSPECTION: 04 17 O1 GA F SH TI41B START: 10:00 AM HND: 10:40 AM . _ . ~n' TOWN OF SOUTHOLll BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CLRTIPICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bui]ding inspector with the following: for new building or new use: 1. Final survey of property with accurate loca[ion 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-O 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. 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. Busine es $5~:66,~ 2. Certificate of Occupancy on Pre-existing Buildin~:$100.00 3. Copy of Certificate of Occupancy - .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.......... (~O~lJd Or Pre-existing uQilding.~,. Location of Property...... J ~EpA.~1... l1/~......... V f /,?lJ; ~ G~. . . House No. Street Hamlet Onwer or Owners of Property..~Q~°le~[.~.~~... ~..~~`:<Y~P~..Y.:.~~~?!!'~~a~-~.~~....... County Tax Map No 1000, Section.... lJ......Block...~...........Lot.~- Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Cer icate........... Final Certicate........... Fee Submitted: $I~.~ ~X . ~ 15 av APPLICANT ~ ~~a~~~3 ~ e ~ n ~ ~ ~ 3 n ~ T v © ~v? e~,,,r ~ ` V iZ1' ~ w ? , ' ~ =F~ * - ^•,V ~ ~ 111 ~w~. ~ ~ J . r w,~ ~ y ~ ~ ~ a ~ ~ . ~ f' f i i ~ Q 1.0'7 ` ~ ~ ~ ~ ~ G j ~ f 10^7 ~ yon ~ p1 ,s ,.~k ~ t Q f ~ y: Q Jr~I t ~jy * ~ w....,-+r.,... ~ r ~ ~ t ~ ~ ~ - ~ , f ~ C ~ y .:qd ! ~ x^.Y rv z y .``:r ~ i . rr n 6 ~'x y~ ~ ~ x~~ ~ 31' g ~ ,yNyn+""r"""r' $ .34 . r ~ " ~ ~ '~4..~/w~ s`~;A F~,7F f a t ~ V't" Rt YYYYYY~~```"` l'i ^S W k4i 1" " ~ La; I ~ . ~f r T a 'y +kl v y~ • 4~('~ "F;: I ki y..: "4 Ci ~ e r k y ..,ca .N . : 1 ~ r~ CONSENT TO INSPECTION ~~~CI. J ~~f}M~~~/g /j l the undersigned, Owner(s) Name(s) do(es) hereby state: ~ c~ That the undersigned (is) (-ECr~ the owner(s) of the premises in the Town of Southold located at 910 CjQv/~L ~ which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot ?I i That the undersigned (has) (Dave) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for~the following: ~0 ~'t 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 ali of the laws, ordinances, rules and regulations of the Town of 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- lationG of the laws, ordinances, rules or regulations of the Town of Southold. i Dated: ~ l0 --O ~ r_ v~--~C D.~h~ ~ a~~,~ (signature) ~C© Qc'S- l~ • ~t ~'4Cli 5 ~ ~ (print name) (signature) i^/ , 7~~ ~ ~~S y (print name)