HomeMy WebLinkAboutZ-26536 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- 26536 Date: 06/30/99
THIS CERTIFIES that the building DWELLING
Location of Property 555 THREE WATERS LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 015 Block 0007 Lot 010
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- 26536 dated JUNE 30, 1999
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 TWO CAR GARAGE
The certificate is issued to ALBERT P KREN & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION RE T.
Building In ector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HO 7N OD 7N ':'TON SPORT
LOCATION: 555 THREE WATERS Ln ORIENT
SUBDIVISION: MAP NO.: LOT (S)
NAMB OF OWNER (S): ALBERT P KREN & ORS.
OCCUPANCY: SINGES FAMILY REHEAT P KREN & ORS.
ADMITTHD BY: PHTER RREN ACCOMPANIED BY: SAME
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 15.-7-10
SOURCE OF REQUEST: GARY OLSEN. ATTY 6/18/99 DATE: 06/30/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: ~
FOUNDATION: BLOCK CELLAR: PART. CRAWL SPACE: PERT.
TOTAL ROOMS: 1ST FLA.: ~ 2ND FLA.: ~ 3RD FLA.: _Q
BATHROOM(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPH: SIDE DECK TYPE: SZDE PATIO TYPE:
BREHZEWAY: FIREPLACE: 1-DOUBLE GARAGE: TWO CAR
DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
OTHER: *MUD ROOM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHHR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ! DESCRIPTION ~ RT ~
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RHMARRS:
INSPECTED BY: DATE ON INSPECTION: 46/30/99
NN M. BOUFIS TIME START: 9:45 AM END: 10:15AM
/ I
FORM N0. G
TOWN OF SOUTI-IOLD
. Duilding Daparunont
Town Hall ,
Southold, N.Y. 11~J71
7G5 - 1802
APPLICATION FOR CCRTIFICATC OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ei...+.rr to the Duilding Inspec-
torwith the following; for new buildings or new use:
1. Final wrvey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept, of water supply and sewerage disposal-(S•9 form or equal).
3. Approval of electrical installation from Doard of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
lions, a certificate of Code compliance from the Architect or [ngineer responsible for the building.
5. Submit Planning poard approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1rJ57), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unuwal natural or
• topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
lion required to prepare a certificate,
C. Fees:
1. Certificate of occupancy $25:00 nUSINCSS $50.00
• 2. Certificate of occupancy on pre-existing dwelling $ 50 , 00
3. Copy of certificate of occupancy $ 5.00 , over 5 years S 10 .00 •
4.Vacant Land C.O. $ '20.00 June 18, 1999
5.Updated C.O. $~~50.00 Datc
- r
NewConstruction,,,,,,01dorPre-existing Duilding g......... Vacant Land
• Location of Property ,,,555, Three Waters Lane: Orient, 1?]Y ,
.
House No. ~ Street ~Hamlot
Peter W. Kren as Co-Executor of the Estate pf Albert P.Bre.
Owner or Owners of Property .
015.00 plock 07.00 010.000
County Tax Map No. 1000 Section . Lot . , .
Subdivision . ........................Filed Mali Na. ..........Lat No. .
Permit No. DatcofPermit ..........Applicant
Health Dept. Approval ....Labor. Dept. Approval
Underwriters Approval .Planning Doard Approval , , , .
Request for Temporary Certificate .....................Final Certificate . , .
100.00
Fee Submitted $ • .
Construction on above described building and permit m s I able codes and regulations.
Applicant....
n.~. to-tone
p ( GARY PLANNER OLSEN, ESQ.
Q~..~ `f Spy P.O. BOX 706
b D CUTCHOGUE, NY 11935
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CONSENT
'I'O
INSI'LC'I'lON
Peter W. Rren as Co-Executor of the Estate of Albert P. Rren , the undersigned,
Uwncr(s) Narnc(',)
do(es) hereby state:
That the und~:rsif,ncd (is) (arc) the owner(s) of the premises in the Town
of Soulhold located at 555 Three Waters Lane, Orient, NY
which is shown and designated on the SufCollc
Counly tax ma{~ as District 1000, Section 015.00 ~ 131oc1c 07.00 ~ Lot 010.000
Thal the iindcrsit;ned (has) (have) filed, 'or caused to be Tiled, an applica-
tion iti tho Southold Town L'uttdint; lnsltecw. orrc~~ rte.. +h~ fnlh.vin~:
One story frame house.rrith garage (with deck built pursuant to Bldg. permit
No. 49042)
That the w~dersil;ncd do(es) hereby };ive 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 o[ the laws, ordinances, rules
and rcr;ulation~s of the 't'own of Southold.
The undersigned, in con5enlinr 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 subsequc t osecutions for vio-
lations of the laws, ordinances, rules or regulatio/s/oG~the Toy n of Southold.
• V
Dated: June 18, 1999 _
(si nature)
Garp Flanne~ Olsen, as attorn
(print name)
(si~naturc)