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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 ~ i i ~ ~ ~ i ~ ~ i i i i i i ~ ~ i ~ ~ i i ~ i i i i ~ i i ~ i 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 ~ ~Q ~a6S3 6 y h • ; i, t ' ~ ',F: F. ~ t - .f' _ i ~ rn1( o o Y o~ ~ g j ' W ~ ~ n o Q. ~ r' ~ _ 4 ?~m~ yQ o L T ~ 1~ ~ ~ a~ m i m W N e o° ~vz _ ~ Ct ~ z'~ ~~Q ~ ,0 i- a:a3 ~ a~ u- . ' - . ' 3Nb'" ~ S7_131`d/V~ 3 32! H1,,, ~ '~'r ' wow Ms~^ ~~ayd t~!'~ : i ~ ~ ~ O t.. s f.,~ ~ M - " ~ ou 3 y ~ ~ n. ' : ~ 3 0 _ • - v!.' ` ( /y~ ~t , ; `i ~}n. ~,f[F1 r~1F?il .f`,°`1 v r,1~*'fAt { 1# 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)