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HomeMy WebLinkAboutZ-31006FORM 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- 31006 Date: 06/23/05 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 905 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 025 Block 0002 Lot 007.001 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- 31006 dated JUNE 23, 2005 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 AND ACCESSORY GARAGE. THIS CERTIFICATE OF OCCUPANCY UPDATES COZ9671 ISSUED 9/12/79. The certificate is issued to GEORGE J HOSSENLOPP & WF (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 REPORT. Auth razed Sign#rure Updated to include accessory garage as noted on Housing Code inspection report dated 9/11/79. Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r �-- APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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. 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: (� 23 2_D01' Date. _ Oeed CoffPWd pre C.o 4o 1601U012 -- Old or Pre-existing Building: _X (check one) QC(PSSpP Location of Property: 90S V . M) Street Hamlet Jafar e - Owner or Owners of Property: (4'0 rr)Q J 1Hos`-,t'mop p J L- , <I f/ (,A L -- Suffolk .Suffolk County Tax Map No 1000, Section 1 QQo 0y—Block­ - __ Lot -- Subdivision _ 0.-- Filed Map. Lot: rte- e o Permit No. ZGFj71 DateofPemtit. 9-t2-79 Applicant 1505P0h Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5d 00 Underwriters Approval: L,J Final Certificate: _ x __ (check one) C)o� &31 -4-77-Fs 60-7 "Tjr (5U)CLI Applicant Signature Locati Subdivision Name of Owner(s) Occupancy �-- BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT e Municipals y Map No. Lot(s)- own e r ot(s)_owner Admitted by: AcG Accompanied by: "5CL_TT Key available,,. Suffolk Co. Tax Source of request i` e &-Zo - 7,9 DWELLING: Type of construction iZ/pCJU fjtq #stories Foundation Zlenzz- �h�T Cellar ?17- Crawl space - Total rooms, 1st. F1 loe- a2 2nd. F1 Z rd. F1 Bathroom(s) Cic Toilet room(s) Porch, type ?���t,�y. Deck, type Patio, type Breezeway Garage Utility room - - Type Heat4� f-l�/,1 farm Aires. jr�,Q Hotwater Fireplace(s) No. Exits Airconditioning — Domestic hotwater Type heater C• -f 5 r/r�cf Other ACCESSORY STRUCTURES: w/STa�j,;:� Garage, type const. 7&xy ,F Storage, type const. Swimming pool Guest, type const._ Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. _ �- :-,Z7 Remarks: Inspected by: L'l P.5. Date of Insp. ? - /l 72 Time start�� 3a P14 end 3`5-o 121-1- JENNIFER B. GOULD Attorney at Law 6- 23 - Zook (?� : -ti ossv o I o p p, 6� o rej e y cjDS v I (a e,� , Lu►v� Cr,,PM . " (►�is`1 00o- 25 - 2 - 1. 1 (-�� rrnPr I - I -1 4 p rU TIoase i ss LLC c,- e Q rr,PCJ-Pd "Prip . C.0 " -to fmpP(ucz -Z 9U7 1 ae t t oeIudo -4l— cjoroq--c at ►Sscw J G --1'L- 7cl 9– VonTU.11 SLl •) —2 - 2 13 Vc i lu,l( Swve I G AC1 -5C IkC c1. #� _t) C 1 -p✓V S' -�,4 L e-_ r,Cpll+ issLIOcj t(-12- 7cl - CA -11 L,14,t t` U aCC`PSsUP c, GC,c y C1 � (� ��b� Pry ✓� t S-{� S l 210 MAIN STREET P.O. BOX 177 GR PORT', NEW 1 11944 TELEPHONE 631-477-86 far 631-477-2601 C5o.00 cl c(r FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ......... Date ... 2eptember..1.2 ............... 19-79 THIS CERTIFIES that the building ................................................ Location of Property ..905. Village. .4gxie........ Orient House No. Street Ham/et County Tax Map No. 1000 Section ... Q?5...... Block ...002 ......... Lot ..... 007 ... • • • • Subdivision ...............................Filed Map No. ........Lot No. ............. Requirements for a ane Tamil dwellin b t prior to conforms substantially to the Agliki Certifi� e q .Ocup.� Z�671 ........ pPrAl . ?3..... , 1 T5.7.. pursuant to w c 1 I c dated ... ?eRtembex' .12........... 19 7J. , 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.F.Mily..I?wIli.ng......................................... The certificate is issued to ....Jos.e-pb. C....&. Alice. J. Krl inski ............:..... . (owner, *M5tffct) of the aforesaid building. Suffolk County Department of Health Approval ...... N/R ................................ UNDERWRITERS CERTIFICATE NO..............N/R • • • • • • ........................ • • f kw ............ . . Building Inspector Rev Ons FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final surrey 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 Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual 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- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .. August 20, 1979 New Building ......... Old or Pre-existing Building ...XX....... Vacant Land ............. Location of Property .. (,No Number) .. Village Lane Orient House No. Street Ham/et Owner or Owners of Property Joseph C. & Alice J. Kripinski County Tax Map No. 1000 Section ....2.......... Block ... 0........... Lot ....... 7 Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ 5.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant ............. ?I—W ct, 'C: ' STANXtV1Cr1-,- 1;5Q........ . Rev. 10-10-78 / n/ Al 4, %� -. .r # MJl a; IL E 27 K/drY Ual " } t N.63' j I A ym . QT j I ' G, p, F. f JNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE MUCATION LAW. I COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR dNIOSSED SEAL SHALL NOT BE CONSIDERED �" / p 9 l TO SE A VALID TRUE COPY. i ' a ae G. Z 46 1 g / . — - j GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM, THE SURVET �� �t�i �� "'�hUt��� /• C. 1 . IS PREPARED, � \ AND ON HIS R"cHAIF i0 THE \!Y(� i1TLE COMPANY.. GOVERNMENTAL AGENCY APED�r�---- LENDING INSTITUTION © r /9 �s LISTED HEREON, AND - — To S OF THE. THE Ass L! EHsn, Bred i8 rc AMNOTL,'c�r�s d La01d SurN�. ors t to A001"ON" 6rgerl�iary`; N. Y. P 1'.r- 9 _"7 ', TOWN OF SOUTHOLD PROPERTY RECORD CARD M-zy OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER '3(14 -H G. i5 Xi Pi A, W N o 1 1< w <' E ACR. S W TYPE OF BUILDING IES. �'! /� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value - LAND IMP. TOTAL DATE REMARKS/2/ a4 r �- Tri n to S 7 — - -D 3 - t'��c �? �t�"• �=� �' `� -`� � �� l �l Ftp : � t %e O �C,Q ,ate / 12/79 SoQ 000 NSK/ w Wf io J, >/OSS,'_ .11e " �' P �s , AGE BUILDING CONDITION NEW. NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 riilable 3 Noodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD -louse Plot DEPTH BULKHEAD Total DOCK