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Home My WebLink AboutZ-39497 Town of Southold 2/21/2018 gUfF�l�:co; . 53095 Main Rd y Southold,New York 11971 t PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39497 Date: 2/21/2018 THIS CERTIFIES that the structure(s) located at: 795 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 75.-4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39497 dated 2/21/2018 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: WOOD FRAME ONE FAMILY DWELLING. Updated 2/21/2018 to remove electric violation. The certificate is issued to Kramkowski, Jean (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 75-4-4 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A- %JA u 0 0 Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 795 S Harbor Rd., Southold SUFF.CO.TAX MAP NO.: 75.-4-4 SUBDIVISION: NAME OF OWNER(S): Kramkowski,Jean OCCUPANCY: ADMITTED BY: Jean Lehr Kramkowski SOURCE OF REQUEST: Kramkowski,Jean DATE: 2/21/2018 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: Cement Block CELLAR: no CRAWL SPACE: Yes BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: Pavers BREEZEWAY: FIREPLACE: 0 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: none OTHER: - ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/2/2018 TIME START: END: �o Town of Southold 2/7/2018 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39497 Date: 2/7/2018 THIS CERTIFIES that the structure(s) located at: 795 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 75.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39497 dated 2/7/2018 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: WOOD FRAME ONE FAMILY DWELLING* ELECTRICAL VIOLATION: PROPER SPACE AROUND PANEL BOX IS REQUIRED AND MUST BE CORRECTED TO OBTAIN UNDERWRITER'S CERTIFICATE The certificate is issued to Kramkowski, Jean (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 v A tho(/� te Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 795 S Harbor Rd., Southold SUFF.CO.TAX MAP NO.: 75.4-4 SUBDIVISION: NAME OF OWNER(S): Kramkowski,Jean OCCUPANCY: ADMITTED BY: Jean Lehr Kramkowski SOURCE OF REQUEST: Kramkowski, Jean DATE: 2/7/2018 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: Cement Block CELLAR: no CRAWL SPACE: Yes BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: Pavers BREEZEWAY: FIREPLACE: 0 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: none OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/2/2018 TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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 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 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 $50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $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 1, Date. (LlL !W New Construction: Old or Pre-existing Building: V (check one) ,y Location of Property: jq5 �n �®OQ` n ��IA- �7A House No. Street Hamlet Owner or Owners of Property: j,., Suffolk County Tax Map No 1000, Section 115 Block f Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �/n / G7��i�VL �'LQ�'►1- ',cIS�(i (Applicant Signature CONSENT TO INSPECTION 9CO.-t- "-e k --e'°`»'rl the undersigned, do(es) hereby state: Owners)Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at Q,S" S r �� , which is shown and designated on the Suffolk County Tax Ma as District 1000, Section�, Block , Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Prz.# —e rn1 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 all 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: owtit )UA am k zxa- J (Print Name) (Signature) (Print Name) *pF SOUIyOIo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O. ox 1179 . • iQ roper.richert(a)_town.southold.ny.us Southold, l�IY 11971-0959 OCpUM`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kramkowski Address: 795 South Harbor Road city.Southold st: New York zip: 11971 Building Permit#- 42389 Section: 75 Block: 4 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Platinum East Electric License No. 34091-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 1 A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - NO VISUAL DEFECTS" Notes: Defects Removed - Moved Main Electric Panel to Code Compliant Location. Whole House Inspection. Inspector Signature: Date: February 20, 2018 0-Cert Electrical Compliance Form.xIs SOUly�6 cc �GM # • �# �J t��0 - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: lee e /�� z�j b1,1olpqi—c2lj DATE INSPECTOR' ",of sour fire, C Sc,A& TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: hA/ qVA4L C,P/V4� 110, rr 1pw2i DATE INSPECTOR g> f04 BUILDING DEPARTMENT- Electrical Inspector •� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 .Telephone (631) 765-1802 - FAX (631) 765-9502 roper.richertantown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Cj e In� �IQGIZ(G Date: Company Name: Name: kzn License No.: 9-/-7p - 1vl E email: Address: IPG. 90 1 ?:>04 IIGI417 Phone No.: (P 3f 5 - JOB SITE INFORMATION: (All Information ired) Name: c JeAn L- wG�, 1r5 �Q1Y1 Qt,(�S 9 Address: rlGjs bpl- u Cross Street: Phone No.: ?) Bldg.Permit #: email: )e%-- Lau.s-C 9 mSAI. eo�l Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK Please PrintfQlearly) �;71er,414Pane[ &A+ tCZhZti Circle All That Apply: Is job ready for inspection?: YE / NO Rough In Final Do you need a Temp Certificate?: YES Q'5�) Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �D � 82-Request for Inspection Formals Certifications indicated hereon signify that this plat of the.property depfcied hereon was made in accordance weh the eAsttrg Code of Practice'for Iand:Surveym adopted by the New York Sidle Association of Profm1cwl land Surmycirs. This'ce4bation Is orJy for the.Ends depicted hereon anld'Is not certdicoiion of Idle,coning or 6eedom of ercumbronam Sold cedificatici 3 sholl run only to the persons and/or entmes listed hereon and ore not irorderoble to adds fonol parsons,entmm or subsequerd owners. I TAX LOT 5 1 S 0935'00" E off FL 35.00' 0-SW ON UNESTOCKADE E 0.2' FENCE O.a'E SHMie 1.2'N I ere ls•e' • of I I�dx o.r �° • 1' STORY � —�-•- 0d DWELIJNG 0 0 0 No. 7 N O M O 211 O t— tout. te) O STOOP g. ~O X d0.'S'NJ Q ,_Q X ~ LU H a e Oco p !n IS m N Z I to . f I Tpteijr Curter I 777'f GRAVEL (TAX MAP) COVEWAY �UONUMETIT — —— FOUNO PAvr 1.W.4 15H N 09'.35'000 W 35.00' SOUTH HARBOR ROAD L*. YEW'.SUW.Y The offseo err&menilors ,aw fiord st uct m to the.properly lir m doe fora specik pwpoi9 and use,and dlerelore,are nor wended i6guide in iha eremal di fence,/clew{g nails, pods.paths,pbnwg areas,addNons to buildings and any odwr consmocacm Subsurface and envtnom mfol conddtom were nal ammined or aorcldered as a parr of dds survey. Easemanis,Righhabwoy of record,if any,die not k6.".Plbpery cb6wi'monurrwnb were not placed m a part of dds-survey: © 2018 BBV PC BBVBarreff Tax Mbp: DISTRICT 1000 SECTION 75 BLOCK 4 LOT 4 BOnaCCI & MaOF. DESCRIBED PROPERTY a ,o Nz9 P dib wary a a viddkn cf Settlors Van Weele, PC fila Lot. - 81ock: - 7209cI wyYoA_%b la. Civil Engineers 175A Commerce baft P map Surveyors Hauppauge,. 11 NY1178a Filed; - No.: - Coun SUFFOLK Planners F 631.435.1022 vo nm.bbvpcxorn Situate:SOUTHOLD,TOWN OF SOUTHOLD Certffiedta TitbNo..FIS-7404-106297-SM Revision TBy Done WILLIAM J.LEHNERT Gaps OF dds survey mrp nd beor DANA LEHNERT erg to land sreveroes embossed FIDELITY NATIONAL TITLE INSURANCE COMPANY �and son sdwedU ba.aWa,mdlalid M�opy WELLS FARGO BANK,NA . RB , Drofred br. MJW Chedred br. CW Project No.: A180033 soot. 1". 20' Dare: JANUARY 29 2018 K:Wa18V1180033WW6>A180033Av4,TITLE,2/1(1818125630 PK.earea,e"W a Van Vhel%MW 1, R91CORD CARD 'VT -.0-w-W OF SOL 14'Ot"t DIST. SUB, P, STRElEf VILLA-09 LOT FORMER OWNER N e .1 W TYPE OF BUILDING 6'&L v- VIL. FARM comm. CB. MISC. Value SEAS. Mkt,� LAND IMP, TOTAL DATE REMARKS 7(n) Ati r, laqmy) zAAz. Le 4,0y" ko fta k I ;-,,o 7mzeg CD AGE BUILDING CONDITION EW NORMAL BELOW ABOVE CD kRm Acre Value Per Vdlue Acre (z)lable I CD i0ble 2 h1loble 3 odland 3MPIond FRONTAGE ON WATER shlond FRONTAGE ON ROAD C--4 C-4 ase Plot DEPTH C6 BULKHEAD 6wo %.10 LL Total DOCK 759^• ti %-- r a,S •l,�t a y�`, c1: .. r i '4� , 5 it i � f �' �.--" r 1•. AmuMUSEU■SSS��'is��iisti�l : i■��■S�sssssifl■ss■��fiif■� H i T ■ t■■13t■Sf■SSSS■<SS�� iii■Ss ■tisk ■*��wili■■■■■ifs■■tom■; . .. Sisk■■� *��Si■iii■ifitssf � ■■�S■St �a■�r��fl�i■■■■ff■■sss■ i .- f■■■■l�1 ■■■■■IN ■■■t■■i■■■■�� ■■■ii■■ ■iNON■■■■■■i■■■■i■■ . • v ,. :, ;, •---; _. , -.. ■■moi■■■■■■■■■i■i■■■ ., •+fin :F:{b4 j ■�■■■■■ 1■■■■■NN■■SMIMMIUMINEMINNIN ■/■�■�■■ .• Foundation 456 i Basement IlExt. Wol Is Inter or Finish Type Roof i • • LOCATION: 7W1'V1 � 0'� �C • 1 0Vi -0 U (number & street) (municipality) SUBDIVISION: M P NO.: LOT(S): ., NAME OF OWNER(S),: ✓ Ih}wl 51p�1 OCCUPANCY: Std&W yd OkAWILV& a (type)( (owner-tenant)- ADMITTED BY: '',J (��"' l/�i ✓ . rh�✓1.�ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAR MAP'NO. 1000- SOURCE OF REQUEST: DATE: ry DWELLING woe / TYPE OF CONSTRUCTION: kLaFrW-h4f--- # STORIES: # EXITS: !� FOUNDATION: C@LMA BASVMENT: �0_'CRAWL SPACE: # OF BEDROOMS: IST FLR: -� 2ND FLR: _y 3RD FLR: BATHRO-OM(S): TOILET R'OOM(S): UTILITY ROOM: . PORCH.TYPE: DECK, TYPE: _. . PATIO;TYPE: S BREEZEWAY: FIREPLACE: *0 QARAGE: DOMESTIC HOTWATER: qtA> TYPB HEATER: . AI AIRCONDITIONING: w ry,rfq TYPE HEAT: Q I WARM AIR: HOTWATER: 4 OF KITCHENS: Q� FINISHED BASEMENT YES NO OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS:. CHAPTER 144 &N.Y. STATE.UNIFORM FX PREVENTION & BUILDING CODE LOCATION DESCRIPTION 92ART. SEC. VW. fMOAAA -A Ara C,161 U — N acv 0 t► dv l�Nl/l/ k Y REMARKS: INSPECTED BY'0�1h. J �i�y's DATE OF INSPECTION; VfWO TIME START:, I b . END;