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HomeMy WebLinkAboutZ-25652FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25652 Date: 04/16/98 THIS CERTIFIES that the building BUSINESS STRUCTURE Location of Property 35315 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 097 Block 0001 Lot 014 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a BUSINESS STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25652 dated APRIL 16, 1998 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 C-3 CARPENTERS SHOP The certificate is issued to CHESTER P ORLOWSKI (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. Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 35315 NAIN RD CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): CHESTER P ORLOWSKI OCCUPANCY: C-3 CARPENTERS SHOP CHESTER P ORLOWSKI ADMITTED BY: CHESTER ORLOWSKI ACCOMPANIED BY: CHESTER ORLOWSKI KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 97.-i-14 SOURCE OF REQUEST: CHESTER ORLOWSKT-2/27/98 DATE: 04/16/98 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: _1.0 # EXITS: _2 FOUNDATION: POSTS AND CEMENT CELLAR: TOTAL ROOMS: 1ST FLR.: 2 BATHROOM(S): 0.0 PORCH TYPE: BREEZEWAY: 2ND FLR.: 2 TOILET ROOM(S): 1.0 DECK TYPE: FIREPLACE: DOMESTIC HOTWATER: TYPE HEATER: TYPE HEAT: NONE WARM AIR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: NO ACCESSORY STRUCTURES HOTWATER: CRAWL SPACE: 3RD FLR.: 0 UTILITY ROOM(S): PATIO TYPE: GARAGE: AIRCONDITIONING: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION 1 ART. 1 SEC. I I 1 I I I I I I I I I I I I I I 1 1 I I I I I I I I I I 1 I I I I I I 1 I I I I I I I 1 I I 1 I I I I I REMARKS: BP#24809Z COZ25651 (ALT) INSPECTED BY: GARY FISH DATE ON INSPECTION: 03/12/98 TIME START: 10:10 END: 10:30 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 inspector with the following: 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 Undefwriters. 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. 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 nate a5. 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. Feas 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-existin Buildine -(V100-001 3. Copy of Certificate of Occupancy - .25-C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date onstruction........... Old Or Pre-existing Building......... ....... ion of Property... 353.1........ .Q o`...... .. 1. n ,L(....... House No. Street Hamlet_ orOwners of Property..0 .�................................ y Tax Map No 1000, Section. I .:.�1:..Block. ..1 ............ Lot.. l../ ................. vision....................................Filed Map ............ Lot ...................... tNo................Date Of Permit ................ Applicant ............................. hDept. Approval..........................Underwriters Approval......................... ing Board Approval ........................ st for: Temporary Certificate........... Final Certicate........... ubmitted: $............................. ....................... . APPLICANT 5 A 0 37 ter s- 9a •o 7/0 ✓-5r5v 33v 14 i llv N o Com` �N86O LAryOSc;` \*4 . LEW, '9 A. 00 ph 9 Q3gs� N[W v 0P� 0 ��revEY�ae • C�yESrF,e O,e�osv�,r.` lex s�ricyy• Cvrci,EY,u� TeAoy 6FdsgrakO , All :AClopee , ? 30 ' It eCT4y"Polm0 - 97-0/ � LouC.tiloN � Fi�/y CONSENT ,1.0 INSPECTION s) Names do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2 S 2 I <�- � ta. which is shown and designated on the Suffolk Comity tax rnap as District 1000, Section _- J_, Block �,, Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: J_ 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 w 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 as evidence in subsequent prosecutions for vio- lations, of the laws, ordinances, rules or regulations of the Town of Southold. Dated:_�Tjj)- _ %��,, (,signature) y�sTc-r LJyLoLo (print name) signature TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET '1 �� �.5 VILLAGE DIST.' SUB. LOT ' �,<�c•":�/ �c �' /�Id ! n lea a d�b �4/ FORMER OWNER N ,p E T W Yt ° ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM--, CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS c� Yd 6 BS c b /YQD 366 AGE BUILDING CONDITION G6 NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland i FRONTAGE ON ROAD / o U 60-1t, a f x N346 Meadowland i DEPTH House Plot i BULKHEAD Total .d "'� J DOCK IMF! MAIN MJ Wpm LOCATION: d SUBDIVISION NAME OF OWNER (s) OCCUPANCY BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 6 street (muni�pallty MAP NO. LOT (s) ADMITTED BY: C.��t�%LC.Zt� ACCOMPANIED BY: - - - KEY AVAILABLE SUFF. CO. TAX MAP NO. f� Q/ SOURCE OF REQUEST: w DATE: DWELLING: TYPE OF CONST" U.�_ CTTION ��j"(% %L � # STORIES C # E%ITS p� FOUNDATION CELLAR T- CRAWL SPACE TOTAL ROOMS: IST FLR. pZ 2ND FLR. 3RD FLR. BATHROOM (s) PORCH TYPE BREEZEWAY TOILET ROOM (s) (fk-Q. UTILITY ROOM DECK, TYPE PATIO, TYPE FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT pT/�f WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION .3l/ TIME START END /d► , jo