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Home My WebLink AboutZ-17260FOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-17260 Date SEPTEMBER 2, 1988 THIS CERTIFIES that the buildingsONE FAMILY DW~.r.LING Location of Property 3450 MAIN ROAD House No. Street County Tax Map No. 1000 Section 125 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one-family dwelling built prior to APRIL 23~ 1957 LAUREL~ N.Y. Hamlet pursuant to which Certificate of OccZ-17260 dated SEPTEMBER 2r 1988 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 DWE~LLING & ACCESSORY GARAGE The certificate is issued to ROSE A. ROMANOWSKI (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD - PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD-PRE EXISTING PLUMBERS CERTIFICATION DATEDNO RECORD-PRE EXISTING Rev. 1/81 Location Subdivision Name of Owner(s) ROSE ROMANOWSKI BUILDING DEPARTI,LENT '- T0~'fN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 3450 Main Road Laurel, New York [numDer & street) (Municipality) Map No. Lot (s) ... Occupancy ONE FAMILY DWELLING - (tyPe) Ad,mitred by: OWNER 'A' Residential Agricultural zone ( own er- ~enanT ) Accompanied by: SAME Key available Suffolk Co. Tax No. 125-03-008 Source of request RICHARD F. LARK-, 'ATTY Date 7/25/88 D~'fELLING: Type of construction Wood framed Foundation Masonry Cellar Total rooms, let. F1 5 Bathroom (s) 2 Porch, type OPEN (masonry) Deck, type Breezeway -- Garage detached Type Heat OIL FIRED 'Warm Air __ Fireplace(s) No. w:.cit s 2 Domestic hotwater xx Other #stories 2 xx Crawl space -- 2nd. Fi 4 3rd. Fi -- Toilet room(s) -- Patio, type. YES Utility room Hotwater Airconditioning... -- Type heat'er -- ACCESSORY STRUCTURES: :. Garage, type const, frame Storage, type const, attic Swimming pool -- Guest, type const. -- Other II Farm buildings in varying conditions one under C.O Z-7044 and one under CO Z-~O6/~. VIOLATIONS: Location DWELLING ACCY GARAGE CELLAR FARM BUILDIN Housing Code, Chapter 45 N.Y. Description smoke detector - Chapter B- Overhead door needs repairs Water in one corner - Chapter F - State Uniform Fire Prevention Sec. Buildin.! Code Art. 3 DS The requirements of this Chapter shall not apply to non-residential farm buildings. Chapter B } I... 717.5 1244 651.3 Remarks: Inspected b~Da. te of Insp. 9/2/1988 Time start I0:15 end l l:O0 C4 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- tor with the following; for new buildings 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of p=operty 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. Fees: 1. Certificate of occupancy New Dwelling, $25.00, Accessory IS ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date .... .J.u.l.~..2.0. ¢..1.9.8..8 ...... New C one truc t i on ...... Old or Pre-existing Building ..... X. ...... Vacant Land ............. Location of ProperW ................... .Hg.i.q' ~.o.a~ ..................... .~.a,u..r.e~ ........ House No. Street Ham/et Owner or Owners of Property ....~.o.s..e..A.....~.o.m.a..~.o~.s.~..~ ................................... County Tax Map No. 1000 Section . .z..2.5...qo. ...... Block .... 0, .3 :,0.0. ..... Lot...0..o.~...qo..o ..... 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 X Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant...~ '~:'A. ~'Romanowski~ ~ .......... Rev. I0-10-78 CONSENT TO INSPECTION ROSE A. ROMANOWSKI · , the undersigned, O%vner(s) Name(s) do(es) hereby state: one of That the undersigned (is) (aK~)/the owner(s) of the premises in the Town of Southold located at Main Road, Laurel, New York · which is shown and designated on theSuffolk County tax map as District 1000, Section 125.00, Block 03.00 , Lot 008.000. That the undersigned (has) ~Fa~) filed· 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of Occupan~c¥ on Dre-existinq dwellinq and accessorY buildings. 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 reg.ulations 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: July 20~ 1988 (signature) Rose A. Romanowski (print name) (signature) (print name)