HomeMy WebLinkAboutZ-26723 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- 26723 Date: 10/05/99
THIS CERTIFIES that the building DWELLINGS
Location of Property 720 SECOND ST NEW SUFFOLK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 0008 Lot 013
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- 26723 dated OCTOBER 5, 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 THREE ACCESSORY SEASONAL COTTAGES & STORAGE
SHED*
The certificate is issued to ATHANAS & RUTH ZAMPHIROFF
(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.
9,
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//""ildVg Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 SECOND ST NEW SUFFOLK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : ATHANAS & RUTH ZAMPHIROFF
OCCUPANCY: RESIDENTIAL ATHANAS & RUTH ZAMPHIROFF
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117 -8-13
SOURCE OF REQUEST: ABIGAIL A. WICKHAM ATTY 9/8/99 DATE: 10/05/99
DWELL•TNG
'TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 1
FOUNDATION: CEMENT BLQ9K uTFAS CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 0 3RD FLR. : 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: COVERED PORCH DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: HOTWATER AIRCONDITIONING:
TYPE HEAT: NONE WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST. :
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER: * BUNGALOW A ON AT SURVEY
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ' DESCRIPTION ' ART. ' SEC.
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REMARKS: O 8 0 ND STY DD D C
INSPECTED BY.' DATE ON INSPECTION: 09/30/99
G Y . FI TIME START: .10:45AM END: 11:20AM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 SECOND ST NEW SUFFOLK
SUBDIVISION: MAP NO. : LOT (S)
NAME OF OWNER (S) : ATHAMAS & RUTH ZAMPHIROFF
OCCUPANCY: RESIDENTIAL ATHANAS & RUTH ZAMPHIROFF
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 1»--8-13
SOURCE OF REQUEST: ABIGAIr A WICKHAM ATTY 9/8/99 DATE: 10/05/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _I
FOUNDATION: r'T+MT.NT BLOCK PIERS CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : 3 2ND FLR. : 0 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: COVERED PORCH DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: HOTWATER AIRCONDITIONING:
TYPE HEAT: NONE WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: BUNGALOW B ON ATTACHED SURV Y -
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ' ART SEC.
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REMARKS:
INSPECTED BY: ` DATE ON INSPECTION: 09/30/99
G FIS TIME START: 10:45AM END: 11:20AM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 SECOND ST NEW SUFFOLK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : ATHAN S & RUTH ZAMPHIROFF
OCCUPANCY: RESIDENTIAL ATHANAS & RUTH ZAMPHIROFF
ADMITTED BY: ACCOMPANIED BY.:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117 -8-13
SOURCE OF REQUEST: ABIGAIL A. WICKHAM ATTY 9/8/99 DATE: 10/05/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAM # STORIES: 1.0 # EXITS: _ I
FOUNDATION: CEMENT BLOCK PIERS CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 3 2ND FLR. : 0 3RD FLR. : 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: COVEREDPORCH DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: HOTWATER AIRCONDITIONING:
TYPE HEAT: NONE WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: * BUNGALOW C ON ATTACHED SURVEY
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. 1 SEC.
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REMARKS:
INSPECTED BY DATE ON INSPECTION: 09/30/99
G J FISH TIME START: 10:45AM END: 11:20AM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 720 SECOND ST NEW SUFFOLK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : ATHAN S & RUTH ZAMPHIROFF
OCCUPANCY: RESIDENTIAL ATRANAS & RUTH ZAMPHIROFF
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 117 -8-13
SOURCE OF REQUEST: nBIGaIL a WICKHAM ATTY 9/8/99 DATE: 10/05/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 1
FOUNDATION: CEMENT BLOCK PIERS CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : I 2ND FLR. : 0 3RD FLR. : 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: COVERED PORCH DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: HOTWATER AIRCONDITIONING:
TYPE HEAT: NONE WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES;
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER: * BUNGALOW D ON ATTACHED SURVEY.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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REMARKS:
INSPECTED B DATE ON INSPECTION: 09/30/99
/G /Y . FIS TIME START: 10:45AM END: 11:20AM
Form No: 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
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A. 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 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.
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6. Submit Planning Board Approval of completed site plan requirements.
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a 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 Buildiniz - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of .Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.0.0
i Date . . . . . August. 31:. 1999. . „ • • • •
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New Construction. . . . . . . . . . . Old Or Pre-existing Building. x. ... . .fllc:�-.-aoaoa
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Location of Property. . 720 .Second Street,. New. Suffolk, New York
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Athanas A. Zamphiroff and Ruth E. Zamphiroff
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . . . . . . . . .Block. . g. . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . ... . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X . . . . . . .
Fee Submitted: $, •100:00 . . . . . . . . . . . . . . . . . .Li*
Q��c.s6s �3 . . . 4WickhWLIAq6jTt
: . . . . . . . . . . . . . . . . . . . . . . . .
U� co a a`)0? Abi for Owners
CONSENT
TO
INSPECTION
ATHANAS A. ZAMPHIROFF AND RUTH E. ,ZAMPHIROFF the undersigned,
Owner(s) Name(s)
do(es) hereby state;
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 720 Second Street, New Suffolk, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 117 , Block 8 Lot 13
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:
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Pre-Existing Use C.O. for three cottages
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 regulatio'ns 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: 8/31/99
(signature)
A igail A. Wickham, Agent for Owners
(print name)
(signature)
(print name)
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