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Home My WebLink AboutZ-27788 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- 27788 Date: 07/05/01. THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 38220 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 069 Block 0002 Lot 002 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- 27788 dated DULY 5, 2001 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 ACCESSORY ONE CAR GARAGE.* The certificate is issued to CAROL ZEBROSKI SAVAGE & ORS (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. ut rized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 38220 CR 48 SOUTH/PEC SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S) : CAROL ZEBROSKI SAVAGE OCCUPANCY: SINGLE FAMILY CAROL ZEBROSKI SAVAGE ADMITTED BY: STANISLAW ADAMCZUK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAIL MAP NO.: 69.-2-2 SOURCE OF REQUEST: STANISLAW ADAMCZUK DATE: 07 05 01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FIR.: 3 2ND FIR.: 3 3RD FIR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING: TYPE BEAT: LILCO GAS WARM AIR: X HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SW324MING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. BATHROOM I STRUCTURAL MEMBERS SHALL BE PROTECTED AND I NYCRR I VOL 9B MAINTAINED TO RESIST AND PREVENT DETERIORATION 1242.7 I (A) EXTERIOR I EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD 11242.5 I (E) CONDITION. SURFACES NOT INHERENTLY RESISTANT TO DETERIORATION SHALL BE TREATED W/A PROTECTIVE COATING OF PAINT OR OTHER SUITABLE PRESERVATIVE * I * SEE NEXT PAGE RAMARM: REINSPECTED 6/27/01 INSPECTED BY: A6_1 * DATE ON INSPECTION: 06105 01 GARY FISH TIME START: 10:20AM END: 11:00AM BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 38220 CR 48 SOUTH/PEC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) . CAROL ZEBROSKI SAVAGE & ORS OCCUPANCY: SINGLE FAMILY CAROL ZEBROSKI SAVAGE & ORS ADMITTED BY: STANISLAW ADAMCZUK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 69.-2-2 SOURCE OF REQUEST: STANISLAW ADAMCZUK DATE: 07 05 01 DWELLING: TYPE OF CONSTRUCTION: # STORIES: 0.0 # EXITS: 0 FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 0 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 0.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: 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 LOCATION DESCRIPTION ART. SEC. ACCY GARAGE I STRUCTURAL MEMBERS SHALL BE PROTECTED AND 11242.7 I (A) MAINTAINED TO RESIST AND PREVENT DETERIORATION WALLS SHALL BE MAINTAINED IN A SAFE AND SOUND CONDITION. REMARKS: REINSPECTED 6/27/01 INSPECTED BY: ' DATE ON INSPECTION: 06105101 GARY J FISH TIME START: 10:20AM END: 11:00AM y77-3 11A,9- TOWN HALL 'vcry,ti j('j'fjff s 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir. 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 buildi 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 '-'pre-existing" land uses: I. 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 applicar. 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_15DT00.. 2. Certificate 'of Occupancy on Pre-existing Building ( $100.OQ> 3. Copy of Certificate of Occupancy - _25e 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential�$15.00, Commercial $15.00 Date 6��.' A5?/ 1. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building.. . . . . . . . . . . . . . Location of Property. . . . . . . . . . . J House No. Street Hamlet Onwer or Owners of Property. '2?��.�� '� �:l�Zc /S'1.�i.7r�Ck: . d �'• •^ - Z ' County Tax Map No 1000, Section. .,�. . . . . . . . . .Block. .?. . . . . . . . . . . . .Lot. 2. . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Rap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for. : Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $ DQs Pip . . . . . . I . . . . . . . . 'Cz, c�LZ . . . . . . . . . . . . . (l P ICANT r CONSENT TO INSPECTION 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 3 $2Z p Z/Y Bola' V 111 which is shown and designated on the Suffolk. County tax map as District 1000, Section Block Lot 2- That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in^the Southold Town Luiiciing inspeUW.L o.rr1oo row- +ha fnllntvinLr: 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: `j/ Z�/ /e�r �TGteGt�iQ.� (signature) (print name) (signatu y) (print n e) 0 ANY ALTERATION OR ADDITION TO SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SLODIWSION 2. ALL CERTIFICATIONS CJ�� HEREON ARE VCAOLP��FOR THIS MAP AAV COPES THEREOF ONLY/F sP'we SAP MAP OR WHOSE TUR�E a s ME SSED AIL OF THE SURVEYOR pO Z ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A' COPY • �• \�� t¢ N OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED'AND BROUGHT - TO - DATE'ARE NOT IN COMPLIANCE WITH THE LAW. G 010 m .0 COO r a o ISL p 010, ull J '- SURVEY OF PROPERTY AT SOUTHOLD TOWN OF• SOUTHOLD �(� goo rebcr SUFFOLK COUNTY, N. Y. 0 , ."1000 - 69 - 02 - 02 121.00 SCALE 1" = 30' MAY 25, 2001 sp��` s .7e•�61o0' W. _ ROAD ' NORTH �llIf NEIy y0 Y, LAIC, NO. 49618 EC - SU, P.C. (63I1 ` - FAX y� 1 765 - 1797- °' P. 0. 9 a�® . AREA =. "19,126 sq. ft 12 3THOL , � 197ET 01 — 150 LOCATION: — number & treet . municipality • SUBDIVISION MAP NO, LOT (s) T�— NAME OF OWNER (s) OCCUPANCY type owner-tenant o ADMITTED BY:--! z4 cA&J a�r -Wl�'Zca K ACCOMPANIED BY:— X&md KEY AVAILABLE SUFF. CO. TAX MAP N0./Oco -�jQY'Ol- SOURCE OF REQUEST: s7'71A)154I,J DATE: InI J19 DWELLING: TYPE OF CONSTRUCTION (,IJB-e-c( =Q/�, STORIES /� # EXITS oZ FOUNDATION Cr 4,jr CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FI.R. 3 2ND FLR. 3 3RD FLR. BATHROOM (s) Bl�� TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER ` U TYPE HEATER 4;kc,p GiV AIRCONDITIONING TYPE HEAT /-. co GAs WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CJ�„� Wtrp� &-,�ig STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------ ------------- ___ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE. LOCATION DESCRIPTION ART. SEC. " off rx a , o- - J _ j REMARKS: INSPECTED BY: DATE ON INSPECTION �0/ �J p TIME START /dgSO END // cQo