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Home My WebLink AboutZ-17260 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-17260 Date SEPTEMBER 2, 1988 THIS CERTIFIES that the buildingsONE FAMILY DWELLING Location of Property 3450 MAIN ROAD LAUREL, N.Y. House No. Street Hamlet 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 pursuant to which Certificate of OccZ-17260 dated SEPTEMBER 2, 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 DWELLING & ACCESSORY GARAGE The certificate is issued to ROSE A. ROMANOWSKI (owner, ) 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 B4O11ding Inspector Rev. 1/81 BUILDING DEPARTMENT MIN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3450 Main Road Laurel, New York number & street (Municipality) Subdivision Map No . Lot(s) Name of Owner(s) ROSE ROMANOWSKI Oc cup ancy ONE FAMILY DWELLING - .'A' Residential Agricultural zone type owner-tenant Admitted by: OWNER Accompanied by: SAME Key available- Suffolk Co. Tax No. 125-03-008 Source Of request RICHARD F. LARK, -ATTY Date 7/.25/88 DWELLING: Type of construction Wood framed #s-tories 2 Foundation - Masonry Cellar XX Crawl space -- Total rooms, lst. Fl 5 2nd. Fl 4 3rd. Fl -- Bathroom(s) 2 Toilet room(s) Porch, type OPEN (masonry) Deck, type -- Patio, type_ -- Breezeway -- Garage detached Utility room YES Type. Heat OIL FIRED Warm Air Hotwater Fireplace(s) No. Exits 2 Airconditioning -- Domestic hotwater XX Type heater -- Other ACCESSORY STRUCTURES: Garage, type const. frame Storage, type const. attic . Swimming pool -- Guest, type const. -- Other 11 Farm buildings in varying conditions one under CO Z-7044 and one under GO Z710b/9. VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention Building Code Location Description IArt. 1 - Sec. DWELLING No smoke detector - Chapter B- 3 711.5 ACCY GARAGE Overhead door needs repairs CELLAR Water. in one corner - Chapter F - 1244 FARM BUILDIN S The requirements of this Chapter shall not I apply to non-residential farm buildings. , Chapter B I 651 .3 Remarks: Inspected b Date of Insp. 9/2/1988 om i s e Time start 10•_end 1 1 :00 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted av�io 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. r B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pm. perty 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. C. Fees: 1. Certificate of occupancy New Dwelling,$25.0.0, Accessory ,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 : 0 0 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 5.Uvdated C.O. $ 50 . 00 Date , , , , ,July, 20 t . 1988. . . . NewCons truction. , , , , , Old or Pre-existing Building . . . . X . . . . . . Vacant Land . . . . . . . .. . . . . Location of Property . . . . . . . . . . . . . . . . . . .Main .Road . . , . . . . , , . . . , . Laurel , , . - . . House No. Street Ham/et Owner or Owners of Property , . , Rose, A., .Romanowski. . . . , . . County Tax Map No. 1000 Section , .12 5...0 0. , , , , , Block . . . .03..0.0 , , , , , Lot . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . PermitNo. . . . . . . . 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 . . �. . .Q . . . . . . . . . . . . . . . . . . . . . . . . . Rose A. Romanowski Rev. 10-10-78 CO2t. 0 CONSENT TO INSPECTION ROSE A. ROMANOWSKI the undersigned, Owner(s) Name(s) do(es) hereby state: one of That the undersigned (is) (xxm)/the owner(s) of the premises in the Town of Southold located at Main Road, Laurel, New York which is shown and designated on the-Suffolk County tax map as District 1000, Section 125.00 , Block 03.00 Lot 008.000 . That the undersigned (has) Mftm) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existing dwelling 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 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: July 20 , 1988 o�w a• a r (signature) Rose A. Romanowski (print name) (signature) (print name) r j ti 0,A p _ N 53os3� 07.1 uf Lo N 10,0 o w a Al A ; `IVAP OF.' PROPERT-Y 4 SURVEYED`= FOR.;,.,y. HENR y: S - ROM; vo ws�i `MARCH rs42 D k ,• ,. SCALE:-/%NCH='2oo fWE-r o _ o In NOTE: A A:CONCRE;TEF-MON[JMENT UNLE'SS`OTflERVY/SE SHOWN. i .SuRv�rE-O °;eY OAN/EL R. YOU/VG, - r:`.A L.vE/v W. yoZ! VG, L.S. AT/VE'RH£A 0,/V. Y. C.T.