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HomeMy WebLinkAbout24784-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26071 Date: 10/30/98 THIS CERTIFIES that the building ADDITION Location of Property: 1015 OLD NORTH RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 3 Lot 24.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1998 pursuant to which Building Permit No. 24784-Z dated MARCH 18, 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 ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to DOROTHY STEPNOSKI ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Buzlding Insp~tor FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24784 Z Date MARCH 18 98 Permission is for : hereby granted to: ALEXANDER & WF STEPNOSKI 1015 OLD NORTH RD SOUTHOLD~NY 11971 CONSTRUCT AN ADDITION TO AN ACCESSORY BUILDING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 054 pursuant to application dated MARCH Building Inspector. 1015 OLD NORTH RD SOUTHOLD Block 0003 Lot No. 024.003 13 98 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 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 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. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual hatural 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. 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................. House No. Street Hamlet ,nwe, o ers of Property . ;ounty Tax Map No 1000, Section .......... Block ............ ~ ........ ;ubdivision Filed Map Lot · 'ermtt No.. . ate Of Permit ....... cant ....... {ealth Dept Approval . . . . Underwriters Approval ................. ?lanning Board Approval ........................ '.equest for: Temporary Certificate ........... Final~rt~icate./~....... ~ / ~ :ee S~ubmi~ted: $ ............................ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [/] IN~.~J~LATION/ [ ] FRAMING [~'~] FINAL [ ] FIREPLACE & CHIMNEY ~/ REMARKS: DATE/~~~INSPECT~ FOUNDATION ( 1st FOUNDATION (2nd ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 765-],802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~JLATION [ ] FRAMING [ ~'~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~ ~-~- DATE //Q//~//~ / ? INSPECTOR OCCUP/~Ncy OR USE !IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY { P~LLL~. Di~P'L ~ I) { e, or4)roved a/c ........ I'cml t No .......... BOARD OF BEAI.TII ............... ~9 SET8 OF PLANS ............... SURVEY ........................ CIIECK ......................... .... ~.~ ....... ~.~ ......... 1R BUILI)1NO PRRHI'r INSTRUCTIONS s. ')hia sppllcat|on ri'trot IR co,pletely filled iu by type~vriter or In 3 ~ts oE pl~a, aco~rate plot plan to ~ale. F~ according to b. Plot plan d~l~ l~tt~ of lot ~ OE l~lidh~a ~ ~l~a, ~lati~Mdp to Mjotnt~ prell, or ~,blic struts or areas, n~l Bivi~ a ~ta[l~l ~rtptt~ of la~C of pro~rty ~lst I~ dr~ ~ tl~ dJa~n ~td~ {9 Imrt of this nlq)l d. Ul~ a~al oi titi~ a~lic~t{~, tl~ l~}ld{~ ]ns~ctor will lam~ i~mi~ ~mll ~ ~pt ~ ~ i,~I~8 available ~or in8~tt~ th~t tl~e ~rk. e. ~ ~tld{~ ~mll I~ ~i~l or ~l tn ~1~ or in ~rt ~r a~ ~ ~t~r ~mtil a C~rtif{cate of ~y ~mll h~e I~n grant~ I~ ~ Ikdidh~ ]na~tor. ~7,lC3T{~ lS I~ g~ to tl~ lh~Hding ~rt~nt ~or the issue I~ildtng ~ ~l~ oE t~ ~ o~ ~tl~td, ~folk ~, ~ Yo~, a~ atilt a~iieabi~ l~a, ~h~es or ~dati~s, ~or tim ~8t~tt~ oE hdldi~s, ~[ti~. or alteratt~8, or ~r r~al or ~lttion, a8 I~rein ~acrt~. ~ a~li~nt ~a to ~ly vi~ alt a~lieable l~a, o~[~e8, ~tldin8 re~,iat{~s,,a,~ to.it ~rt~in~tors~--aa~ tn~~~, (SJg~ture of 8~licant, or , ~ ' (~ili~ ~sa 9E a~licant) SLa~e d~tl~r a~licant ts ~r, lea~,, ~ent, archit~t, engt~r, ge~ral c~C~a~tor, electrtciau, pl~r or Ix~{h ~0,~ec ................................. · ..... .............................. .... .... ~o~o~.,-... ~.,.:,~. ..... '. ~ .: ............. (as ~ tie tax ~11 or latest d~) I[ applicant ia a corporation, signature of duly autl~)rlzed officer. '4~';~';i;;;';~';;;;;;;;';~i;;;i ........ OCCUPANCY OR '- ~- ~ ~ ~ ~ _,~E L UNLAWFUL ~.~-.V.~' { .. ~,~,~.~ Pl~r~ Lice~ OFOCOUPANCY ~tt ~ ~ ~. El~trlci~ l,i~ ~ ...................... t~ {{{ j { ~.~. Otl~r ~'~ Licen~ ~ ..................... ~&~ ~ j CODES. N~ RES~N~ I. l~aci~ o~ la~ ~ ~id~ pr~l ~rk ~ill I~ ~ ....... . .............~S~~~R$"~"* ~,~ To, ~p ~. ~ ~i~, .- ......... m~ ..... ......... ~0~ ...~,.~ ..... ~l~ivlsi~ ...................................... ~il~ ~p ~ ......... ~ ..... l~c ............... .. ~,~,~ ,- ~ ~ --.~.~].{-~0 .... -q.~%"~-~""{~ .................................. 3. I~aire oI: ~ork (cl~k ~dch al)plical)h)~ ~ ~iidlng ........... ~lci~ ..~ ..... Alteration .......... I~lmir ............ ~al ............. I~iiti~ ............ Off,er (~ lpd ) . Es m~ed ~a ............... , ........ ~ .............................................. (~o ~ ~id (,~ filing this ................ If 8ara&e~ tudor el care .. ~g C... .~ ................. 6. ff hmheaa, ~mrcfal or ml~ ~Sl~ a~el~ ~Lure aed ~Cen~ oE east Ly~ of u~ ...................... Ibl~c ........................ , ~m~r of 8toriea ...................... l)i.enal~a of ~m a:ne~re ul~h alteraLf~e or ~kJona~ FronC ............... ~ar ............... I~pth .................... l~f~'le ................... ~dmr o~ SCoriea ............... ~ ~ / I~t~l~ ....~ ................... ~ ~.d~r of 8~orl. ..................... I0. Iht'e of ~rdta~ ' ~ of I~ormr ~r ...................... 12. ~a propel m~tmtlm viol Ce any ~lng 1~, ordl~e or regula~i~I ........................ 15. Is lids p~r~y wifldn ~ f~.of a ~1~1 ~CI~? * Y~ .......... ~ ..~ ..... I~ace clearly a,~ disdmdy ~1 ~ildl~s~ ~mtlmr ~lsdng or pro~, m~ l~lcaCz all ~-~ di~nsion~ flint prol~r~y ll~s. Gi~ sC~t aM[I)l~k u~l~r or {~8crlpci~ ac~)~lng ro ~, a~ ~ streeC ~s a~l i~licare · ~.T~,/,'. .......... I~i,1~ d, ly ~x)r,, delx)see a~xl eeys that: he ia the appl|ea,. rector, ngenC~ officer, etc.) o1~ ea!.d ¢~a~er or o~a~erR~ aIKI le dLfly a~Jtl~or]eed to perlrom or Imve F.~rfonacq! the eaid ~o[k aKl co neke aa! £i le tht~ alqd {earle,; timt all etaLenenl:e c(~R'~[ned In I;h[e elq)llcatlt~) are tile Lo the I>eRt o[ his kt~o~ledge n~l I~i. lefl ,t.I that th~ ~s)tk will Ix~ perfonn~l I, I.he ,mnt~er eel: £orth tn the aiqd. icad¢,~ filed tlmreaLtJl. .~}~)m Lo before ,e title ma~ ~bllo, State of New Y0r~ r No. 4822563, Suffolk Coun /ooo C~ TH~INDENTURE, madethe 10th day of July ,nineteenh~dred and eighty BETSVEENGENEVIEVE SEPENOSKI, also known as Dorothy Sepenoski, residing at (No #) Old North Road, Southold, New York 11071, party of the first part, and ALEXANDER STEPNOSKI and DOROTHY STEPNOSKI, his wife, residing at (No #) Old North Road, Southold, New York 11971, Is"rRICT' S~C, TION BLOCK LOT 8 12 I? ,~t 8~ party of the second part, ~ETI~ that the party of the first rt in co ' ' pa:d by the mrtv of the ~,a ,~,~ a,~- ~__pa_ [, ns:deration of ten dollars and other valuable consl ' - __ . . s_._._ t-.,, --~ u=ren t and r I deration or successors and asslgas of the pa-- of the s?---~g~-t-~ ' · ease tmto the party of the second part, the heirs iAv.I'~ ~tl2aat.certai.n plot, piece Or rcel Of ' ' pa hnd, ~{tlaZth~ctm/l~l_ · . g-, b nga:mtar at Southold, Town of So~~-~ff~ff'~- ~-~1~/¢~, s:tuate, bounded and described as follows: ~.u&a, ~u~o±K County, New York, BEGINNING at'a point in the Westerly line of Old North Road at the Southeast corner of land of the party of the second part; running thence from the point of beginning N. 42° 46' 40" West, 150'feet along other land of the party of the second part to the Southwesterly corner of said land of the party of the second part; running thence S. 33° 23' West, approximately 45 feet to land now or formerly of Donahue Brothers; running thence Easterly along said land now or formerly of Donahue Brothers to the Westerly line of Old North Road; running thence Nortberly along the Westerly line of Old North Road 45 feet more or less, to the point or place of BEGINNING. ' TOGETHER with all right, title and interest, if any, of ~he party of the first rt in and to any streets and roads abutting the above described premises to the center lines thereof; TOGE~P~ER with the a purtenances and all the estate and rights of the party of the first part in and to sald remises; TO HAVe. AND TO HOLD the premises herein granted unto the party of the second part, the ~eirs or successors and assigns of the party of the second part forever. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paylnff the cost of the improvement and will apply the same first to the payment of the ~pst of the improvement before usin an art any other purpose. . :' g y p of the total of the same for The word p rty shall be construed as ff it read "parties" whenever the sense of this indenture so requires. IN V~qTIgES$ tArl-/EREOF~ the party of the first part has duly executed this deed the day and year first above written. IN PRES'~NCE OF: , ~J--r,5 ~,,.4 ,.~_.:~ ~:z~:c/,¢,.~ -. ¢._~ ~.~..' -- genevze~e Sepeno~i, a/k~a Dorothy Sepenoski,