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Home My WebLink AboutZ-35006FORM NO. 4 TOWN OF SOUTEOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 35006 Date: 06/20/11 T~IS c~TIFIES that the building DWELLING Location of Property 430 TUCKER (HOUSE NO.) Cowry Tax ~p No. 473889 Section 063 Subdivision SOUTHOLD (STREET) (HAMLET} Block 0005 Lot 004 Filed Map NO. __ Lot No. -- confo~]~s substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCcuFANCY NI]MBER Z- 35006 dated JUNE 20, 2011 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 AND ACCESSORY SHED.* The certificate is issued to CARL & JEAN STEPNOWSKI (OWNER) of the aforesaid building. N/.~ N/A N/A ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTROLD HOUSING CODE INSPECTION REPORT LOCATION: 430 TUCKER LA SOUTBOLD l~ OF O~ (S): CARL & JEAN STEPNOWSKI O~ANCY: ONE FAMILY DWELLING MAP NO.: LOT (S) CARL & JEAN STEPNOWSKI DAY: 06/20/11 ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. IIAT~ ~ INSP~-~TI(~: 06/06/11 RECEIVED 05/27/2011 01:07 6317655816 05/27/2011 13:08 FAX 831 727 4528 JEAH~ARIE P COSTELLO Form No. 6 TOWN OF $OUTHOLD 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 Depamaem with the A. For new building OF new use: I. Final survey of property with accurate location of all buildings, prcperty lines, streets, and unusu 3. 4. topograPhic features, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical i nstallaQon f~om Board of File Underwriters. MCCARTHY REAL ESTATE [~ 002/003 Sworn statement from plumber certifying that the solder used in system contain~ less than 2/I0 of 1% lead. Commercial building, industrial building, multiple residences sad similar building~ aad installations, a ce~iflcato of Code Compliance ~rom architect or engineer responsible for the buildim-. Submit Planning Board Approval of completed site plan requirements. B. For exiafing buildings (prior to April 9, 19S7) non-conforming uses, or buildings and "pre-existing" land uses: I, Accurat~ survey of lnoperty showing all property lines, streets, building and unnsual natural or topograpi~ie features, 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Oeeupency is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C, Fees 1, Ce~t~cate ~f ~ccupancy ~ New dwe~ing $25~ Additi~ns t~ dwe~ing $25~ A~t~rati~ns t~ dwe~ing $25~ Swimming pool $25.00, Accessmy building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of C)ccupaney on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 5. Tempera~y Certificate of Occupancy - Residential $15.00, Commercial $15.00 Da,.,,. New Construction: Old or Pre-existing Building: X (check one) LocationofPrcperty: 430 Tuckers Lane Southold House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax MapNo 1000, Section Subdivision Jean Stepn.,qFzkv and Carl Stepnow~,k~. 063.00 Block 05.00 Filed Map. Applicant: Underwriters Approval; Permit No. Date of Permit, Health Dept. Approval: Plas~ning Board Approval: Request for: Temporary Cerfificat~ Fee Submittal: $ 100,00 Final Certificate: Lot 004. 000 Lot; (cheek one) Jean Stepnow~ky TOWN OF SOUTHOLD PROPERTY RECORD CARD / ~ ~,' ~"'~ VILLAGE DIST. SUB. OWNER STREET FORMER OWNER ' ~ N E ACR. ~ BUILDING 'd S . ~PE OF ~/O S~S. VL. FARM COMM. CB. alue ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION N~ NORMAL BELOW A~OVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKH~D Total DOCK M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio COLOR TRIM Foundation 700 Basement Ext. Walls Fire Place Type Roof Recreation Roorr Dormer Driveway Bath Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor Total Dinette DR. BR. FIN. B. CONSENT TO INSPECTION e~ - ~( ) _ ? do(es) hereby state: That the undersig~.ed.~(is)J~.~e) the owner(s) of the premises in the.Town of . eC.m~ unty Ta~ Map as DistriCt I000, ' Section ~ ~,Bloek ~ ,Lot Z-/ . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building lnspeffl~r_? Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described properly, including any and all buildings located thereon, to conduct such inspections as they may dv~m necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, roles and'regulations.of the Town of South01d. 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 in.subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: '(Signature) (Print Name) RECEIVED O5/27/2011 01:07 6317655816 MCCARTHY REAL ESTATE 05/27/2011 13:06 FAX 63~ 727 4528 JEANMARIE P C03TELLO ~003/003 SURVEY O1~ PROP~,RTY AT $OUTHOLD TO~N OF $OUTHOLD SUPFOLK COUNTY, N.Y. LOCATION: (number & street) (municipality) SUBDIVISION: ~ ~ ~]- ~O.~ LOT(S): __ NAME OF OWNER(S): ~ ~ ~ ~ OCCUPANCY: (type) ~ (owner-tenant) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: ACCOMPANIED BY: ~ SUFF. CO. TAX MAP NO. 1000- DWELLING TYPE OF CONSTRUCTION: ~)q-a--~ ~ #STORIES: / ~"' # EXITS: FOUNDATION: ?~,~.~..a.~_~..J/"~' . .~_ .~'- B AS E M E N~)'} ~ CRAWL SPACE: ~"~"~_ # OF BEDROOMS: IST FLR: ~ 2ND FLR;Y~ 3RD FLR: BATHROOM(S): ~ TOILET ROOM(S): 'UTILITY ROOM: · PORCH TYPE: DECK, TYPE: ~' - PATIO, TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: ,/~4~ffJ4M ~f # OF KITCHENS: FIREPLACE: GARAGE: TYPE HEATER: ~ ~ONDITIONING: WARM AIR: HOTWATER: FINISHED BASEMENT: YES OTHER: NO ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATI~, n --- DESCRIPTION ^ ART. SEC. I,/2...' REMARKS: INSPECTED BY: TIME START: END: