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Home My WebLink AboutZ-22688FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22688 Date October 29~ 1993 THIS CERTIFIES that the building. Location of Property 4900 DEPOT LANE House No. County Tax Map No. 1000 Section 96 Subdivision ONE FAMILY DWELLING CUTCHOGUEr N.Y. Street Hamlet Block 2 Lot 2 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-22688 dated OCTOBER 29~ 1993 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 TWO ACCESSORY STORAGE SHEDS & ACCESSORY BARN* The certificate is issued to of the aforesaid building. ANTONE CHITUK (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEP^RTMENT TOWN OF SOUTIIOLD [lOUSING CODE INSPECTION REPORT LOCATION: 4900 DEPOT LANE (number & street) -- SUBDIVISION NAME OF OWNER (s) ANTONE CH1TuK CUTCHOGUE, N.Y. MAp NO. (,nuoicipality LOT (~) OCCUPANCY A-I RES. (type) ADMh-[~D BY: KEY AVAILABLE SOULC~ OF REQUEST: OWNER (owner-tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000-96-2-2 WILLIAM WICKHAM, ATTY DATE: OCT. 21, 1993 DWELLING: IxPE OF CONSTRUCTION WOOD FOUNDATION CEMENT BLOCK TOTAL ROOMS: ]ST FLR. 3 ' 2ND FLR. 3 BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE ENCLOSED PORCH DECK, TYPE BREEZEWAY FIREPLACE NO DOmeSTIC HO~ATER YES. TYPE HEATER TYPE HEAT OIL WARM AIR O~IER: WASH ROOM OFF KITCHEN ~ STORIES 2 ~ EXITS 3 CELLAR FULL CRAWL SPACE 3RD FLR. ELECTRIC UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HO~ATER XX ACCESSORY STRUCTURES: CAI{AGE, ]'YPE OF cONST. S~IMMING POOL OTHER: BARN STORAGE, TYPE CONST. · GUEST,.TYPE CONST. T~O STORA6'E SHEDS VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~ASEMIfNT IT APPEARS THAT ELECTRIC HOTWATER~N~.ATER IS LEAKING NTCKR 9 (B) ~XTERIOR ROOF IN NEED OF REPAIR (HOUSE) IXTERIOR REAR ~m~D IN NZZD OF REPAIR. ~ARYARD REMARKS: DATE ON INSPECTION OCT. 26, 1993 TIME START 9:30 ENlJ 9:55 FORM NO. 6 TOWN OF SOUTHOLD Building Depaib;~ant i il i ~ 9 Southold, N.Y. 11971 I L~ ............ APPLICATION FOR CE RTl FICATE OF OCCUP,eI~CY TOWN OF SOUT,OtO Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "preexisting" land uses: 1. Accurate survey of property 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 building~ 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .. P~;p~;.~J.,.~PP3 ........ New Building ............. Old or Pre-existing Building ..... ~ ...... Vacant Land ............. Location of Property .................... ' ....Pt~.~. ~. ~ ..................... C~cb~u~. House No. Street Hamlet Owner or Owners of Property .... .E.s.~.aJ:.e.p.~..Ap.~.op.e..~:..C]~9[c .............................. County Tax Map No. 1000 Section ....0.9.6...0.0 ...... Block . .2~ .0.0 .......... Lot.. [?,~Q0 ......... Subdivision.................. ............. .. Filed Map No .......... . Lot No .............. Permit No. .......... Date of Permit ... .... ... Applicant .................................. Health Dept Approval .......... Labor Dept. Approval ...... Underwriters Approval . Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..[.0.0:.0.0 ...................... / . Construction on above described building and per//~~//~--~~tion[ Applicant. Q~i~~~~t' ~ '~ '~;;~; '~: '~hituk R~. 10-10-78 ~ · CONSENT TO INSPECTION Estate of Antone B. Chituk Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the of Southold located at CutchoKue, New York on the easterlv side of Depot Lane Which is shown and designated on Section 096.00 , Block That the undersigned (has) tion in the · the undersigned, do(es) hereby Town the Suffolk County tax map as District 1000, 2.00 , Lot 2.000 (have) filed, or caused to be filed, an applica- Southold Town Building Inspector's Office for the following: Certificate of Pre-Existing Use 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 inspec- tions 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 regulative of the Town of Southold. October 21, 1993 ~/ Dated: WILLIAM WICKHAM Print name Signature Print name DEBORflH DOTY TEL N0.516-734-??02 Oct 21,93 14:27 P.02