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Home My WebLink AboutZ-19740FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z19740 Date FEBRUARY 20~ 1991 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Propert~ 24500 C.R. #48 CUTCHOGUE House No. Street County Tax Map No. 1000 Section 84 Block 04 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a private one family dwelling built prior to APRIL 9~ 1957 Hamlet pursuant to which Certificate of Occupancy Z19740 dated FEBRUARY 20~ 1991 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, 2 WOOD FRAME ACCESSORY BUILDING AND CONCRETE FOUNDATION AS SPECIFIED ON SURVEY. NON-HABITABLE ***SEE INSPECTION REPORT The certificate is issued to FRANK CIELATKA & WIFE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/~ // ~uilding Inspector Location I BUILDIEG DEP~d~Ti.~NT .. TO';&! OF SOUTHOLD, N. Y. HOUSIi~G CODE INSPECTION REPORT 24500 C.R. #48 C~CHOGUE PAGE 1' ~numoer ~ s~reeE) Subdivision Map No. Nmme of Owner(s) F~NK CIELATKA & WIFE U,iunzcZpa±Z~y) Lot(s).. ' Occupancy A-I (type) A~mitted by: SELF ( own er- 5 enan~) Accompanied by: SELF Key available Suffolk Co. Tax No. 84-4-9 Source of request SANDRA CIELATKA Date D~'~LLt~: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 Bathroom(s) Porch, ~pe ENCLOSED Breezeway. Type Heat OIL Fireplace(s) ONE Domestic hotwater NO Other wood FRAME Cellar PARTIAL 6 2nd. F1 3 2 Toilet room(s) Deck, type Garage · Wallin Air No. ~cits #sTories 2 Crawl space -- 3rd. FI Patio, type. Utility room .Hotwater xx Airconditioning. ~ype heater OFF BOILER ACCESSORY STRUCTURES: Garage, type const. Storage, type const. 2 WooD'FRAME Swimming pool Guest, type const. Other CONCRETE FOUNDATION AS SPECIFIED ON SURVEY {) 2) 3) 4) VIOLATIONS: .CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Lncation ~ Descriotion C T. F Sec. EXTERIOR ALL EXTERIOR CONSTRUCTION SHALL BE MAINTAINED IN IPA~T I ;?&?. ~ PROTECTION I C~D CONDITION. ALl. SUP~ACES NOT INHRRE~FI~y PRO-} A , C{ D R TEC~D FR(~ ~E ET.~.~S SHALL BE PRO~C~D WTTM [ { A 't 2nd floor BUILDINGS & STRUC~P,~.S SHILL BE MiI~AINED FREE INSECT, VE}~{IN a RODENT HIR~P~GE a INFESTATI~ BOILER IN :CHII~YS, ~OKE STACKS. 5~S ETC. S~LI i .. ........ , ............ ,, o,~ na~-~- I f'AF/r { 1243. I (Bi BASElUsNT TAINED STRUC~LY S~ ~ ~O~ TI~T TO CO~] PRODUCTS OF CO~USTION TO 'l'~ OU'rzR AIR. ENTi~ HOUSM ELECTRICAL FIx'i'U~S, DEVICES, WIRING ~ SYS~R PART {243.8 { , ,. SHALL BE ~I~AI~D IN SAFE WO~ING CO~ITION IN ~A ~R ~ICH WILL AVOID A P~E~I~ SO.CE OF CONTINo~.D ON PAGE 2 Remarks: Date of Insp. · Time start end Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG, DEFT· ~ TO\~/N OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building -inspector ~ith the following: for new building o~ new 'u'se% 1. Final survey of property with accurate location of ail 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 znd 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 and pre-existing" land uses: I. Accurate survey of property showing ali property lines, streets, building and unusual natural 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 Building - $100.00 3. Copy pf Certificate of Occupancy - $5.00 over 5 years - $I0.00 ' 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ............ .................. ~:ew Construction ........ ~ O~ Or Pre-existing Building..~. ............ . , '''' Location of Property .... ~---.~..2~..~.. .............................. ~..~9~..~. House No. Street Hamlet ...... )nwer or Owners of Property. ~.~...~. YL~_~ ~ %Ounty Tax Map No 1000, Section ..... ?.,~. ..... Block...~. ........... Lot...~, .................. ~ubdivision .............. ...................... Filed Map ............ Lot. ~ermit No ................ Date Of Permit ................ Applicant ............. lealth Dept. Approval ................. ......... Underwriters Approval .... ........... lanning Board Approval ............... equest for: Temporar~ Certificate ........... Final Ccrticate.~ Ce Submitted: ~... ~/~ z-~ - ' ..... . i... ... ......... ' .......... SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-84-04-00 SCALE f'=40' FEB. 4, 1991 CERTIFIED TO: THOMAS J. MCCARTHY QiC. No. 49668 I-/-r- JOSEP/H/~. ,NGEGNO LAND SURVEYOR 1196 EAST MAIN STREET RIVERHEAD. NEW YORK 11901 I 516 ) 727-s'090 MIDDLE ROAD C.R. uL (NORTH ROAD) t~35 120.30' '20' £ O.H. ~.rs LOT AREA = 54303.20 sq. ff. 0.7875 ocres 48 11/$.30' 20.4' S 73'22'00" W ACT. 196.45' DEED 196.3' N/o/~ EUGENE VANDEN BOSCH & MARIE D. VANDEN BOSCH 91-104 CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the'~Suffolk County tax map as District 1000, Section ~k-/ , Block ~ , Lot ~ That the undersigned (h~s) (have) filed, 'or caused to be filed, au applica- tion in ~ Southold To~ ~u~lUing lnsp~..~ o~ ~ +~. ~nllow~: 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. - (signature) (print name) (signature) (print name)