HomeMy WebLinkAboutZ-17377 FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
217377 Se tember 30, 1988
No....... Date
THIS CERTIFIES that the building .Two , one • f am i 1 y. •dw e 11 i n $ s .
Location of Property .875 ALVAH' S LANE CUTCHOGUE
House No. Street • • • Hamlet
County Tax Map No. 1000 Section ~ ~ 9.......Block ~.1.........Lot ? 6........... .
Subdivision ...............................Filed 1+4ap No. ........Lot No. .
REQUIREMENTS FOR A PRIVATE ONE-FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the ~41~i1~rXi'~c~i~~$'~~Fi~i~$y~p~{~'j'~i~X~~d:~C~I~~C~X~~XX
APRIL 9, 1957 CERTIFICATE OF OCCUPANCY
• • • • • • • • • • • • • • pursuant to which ~2ziiIdG3I~CR~-?I>YtXNo. ....Z 1 7 3 7 7
dated SEPTEMBER 30, 1 988 was issued, and conforms to all of the requirements
of t11e applicable provisions of the law. The occupancy for which this certificate is issued is .
TWO ONE FAMILY DWELLINGS AND ACCESSORY 2 CAR GARAGEISMALL WOOD
STORAGE SHED.
T}te certificate is issued to EUGENIA KAPUSTKA (BEEBE )
(owner,YeK~SdE}Feli)
of the aforesaid building.
Suffolk County Department of Health Approval •N /A
.
UNDERWRITERS CERTIFICATE NO ...............N /A
PLUMBERS CERTIFICATION DATED: N/A
**SEE INSPECTION REPORT
Building Inspector
Rev. 1/81
BUILDI::G DEP =1'1T~L',iT
TO~~id OF SOUTHOLD, N. Y. '
HOUSIdG CODE Ii•iSPECTIOiQ R%PORT
Location 875 ALVAH'S LANE CUTCHOGUE
(numoer 8c s~reet Municipality)
Subdivision i4lap No. Lot(s)
Na.-ne OI" Oemer(s) EUGENIA B. KAPUSTKA (BEE'8E)
Occupancy R- 1 TENANT
(typ e o~,~ner-tenant )
Ad.::itted by: MRS. BEEBE Accompanied by: SAME
Key available Suffolk Co. Tax No. 109-1-26
SOUT'Ce Of request EUGENIA BEEBE Date SEPT. ]6, 1988
D~^IELLI~IG: FRONT DWELLING
Type of construction wooD rstories 2
Foundation ROCK & BRICK Cellar PARTIAL Crawl space
Total rooms, lst. Fl 4 2nd. Fl 3 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type ROOF OVER Deck, type Patio, type_
Breeze~,ray Garage Utility room
Type Heat oIL FIRED ~1arm Air Hotwater xx
Fireplace(s) No. E:cits 2 Airconditioning
Domestic hot.vater YES Type heater TANKLESS
Other TWO SMOKE DETECTORS
ACCESSORY STRUCTURES:
Garage, type const.2 CAR WOOD Storage, type coast. SMALL WOOD
Swirn~ming pool Guest, type coast.
Other 2nd DWELLING LOCATED IN THE REAR.
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& Building Code
Location Description ~Art.~ Sec.
FRONT DWELLING
NO VIOLATIONS WERE FOUND
REAR DWELLING
(FOUNDATION NEEDS REPAIRING CH F i '
Remarks•
Inspected by: /~~Date of Insp. 9/27/88
Time start 4:00 end 4:30 p.m.
CURTIS W. HORTON
/ .
BUILDI_,G DEP u?T:i=,;'iT
TO:v~I OF SOUT;;OLD, N. Y.
HOUSIidG CODE IidSPECTIOi'1 REPORT
Location 875 ALVAH'S LANE CUTCHOGUE
~numoer & s ~ree~ i~iunicipality)
Subdivision i''tap No. Lot(s)
Name of 0`,•rner(s) EUGENIA B. KAPUSTKA (BEEBE)
Occupancy R-1
type owner-zenanz)
Ad~::itted by: MRS BEEBE Accompanied by: SAME
Key available Suffolk Co. Tax No. 109-1-26
Source of request EUGENIA BEEBE Date SEPT. 16, 1988
D!"IELLI~rG- REAR DWELLING
Type Of construction WOOD FRAMED Tstories 1
Foundation POSTS & CEMENT B Cellar Crawl space xx
Total rooms, lst. Fl 3 2nd. Fl 3rd. Fl
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type_
BreezetvaY Garage Utility room
Type Heat GAS ~1arm Air xx Hotwater
Fireplace(s) No. E:cits 2 Airconditioning
Domestic hotwater YES Type heater GAS HOT WATER
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
& ~ ~ lding Code
Location Description ~Art.~ Sec.
FOUNDATION NEEDS REPAIRING CH 45
F CHAPTER
_ +
I
1
Remarks •
Inspected by: 'v` Date of Insp.
Time start end
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 ~ to the Building Inspec-
torwith 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 instaila-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pYOperty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
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 $ 10.0 0
4.Vacant Land C.O. $ 20.00 rr~~
5 . Undated C . O . $ 5 0 . 0 0 Date . ..~~4./.. ~ 9~A.... .
Ne ......Old or Pnnre-existing Building . Vac~a^nt Land/ .
Location of Property ..a .~.7 U R h rS ...~.14t'2~........... 4. ~fC. kt.a ~{.~4 .
House No. Street Ham/et
Owner or Owners of Property K T :P lJ! .44..... ~,,'4~ ~i T;~~ .?.g .
County Tax Map No. 1000 Section Block Lot
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$..S.C1..c.'~d,,,,,,,,,,,,,,,,,,,,
Construction on above described building and permit meets all applicable codes and re ulations.
Applicant . ~~c-~.~¢./4~e-.~
ate. io-~o•~s ~ 3S is'3 3 i~~~c.~f'-'~
C .u. Z/737~
9 /3 Q/F~
Sept. 16, 1988
To whom it may concern:
I acquired the property on Alvah's Lane
in 1963 from my in-laws, Frank & Anna
Kapustka. They acquired this same property
from my Mother, Stephanie Sawicki in 1959•
My Mother was left with the same property
after the death of her Mother, Maryanna
Barszczewski in 1946.
This property has always been two (2)
seperate dwellings as far back as I can remember.
O i~~-
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