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Home My WebLink AboutZ-23660FORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICAT~ OF OCOu~A_NC'Y No Z-23660 Date MAY 22, 1995 THIS CERTIFIES that the buildin~ Location of Property 1020 STROHSON ROAD House No. Street County Tax Map No. 1000 Section 103 Block 10 Subdivision Filed Map No. ONE FAMILY DWELLING ~:uTCHOGUE, N.Y. Lot 25 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23660 dated MAY 22, 1995 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 SEASONAL BW~r. LING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.~SE SEE ATTAc~D INSPECTION WEPORT. Rev. 1/81 ROBERT ROTH & ANNA MARCHAK N/A N/A N/A //ulldlngInspector LOCATION: SUBDIVISION MAP NO. NAME OF OWNER (s) ROBERT ROTH &¢AI~IANARCHAK OCCUPANCY A-] RES. (type~ ADMITTED BY: DAN ROSS KEY AVAILABLE SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTIIOLD IIOUSING CODE INSPECTION REPORT 1020 STROHSON ROAD CUTCNOgUE, NEW YORK (number & street) (municipality) LOT(s) OWh'ER (o~ner-tenant) ACCOMPANIED BY: SA~ SUFF.CO. TAX MAP NO. 1000-i0~-i0-25 DATE: HARCH 30, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATHROOM (s) i PORCH TYPE BREEZEWAY DOMESTIC HOTWATER NOl~g TYPE HEAT NONE WO~D FRAME CEHENT BLOCK CELLAR 5 2ND FLR. TOILET ROOM (s) FIREPLACE TYPE HEATER WAP&I AIR 3RD FLR. ! DECK, TYPE ~ STORIES I ~ EXITS PARTIAL CRAWL SPACE UTILITY ROOM PATIO GARAGE AIRCONDITIONING UOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: WOOD PLATFORH & STAIRS AT BEACH AREA VIOLATIONS: CttAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. FLOOR BE~ '$ ~-, BUILDING & STRUCTURES SHALL BEHAINTAINED FREE OF INSECT, NYCRR VOL 9 & ~rm~R VENOM AND RODENT HARBORAGE ~ I~F~STATION. PART. 1242.9 LOCATIONS ~RK.S: NO BEAT "SEASONAL OCCoI'ANCY" INEPMCTED BY DATE OF INSPECTION HAY 12, 1995 TIME START 9:50 END 10:20 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. , 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 contairs 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or building~ and -pre-existing land uses: 1. Accurate survey of property showing all 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, 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~ - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00' '"Y" w:; ............................... New Construction ........... Old Or Pre-existing Building....~. .......... Location of Pronertv . ~ 9 ~ , · _ ................................ House No. Street ............... Hamlet ...... On,er or Owners ,.,f Property...d MP K County Tax Map No 1000, Section..JP.~. ....... Block ..... ~O .Lot Subdivision...r~. ~. ................................. Filed Map ............ Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval.. .Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................ · .... ........... co, - 6 iNSPECTION ~}q~C~. ~p~ ~J~}~-~C~r~ ' . the undersigned. Ovmer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the To~ of Southold located at S~0~9o~ gU.. C~FC ~C-U6 ~.~. / / , which is shmm and designated on the Suffolk County tax map as District 1000, Section )~ , Block ~ , Lot,,,'~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Totem Building Inspector's Office for the follow,g: 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 pramises comply with a'il.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 reg'ulations of the Town of Southold. (si~natdre'~' (print ~ame) (signature) (print name)