HomeMy WebLinkAboutZ-20254 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20254 Date OCTOBER 1, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 4255 DEPOT LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 96 Block 5 Lot 7
Subdivision 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-20254 dated OCTOBER 1, 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 NON-HABITABLE ONE FAMILY DWELLING WITH ACCESSORY WOOD
STORAGE BUILDING *
The certificate is issued to ESTATE OF WALTER S. MARTKA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
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uilding Inspector
Rev. 1/81
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-
BUILDI:;G DEP. T:•:NT
TO`;JN OF SOUT;HOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 4255 DEPOT LANE CUTCHOGUE , N.Y.
(number & street) 04un1cipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s ) ESTATE OF WALTER S . MARTKA
Occupancy A- 1 RES .
(type) (owner-tenant)
Admitted by: CHARLES THOMPSON Accompanied by: SAME
Key available Suffolk Co. Tax No. 96-5-7
Source of request WILLIAM WICKHAM Date SEPT. 17 , 1991
DWELLING:
Type of construction WOOD FRAME #stories 1
Foundation CEMENT BLOCK Cellar 3/4 Crawl spade 1 /4
Total rooms , 1st. Fl 5 2nd. Fl 3rd. Fl •
Bathroom(s) 1 FULL BATH Toilet room(s)
Porch, type ENCLOSED Deck, type Patio, type_
Breezeway Garage Utility room •
Type Heat OIL Warm Air Hotwater XX
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater OFF BOILER Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. WOOD (IN NEED OF
Swimming pool Guest, type const. RPAIR)
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
CHAP. F.
Location Description jArt. l Sec .
INTERIOR Structural members shall be protected and main- I 11242.7 (a)
tained to resist and prevent deteriorating
Ceilings, walls, floors and stairways shall be
maintained in safe and sound condition. 11242.7 (c)
PLUMBING . Hot water shall be supplied. Water heaters shall 11243.7 (c)
be maintained in operating condition. i I
Potable water from an approved source shall be 11243.7 (a)
1 provided at all times. f
ELECTRICAL Electrical fixtures, devices, wiring and systems 1243.8 (a
shall be maintained in safe working condition.
�E Adequate methods shall be used for the collection- 1242.8 (a)
storage, handling and disposal of garbage and
re use.
Remarks: THIS IS A "NON-HABITABLE" DWELLING.
Inspected by: /7e • Date of Insp. SEPT. 27, 1991
GF SH - Time start end
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE September 17; .1991
NEW CONSTRUCTION OLD OR PRE-EXISTING BUILDING. .X . . .VACANT LAND
Location of Property no # Depot Road, Cgtchogue, NY 11935
HOUSE NO. STREET HAMLET
Owner or Owners of Property Estate of Walter S. Martka
County Tax Map No. 1000 Section . .09b.QO Block . 4 :00. . Lot . .0.0.7,QV.
Subdivision Filed Map Lot
Permit No. Date of Permit Applicant
Health Dept . Approval Underwriters Approval
Planning Board Approval
Request for Temporary Certificate Final Certificate X
Fee Submitted : $ 100.00
i
APPLICANT //j,„.;//'
C '
William Wickham, attorney or-Estate df Walter S. Martka
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rev. 10/ 4/88
1
CONSENT TO INSPECTION
Estate of Walter S. Martka , the undersigned, do(es ) hereby
Owner ( s ) Name ( s )
state:
That the undersigned ( is ) (are ) the owner ( s ) of the premises in the Town
of Southold located at no # Depot Road, Cutchouge, New York 11935
Which is shown and designated on the Suffolk County tax map as District 1000 ,
Section 096.00 , Block 05.00 , Lot 007.000
That the undersigned (ti"as ) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector ' s Office for the following:
Certificate of Occupancy for pre-existing dwelling
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 regulations of the Town of Southold.
Dated: September 17, 1991 //://e//
William Wickham, attorney for the Estate of
Walter S. Martka
Print name
Signature
Print name
PLEASE CONTACT CHARLES THOMPSON AT 765-5717 FOR ACCESS. SHOULD YOU BE UNABLE TO REACH
MR. THOMPSON, PLEASE CALL JOAN TERRY AT 765-1850.
20
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615.50' `ales :`
EVERGREEN DRIVE
CERTIFIED TE. SURVEY OF PROPERTY
SECURITY TITLE & GUARANTY CO. SITUATED AT
TITLE NO. S-I056229
STANLEYSAJCKI CUTCH0GUE
ROSALIEIE SAJAMCKI
TOWN OF SOUTHOLD
A. I n g e g n o SUFFOLK COUNTY, NEW YORK AS 101141111 U1MINOW¢ED ALTERATION OR ADDITION
SY THE L A..t AND A POMO AND ADOPTED TO TNN SURVEY IS A MAHON OF
S.C. TAX No. 1000-96-05-07 FOR '�`"�"Y°" sun EDUCATION`'w''ON MS Cr'�"" Y01"D'E
UrveyorCOPIES WP NOT
SCALE 1 =30' ONE WC Ton » OR
rim
DM1w,NIJOO O. BE EIED
SEPT. 6, 1991
OWAWRE S INDICATED NEREDN MOLL NUN
NCI-
1st Main Street �y�° °11� D.AM ON NIS SEIPP TO TITLE COWIN& 00POINMENTAL AMC(HE
New York 1 1901 •U��/iiityN„f`‘nLama pan.rhom MED HEREON AND
1727-2090 clivi=
IfSI ANDS a ■Kllr► a wAYs
— n n a �„ ti N.YS. No. 496811 AREA = 30,749.47 6q, ft. i gat 0.7060 acres TIEg use ra 6P aoao, v
ANY. NOT MOW Allt NOT PUMAIr1EED.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
LocationSS 04. -
(number & stree (Municip i/ ty)
Subdivision Map No. Lot(s)
Name of Owner(s) (atE. n ki(�V.t/ s• /‘41a
Occupancy ►1 " I Itt, .
type (nL_ downer-tenant
Admitted. by: 0. �. Accompanied by: e otAL.
Key available Suffolk Co. Tax No. 9'k-,5-- 7
Source of request f,), OA4,,„ 01.e-44,4....,._ Date „f/, JW/
DWELLING:
Type of construction kite-0(74‘4,44,e-e---, #stories /
Foundation 6147 e&, Cellar f Crawl space /V
Total rooms, 1st. Fl 2nd. Fl 3rd. Fl
Bathroom(s) (ti, Toilet room(s)
Porch, type ,.�� , Deck, type Patio, type
Breezeway Garage Utility room
Type Heat eae, Warm Air Hotwater \ '
Fireplace(s) No. Exits ,e Airconditioning
Domestic hotwater 60.i Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const..... "
Swimming pool Guest, type const.
Other
-7-121-1.1522.111-S2-1-:- .7.________
IOLATIONS: H7
Location Description Art. Sec.
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Remarks: `, .moo a. thi — tr.c.di, oc '
Inspected by: �.i�,�� _Date of Insp. 9027 9/
/ Time start end