HomeMy WebLinkAboutZ-11423FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 2,1.1.423.......... Date ... January . . . . . . . . . . . . . . . . .. 19 .83
THIS CERTIFIES that the building S... C $)........................................ .
Location of Property .31520 Main Road Cutcho�ue
House /Vo. Street Hamlet
County Tax Map No. 1000 Section .... 1 03 ....Block ..01 ...........Lot . 019...0.02
Subdivision ... X ..........................Filed Map No. ..$..... Lot No. . X... .
Requirements for a private one -family dwelling built prior to
conforms substantially to the Appiical ion -for 7fthdin g-Pz=iT-fi-egeWere- filed -irr -this vffi=dated
Certificate of Occupancy
.... A p r z_1..2 3 ......... 19 .5 7 pursuant to which $niiding Fm7ttit-No. .. Z.1.1.423 ............
dated ... January, . 1 3 ..... . ....... 19 83 , 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 .........
,,,,a.pri.vate one -family dwelling and seven accessory structures*
...................................................
The certificate is issued to ........ BEN.NE7. ORLOWSKI , JR.
...........
...............
.
(owner, seear4anwW-
of the aforesaid building.
Suffolk County Department of Health Approval ... n/a . .... . . .......................... .
UNDERWRITERS CERTIFICATE NO........... n./.a .......................... I .......
*1. Sprout house 2. 2 -car workshop 3. Potato storage barn
4. Large 2 -door storage shed 5. Small portable greenhouse
Building Inspector
6. Farm produce stand: B.P. 10714Z issued 6/9/80
Rev. 1/81 C.O. Z10022 issued 7/10/80
7. Above -ground swimming pool: B.P. 11819Z issued 7/23/82
Pool not completed
C.O. pending
BUILDING DEPARTMENT
TO%'+N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 31520 Main Road Cutchogue
number & street Municipality)
Subdivision X clap No. x Lots) X
Name of Owner(s) Bennett Orlowski, Jr.
Occupancy R-1
owner
(type) owner -tenant
Admitted by: Mr. Orlowski Accompanied by: same
Key available
t
Suffolk Co. Tax No.103-01-019.002
Source of request Bennett Orlowski, Jr. Date 12/16/82
DWELLING:
Type of construction wood framed #stories 2
Foundation hriCk Cellar full Crawl space
Total rooms, lst. F1 6 2nd. Fl 4 _3rd. F1 large attic
Bathroom(s) 1 Toilet room(s) 1
Porch, type large --roof Deck, type Patio, type
Breezeway over Garage Utility room
Type Heat gas Warm Air Hotwater X
Fireplace(s) No. Exits 4 Airconditioning
Domestic hotwater yes Type neater gas
Other
CESSORY STRUCTURES: SEE ATTACHED SHEET
Garage, type const.
Swimming pool
Other,
Storage, type const.
Guest, type
VIOLATIONS_ Housing Code, Chapter 52
const.
Lpcation
Description
Art.1
Sec.
outside
deck & steps and railing needs
repairing badly
III
52-30-A
outside
dwelling needs painting
IIII
(52-31-B
sprout house
supports need replacing
III
52-30-A
2 -car work
hop needs various repairs
III
52-31-B
I
Remarks:
Inspected by:_ V.�/
Curtis W. Horton
ate of Insp. Dec. 23, 1982
ime start 11:45 end 12:30
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 1 197 1
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 topocraphic features.
2. Finai 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.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty 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:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date I�-/ �.�.�G' e . ..
New Building ............. Old orPre-existing Building(X) . __- --='Vacant Land ............ .
Location of Property ._.. _ ..........
House No. Sneer r Harriet
Owner or Owners of Property ..(4✓ .. :-: ,,,, , , , , , , , , ,
County Tax Map No..1000 Section .. 16 ..,x• ....... Block .. a. I ........ Lot . iv. %f.I ICf cr�
Subdivision... X,,,,,,,,,,,,,,,,,,,,,,,,,,,,Filed Map iNo. .......... Lot No. .........
Permit No. .......... Date of Permit .......... Applicant .... ....................... ..... Q
Health Dept. Approval ........................Labor Dept. Approval ......................,. .
Underwriters Approval ........................Planning Board Approval ..................,,
Request for Temporary Certificate .....................Final Certificate ...
Fee Submitted S....� C5
.....................
Construction on above described buildingand mit meets all applip ble odes a egu ions.
Applicant ..- .... _ ... .
Rev. 10.10-78 PA 4,).3
Mr. Bennett Orlowski, Jr.
31520 Main Road
Cutchogue
Inspection Report, continued
Page 2
7 ACCESSORY STRUCTURES
1. Sprout house
2. 2 -car workshop
3. Large 2 -door storage shed
4. Potato storage barn
5. Small portable greenhouse
6. Farm produce stand:
B.P. 10714Z issued 6/9/80
C.O. Z10022 issued 7/10/80
7. Above -ground swimming pool:
B.P. 11819Z issued 7/23/82
Pool not completed--C.O. pending
Inspected by
Curtis W. Horton
Building Inspector
A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number & street
Subdivision
Name of Owner(s)
Occupancy
k iviunic i.pal i�ryJ
Map No. Lot(s)
V,4
e
(type) (owner -tenant
Admitted by: Accompanied by:
Key available ' Suffolk Co. Tax No. /a
Source of request t r DateL
DWELLING
Type of construction #stories__
Foundation Cellar Crawl space
Total rooms, lst. Fl j6 _2nd. F1 3rd. F1
Bathroom(s) f Toilet room(s)
Porch, type ,v eck, type Patio, type
Breezeway Garage Utility room
Type Heat 'Warm Air Hotwater zl�
Fireplace(s)L No. Exits__ Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
type const. Storage, t e const.
Swimming pool _ est, type const.
Other lof
VIOLATIONS: Housing Code, Chapter 52
LocationDescription.�.��...'
wow
Pill
Of -
w
Remarks:
Inspected by: Date of Insp. , 7
y d� Time start//,v- �endf,`0j a
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
/0 Do -/03- 2 ..
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OWNER
STREET
VILLAGE
DIST.
SUB. LOT
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TOTAL DATE
REMARKS
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FORMER OWNER
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ACR.
•� '423
S
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TYPE OF BUILDING
RES,-i6�
SEAS.
VL. I FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL DATE
REMARKS
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Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
3 %D
Meadowland
DEPTH
House Pint
BULKHEAD
Tota
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