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HomeMy WebLinkAboutZ-23876FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23876 Date SEPTEMBER 15, 1995 THIS CERTIFIES that the building. Location of Propert~ 1050 ~BTI~uT RD. House No. County Tax Map No. 1000 Section 59 Subdivision ONE FAMILY DWELLING SOuT~OLD, N.Y. Block 3 Filed Map No. Street Lot 2 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-23876 dated SEP£~4BER 15, 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 DWELLING * The certificate is issued to AT~C OSTROSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.~.~E SEE ATTAc~u INSP~CTIONRE~~ Rev. 1/81 N/A N/A N/A Buildi'ng In~ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1050 CHESTNUT RD. SOUTHOLD, ,N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) AEC OSTROSKI OCCUPANCY SINGLE FAMILY type owner-tenant ADMITTED BY: SUSAN MOTT ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 100 - - - SOURCE OF REgUEST• WILLIA14 GOGGINS (AGENT) DATE: AUG. 31, 1995 DWELLING: TYPE OF CONSTRUCTION BLOCK & BRICK STORIES 1 1 EXITS 2 FOUNDATION CEMENT BLOCK CELLAR PART CRAWL SPACE TOTAL ROOMS: IST FLR. 6 2ND FLR. - - 3RD FLR. . - - BATHROOM (s) , ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO SMALL REAR CEMENT BREEZEWAY FIREPLACE GARAGE' DOMESTIC HOTWATER YES TYPE HEATER OIL FIRED AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER YES OTHER: FRONT & REAR ENTRY WAY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: REAR GRAPE ARBOR ---------------------------------------------------------------------------------------- ----------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. r, REMARKS: R IN!'PCCTED BY DATE OF INSPECTION SEPT. 12, 1995 OHN M. BOIIFIS TIME START 9=55 AMEND 10:25 AM Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ali 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/IO 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. ,' Submit Planning Board Approval of completed site plan requirements. .For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ~1. Accurate survey of property showing ail 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. 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-existin~ Buildin~ - $lO0.OO 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.O0-, Commercial $15.OO Date . . . A~9s t.,.~t,. ~95 .................... New Construction. Old Om Pre-existing Bu ................ Location of Property./z .... {'~9~.Qb¢~R~. R~.a4,. ~.qu~bp).4,. Nm.~ .Yor~.. l/g%l .............. House No. Street tlamlet ~ ....... Estate of Alec Ostroski .......... Onwer or Owners of ~v=~7 ..................................................... :ounty Tax Hap No 1000, Sectio,..0.5.9.'.Q©. ...... Bluclc..p.3...QO ........ Lot.002...O00 ............. Subdivision .................................... F:i t ed Hap ............ Lot ...................... Per,nit No ................ Date Of Permit ................ Applicant..W. illia.m.C,..Gogg.i.5s.as..agent :lealth Dept. Approval .......................... Underwriters Approval ......................... 'lan.ing Board Approval ........................ Temporary Certificate ........... F£ al Cer ' ate ......... 5Ol3 ................. '~'~,[jO ~'~"~ WILLIAM C. GO~-I~S,- as Agent 0B/0B/199S 18:44 5162984214 WILLIAM C GOGGINS PAGE 02 :. STATE OF NEW YORK ) )SS: COUNTY OF SUFFOLK) SUSAN MOTT, being duly swom deposes and says: ONE: I am the Executrix of the Estate of Alex Ostroski, and I am the oldest daughter of my late father, Alex Ostroski. TWO: At the time of my father's death, he owned property located at 1050 Chesmut Road, Southold, New York and further described as SCTM No. 1000-059.00-03.00-002.000. THREE: My father bought the aforesaid property on February 28, 1953, and built a house thereon a short time thereafter. SUSAN MOTT SwOrn to before me this v, POBLtC RUG 10 '95 07;56 P,4/4 CONSENT TO INSP~.CTION Estate of Alec 0stroski by William C. Goggins as Agent , the undcrsigned, '. ' O~ner(s) Name(s) do(es) ihereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southoldlocatedat 1050 Chestnut Road Southold, N~w York · which is shown and designated o,'~ the Suffolk County iax map as District 1000, Section 059 . O[131ock 03 . O~]]Lot 002. 000. Thai the qndersigned (has) (have) filed, or caused to be filec[, an applica- tion inlthe Southold Town Building Inspector's Office for the following: Certificate of Occupancy for Pre-existing use That the undersigned do(es)hereby give consent to the Build/hz 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 ~ecessa~ry with respect to the aforesaid application, including inspec+.ions to determine that said premises comply with all of the laws. nrd~nancos, rules and ~'egulations of the Town of Southold, The unde~'signed, in consenting to such iuspections, do(es) so w/th the knowledge and under.4tanding that any information obta/ned in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re f Dated, August 31, 1995 ', 0GGINS, as Agent (print name) (siRnature) (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: A SO /��- number h street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY type owner-tenant ADMITTED BY: SULS'AA� ACCOMPANIED BY: ol- �. . _ KEY AVAILABLE SUFF.CO. TAIIX 'MAP NO. " SOURCE OF REgUEST: �jyd gl/t�S'6!e�l DATE: DWEL TYPE OFCONSTRUCTION STORIES��e� STORIES EXITS FOUNDATION (2140, CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. �2 2ND FLR. 3RD FLR. / BATHROOM (s) �J �/�_o TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIOC BREEZEWAY FIREPLACE /p��,, •� GARAGE DOMESTIC HOTWATER -� TYPE HEAl'ER C� // zr_x&W AIRCONDITIONING TYPE BEAT ®/ WARM AIR I101WATER OTHER: ��•��, Y� /�.� i �'i lat� I ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPES CONST. OTHER: l ea/_- ggif. -------------- VIOLATIONS: CHAPTER 45 N.Y. .STATE UNIFORM FIRE' PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. - - v ` REMARKS: INSPECTED BY � � DATE OF INSPECTION 4END TIME START