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HomeMy WebLinkAboutZ-20456FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20456 Date JANUARY 8, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4735 COX'S LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 2 Lot 10 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-20456 dated JANUARY 8, 1992 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 WITH ACCESSORY WOOD GARAGE TWO WOOD STORAGE SHEDS AND LARGE WOOD FRAMED FARM BUILDING. The certificate is issued to ALBIN PIETREWICZ (owner) 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. ,aM.4222�� 2/00� Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4735 COX LANE CDTCHOGDE, NEW YORK number & street (Municipality) Subdivision Map No. Lot(s) Name of Owner(s) ALBIN PIETREWICZ Occupancy R-) OWNER type owner --tenant Admitted by: OWNER Accompanied by: SAME Key available Suffolk Co. Tax No. 96-2-10 Source of request ALBIN PIETREWICZ Date DEC. 6, 1991 DWELLING• Type of construction WOOD FRAMED #stories 2 Foundation CEMENT BLOCK Cellar PARTIAL Crawl space REST Total rooms, lst. F1 7 2nd. Fl 4 3rd. F1 Bathroom(s) 1 Toilet room(s) 1 Porch, type GLASSED IN Deck, -type Patio, type Breezeway Garage Utility room Type Heat OIL FIRED Warm Air Hotwater XX Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater YES Type heater OIL FIRED Other ACCESSORY STRUCT?JRES: Garage, type const.. WOOD Storage, typo const. TWO WOOD Swimming pool Guest, type const. Other LARGE FARM STORAGE, WOOD FRAMED VIOLATIONS: Housing Code, Chapter 52 Remarks' THIS INCLUDES BP 17268Z 5/21/74 ADDITION FOR DWELLING CO Z-6949 ISSUE Inspected by: ate of Insp. Dec. 20, 1991 CDRTIS W. HORTON Time start 1:30 end 2:30 Form No. 6 T014N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1. 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 contains 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. 3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings 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 Building - $100.00 3, Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, QCommercial $15.00 Date .l r > ' •%........................ ::ew Construction........... Old Or Pre-existing Building L / Location of Property....y 7 3Jr.. ............ C � G f�• ,►........ �J4J House No. St et Hamlet Unwcr or Owners of Property ... L.Q�//�.✓.K..... .I .. ii�N'Y �, , , , , , , , , , , , , , , , , , , :aunty Tax Map No 1000, Section..../..S!......Block.... 0.�, .......Lot...�,�.............. :subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. !lenith Dept. Approval..........................Underwriters Approval......................... :Tannins Board ADDrnvnl ;,oquest for: Temporary Certificate.... "ee Submitted: $..................... ....... Final Corticate..! ....... .. ........ ADPL NT 1 Owner(s) I Namc(s CONSENT TO INSPI✓CTI0N the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town `f -7 of Southold located at -r� K, �-® x /49 which is shown and desi.c�n,-;ted 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 Southcld Town Building Inspector's Office for the following: 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 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: — z (signa ( print V 1% 6 r� �/i C D -- (print nam6 Location BUILDI:.G DEPART" E iT TO101i OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision MaD No. —Lot(s) Name of 0 Occupancy Admitted by: Accompanied by: Key available - Suffolk Co. Tax No. Source of request Date 2, M ELLING Type of construction #stories Foundation C lar Crawl space Total rooms, 1st. F1 2nd. F1— G1 `3rd. F1 Bathroom(s) Toilet roTom(s )__ Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplaces) No. Exits Airconditioning Domestic hotwater Type heater � o Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. _ Other _ t VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE oe Inspected by: / Date of Insp. a.44 --� -Time start_j.' end 006---9(a-a-gi0 TOWN OF SOUTHOLD PROPERTY RECORD CARD 71 OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N Ir ! E '" , ..r ACR. 6iJ— C Pi \e�'re w► C, Z S L � IQ� • ..' /�ti �,r W�� -' .cc TYPE OF BUILDING RES. ��'D SEAS. VL. FARM CO, CB. MICS. M 't. Value LAND IMP. TOTAL DATE REMARKS 2 b' 7/ ��e%.r %��•xe�a de `•�� �a e .4,10 7 *1 .. © #-14 9 u# -K to 1.- I e d 0 o a / o o a s/ Fa Ta sa i e r -►-e- w�c T ; r.2� 7Z 7 U 6 f',- ,t7 2 Y Dh 01 6A/ f.0 .3.5-17a R 1°.N.W f 40 pie' Ca A AgoZ 440 Y9 Q .o .. ,� ......�.. OVA Z 7 /2 a D o z9 - 9,r" A EBUILDIN CONDITION 53 y y ti S760 NEWNOR MV -FARM L BE BOV p7, �G f -o Acre �w 6v Value Per 0 Acre /Value 6-O S/3 6 � & /) 1:7 Tillabier5uv %v �bd I ON WATER ?7FRONTAGE r� W � '7 vo �pJ -461) �` / FRONTAGE ON ROAD t It 'I of Mead�wTand' 5��—� 4�5-- DEPTH House Plot,,d BULKHEAD. `:.Toto( �� ��� l ? f' DOCK ii_ ��,; Via„ ���' � 1`'s . _ �.. .