HomeMy WebLinkAboutZ-24288FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24288 Date APRIL 17, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1100 STERLING ROAD COTCHOGUE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 4 Lot 11
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-24288
dated APRIL 17, 1996
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 ONE FAMILY DWELLING*
The certificate is issued to PETER SENKO
(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.
ldi g Inspector
Rev. 1/S1
BUILDING DEPAR'TMEN'T
DwLw.iNc:
TYPE OF CONSTRUCTION WOOD
FOUNDATION CEMENT BLOCK
TOTAL. ROOMS: IST FLR.
BA'TU ROOM (s) 2
PORCH 'TYPE
BREEZEWAY
DOMESTIC IIOTWATER YES
TYPE HEAT OIL
OTHER: WASHER ✓► DRYE
Ar`r'174.L.zgnijv S'1'1111CTIIRRS.
GARAGE, TYPE OF coNsT.
SWIMMING POOL.
oTHER:
--------------------------------------------------------------------------
-------------------------------------=-----------------------------------
VIOLATIONS: CHAPTER 45 N.Y. ST'AT'E UNIFORM FIRE PREVENTION 6 BUILDING CODE
R
FRAME
_ CELLAR FALL
5 2N11 FLR. 31111 F
'1'O I LET ROOM (s )
DECK, 'TY PL'
FIREPLACE ONE
TYPE HEATER ELECTRIC
WARM AIR
/ STORIES
CRAWL SPACE
1 I EXITS 2
I.R.
_
UTILITY ROOM
WOOD PATIO -
GARAGE GARAGE
AIRCONDITLONING
Uo T'WATER
S'T'ORAGE, TYPE CONST.
GUEST, 'TYPE CONST.
REMARKS: BP#15183-Z - CO#Z16212 (ADD & ALT)
INSPECTED BY
GARY
r / 1
DA'L'E OF INSPECTION
TIME S'T'ART 10:00 AM
3/12/96
END 10:20 AM
TOWN OF SOUT'HOLD
HOUSING
CONE INSPECTION
REPORT
1100 STERLING ROAD
CUTCHOGUE NY
LOCATION:
number 6 sLreetT
Zmunicipality
SUBDIVISION
MAP NO.
Lo'T'(s)
NAME OF OWNER
(s) SENKO, PETER
OCCUPANCY
OWNER
type
owner -tenant
ADMITTED BY:
WAYNE ABATELLI
ACCOMPANIED BY: SAME
KEY AVAILABLE
_
SUFF.CO.
_
TAX MAP NO. 1000-104- -11
SOURCE OF REOUEST:_ MELVIN J. CROOK,
EXECUTOR
_- DA"f'1?: 1/15/96
DwLw.iNc:
TYPE OF CONSTRUCTION WOOD
FOUNDATION CEMENT BLOCK
TOTAL. ROOMS: IST FLR.
BA'TU ROOM (s) 2
PORCH 'TYPE
BREEZEWAY
DOMESTIC IIOTWATER YES
TYPE HEAT OIL
OTHER: WASHER ✓► DRYE
Ar`r'174.L.zgnijv S'1'1111CTIIRRS.
GARAGE, TYPE OF coNsT.
SWIMMING POOL.
oTHER:
--------------------------------------------------------------------------
-------------------------------------=-----------------------------------
VIOLATIONS: CHAPTER 45 N.Y. ST'AT'E UNIFORM FIRE PREVENTION 6 BUILDING CODE
R
FRAME
_ CELLAR FALL
5 2N11 FLR. 31111 F
'1'O I LET ROOM (s )
DECK, 'TY PL'
FIREPLACE ONE
TYPE HEATER ELECTRIC
WARM AIR
/ STORIES
CRAWL SPACE
1 I EXITS 2
I.R.
_
UTILITY ROOM
WOOD PATIO -
GARAGE GARAGE
AIRCONDITLONING
Uo T'WATER
S'T'ORAGE, TYPE CONST.
GUEST, 'TYPE CONST.
REMARKS: BP#15183-Z - CO#Z16212 (ADD & ALT)
INSPECTED BY
GARY
r / 1
DA'L'E OF INSPECTION
TIME S'T'ART 10:00 AM
3/12/96
END 10:20 AM
Form No. 6
TOWN OF SOUTHOLD
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:
I. 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.
B. 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...January../.x1..1996....................
New Construction........... Old Or Pre-existing Building... X ............
Location of Property..1100.................Sterling: Road.. , ... , .....Cutchogue , . , , , .. , , , , ,
House No. Street Hamlet
Onwer or Owners of Property...Estate_of Loretta.Senko ,.
County Tax Map No 1000, Section.. . .......... Block ... 04. PA .......Lot.. All: P Q ...........
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...I(.......
Fee Submitted:$,1Q0; 00 .................. state oo Lo ttaa.Sehk
I�2 Com` 5iaq� BUS f/ .
P.a CO a�(a$8 AP;ILTCANT vin J. Crook, • Executor
CONSENT
TO
INSPECTION
MELVIN J. CROOK the undersigned,
Owner(s) Name(s)
do(es) hereby state:
thetutor of the Estate of Lgretta Senko
That the undersigned (is) (we e owner(N) of the premises in the Town
of Southold located at. 1100 Sterling Road, Cutchogue, New York
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 104 , Block 4 , Lot 11
That the undersigned (has) (kaxa) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre-existing Building
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: January / 1996
(signature)
Melvin J. Crook, Executor
(print name)
(signature)
(print name)
o o 0 ) 0 ,, TOWN OF SOUTHOLD PROPERTY RECORD CARD
A-/ - w
OWNER
C
STREET r` 1�")
/
VILLAGE
DISTRICT
SUB.
LOT
—
FORMER OWNER-
N
1
E
ACREAGE/"�Crr(��•�K'�r79
6
—
S
W
TYPE OF BUILDING
RES. 4/6
SEAS.
VL. —
FARM
COMM.
I IND.
CB.
( MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
VCl
6114 �,_�
�__�--.
Ct
,lr''/�1S ���) 1Cil1J{
— /L' •' , e. e.....
4,gp Cj.(r,/ullKxwy-J.)(.Heel
--- '�
+` _ _
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Tillable 1
Tillable 2
Acre
Value Per Acre
Value
FRONTAGE
BULKHEAD
DOCK
ON ROAD n
. a
_
>
—
-------- - - -
Tillable 3
Woodland
—
Swampland
---
------
-----------
-------- - --
Brushlaw r-+
�
---
--
---
- --
House Plot
-------
-----------
-- - —._
Total
M. Bldg. --: ! �-
-11R
, V j., L.=
Extension
Extension
Extension
(11 X
Breezeway
Garage 1-- 1 ---
11-
O. B.
VZ (
VJ
-4-
- -------- -- -
Foundation Both I
B
Bath
d
3asement Floors
j rl� —
interior - --- --- - - -- ---- ---
4
-xt- Walls Finish
:ire Place lieO t
Heat C) IL
I L I�R
Porch Roof Type
Porch Rooms 1st Floor
otio Rooms 2nd Floor
)riveway
Dormer
0 -461,4ro -AF.
e,
7
4110e,
eua 1-1, .1-P-ae
t
4
Y,
V4
tv
no nQz,
-6cal:e- 30"= 1"
is :; wonewm-,eN?I�
0
i.
UnauthorizedaheratloneraddNW,
to this survey Is a violation of - N
I . . V - Section 7208 of the Now York StateoCK VA,,,
Education Law.
q•Cc.-Iles of this survey map not bearing CO
ria land surveyors ln!:ed seal or
•embossed seal shall not baccr,siderod
to be a valid true copy. 4z
0—
Gaarantops indicated hereon shall ru
only to the person for whom the survey yv
LAND
is prepared, and on his behalf to the
title company, governmental agency and
lcnding institutionlisted hereon and
,
to the cssignces of the lending insti-
Lice..i;-
tution. Guarantees are not transferable
to additionaf institutions orsub6equgml lt--rO 10 r
owners.
90
15z-
q,
P
NY
V4
tv
no nQz,
-6cal:e- 30"= 1"
is :; wonewm-,eN?I�
0
i.
UnauthorizedaheratloneraddNW,
to this survey Is a violation of - N
I . . V - Section 7208 of the Now York StateoCK VA,,,
Education Law.
q•Cc.-Iles of this survey map not bearing CO
ria land surveyors ln!:ed seal or
•embossed seal shall not baccr,siderod
to be a valid true copy. 4z
0—
Gaarantops indicated hereon shall ru
only to the person for whom the survey yv
LAND
is prepared, and on his behalf to the
title company, governmental agency and
lcnding institutionlisted hereon and
,
to the cssignces of the lending insti-
Lice..i;-
tution. Guarantees are not transferable
to additionaf institutions orsub6equgml lt--rO 10 r
owners.
90
15z-
V4
tv
no nQz,
-6cal:e- 30"= 1"
is :; wonewm-,eN?I�
0
i.
UnauthorizedaheratloneraddNW,
to this survey Is a violation of - N
I . . V - Section 7208 of the Now York StateoCK VA,,,
Education Law.
q•Cc.-Iles of this survey map not bearing CO
ria land surveyors ln!:ed seal or
•embossed seal shall not baccr,siderod
to be a valid true copy. 4z
0—
Gaarantops indicated hereon shall ru
only to the person for whom the survey yv
LAND
is prepared, and on his behalf to the
title company, governmental agency and
lcnding institutionlisted hereon and
,
to the cssignces of the lending insti-
Lice..i;-
tution. Guarantees are not transferable
to additionaf institutions orsub6equgml lt--rO 10 r
owners.