HomeMy WebLinkAboutZ-27339FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 8- 27339
THIS CERTIFIES that the building DWELLING
Location of Property 450 STROHSON RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 103 Block 0010
Subdivision
Filed Map No. _ Lot No.
Date: 10/06/00
CUTCHOGUE
(HAMLET)
Lot 020
conforms substantially to the Requiresie*+ts for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER S- 27339 dated OCTOBER 6, 2000
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 STEVE STEPNOSKI & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPR)VAL N/A
ZIJCCT'RICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
t
Aut orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 450 STROHSON RD CUTCHOGUE
SUBDIVISION- NAP SO.- LOT (S)
X110; OF OIl=KR (S): STEVE STEPNOSEI & WF.
OCCUPANCY: RESIDENTIAL STEVE STEPNOSEI & WF.
AD111ITM BY: DORIS CYBULSRI ACCOMPANIED BY: SAME
IEY AVAILABLE: SUFF. CO. TAE MAP NO.: 103.-10-20
SOURCE OF RBOOSST: DORIS CYBULSRI. 9/26/00 DATE: 10/06/00
TYPE OF CONSTRUCTION: WOOD FRAME i STORIES: 2.0 S EEITS: 2
TOPAZ. BOOM: IST PLR.: _4
BATSSOUK(S): 1.0
20D FLR.: 3
TOILET ROO(S): 0.0
3RD FIR.:
UTILITY ROM (S) :
PATIO TYPE:
DQASTIC BOTHRTER: YES TYPE SEATER: ELECTRIC AIROORDITIONIBG: XX
TYPE SEAT: OIL TARN AIR: BOr11ATER: STEAM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWAN®G POOL:
OTHER:
STORAGE, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
BATHROOM FLOOR - BATHROOM FLOORS SHALL BE MAINTAINED IN NYCRR VOL 9B
A WATER TIGHT CONDITION. 1242.7 (D)
INSPECTED BY:
GARY J
DATE OB IHSPELVIOB: 10/04/00
TIM START: 10:15 AM END: 10:40 AM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
2 6 ?'Ofl 765-1802
- AP,PLICATION FOR CERTIFICATE OF OCCUPANCY
A. ],his application must be filled in by typewriter OR ink and submitted to the �ui
inspector with the following: for new building or new use: V
1. Final survey of _property with accurate location of all buildings, property 1
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system conta
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bu
and installations, a certificate of Code Compliance from architect or engine
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Iti
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or building
'-'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building an(
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applJ
If a Certificate of Occupancy is denied, the Building Inspector shall state t
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.
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .251�.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date September 1$: 2000
New Construction........... Old Or Pre-existing Building.... X...........
Location of Property.., 450. Strohson Road. _ Cutchogue
........ . ... .. .. .. ..
House No. Street Hamlet
tor
Onwer or Owners of Property .,Vi ...... B._ ......ski• ..............
County Tax Map No 1000, Section. .10.1,00 ..... Block. .1A%Q 0........Lot,_020.000.....
Subdivision....................................Filed Map ............ Lot ...............
Permit No................Date Of Permit ................ Applicant ......................
Health Dept. Approval..........................Underwriters Approval..................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $ ..100.00
.......................... GV
V`.n, • g S 'J �.1 APPLI'��L
33 I VICTORIA B. STEPNOSKI by
DORIS CYBULSKI, Her Attorney-in-fact
SURVEY OF PROPERLY
SITUATE: CUTGHOGUE
TOWN: 5OUT14OLD
SUFFOLK COUNTY, NY
SURVEYED OS -22-00
SUFFOLK GOUNTY TAX u
1000-103-10-20 E 12
GERTIFIED TO:
GRAGE M. KEHLE
GOMMONNEALTH LAND TITLE
IN5URANCE COMPANY
Z Z J N
ZU
N /
�E AE�oPE 58„ 9192
oa 37op5 W
EDGE OF GREEK
— 845°39'50"W 94.43' Tle
�\NE
NOTES:
a MONUMENT FOUND
i2w w -m w oa
N50005'4(
h 72.00'
453'
-rte •�"`�
0
PARCEL 13
AREA PARGEL A = 21,568 5F OR 0.64 AGRE5
AREA PARCEL 13 = 19,401 5F OR 0.45 AGRE5
GRAPHIC SCALE 1"=30'
�e
w..
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 REF.\\Hp ser cAd\FROS\20-244.pro
369-8288 Fu 369-8287
72�
o
S
m pap
S Q �
P
�yrp v
AREA PARGEL A = 21,568 5F OR 0.64 AGRE5
AREA PARCEL 13 = 19,401 5F OR 0.45 AGRE5
GRAPHIC SCALE 1"=30'
�e
w..
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 REF.\\Hp ser cAd\FROS\20-244.pro
369-8288 Fu 369-8287
CONSENT
TO
INSPECTION
VICTORIA B. STEPNOSRI the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (aKW the owner(s) of the premises in the Town
of Southold located at 450 Strohson Road, Cutchogue, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 103.00 B1ock10.00 , Lot 020.000
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
a Pre-existing Certificate of Occupancy for this house
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,
Dated: September 18,
ordinances, rules or regulations of the Town of Southold.
2000
(signatur
VICTORIA B. STEPNOSKI by
DORIS CYBULSKI, her Attorney-in-
(prin name - fact
bOrtS �y 1�w�5 �C t
(signature)
(print name)
ivwn yr SUUTHULU
HOUSING CODE INSPECTION REPORT '
LOCATION: �{
number & street J municipa
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
MAP NO, LOT (s)
type) owner -tenant o '
ADMITTED BY: �0 ACCOMPANIED BY:
KEY AVAILABLF, SUFE. CO. TAX MAP NO.
SOURCE OF REQUEST:
DATE:
DWELLING:
TYPE OF CONSTRUCTION c, Jar 4 # STORIES --po # EXITS
FOUNDATION_,' ►N� CELLAR%,,, CRAWL SPACE
TOTAL ROOMS: IST FI.R. 2ND FLR. .3 3RD FLR.
BATHROOM (s) 0741 . TOILET ROOM (s) `� . UTILITY ROOH
PORCH TYPE = DECK, TYPE PATIO, TYPE ----
BREEZEWAY FIREPLACEQ , GARAGE
DOMESTIC HOTWATER TYPE HEATER l %c AIRCONDITIONING
TYPE HEAT WARN AlJ- HOTWATER S�q-sn
OTHER: G 1 r Ls✓ L `74- L
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE CONST.
, GUEST, TYPE CONST.
--- -------------
OLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION /0/0 f4th
TIME START END Of fO
I