HomeMy WebLinkAboutZ-20709t
No Z-20709
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date JUNE 12, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 35750 MAIN ROAD CUTCHOGUE, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 2 Lot 2
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-2070 dated JUNE 12, 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 THREE CAR GARAGE*
The certificate is issued to WALTER STEPNOSKI
(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.
Building Inspector
Rev. 1/81
L•....�_..•G Dom? �.i;T:'.-:iT
T0.' 1 OF SCUT;iOLD, N. Y.
FOUZI::G COEZ INSPECTIGN iZ O,:T
Location
35750 MAIN ROAD CUTCHOGUE, N.Y.
�r;u.:.o�r cc ��res�) li•iu:._cipallcy)
Subdivision Man No. Lot(;,)
iq,—me of Owner(:,) WALTER A. STEPNOSKI
Occupancy A -I
(type)(o':rner- Gen4nz)
Admitted by: FRANK MURPHY Accompanied by: SAI4
Key available Suffolk Co. Taj: No. 97-2-2
Source of request GARY FLANNER OLSEN, ATTY Date JUNE 12, 1992
DT:r'LLTNG :
,Type of construction
#stories I
Foundation CEMENT BLOCK
Cellar
FULL Crawl space
Total rooms, lst. Fl
5 2nd. F1
3rd. Fl
Bathroom(s) 1
Toilet
rooms)
Porch, type
Deck, type
Patio, type_
Breezeway
Garage
Utility room
Type Heat HOT AIR
Warm Air
Hotuaater HOT WATER HEATER
Fireplace(s) FURNACE
No. Exits
A.ircor_ditioning .
Domestic ho twater
Type heater
Other
ACC7sSCOY STRUCTURES:
Garage, type const. 3
car Storage, type const.
Swi,..aing pool
Guest,
type const.
Other
VTOLATIONS: CHAPTER 45--N.Y. STATE UNIFOlat FIIZL•' PREVENTION 5 BUILDING CODE
Remar'..'s:
InZPected by: l c �:t f�aA- D Date of Insp. June 12, 1992
Victor G. Lessard Time start A: d (n�3"
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FORM NO. 6 h . o'! }
TOWN OF SOUTHOLD��)
Building Department ' .t IrJ
Town Hall F
10
Southold, N.Y. 11971
765 — 1802 KDG. DEPT.
APPLICATION FOR CERTIFICATE OF OCCUPA CY TOWN OF SOUTNOtD
Instructions
A. This application must be filled in typewriter OR ink, and submitted = ar mwom 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 topographic features. •
2. Final 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 property 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 $25.00 -- BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 .0 0 , over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5 -Updated C.O. $•50.00Date ,,, June.11, .1992 ......
r
NewConstruction, Old or Pre-existing¢uilding.X.......... Vacant Land ......
for house an garagge " " "
Location of Property Main Road, _Cutchogue, NY. .. .
. ...... ...... . ...
House No.'
Street Hamlet
Owner or Owners of Property . , , , Walter Stepnoski . : , . , ... ... .
. . . . . . . . . ,
County Tax Map No. 1000 Section ........... Block ... ?........... Lot..."... .... .
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ................................. .
1
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................4nnin oval ..................... .
Request for Temporary Certificate ............ .ertif' ate ........... .... ..... .....
Fee Submitted $ ...100.00Construction on above described building and permitco and regulations.
Applicant .... , , , F ,, Esq. .
... ... ...... ..
P. 0. Box 706
Rev. 10.10.78 Cutchogue, NY 11935
6 � 4 4 0gy
CONSENT
INSPECTION)
.--P,�c�-.
�Tl Ire � (4.�Qw h1FA` z2-UWk
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at Main Road, Cutchogue, NY
which Is shown and designated on the Suffolk-
County
uffolkCounty tax map as District 1000, Section 97 , Block 2 , Lot 21,
-- That the undersigned (has) (have) filed, 'or caused to be filed. an applica-
tion in tho.Southold Town Building 1nspeaLV, •o OfUeds fe: +ho fnilnwing:
house and garage ,
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)
knowledge and understanding that any information obtained
such inspections may be used as evidence in subsequent
lations of the laws, ordinances, rules or regulations Vthe T
Dated: June A,71992
r
0,
with the
:o duct of
s for vio-
of Southold.
Gary Flanner Olsen, Esq.
(print name)
(signature)
(print name)
D
s
2•yB3
O-�
- gl
2
5. ate
Prepared in accordance with the minimum
standards for title surveys as established
by the LJ_A.L.S. and approved and adopted
for such use by The A4w York State Land
T111e AssociOliOn.
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9;
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3
DE00-
SUMEYFOR
EDWARD A. ZUHOSK! & DENISE MARlE ZUHOSKI
.. AT EAST OUTC. 40& E
To" OF SOUTH=
�0=Tf• IDLY.
40'
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May 27w 1992
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CERnr1Eo ra
EpwAPJr A. ZU1OOSKI
DEnUSE t1AR ZUHOSXf
FdtST AAiIER/CAN T1TLE YJ.SURANCE COKPt1NY
Or NEW YORK
141-5-1101
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Y.S. LIC. NO. 49618
S.
P. C.
P.y
AMAIN R
SOUTHOLD, N Y. 11971
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