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HomeMy WebLinkAboutZ-21003FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21003 Date SEPTEMBER 11, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 35950 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County 'Pax Map No. 1000 Section 97 Block 2 Lot 23 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-21003 dated SEPTEMBER 11, 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 NON -HABITABLE UNSAFE ONE FAMILY DWELLING * The certificate is issued to WALTER A. STEPNOSKI & JOAN A. EICKHOFF (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. Ag MZV 0 ildin Inspector Rev. 1/81 BUI TO'. L1 CF ZCUT;iOLD, N. Y. EGU_ZI::G COLE- INSPECTION iZ�. 0"T Location 35950 MAIN ROAD CUTCHOGUE, N.Y. �r:c:.oer uc �;zreer) lclu:.1cipail Gy) Subdivision slap No. Lot( )_ Name of owner(z) JOAN A. EICKHOFF &'ANO Occupancy UNSAFE BUILDING ( ONE FAMILY) VACANT (type) (owner - Admitted by: NO ENTRY Accompanied by: N/A. Key available Suffolk Co. Tax No. 97-2-23 Source of request GARY OLSEN, ATTY Date 3! z FOR STEPNOSKI DI: ELLING : Type of construction WOOD FRAME !stories Foundation Cellar Crawl space Total rooms, lst. Fl 2nd. Fl 3rd. Fl Bathroom(s) Toilet rooms) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat 'alarm Air Hot:•rater Fireplaces) No. Exits A.ircor_ditionirg Domestic hotwater Type heater Other ACC^SS071 Y STRUCTURES: Garage, type const._ Swimming pool Other (NONE REMAINING) Storage, type const. Guest, type const._ V_OLATIONS: C11APTER 45--N.Y. STATE UNIFORM TIKE PREVENTION & JSUILDING CODE Lnration Descrirtion IArt.1 Sec. BUILDING HAS HOLES IN EXTERIOR WALLS, I I PORCH FLOOR lr ROOF DECAYED- U NON HABITABLE (UNSAFE BUILDING) I I I I I I I I I - I I I I I Remar'.cs: Inspected by j" G, Date of Insp. SEPT. 4, 192 THO AS J. F H R -Time start 9:30 A14nd 10:00 AM U FORM NO. 6 TOWN OF SOUTHOLD Building Dopartmont Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m smww. w 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. h. 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), Nonconforming 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. $"50.00 Date .August •31, 1992 , • , , , • , , • • r NeWConstruction ,,,,,, Old orPre-existing Building ,X.......... Vacant Land ......6...... Location of Property Main Road, Cutchogue, NY. ,. . ............ .... .. .... .. . ...... House No. Street hfandur Owner or Owners of Property . , , Walter A. Stepnoski ,and Joan A. Eickhoff as Co-Execuf o'r's' of 'Che Estate 'of 'Wats i'e 'G: 'St'epridsKi' County Tax Map No. 1000 Section , , 097:00 ... , , , , Block 02 .0 ... .. • , , Lot . , 023. 000. . . Subdivision .................................Filed Map No. ..........Lot No. ............. PermitNo. .......... Date of Permit ..........Applicant .................................. r Health Dept. Approval ................... ....Labor Dept. Approval ........................ Underwriters Approval ..................... ..Planning Board Approval ...................... Request for Temporary Certificate .....................Final Ccrti(" to . ................... Fee Submitted $ . IQQ.QQ ....................... Construction on above described building and permit meets all , Is de nd regulations. Applicant... ... . . .............. .......... Gary Flanner 01se nev.10.1o•7e P. 0. Box 706 Cutchogue, NY 11935 e,lkLa-?'216.3 CONSENT TO f INSPECTION Gary Flanner Olsen, Esq., as Attorney the undersigned, 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 tax map as District 1000, Section 097.00, Block 02.00 , Lot 023.000. That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in -the Southold Town Building inspecLw, orri�� ro. ♦ho fnllowing: Pre-existing Certificate of Occupancy for a,one family dwelling 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 pros ti ns for vio- lations of the laws, ordinances, rules or regulations of t e�Tow of Southold. Dated: August 31, 1992 (signature) Gary Flanner Olsen, Esq. (print name) (signature) (print name) L'Ui:.D7.... J� L 1 .JT TO:�I OF SCUT;iOLD, N. Y. hC)USI::G CODS IiiSPECTION R-: CRT Location JS'V, -0 �r;UZIID�r �c �greec) <iiu:.-clpal I) Subdivision Man 1`Io. Lots) Name of O�-jner(o ) Occupancy B, ypeJ o�:�ner- �enunz J Admitted by: Accompanied by: Key available Suffolk Co. Ta:c No, '9 Source of request Date D!,r-'-LLTNG : 'Type of construction — „stories Foundation Cellar Crawl space_ Total rooms, 1st. Fl 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Toilet type Patio, type_ Breezeway G ram•- Utility room a _ I= Type Heat Warm Air Ido tuwater Fireplaces) No. Exits A.ircor_diticn i rg� Domestic hotwater Type heater Otter ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Sr,i;,,,-�ina pool Guest type const. Other VIOLATIONS CIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE Remarks: In,;pccted by Date of In -p. Z --- Tine star ' end l0 fWV 0