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Home My WebLink AboutZ-23660 J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23660 Date MAY 22, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1020 STROHSON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No: 1000 Section 103 Block 10 Lot 25 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-23660 dated MAY 22, 1995 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 SEASONAL DWELLING The certificate is issued to ROBERT ROTH & ANNA MARCHAK (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 A/ Rev. 1/S1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT • J LOCATION: 1020 STROHSON ROAD CUTCHOGUE, NEW YORK number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ROBERT ROTH &CANNA MARCHAK OCCUPANCY A-1 RES. OWNER type owner-tenant ADMITTED BY: DAN ROSS ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-103-10-25 SOURCE OF REQUEST: ANNA MARCHAK DATE. MARCH 30, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 1 $ EXITS 2 FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE PARTIAL TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) 1 UTILITY ROOM PORCH TYPE BECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER NONE TYPE HEATER AIRCONDITIONING J TYPE HEAT NONE WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: WOOD PLATFORM & STAIRS AT BEACH AREA ---------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. FLOOR BEA11Sp_w BUILDING & STRUCTURES SHALL BE MAINTAINED FREE OF INSECT, NYCRR VOL 9B & OTHER VENOM AND RODENT HARBORAGE AND INFESTATION. PART. 1242.9 LOCATIONS REMARKS: NO HEAT "SEASONAL OCCUPANCY" INSPECTED BY DATE OF INSPECTION MAY 12, 1995 GARY FI TIME START 9:50 END 10:20 J Form No. 6 TOWN OF SOUTHOLD " BUILDING DEPARTMENT TOWN HALL f �! 765-1802 O ^ 6 1995 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: 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. 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 Buildiniz - $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 . . .��3v/25� . . . . . . . . . . . . . . . . . . .. New Construction. . . . . .. . . .. Old Or Pre-existing Buildi.ng. . .. . . . .. . . . . . . • . - • Location of Property. .�.o1.b. . . .. .: I P D 11-5-D I RD1�17 '/. C TG�i�C House No . V. . . . . . . .. . . . . . . . Street Hamlet Onwer or Owners t.,f Property.. .f. r!:� . . . ft yhtwCli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . County Tax Map No 1000,. Section. . JP, . . . . . . .Block. . . . .b . . . . . .Lot. . . Subdivision. . . ' �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed M:ip. . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . .. . . . . . Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cer[icate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . .. . . . . . . . . . . . . . nnnr Tn��., r. , 1%J i. INSPECTION I(�� r•,' e r yw MA-gC6RV- 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 &O,ItSow RED Cg I C Ho&tte AJ Y _ , %which is shown and designated on the Suffolk- County tax map as District '1000, Section Block Lot a 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: 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 lc.ws, 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: amine. (signature 6N Nib Vl SRC!i xx (print name) (signature) (print name) BUILDING DEPARTMENT TOWN OF SOUTIIOLIP .HOUSING CODE INSPECTION REPORT LOCATION: number & strect municipality SUBDIVISION 'MAP NO. LOT (.) NAME OF OWNER (s) OCCUPANCY -- (type)ADMITTED BY: � \�� (owner—tenant) . ff�J �`-�S",f ACCO WANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. — sour ZZ OF REQUEST: ,�d�Giyi��G DATE•.: �— DWELLING: TYPE OF CONSTRUCT ON STORIES EXITS FOUNDATION �/JJ'��y j //ate CELL � ��/� CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT O/t✓1�OTIIE WARM AIR HOTWATER R: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWUL41NG��POOL // GUEST,. TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION J ART_ SEC. �,h��. �� .� � � REMARKS: i /'� % �/�_/}/,19y✓.�1 QC c� �t� �r INSPECTL'D BY: DATE ON INSPECTION � D TIML•' START END r