HomeMy WebLinkAboutZ-20254 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z720254 Date OCTOBER 1, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 4255 DEPOT LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 96 Block 5 Lot 7
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-20254 dated OCTOBER 1, 1991
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 ONE FAMILY DWELLING WITH ACCESSORY WOOD
STORAGE BUILDING *
The certificate is issued. to ESTATE OF WALTER S. MARTKA
(owners)
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.
uilding Inspector
Rev. 1/81
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BUILDI:;G DEP ,RT:IEiiT
T0.•1N OF SOUTHOLD, N. Y.
HOUSI7,T CODE INSPECTION REPORT
Location 4255 DEPOT LANE CUTCHOGUE, N.Y.
(number & stree-t) �i-iunicipality)
Subdivision Nlap No . Lots)
Name of Owner(s) ESTATE OF WALTER S . MARTKA
Occupancyy
A- 1 RES .
(type) owner-tenant)
Admitted by: CHARLES THOMPSON Accompanied by: SAME
Key available Suffolk Co. Tax No. 96-5-7
Source of request WILLIAM WICKHAM- Date SEPT. 17 , 1991
M=LING:
Type of construction WOOD FRAME rstorie5 1
Foundation CEMENT BLOCK Cellar 3/4 Crawl space 1/4
Total rooms , 1st. F1 5 2nd. F1 3rd. F1
Bathroom(s) 1 FULL BATH Toilet room(s)
Porch, type ENCLOSED Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat OIL 'alarm Air Ho twat er XX
Fireplaces) No. axits 2 Airconditioning
Domestic hotwater OFF BOILER Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. WOOD - (IN NEED OF
Swimming pool Guest, type const. RPAIR)
Other
VIOLATIONS: -CHAPTER. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
CHAP. F.
Location Description � Art. Sec .
INTERIOR Structural members shall be protected and main- I 11242.7 (a)
tained to resist and prevent deteriorating
Ceilings, walls; floors and stairways shall be
maintained in safe and sound condition. I1242.7 (c
PLUMBING . Hot water shall be supplied. Water heaters shall 11243.7 (c)
be maintained in operating condition.
Potable water from an approved source shall be I1243.7 (a
)-
provided at all times. I
ELECTRICAL Electrical fixtures, devices, wiring and systems 1243.8 (a
shall be maintained in safe working condition.
RME & Adequate methods shall be used for the collection 1242.8 (a)
storage, handling and disposal of garbage and
re use.
Remarks- THIS IS A "NON-HABITABLE" DWELLING.
Inspected by: Y Date of Insp. SEPT. 27, 1991
GAR FAH Time- start end
t
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. September 17; _1991
NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING. .Y . . .VACANT LAND. . . . . . . .
Location of Property. . . no �� . . . . . . Deggt Road,, CVtchogue. Ny.11935. . . . . . . . . . . . . . .
HOUSE NO. STREET HAMLET
Own Estate of Walter S. Martka
er or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . .096.Q0 Block . Q�:00. . Lot OO7,Q00,
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot. . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate . . . . . 7. . . . . . . . . .
Fee Submitted : $. . . . . .100.00 . . . . . . . . .
APPLICANT. . . . . . . . . . . . . . . .
William Wickham, attorney or Esta i Walter S. Martka
e�
;� , � t
qau CIO :2: 005 `
rev. 10/ 4/88 ��`'
a'�e.
CONSENT TO INSPECTION
Estate of Walter S. Martka , the undersigned, do (es ) hereby
Owner( s ) Name ( s )
state:
That the undersigned (is ) (are ) the owner( s ) of the premises in the Town
of Southold located at no # Depot Road, Cutchouge, New York 11935
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 096.00 , Block 05.00 , Lot _ 007.000
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:
Certificate of Occupancy for pre-existing 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 inspec-
tions 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.
� I
Dated: September 17 1991 .
i
William Wickham, attorney for the Estate of
Walter S. Martka
Print name
Signature
Print name
PLEASE CONTACT CHARLES THOMPSON AT 765-5717 FOR ACCESS. SHOULD YOU BE UNABLE TO REACH
MR. THOMPSON, PLEASE CALL JOAN TERRY AT 765-1850.
i" IJ�E rf4 SE 2 0 1991
t
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTTION REPORT
Location 5,5"
number & stree Municip� ty)
Subdivision Map No. Lot(s)
Name of Owner(s) s•
Occupancy l� .
type cowner--tena.nt
Admitted: by: Accompanied by: ,cR
Key available . Suffolk Co. Tax No.Source of of request W Date . ��
DWELLING•
Type of construction ;#stories /
Foundation� vc% Cellar z Crawl space ,L
Total, rooms, lst. -Fl 2nd. Fl 3rd. Fl
Bathroom(s) VW _Toilet room(s)
Porch, .type V
LDeck, type Patio, type
Breezeway Garage Utility room
Type Heat 6 Warm Air Hotwater --
Fireplace(s) No. Exits Ile Airconditi.oning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. ✓..,. �
Swimming pool Guest type const.
Other
VIOLATIONS: Housing Code, Chapter 52 _
Location Description Art. Sec.
1�7; - - iy2�-
z X3. � �
7,F
Remarks: -40 A k -
Inspected by: GGcr Date .of Insp. 10711W
_
Time start end
` SEP 2 01991 1
N/0/F
ICNATIUS M. SMITH
EVA SMITH 614.52' of.Cu.
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FD
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615.50' S OAVE.
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a s 52'14'00 W EVERGREEN DRIVE
SURVEY OF PROPERTY
CERTIFIED TO: SITUATED AT
SECURITY TITLE i GUARANTY CO.
TITLE N0. JMAC I C T T m C H O G T T E
STANLEY SAJMACKI U 1 U jJ '
ROSALIE SAJAMCKI
I
TOWN OF S 0 U T H 0 LD PREPARED IN, E WIR,, , ,,,�, ,,, A,�„ ,DR ADDITION
S U F F O L K COUNTY, NEW Y O R K BSTANUMY THE U LS T AND SURVEYS D ADOPTED SE THE SURVEY IS A VIOW IONYO of
EK THE IJA.Ls.AND APPROVED AND ADOPTED SECTION 7209 OF THE NEW YOK STATE
FOR SUCH USE LTY THE NEW YM SPATE LAND EUMMON LAW.
wu ASSOWTION.
A• In @ n� S.C. TAX No. 1000-96-05-07 T�S'�"�E NOT"D+O THE LAND SURVEYOR'S INIOD Sm OR
000' 9 9 SCALE 1"=30' TO AUD TRUE COP(.
EMBOSSED SEAL SKALL NOT��D�
P S U�'�/@ O r SEPT. 6, 1991 � � ,ED HEREON SrIAu RUN
•� -� - ONLY TO THE PERSON MR WHOM THE SURVEY
p PREPARED.AND ON HIS EtETWF TO THE
COMPANY.GOVERNMfi g jMD=AND
LF?IDLHO INSTUISON LLciTED HEREON.AND
ayYcO D SG F THE LENDIW Wn-
NRON QJARANIFFS ASSMEES O
ast Main Street k � ° p
�i * AREA = 30.749.47 sq.__ ft. THE E R EASEMENTS
NT RIGHT OF WAYS
New York "11.9 Q 1 0.7060 acres APLD/oR EASEMENTS of RECORD. IF
NY A ..NOT SHOWN ARE NOT GUARANTEED.
N.Y.S. Lie. No. 49668
o �)727 .20§0
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