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Home My WebLink AboutZ-22935 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-22935 Date APRIL 5, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4150 ALDRICH LANE LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 3 Lot 13 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-22935 dated APRIL 5, 1994 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 ATTACHED GARAGE The certificate is issued to BARBARA KUJAWSKI (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. i Buildi g InBp6ctor Rev. 1/81 ,. BIIILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 4150 ALDRICH LANE MATTITUCK, NEW YORK number & street (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) BARBARA J. KUJAWSKI OCCUPANCY A-1 SINGLE FAMILY DWELLING type owner-tenant).---- --- -- - - ADMITTED BY: BARBARA KUJAWSKI ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-IZO-3-13 SOURCE OF REQUEST: GARY FLANKER OLSEN, ATTY DATE: MARCH 22, .,1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME f STORIES 1-1/2 # EXITS 4 FOUNDATION ROCK CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: 1ST FLR. 3 2ND FLR. 3 3RD FLR. BATHROOM (s) TWO TOILET ROOM (s) ONE UTILITY ROOM NONE PORCH TYPE COVERED ENTRY PORCH DECK, TYPE PATIO RAISED REAR SLATE BREEZEWAY NONE FIREPLACE ONE GARAGE 2, CAR DOMESTIC HOTWATER YES TYPE HEATER OFF BOILER AIRCONDITIONING NONE TYPE HEAT OIL WARM AIR - - HOTWATER BASEBOARD OTHER: SIDE ENTRYWAY - FRONT FOYER -. REAR FOYER WITH WASHER & DRYER - E%IT FROM BASEMENT ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST.. STORAGE, TYPE CONST. SWI14MING POOL ,_ GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BIIILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #9250- UPDATED CO Zi22934 ISSUED FOR FIREPLACE, KITCHEN ALTERATION & BATHROOM INSPECTED BY r DATK OF INSPECTION MARCH 29, 1994 JOHN M. BO S TIME START 9:30 END 10:00 Form No. 6 7RMM TOWN. OF SOUTHOLD BUILDING DEPARTMENT 3 1994 TOWN HALL 765-1802 BLDG.DEPT. S —TOWN OF 30UTHOLD 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: ro lines, 1. Final survey of property with accurate location of all buildings, property Y 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 17 lead. al building,5. Commercial building, industrig, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Bard App=uval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: howing all property lines, streets, building and 1. Accurate survey of property s 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 3/22/94 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. X • • • • • • • • • • • • • • 4150 Aldrich Lane, Laurel , New York • • • • , • • . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . • • • • • ' . . • • •Street• • • Hamlet House No. Onwer or Owners of Property. . Barbara• J;, Kujawski. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 County Tax Map -No 1000, Section. . j?P• . • • , , , • .B1ock. . 3. . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . No. .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permit • • • • • • • • • • • • • • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert' ate. . . J . • • • • • 100.00 / Fee Submitted: $. . . . • • • • " " ' • • • . • • . . . . . . . . . ��.` . . . . . . . . . . . . . . . . . . LIC T ' � � 4��7 Gary lanner �lsen, sq. . • r r9e H' R�Ie'y Reeve Ce° Roy N' fOrmer yfOrmer�y ��) 05o0011 . E or flow . myl. 1 200.00 \ �E. 50,00 N•10 L 0 ,A \ CT z m o =. D � 1 C� 7L• \` y 30O SQ.ft C.), ; 60, area .o o O' V> fG[fy'"a.._'_ .s.:rc:-... m i5�N 1 j CJ J3e jSf r�• � , D -z yb. rn ,> 200.00 V4 1 ' ' N � o a" J4a a:; 10050 � [ S a" B• K�j°WSki \. -.-- Ed lth , _te 25 N 5 R NOTE A�N ■ :MfWUMENT I T1 R M REVISIONS YOUNG & YOUNG Dl5 V DEC 2,1976 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK DEC.2/,/976 ALDEN W.YOUNG HOWARD W.YC R PROPE/&ZONAL ENGINEER AND LAND SURVEYOR . LAND SURVEYOR.N.Y.E.LIC.NO,12610 N.Y.E.LIC.NO.♦D- MAR 231994 I SURVEY FOR: UNAUTHORIEO ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION RAYMOND KWAWSKI B BARBAR&II uYWIiQ SK/ BLDG.DEPT. LAW 209 OF THE NEW YORK 9TATL EDUCATION `\\`\\��0�' H � TOWN OF SOUTHOLD '� �!- '. COPIF.9 OF THIS SURVEY YAP NOT tll ARINO 1� 0 'G THE LAND SvRVL•..r1 B INKED SEAL ON FY0099ED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY AT G R T MATT/TUCK Mori E E GUARANTEES INDICATED HEREON SHALL RUN fb:T TO THE PERSvN FOR.hOY THE TOWN OF SIN SOUTHOLD ,EY .S PAEFANCD,AND ON�IIS BEHALF E, r 45 TO THE f.ILE CONPSN/,GOIERNYT"AI- U pGEhCI A. LF.NDIND INSTITLTILN L'STED BY ��/, �`\� HERED'!,AND TO IHE=S:I.h EEO OF THE SUFFOLK CO., N.Y. •� IEhDING 'hSYIE 'd. ARE TE 1 Nql ih=ry 6i SL.u,1 10 ;m,�IwyNI �QAI,�t ff n( P^Y9I '/ f, Q [� �/ Mn, III91 h,l'IIiI "I .,AVI m.H tll'•nhl OD, r v �1' MY I61 (Y�H �� Q0� CONSENT TO INSPECTION Barbara J. Kujawski , the undersigned, Owners) -Name(s) do(es) hereby state: That the undersigned (is) (are) the owners) of the premises in the Town of Southold located at 4150 Aldrich Lane, Laurel , NY which is shown sand designated on the Suffolk County tax map as District 1000, Section 120 Block 3 Lot 13 That the undersigned (has) (have) filed, "or caused to be filed, an applica- tion in'thw-Southold Town Building lnspuctuj6 •o 0""; for +ho fallowing: One family dwelling with attached 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 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, ordinances, rules or regulations of the Town of Southold. Dated: $'�l CAl signat ) 1 Barbara J. ujawski (print name) D R (signature) MAR 2 3 1994 (print name) EPT TOWN OF,OUTF OLD '��.'1.Agwblw. T•.faiayt.eT. .:.l+.w_r. . - .. .. .. v BUILDING DEPARTMENT TOWN OF SOUTFIOLD F10USING CODE INSPECTION ItEPORT LOCATION: number street municipality SUBDIVISION MA[' NO. LOT (;) NAME OF OWNER OCCUPANC /-5/,W- (type r �' (owner-tenant) ADMITTED BY: 3 /L * fj-- l` Lc ACCOMPANIED BY. 4"l— KEY AVAILABLE SUFF. CO. TAX MAP NO. _ SOUP.;;;: OF REQUEST:i .� fit.. �✓�w'� DATE DWELLING:. // ,, TYPE OF CONSTRUCTION -9-41 . � STORIES ��i EXITS FOUNDATION �,�� CELLAR CRAB; SPACE TOTAL ROOMS: 1ST FLR. � 2ND FLR. � 3RD FLR. BATHROOM (s) TOILET ROOM (s) e57 UTILITY ROOM PORCH TYPE64)� d PACi^ DECK, TYPE Q /) PATIO, TYPE BREEZEWAYS Y1,/ FIREPLACE O � — GARAGE (:f Ale_ D01tESTIC HOTWATER TYPE HEATER �l�2 AIRCONDITIONING TYPE HEAT /°/ WARM AIR HOTFIATER � ? OTHER: E 'Lr314.� ACCESSORY STRUCTURES: 7L �/✓,�/L,v� � - GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWI11MING POOL GUEST,. TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC- asy INSPECTED BY: DATE ON INSP�EJCTION vZ� TIME' START 7 3® END