HomeMy WebLinkAboutZ-19896 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19896 Date MAY 7, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2600 YOUNGS AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 2 Lot 2
Subdivision- Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19896 dated MAY 7, 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 ONE FAMILY DWELLING
The certificate is issued to DANIEL KUJAWSKI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-13716 - JUNE 21, 1990
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS CO UPDATES PRE CO Z-17493 DATED 11/4/88.
n..
ilding Inspector
V17-
Rev. 1/81
BUILDI:•;G DEPART:•L.iT
T0,•111,1 OF SOUTHOLD, N. Y.
HOUSIi;G CODE INSPECTION REPORT
Location 2600 YOUNGS AVENUE SOUTHOLD,. N.Y.
knumoer & street) (1,iunicipaiity)
Subdivision NTap No . Lot(s)
Name of Oejner(s ) DANIEL KUJAWSKI
Occupancy ONE FAMILY DWELLING
(type) oviner-tenant)
Adzdtted by: Accompanied by:
Key available Suffolk Co . Tax Tdo. 1000-63-2-2
Source of request DANIEL KUJAWSKI••-
9• Date MAY 7, 1991 :.;....
D TELLING
Type of construction WOOD FRAME i s-tories 1
Foundation BLOCK Cellar FULL Crawl space
Total rooms , lst. Fl 4 2nd. F1 3rd. Fl
Bathroom(s) 1 Toilet room(s) 0
Porch, type WOOD Deck type Patio, type_
Breezeway Garag- Utility room
Typ e Heat NATURAL GAS WarmAir xx
.Hotwater
Fireplace(s) No. axits 2 Airconditioning
Domestic hotwater SEPARATE Type heater GAS
Other
ACCESSORY STRUCTURE'S,
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other .
VIOLATIONS : CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION BUILDING CODE
Lncation Description lArt. 1 Sec.
I I
I
OPEN BP #19642=Z FOR ACCESSORY GARAGE.
Re►:larks• BP #17683-Z/Co.ZZ=18703 ALTERATION TO ONET_FAMILY DWELLING,
- FOR ACCESSORY,,SHED_,
Inspected by: .cd� Date of Insp. MAY 7, 1997
Time start end
Form No. 6
TOWN OF SOUTHOLD
1W. f a BUILDING DEPARTMENT
TOWN HALL
765-1802
SLOG.DEPT.
TOWN OF SOUTHOLD
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.
Certificate of Occupancy on Pre-existing Building - $100.00
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 . . .'l M.Y. . . .?_:� . . / /. . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . .(�. �Old Or Pre-existing Building. . . . . . .
Location of Property. . . . . . . . . . . . . . . .�/0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. reet Hamlet
D � . (� O 0
Onwer or Owners of Property. . . . /.1.A(�. . . . i �1.4:w!S, , ,f,
County Tax Map No 1000, Section. . . . :c? . . .. . . .Block. . . . . .1_2. . . . . . . .Lot. . .P: . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . .
. . . . . . . . . . .
Permit No. /. . . . . . . . . . . . . . . . . . l . . l ��. .
.Date Of Permit. . . . . . . . . .Applicant. .
J
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . D
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . PL'—' Co
Fee Submitted: . . . . . . . . . . . . . . . . . .
C� up . . . . . . . . . . . . . . . . . . . . . . . .
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