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Home My WebLink AboutZ-26840 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-26840 Date DECEMBER 16, 1999 THIS CERTIFIES that the building STRUCTURES Location of Property 125 SOUND AVE. MATTITUCR, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 1 Lot 2.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for Farm structures built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-26840 dated DECEMBER 16, 1999 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 FRAME FARM BUILDING & CONCRETE POTATO BARN WITH ADDITION The certificate is issued to JOHN RUJAWSRI, JR. & RAYMOND RUJAWSRI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *BP #7577Z DATED 10/1/74 ISSUED FOR ADDITION TO FARM BUILDING, CO Z-8096 ISSUED ON- DEC. 28, 1977.. B ildinef Inspector Rev. 1/81 TI, Form No. 6 TOWN OF SOUTHOLD L 1 01999 BUILDING DEPARTMENT TOWN HALL BLDG.DEPT. 765-1802 i..J.,q 0I=SOUT OLD 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. i 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 tp accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $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 . . . . �. 1999. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . X. . . . . . . . . . . Location of Property. . 125 . . . . . . . . . . . . . . . . . . . . .Sound.Avenue. . . . . . . . . . . .Ma;ttitugk. . House No. Street Hamlet Onwer or Owners of Property. John.Kuvawski.,. Jr.. and Raymond Kujawski. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . County Tax Map No 1000, Section. .l?o . . . . . . . .Block. . . . 1. . . . . . . . . . .Lot. . .? : 1. . . . . . . . .. . . . . . . . . . . . . . . . Subdivision. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .. . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . .. . . . . . . . . . . . . Health Dept. Approval... . . . . . . . . . ... . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . X . . . . . . Fee Submitted: $, 100 : 00. . . . . . . . . . . . . . . . . . . _. . . . . . . . . . . .tx. . . . . . . \� i l� . . . . . . . . . . . . . . . . . . . . . �o ��gy RaymondAKujawski CONSENT TO INSPECTION RAYMOND KUJAWSKI the undersigned, Owner(a) Names) do(es) hereby state: one of That the undersigned (is) (are-)/the owner() of the premises in the Town of Southold located at 125 Sound Avenue, Mattituck which is shown and designated on the Suffolk County tax map as District 1000, Section 1201 Block 1 Lot 2 . 1 That the undersigned (has) (Haver) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: • r Certificate of Occupancy on Pre-existing Building 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 prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December q 1999 ign tur Raymond Ku j awski _ (print name) (signature) (print name) TOWN OF SOUTHOLD PROPERTY RECORD CAR® OWNER STREET L 5 VILLAGE DISTRICT SUB. LOT FOWER OWNER N E ACREAGE h eo. . S W TYPE OF BUILDING � �ziot4Ei�-� V /oy oj�s. eu7nwsKi - Gou,vra Av Xu igwski b a RAR/v's RES. 312-- SEAS. VL. FARM comm. IND. CB. MI SC. LAND IMP. TOTAL DATE REMARKS,?/ /, .. _ -1 �L',�"S .�. U� r!7 WS7t"� r 9�/7iUrj. � --s•5 v .�- L .,�/. 000 { v v p 3 0 "' .306.E RGIe,� Xr(�7 47 -- 00 5 .f '7z �3 3 a o:.f /a_ 3 /7 ls 4"'7"0AGE ILDING NEVI/ NORMAL � L W S 47BOVE o�000 Farm r; do Acr ue Per cre -- Value Lf7,7 ' m Tillable 1 - Tillable 2 — Tillable, 3 Woodland Swampland _ ------------- Brushland ---------- House Plot / --------- .--- 7 F- i r R I 1 A. Bldg. Foundation Bath :xtension' Basement Floors :xtension Ext. Walls Interior Finish :xtension Fire Place Heat E _ Porch Attic `S _ e ti �y , d 6 Porch Rooms Ist Floor � . Patio. Rooms 2nd Floor iarage - Driveway / 7 �J SURVEY OF PROPERTY SI T UA TED A T 3a6 g° MATTITUCK TOWN OF SOUTHOLD gg5. ,,3 �` SUFFOLK COUNTY, NEW YORK �. o/FGAS Cop- pJ S.C. TAX No. 1000- 120-01 —2. 1 SCALE 1 =30 ARgE NOVEMBER 17, 1999 VoltE SPA AREA = 137,294.80 sq. ft. 3.152 cc. N �^ s og e. T0: Zoo FIRST PIONEER FARM CREDIT, ACA. ;may FIDELITY NATIONAL TITLE INSURANCE COMPANY y GEORGE E. GABRIELSEN JANICE GABRIELSEN O„ �z "o d 9 d'Z. d � • �O vi vn M Z 24.5 i j•0 9 O np 03 AO W 0 40.2 G]� L/1 Ap It. O ` v� ?�• L% 60 0• A 0o� 0, i •O;-)� O y rn p0� ` :;::::P r COf 16 W :T.dN ..... 0 o SA 0 Nv, g$A� :O % . 36� N cD: ,,yCP 9.0 . •M DIRT PARKING AREA i--��,: ` >n O = .. o •cS` $ a . z o 2 O .m + �. o GIRT PARKING AREA'--'�-� S. �. UNAUTHORIZED ALTERATION OR ADDITION �, �;• I w`i TO THIS SURVEY IS A VIOLATION OF 10 SECTION 7209 OF THE NEW YORK STATE P EDUCATION LAW, y� 6 :•.' �.. ' FOUND THE LAND SURVEYOR'S INKED SEAL OR ! / CONC. MON. COPIES OF THIS SURVEY MAP NOT BEARING O '•: EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. Q OVERHEAD WIRES , - - - - r- ONLY TO TTHE IONSPERSICATED HEREON SHALL FOR WHOM THE SURVEY UN FOUND �. .� •• r�1 8. IS PREPARED, AND ON HIS BEHALF TO THE CONC MON. _ . . L 1 195.18 UT1LTfY POLE LE _ .._.. _ .• UTILITY TITLECOMPANY, GOVERNMENTAL AGENCY AN! `` LENDING INSTITUTION LISTED HEREON, AND �Y PO • .• • TO THE ASSIGNEES OF THE LENDING INSTI- FOUNO,. UL 577 L 262 •.' ;,, .• , . CONC MON-, „ ,I► . EpGE OFF A EM 4 :.•;'.'.a '�� +l '�.• :• w TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. _ 900 S 84 000 0'00" E ' •" '• � � •` ''' •+.f r•• ' • ' ` THE EXISTENCE OF RIGHT OF WAYS ~ ••• U ••• f AND/OR EASEMENTS OF RECORD, 1F N g1.50'00• E :;::.. .S'. • ;� A VEN • ..�,! ' N 81• 00 E �`• .'• '. �• ( O U N I1J1 • ANY, NOT SHOWN ARE NOT GUARANTEED. s Y ' 51,00 FOUND N � ' '• �: •'� '•i .y,'.;' `•.•. •!.• r:• i• ..♦ , .• . CONC. MO i 1 •'• ,•• ` PREPARED IN ACCORDANCE WITH AS ESTABLISHED STANDARDS FOR * r PROVED AD APTED FOR E H USE BYNTHENEW YORKNSTATDEO LAND Joe ph A. I11 L e Va o TITLE OCIATION. Land Survelfor C. Title Surveys — Subdivisions — Site Plans — Construction Layout } I1 0 (P , '�' PHONE (516)727-2090 Fax (516)722-5093 9f>64 OFFICES LOCATED AT MAILING ADDRESS f 0 O N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverhead, New York 11901 99-71 7