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Home My WebLink AboutZ-22162 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. �1 PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22162 Date FEBRUARY 25, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 125 SOUND AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 1, Lot 2.2 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-22162 dated FEBRUARY 25,, 1993 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 ACCESSORY TWO CAR GARAGE The certificate is issued to JOHN & 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. .� Building Inspector Rev. 1/81 '++ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 125 SOUND AVENUE MATTITUCK, N.Y. number & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) BARBARA & JOHN KUJAWSKI OCCUPANCY RESIDENCE (2 STORY) (type) (owner-tenant) ADMITTED BY: BARBARA KUJAWSKI ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 120-1-2.2 SOURCE OF REQUEST: BARBARA KUJAWSKI DATE: FEB. 24, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # EXITS 9 FOUNDATION STONE CELLAR X% CRAWL SPACE XX TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 3 3RD FLR. BATHROOM (s) 3 TOILET ROOM (s) UTILITY ROOM 1 PORCH TYPE DECK, TYPE - PATIO, TYPE XX` BREEZEWAY FIREPLACE 4 GARAGE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING X TYPE HEAT OIL WARM AIR XX HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAMING STORAGE, TYPE CONST. WOOD SWI MING POOL GUEST, TYPE CONST. OIXM PROPERTY CONTAINS A TWO CAR GARAGE WITH AN ATTACHED UTILITY BUILDING. ------------------------------------------------------------------=---------------------- ----------VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: `'°; aJ_Ot, DATE ON INSPECTION FEB. 25, 1993 Victor Lessard TIME START 7:40 AM END 8: 10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 2 4 - + b TOWN HALL ,i 765-1802 2LOG.1)ERE TOWN OF SQH QLO 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: I. 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 l% 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: } . 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 '$2-5.00, 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 . . ./2.y.�. taa 3. . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . ... . . . .. Old Or Pre-existing Building. .Y M Location of Property. . . . . . . . . . . .. . .k'j.WV 4.. . . . . . . . . 4, . . . . . . . . House No.. Street Hamlet Onwer or' Owners of Property. . -J � . :`: �. . �.� :?S �. . . . . . . . . . . . . . . .. . . . County Tax Map No 1000, Section. . �2-4. . . . . . .Block. . . . . 1. . . . . . . . . .Lot. . .Za2 . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . ... . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . .. . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . , . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert.icate. . . . . . . . . . . Fee Submitted: $. . . Q � s . . . . . . . . . . . . . . . . . . . `�`� � as f�v 2 AP ICANT r PLANNING BOARD MEMBERS ' ! , i�Y 2 SCOTT L. HARRIS ,� Bennett Orlowski, Jr., Chairman � �;, `��,�M- �� .. V`''�-° .Supervisor George Ritchie Latham, Jr. Richard G. Ward _ Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 MEMORANDUM TO: Harvey A. Arnoff, Town Attorney FROM: Richard G. Ward, Chairman1J� RE: Request for a Finding as to whether the Kujawski residence, can be recognized -as a separate "set-off" lot. DATE: May 26, 1993 At last night' s Planning and Zoning Committee meeting, it was agreed that the procedure set forth in Town Attorney James A. Schondebare' s September 8, 1989 memorandum would. befollowed for the time being. Pursuant to that agreement, all supporting documentation in the Planning Board' s possession that pertain to this subdivision by deed or "set-off" are attached. If we can. be of further assistance, please let staff know.' Encls. cc: Gerard P. Goehringer, Chairman, Zoning Board of Appeals ;;/Curtis Horton, Senior Building Inspector r