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Home My WebLink AboutZ-19536 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-19536 Date NOVEMBER 27, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 900 PIKE STREET MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 3 Lot 9.1 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-19536 dated NOVEMBER 27, 1990 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 1 CAR WOOD GARAGE WITH ATTACHED SHOP. The certificate is issued to PEARL MAZGULSKI (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 i : 1 BUILDI';G DEP!`1RT:•IE.1T T0:•1111 OF SOUTHOLD, N. Y. HOUSIi-dG CODE INSPECTION REPORT Location 900 Pike Street Mattituck, New York �numoer & street) (i,iunicipality) Subdivision Hap No . Lot(;,) Name of Owner(s) PEARL A. MAZGULSKI Occupancy A-1 OWNER (type) owner-.tenant). Admitted by: RAY MAZGULSKI Accompanied by: SAME Key available Suffolk Co. Tax No. 140-3-9. 1 Source of request PEARL A. MAZGULSKI• Date OCT. 23, 1990 D-7=ING Type of construction WOOD FRAME u 1 STORY rrs-tories Foundation CEMENT BLOCK Cellar 1/2 Crawl space 1/2 Total rooms , 1st. Fl 3 2nd. F1 - 3rd. Fl Bathroom(s) 1 FULL BATH Toilet. rooms) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL Warm Air Hotwater %K Fireplace(s) No. Mcits 2 Airconditioni ng Domestic hotwater OFF BOILER Type heater Other REAR ENTRYWAY (WASHER, DRYER) ACCESSORY STRUCTURE'S: Garage, type const. 1 CAR' WOOD FRAr>EStorage, type const. SWia;uning pool Guest., type const. Other SHOP ATTACHED TO GARAGE VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Lncat-lion Description IArt. I Sec. I �- 77= I Remarks Inspected by: 'Date of. 'Ins ocTOBER 25, 1990 G F sH • Time start "'end ..—._._. 777 ter,..,,,_....c�„.a..'�.�-6.,. ...r'_•G �"x.f.4_.. .c,s11.a-v5.fx.tic_.. ...�;..._. _ ...:� .y ..-d..`.i.-..az.Y^L:..x._.. ;v.......... •4?.� sa..;b.•tu= .,�....,2,,r. fir,.?.-ai.u"�:svt�.�s....�.�,iC:is:.....^: F Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �_A 765-1802 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. ' 3. 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. 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 . . . . y.s .a. . . . . . . . . . . . . . . . . . . . . . . ':ew Construction. . . . Old Or Pre-existing Building. . , / Location of Pro��-ty. . . . . . . . P/ KF l .� . . . . . . . . . . . . . . . . ./!'1/�? 7�i r��k . / � . House No. • .StrAeeet Hamlet• . . . • • )nwer or Owners of Property. . . PFA.2�. . . . . . . MA .Z.6v L.C.k.( . . . . . . . . . . .: . . . . . . . . . .ounty Tax Map No 1000, Section. . . . 4 11!q . . .Block. . . . . .1.11. . . . . . . .Lot. . . . . . /.'. / . . . . . . . . . . . iubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 'ermit No. . . . . . . . . . . . . .Date Of Permit. . . .Applicant. . . . . . . . . . . . . . . . . . . .. .. Iealth Dept. Approval... . . . . . . . . . ... . . . . . . . . . . . . .Underwriters Approval. . . .., , . . . . . . . . . .. . . . . . . 'lanning Board Approval.. . . . . . . . . tequest for: Temporary Certificate . .:. . ' Final Certicate. . . . . . . . . . . 'ee Submitted: $. . . . . . . . . . /o Ile. . . . . . . Co 195 3 APPLICANT - ..._.'.sa�•::^ew8ts'r.-c ttm. *:, ._ok�rr.:kntL.�,;3�r� ....+r w4....... .,.(„..r-._.. ,,,_r..z:t.,..^.cti, ..,i;.t 5 I v ' r` I ' DRILL HOLE/N CONC.s/D£wALK PIKE STREET �S D IN CONK. DRILL NOL£/N A.63-'45'40"E. /D4.O8' DRILL HOLE/H SIDEWALKCON4SIDwit CONC.SIDEWALK \ - 5/.O8' 53.00'' 0 --+^� 1 1 S.63 45''40"W. /75.67' x ti I I '0w I lO O n� N I - y � 2 y N 6304540'E /5.00' 1 o I o y 1 I I PA7/O Q� i I STORY I 14. 0 O > _I _ 2,.S___I PAT/O I NOFRAM£ I� US£ •1 U I I I i lei I � I /4.9' -f I IN I� ! STORY I n FRAME O; II O HOUSE O r y I I zt > f I I LN. c I I # Ij I n� I I .I NOTE' ■=MONUMENT i0 N ;I A la SUFF CO.TAX MAP- DIST. SECT. EILK. LOT D 1000 14D 03 009 ro 1000 140 C3 010 f iFRAME SHOPS GARAGE O fi E I ✓EA/y A-��_'' �_.� ��' �/0.7' ' �'3I miSHEDT FE'VCEO52.9T� REVISIONS YOUNG & YWOOY �D S6703C'20"W O C'�Lr�rt 4�}M YEO k ` 400 OSTRANDER AVENUE, RI RH /S.00 S.6704020"W DO* {I i ENCRO ` 10717, ALDEN W.YOUNG ? AR .Y UNG `f ENCROACHES O.S' PROFESSIONAL ENGINEER AND OR LAND SURVEYOR.N.Y.S.LIC.NO.12545 IC.N YS I I SURVEY FOR: UNAUTHORREC ALTERATION OR ADDITION TO I. JAMES NA VA.5 THI".SURVEv IS A VIOLATION OF SECTION PEARL A. MAZGULSKI � q 44893 7205 OF THE NEW TORK STATE EDUCATION STAIII/SLAbY W/NAaRZ ESTATE AW Duke se�lvf+c4 i COPES OF THIS SURVEY YAP NOT BEARING ' THL LAND SURVEYOR'S INKED SEAL OR EMBOSSEC SEAL SHALL NOT BE CONSIDERED I T; BE A VALID TRUE COPY. AT MATTITUCK GUARANTEED TO: ' IGUARANTEES INDICATED HEREON SHALL RUN ONLY TC THE PERSON FOR WHO THE TOWN OF RV EY 15 PREPARED,AND ON HIS BEHALF SOUTHOLD / SU h TC THE TITLE COMPANY.GOVERNMENTAL AGENCY ND HEREON,AAND LTO TIHE SSI NEESNOFI THELSTED SUFFOLK CO.;N.Y. BY LENDING INSTITUTION GUARANTEES ARE CONSENT TO INSPECTION /VIi z k'i the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town 1��0 (i� of Southold located Pf �� J which is shown and designated on the Suffolk- County tax map as District 1000, Section .Block Lot 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: 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: (signature) (print name) (signature) (print name)