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Home My WebLink AboutZ-24759 P' 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-24759 Date NOVEMBER 20, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 215 MEDAY AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block B Lot 11 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-24759 dated NOVEMBER 20,• 1996 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 RICHARD & CATHERINE ROMANCZYK (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: 215 .MEDAY AVENUE MATTITUCK, N.Y. number & street (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) Richard & Catherine Romanczyk OCCUPANCY A-1 Res . Owner _ type owner-tenant) ADMITTED BY: Joan Whelan ACCOMPANIED BY:SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 10 0 0-113-0 8-1 1 SOURCE OF REQUEST: RICHARD & CATHERINE ROMANCZYK DATE:OCT. 23 , 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 1-1/2 0 EXITS 2 FOUNDATION CEMENT BLOCK CELLAR Ft 11 CRAWL SPACE TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM PORCH TYPE FRONT COVERED DECK, TYPE PATIO_ BREEZEWAY FIREPLACE NONE GARAGE 1-1/2 CAR GARAGE DOMESTIC HOTWATER yes TYPE HEATER propane AIRCONDITIONING CENTRAL AIR 'PYPE HEAT OIL WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: bp 44703 - Co 7-24758 INSPECTED BY DATE OF INSPECTION OCT. 29, 1996 GAI- /J/FISH' TIME START 10 : 00 END 10 : 15 =O�-4 OF SOUTHOLD 3�:ILDT_NG DE2 RT` VT J< �' /�-7 TOWN HiALL 765-i802 PP1,7CATTO-N OR C--RTI=ICaT_ OF OCCUP.-'-_�fC'_ A. This aooiication must be filled in 6v cvp e?triter OR ink and submitted to the bll;ldi na =nSpeCtor with Che following: iOr neSJ building or new use: 1 . Final survey or prover`; with 2ccu,rate location of all buildings, Dropert-T 1iZes, streets, and unusual natural or tono�-,raphiC features. 2. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-'; form) . �. rical "ristal, fon from Board of "ire Underwriters.ADprovai' oz eiect 4. Sworn statement from oiumber 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-_nstallacions, a certificate of Code Compliance from architect Or engineer responsible for the building. 6. Submit Planning Board Approval of completed site Dian reauirements. b'. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 11pre—existing" land uses: 1 . Accurate survey OL prOpert`T Snowing 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 . gees 1 . Certificate of Occupancy - yew ::welling 525. � , GO Additions to dwelling '-25.00 Alterations to dwelling 825.00, Swimming pool S25.00, Accessory building S25.00, Additions to accessory building 325,00, Businesses 350.00. Certificate of Occupancy on Pre-existing Buildins - �100.00 `-� Copy of Certificate of Occupancv - .25�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of OcCspa cy - Residential S15.00, Commercial 315.00 % (® Date . . . . . . . . y 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . �Tew Construction. . . . . . . . . . . Old Orr�Pre-existing Building. . . . . . . . . . . . f/ Location of Property. . .-�<,*. . . . .d�;!��l � . . . . . . . . . . ��t � ��/To.Ca . . . . . . House No. ? Street Hamlet Onwer or Owners of Property x'C�l:r-q . . . . . . . . . .�. . . . . � �. .��. . � . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section/.X-3°. 0.. . . . .Black. . .0.�°.� �. . . . ot. . . �`�,. , Dv 0. . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Vap . .r.7.� lot. . . . . . . . . . . . . . . . . . . //^^ /' s- �/ •�� ,( I Permit No. . .4 .0 ca�r. k:z . . . .Date Or Permit. .�/�./ . (�'. . . .Applicant. . •. . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . P Lnning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .- �aauest for: Temporary Certificate. . . . . . . . . . . - -_ai. Carticate. . . . . . . . . . . _ cr••p Fee S bmittad : S . v . . . . . . . . . . . . . . . . . . . . - e c� �a11759 � N ko MAP 0F LMJ D 67 66 6UEV(tiD FOL ,10 L & L VL'_ 0 M A kj �J 12, .li [j sutiuEe �p AT .I` l%z STIY ru. Ego. (2.O,_l 1 • [� :- M c>u ira of 6 fJ�- LJUMb�t25- 5L40%VQ 2N F.lz •rc , goo ° TQLLLWOOD „ [:tL6F_> 1 u T"6r -5L1FE OLL -0LJHT 4` p ��.' Op �lc C�_E:i�l:.' � (3f'FiG� A!v h�1AN FJO. 175 MAP p2AWW }. Jt^ LY 14 , (()67 - - LfCEf.1��t✓I� �.�ut� '`��C�V�:Yorar� C�C�L6u CU(�_-T , u6\V yo(1 V CONSENT 1110 INSPECTION Ice the undersigned, O�mer(s) liame(s) do(es) hereby state: That the undersigned (is) (ar-e) y�tile owners) of the premises in the Town � lkl of Southold located at CV/ xe 011�1 /Vif 7-u6/`� — which is shown and designated on the Suffolk County tax map as District 1000, Section 11.3, 00, Block ®L�'. Deb, Lot d/l- 00.0 That the undersigned (has) (leave) ,filed, or- caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following; Gce7k (OC, That the undersigned do(es) hereby give consent to the Building; Inspector.; of the, 'f'own of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deern necessary with respect to the aforesaid application, including inspections to determine that said premises comply Nvith 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 i.nforialati.on obtained in the conduct of ,such inspections rnay be, used as evidence in subsequent prosecutions for, vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: -a.� Cd ----- � (signature:) (print name) (s rnEALm-) (print name) `. --A �� r, � ` ors ,4 '� p- � �■■■■■ ■■■■■■■■■■■■■■■■■■■ ,.l�E' O�S��"�i� \tr�y?;� t... ,j • •• NOON ■■■■■■■■■■■■■■■■■■■ C�.i: ' !, 0,10 ' NOON■■ ■■■■■�■■■■■■■■■■■■■ NONE ■■■■�!■�■■■■■■■■■■■ �NOONN■ ENI■EN■EIZENEMO■NON■® ■NOON■■ NCINNO■■liiiil■■■■■N■O = MONON ■ !'�ii■■ON■INN■ANON■N■O■ ■■NE■■■ ■�INNOONI■NNI1 ■NN■NNE n ■N■11■■■■■■■■ _ . N■NN■NO OBI®iE'JI■■� - -- -- . -- . = ■NOON■■ ■J� �0��11■■■■■■E■ ■■NNE■■ ■ii��i■n�■■■■■■■EN ON■E■NE ■®N■WENNON■■ENNN■■■ ■ENE■■■ ■N■®NE■® ■NE■■N■■OO NNE■■■■ WENENE■■■NNE■■ON■■■ NONE ■■O■Extension Fire Place' �INON M. Bldg. Foundation xtensf Basement —xtension -Interior Finish ,j Type Roof Rooms Ist Floor POW- Recreation Roo Porch 'i,ormer Breezeway Driveway Garage Total • TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 2/5- VILLAGE . DIST. SUB. LOT �C _ FORMER OWNER N E ACR. S W TYPE OF BUILDING QtUP EAS. VL. FARM COMM. CB. MISC. Mkt. Value i LAND IMP. TOTAL DATE REMARKS �✓ 0 0C) n �, �~ �� dL11131 T .d/ 7 l! y'_./_.�Y /C n'."Iw.r"l..ry�.�i, d✓G' 1� i��a." c ! M o v i3�- v �j SQQ d 06 137 , AGE BUILDING CONDITION i NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 i Tillable 2 i Tillable 3 Woodland i ? Swampland FRONTAGE ON WATER k. Brushland FRONTAGE ON ROAD i House Plot DEPTH 2il f� A BULKHEAD Total `"� DOCK