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Home My WebLink About14799-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI6968 Date June 7: 1988 THIS CERTIFIES that the building ...A.d.d. 5. .t .ip.n. .................................... 1300 MARRATOOKA ROAD MATTITUCK Location of Property ............................................................... House No. Street Hem/et County Tax Map No. 1000 Section . .1.1.5. ....... Block .... 9. .......... Lot .... 1.2. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 18, 1986 pursuant to whicb Building Permit No. 14799g dated..April,..........26" 1986 .... ...... . 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 ......... Addition to existing one family..d.w.e.l. 1..i.njg.. .................. ' ....... The certificate is issued to FRANK A. KIIJAWSKI, .IR. ..................... ?o¥.b;, ..................... of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Btdlding Inspector Rev. 1/81 ~OR~[ NO. ~ TOWN OF $OUTHOLD BUILDING DI~PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTFtORIZED) 14799 Z Permission is hereb/gronted to: ....'~...o....x...~..~ .................................................... .....~.~.~...~.:%..u..~..~..~ ........ ,o ..~.~....~..~.~....~.,t......~...:~.~.~.~.1 ot prem,~es ,ocoted ot .../...~.~....~..~~.~.....~.,........~...~..~ County Tax Mop No, I000 Section ...... J./.....~.. ...... Block ........ 9 ........... Lot No..,.,/-..~ ............ pursuant to application dated ..~.~ ........ /...~ .................. , 19.~...~, ond approved by the Building Inspector. Building Inspector Rev. 6130/80 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 6, 1998 Frank Kujawski, Jr. P.O. Box 727 Mattituck, New York 11952 Fax (516) 765~1823 Telephone (516) 765-1802 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 14779-Z ADDITION Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 June 5, 1989 Dear Frank, I have been trying to clear up the C.O. for your B.P. 14799Z. The problem is that you need an underwriters certificate. Every time the under~rlter is in our office I try to call you home to set up an inspection but never get an answer. Please call our office on any Honday between 10 and 11 a.m. and speak to the underwriter Ernie Pappas and set up for an inspection. Yours truly, Secretary THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 8®~9~1 .U.EAU OF ELEC?R,CIT¥ 40 FULTON STREET, NEW YORK, NY 10038 ~ FEBRUARY 23,1.998 15508098/98 H 058844 Dat~ Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is itt the premises of FR3~K A. KUJAWSKX JR. , 1300 ~{ARRATOOKA ROAD, MATTXTUCK, NY in thc following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block Lot was examined on FEBRUARY ~ 3 ~ J- 99~ and found to be in compliance with the National Electrical Code~ C~P -- FIXTURES RANGE--~- COOK,Ne DEC~ OVENS I DIS~-WASHERS EXHAUST FAN~- FIXTURE ~E TACLESl SWITCHES INCANDE$CEN1 FLUORESCENT AMT, K.~V, AMT~ K.W. AMT. [W. AMI KW. AMT. H.P, *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found~ BOX 727 MATTITUCK, NY, 11952 Per- i~GENERAL IVIANAGER COPY FOR ~UILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST~ NOT SE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S~9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewConstruction....~.. Old or Pre-existing Building $15.00 Date .... ... ,.¢. ....... ............ Vacant Land ............. Location of Property /.30~ ,/1~..a(,~. ,r.'.e~.¢~, ~-~, ' House No. Street Ham/et Owner or Owners of Property .... ~. '~ ~u&~ ~u~¢E~; County Tax Map No. 1000 Section ;1~ Block ~ Lot.., /~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.].~.?.~.~.¢... Date ofPermit ..~." ~ .Applicant .~.¢~.~. j~, ~/. u,~'~$~,,,' '~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ~.~, O d Construction on above described building and peCCit meets all applicable codes~qnd regulations. Rev. 10-10-78 TOWN OF $ouTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~W~ ~. /~j~.f~,'~ (ple~se print') Plumber.~j~ /~k~_ (please/print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbe~' s sig~ture) Sworn to before me this ). g ~day of Ju~ , 19 ~ Notary Public, H~,ROI.I) T. ~RR ~TARY PUBLIC, STAT~ OF NEW YORK NO. 52-057840~-SUFFOLK COUNTY Notary Public FIELD 'i]~SFECTZON FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & ?LUMBING COMMENTS INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 9OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ..~ . .~.[P..., 19 ~.¢. Permit No)~-I. ~ .~..'~... Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT, TOWN OF SOUTHOLD Received ........... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- i cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be Occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances,.~uilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaryfi~_spectio,ns, t 2 ~ ff ~ ,-_ ........ (Signature of applicant, or name, if a corporation) ... (Mailing address of applica*nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .~.~.....~.'.....~..~..~1"/~..- ./~'.'.. ~ .' ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........................... Plu nber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ...... l~ .~ ..... g4.~..--~,~..~....~.... .................. :...~.,rr,..;'.,e. r.~.. Itouse Number Street Hamlet County Tax Map No. i000 Section .].[ .~.. ........... Block ...... .~. .......... Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended nse and occupancy of proposed construction: a. Existing use and occupancy ... *'~ b. Intended use and occupancy ....p~...t~..~'.// .......... --.t.i ~.....~....$ ................................... 3. Nature ofwork (check which applicable): New Building .... Addition .. i ...... Alteration .. ~ ....... Repair Removal Demolition I Other Work · ~ (Descriptiofi) 4. Estimated Cost ......... ~ ' ' ~ ............................ Fee .......... ! .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ........... ~ ....... 7, Dimensions of existing structures, if any: Front,,, ~?,. f. ...... Rear , ,',~,t, ...... Depth ,, ,~.~,,. Height ............... Number of Stories ...~. ........................ i ........................... Dimensions of same structure with alterations or additions Front......7..~......t ' ~i ....' Rear .. .'~.!.... .......... Depth $O · ight ~t .~; ...................... He ...................... Number of ories .................... 8. Dimensions of ~ntire new construction: Front ..... /,~.t. ...... Rear .... I~. f. i ...... Depth ....~.q .t ........ Height ............... Number of Stories ..... ! .......... · ........... !..~ ........................ Size of lot: Front . . ./.~.~..~.. Rear /.~ ~ . . Denth ~'$6t ' Date of Purchase ~.~- Na~e 'o'f~d~dr'6'w'ner' i-~.t~., '~'''~l'~'~'~i ........ 10. 11. 12. 13. 14. Zone or use district in which vremises are situated ......................... i ............ . ........, ..... .. · · Does proposed construction violate any zoning law, ordinance or re*ulation' ~ . ' Will lot be regraded .../~P. :,,.: _. x: ..... , ........ Will exce~ss fill, be removed from premises: ~ NO Name of Owner of premises ~/~t~ .~'~... Address ~. ~r'tr..~g. ?.~t. i... Phone No. Name of Architect .... ~ .............. Address ............. ~.. i... Phone No ................ Name of Contractor ~'~*~i~' .......... Address . Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether STATE OF NEW YORK,, , , S ~ COUNTY OF...-~'.. :[~./../.~... '~ ~ .. F~...t~t..~../~.... ~..l~..~..~.$.~./... ~.. ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ~' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authored to perform or have perfo~ed the slid work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~knowledge and belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this : ............. ~./. ...... day of...q~qr [ ............ 19... Nota~mublic~~.'~,~ County ~;~ ~ B20.10 ~o.~ \ ,, . ,.,,. , ~..-. VAN TLJYL~o(,t .., ~' If copper ttlblr~ ~11 ~ for waler dJ~trlbutlri~ 8y~tem; plplno Ih.ll bt of I~el K or L only ER CERTIFICATION pLUMB --NTENT BEFORE ON LEAD cu~ u ---, ,PANCY CERTIFICATE of= uu~ur. $Ojj:)ER USED IN WATER M CANNOT sUPPL¥ ~_¥?.ToE~of f% LEAD. ExcEED z/~ u OCCU?~NCY OR USE iS UNtAV~:UL WIIHOUI CERltFICA~'E OF oCCUPaNCY ~,; ~Ow~,~ A5 NOTED 765-1B~2 THE TE CONS fRUCTION & ENERGY ~A CODES. N~ I~e~RUC~ON ~RROR~. SCALE ,I ~f~TZ.C