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Z-44595 & Z-44596
Qg11FFOl,�C;r Town of Southold 9/25/2023 j�o�' �Gy 53095 Main Rd N x Southold,New York 11971 o • �' ?101 � •�`�:{i r PRE EXISTING CERTIFICATE OF OCCUPANCY No: 44595 Date: 9/24/2023 THIS CERTIFIES that the structure(s) located at: 2200 Park Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-10 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 44595 dated 9/24/2023 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame single family dwelling with outdoor shower.* (front road side house) The certificate is issued to JSK Park Ave LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Au 'zed ig afore BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2200 Park Ave,Mattituck SUFF.CO.TAX MAP NO.: 123.-8-10 SUBDIVISION: NAME OF OWNER(S): JSK Park Ave LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: JSK Park Ave LLC DATE: 9/24/2023 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: part.pit CRAWL SPACE: part. crawl sp BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/29/2023 TIME START: END: orr Town of Southold 9/24/2023 SUFFoc,�c r �G' 53095 Main Rd C2 z Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 44596 Date: 9/24/2023 THIS CERTIFIES that the structure(s)located at: 2200 Park Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-10 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 44596 dated 9/24/2023 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame single family dwelling with covered outdoor shower.* (rear water side house) The certificate is issued to JSK Park Ave LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u o z d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2200 Park Ave,Mattituck SUFF.CO.TAX MAP NO.: 123.-8-10 SUBDIVISION: NAME OF OWNER(S): JSK Park Ave LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: JSK Park Ave LLC DATE: 9/24/2023 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: cement block CELLAR: part.pit CRAWL SPACE: part.crawl BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS:' INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/29/2023 TIME START: END: �o��usrct� TOWN OF SOUTHOLD—BUILDING DEPARTMENT �1= '^ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov APPLICATION FOR PRE-EXISTING CERTIFICATE OF'OCCUPANCY OWNER(S)OF PROPERTY: Name: JSK PARK AVENUE LLC Date: 05/04/2023 Physical Address: 2200 PARK AVE,MATTITUCK,NY 11952(NORTHEAST COTTAGE) SCTM#1000-123.-8-10 Phone#: 917-520-9967 Email: SKIM_YTD97@HOTMAIL.COM JSIREFMAN@SIREFMANVENTURES.COM Mailing Address: 150 HICKS STREET#4A, BROOKLYN, NY 11201 CONTACT PERSON: Name: FINNEGAN LAW, P.C., MARTIN D. FINNEGAN, ESQ. Mailing Address: PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 Phone#:631-315-6070 Email: MFINNEGAN@NORTHFORK.LAW To apply for a Pre C.O.for an existing building(prior to April 9, 1957)provide the following: • Accurate Survey • Floor Plan }_ F- 2 • $100 Fee MAI U 4 2023 CONSENT TO INSPECTION 111A Ads G 0sEPT That the undersigned does hereby give consent to the Building Inspector of the Town of Southold;to,,er,>$e ojLoDitheLL) 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,or ' , rules and regulations of the Town of Southold. S��lZo23 Owner's Signature Date PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at the above address, do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date POD Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) SARAH KIM, SOLE MEMBER OF IJSK PARK AVENUE LLC residing at 159 WEST 24TH STREET, APT. 7B, (Print property owner's name) (Mailing Address) NEW YORK, NY 10011do hereby authorize MARTIN D. FINNEGAN (Agent) to apply on my behalf to the Southold Building Department. Zo23 er's Signature) (Date) JSK PARK AVENUE LLC BY: SARAH KIM, SOLE MEMBER (Print Owner's Name) a0F SOUTy # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING 41 a [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [/FIRESISTANT PENETRATION ELECTRICAL (ROUGH) [ RICAL (FINAL) CODE VIOLATION [ O [ ] RENTAL REMARKS: s� "t (Ve7 ftl,6f ( A-) ' f CC)n- DATE INSPECTOR CONC. CONC. STOOP STOOP LAUNDRY CL ROOM BEDROOM 3 5'-4" X 6'-0" CL 10'-1" X 15'-2" BEDROOM 4 LIVING ROOM 13'-8" X 13'-3" SUN ROOM (STEP DOWN) I S CL � ffi F BEDROOM 1 KITCHEN FULL BATHBEDROOM 2 14'-5" X 10'-10" .rd>, 9'-5" X 12'-1" FULL BATH TUB 71_2" X 9'4" clO CONC. OUTDOOR WOOD ELECTRIC METER STOOP BIL O SHOWER STEPS DOOR EXISTING SOUTH EAST COTTAGE Date: 05/02/2023 0 2 4 JSK PARK AVE, LLC rq=� 2200 Park Avenue SCALE 3/16" = 1'-0" Mattituck, New York STOOP CL I I I I DINING ROOM I KITCHEN LIVING ROOM 11 -11 X 13-7 I 111-11" X 91-0 l'-11 X 17-0 I I I II STOOP II II CL CL CL BILCO BEDROOM 3 BEDROOM 2 BEDROOM 1 „ FULL BATH „ DOOR 11 -0 X 13-3 1 1 -0 X 8-2 11 -0 X 12-0 CL se. ,mss OUTDOOR SHOWER EXISTING NORTH EAST COTTAGE Date: 05/02/2023 0 2 4 JSK PARK AVE, LLC 2200 Park Avenue SCALE 1/4" = 1'-0" Mattituck, New York S.C.T.M.# DISTRICT 1000 SECTION 123 BLOCK 8 LOT 9 & 10 t° U.P.", 3\ Gcl OSE\-\,, W.V. o U.P. 4 g DD - d 10 OAK e70fPP�•MENy 10•LOcU 4 n 4 20 n e 0 4 \ 203 9 \95 \� \ :.:i'STY"FRAME) DWELLING `, ✓I y .. : \ q\ +951 FFL=27.7.; \ fj2200 ' �0 . OAK 7 1 STri N C) :::FRAME" \ 9c\ CONC. / DWELLING:•: �' \ d� PATIO U.P. EXISTING LOT COVERAGE //2150x'..,,.:..: \ \\ .z9A AREA LANDWARD OF CREST OF SANK:27869 S.F.orO.64 ACRES P. l DWELLING(NORTH):1081 S.F. \ 0 SHED:76 S.F. 11 O I --��/ - \ DWELLING(SOUTH):1684 S.F. y TOTAL:2841 S.F.or 102% PACONC_ 05 TIO �§ ° ASPHALT +q / DRIVEWAY\0 \q,\ L f / \14.OAK c.P) �' (B EXISTING LOT COVERAGE `�� \ eq �' dzz•oAK AREA LANDWARD OFCRESTOFSANK:27495 S.F.orO.63ACRES om OWELLING(NORTH):1081 S.F. o•o SHED:76 S.F. cP \ •oar \ \ DWELLING(SOUTH):1684 S.F. �m m \ \ es 1\ s 6 OAK \ TOTAL 2841 S.F.or 10.3% 15'W.` � � 14.OAK \q5 \ ..::. \\ 9} 6.OAK6.OAK \ S 20�• I d © �• SN�:'. l�/� \/ +t9 10"OAK �' d r�OAK / \°° an �P S.C.T.M.#1000-123-8-11.3 I.aW / LAND N/F OF q2 DN 6.�K P' CNC PARK AVENUE LLC +0 + 6.„K 20' AK 15 15 IOt°OAK 6(•^O,AK I I4"OAK Q '2 Q I q 6 i6.OAK eA \t' � `t Ifi'OAK 6'0 c No 6'OAK N \"= 5,o I a`o 1 10.OAK 0.OAK (D I t5 , ' Q DWELLINGS 6"OAK 2 I w,6.OAK ° W/PUBL)C WATER 1.7`e I 14•oAK ce 15 s•oAK \ 150' B•OAKI � !i1 SND.:.©2 \\\1s• OAK 6 oAK 12� �:/s• d _ Q l;J 2to b \ \18 © 14 OAK +' 1'C 03E � \14 OAK - 22.OAK S.C.T.M.#1000-123-8-8.3 '�_\4 u,P, > l✓ LAND N/F OF TIMOTHY MURRAY P ASPHALT DWELLINGS \ DRIVEWAY W/PUBLIC WATER 2.9'E 150" j5 Iz•oAK r d a 14 MON. I O.OfK IG0-OAK 14.OAK AD \ 6.ON( I6'OAK 10 / +0n \10"OAK 1z• 'O\tt pP+ Q aaKy /....2A..... :1 m% ,b \ X SHOWER e\ / 10"OAK \1 0 4 FENCE ELEV. 18.2 SM BROWN SILTY SAND 5.0 'o m"''` PALE BROWN FINE SP SAND ::S..... J:;.�. 0 224' 17.3' WATER IN S. 40 -/ PALE SP BROWN 1 BRPZ\0 � le-p+---� 18, FINE �' P ZONE X �'\�_. Sq J.Z'E SAND 28' I 1P h APRIL 15, 2022 i McDONALD GEOSCIENCE EDGE 0 P 0 n i'/// �`�0 v� - BOUNOAB•/ 109 +0� /�/�� �- OOD ZONE FEMA MAP#36103CO482H _NAVD68 0' / W / o z AREA:59,791.66 SOELEVATION DATUM:FT. or 1.37 ACRES 21aa' ZONE VE(EL 8) UNAUTHORIZED ALTERATION OR ADO1710N TO THIS SURVEY IS A WOLA710M OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY �'/ S 15038�Uc1C 00 MAP E COPY. GUARANTEES INDCTED HERON SHALL ONL YNTo THE PIERSONEFOR WHOM THEO SURVEY ISS SPREPARED AND ON HSLAND SURVEYR'S EMBOSED SEAL SHALL NOT BEBEHALLFETO 774E TITLE COMPANCONSIDRED TO BE A VALID YUGGOVERNMENTAL AGENCY AN/DALENDING ENSTl7UBONRUN 4 LISTED HEREON,AND TO THE ASSIGNEES OF 774E LENDING lNS7ITUPON, GUARANTEES ARE NOT TRANSFERABLE. a THE OFF5 E75 OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE MHW EQUALS TIDAL WETIAND BOUNDARY NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GU/DE THE EREC77ON OF FENCES,ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS AS DETERNINED BY a 1� AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EWDENT ON THE PREM/SES AT THE 77AIE OF SURVEYEN-CONSULTAMS 11-09-22 s S lYt L� SURVEY OF:DESCRIBED PROPERTY OF NfH, CERTIFIED TO: JSK PARK AVE, LLC; ho rCo1I MAP OF: �Q'N�S� M. W01 0� 4TH FILED: yY�' OG f. °000 v �� 1 SITUATED AT:MATTITUCK o G TOWN OF:SOUTHOLD p D. lS1 F aKENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK ysF 050882 J� Professional Land Surveying and Design 5 P.O. Box 153 A uebo ue, New York 11931 THE WATER SUPPLY, WELLS, DFIELD S AND CESSPOOL 4 g LOCA770N5 SHOWN ARE FROM FIELD OBSERVA710N5 FILE#222-11.3 SCALE:1„-30' DATE:AUG. 30, 2022 N.Y.S. LISC. NO. 050882 PHONE(831)298-1588 FAX(631)298-1588 AND OR DATA OBTAINED FROM OTHERS. ., TOWN OF SCUTHIOLD PROPMTY R" � � OWNER STREET VILLAGE LrLslKrc,r , . LOT FORMER OWNER N E — ACR EA E / Y f S W TYPE OF BUILDING ! F / .., zg n �rf; < y E, y.- F Er% RES." SEAS. VL. FARM COMM. I IND. CB. ( MISC. ---- -- - . --.... LAND IMP. TOTAL DATE REMARKS .. _... _- - ---- -- ------ - ---- - yoo p f 8/�57- L I(PiP57 AGE BUILDING CONDITION NE NORMAL BELOW ABOVE~' Farm Acre Value Per Acre Value n k Tillable 1 { - --............_ i{ice t Tillable 2 Tillable 3 C 1 GZ 1I 5 ��zs_ T _.._ __ Woodland _ ............ ._. . ...._.._.- ---------- Swampland _------------ _- ._.. -----_.___.._..___.__--- Swampland � a _—._ ..._ _._ _._ ' -- - _ .--------..._..-_.......--__...... _ - Brushland . Nouse Plot 7 ---- . 19 T:til ! I � !'�Nf 4sm'� y ' _r_ s 2^ •. ---- co 4 f � 1 1 _ 123.-8-10 main house 03/2015 _..: _...._ E C -r- I i j M. Bldg. , � - I ,��.i� ;< Foundation � 16 Both Extension i Basement Floors r Extension Ext. Walls "• Interior Finish -- --- ------- _ _.._. ... ---- ---- _ /- Extension I Fire Place Heat / ...--.. -- - _.__.. .. - __...... - 1 Porch Attic Porch Rooms l st Floor Breezewa I Patio Rooms 2nd Floor -- ...-..............- - ---- _ _ Garage I ` Driveway -- TOWN OF SOUTHOLD PROPERTY RECD R17//7 /5� OWNER STREET VILLAGE DISTRICT SUB. LOT ............................ ................... ------- FORMER OWNER N JEACREAGE ............ ........................................ . ................. S W TYPE OF BUILDING ---------------- RES. SEAS. VL. FARM COMM. I IND. CB. misc. LAND IMP. TOTAL DATE REMARKS ....................................................... ................................ ...................... ................... .................................. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value P er Acre Value .......... Tillable I Tillable 2 Tillable 3 Woodland Swampland ....................... ........................... .................... Brusf-dand ........... ............ House Plot .......................... Am" 1 i f i ' j - -J�4--t - I t i f M. Bldg. ' ��g'"' .�- Foundations Bath Extension Basement I y- Floors Extension Ext. Wolls ( Interior Finish LX ..... �1 Extension Fire Place �, : Heat - ---._ -- - --- . ._......... ....... ----- Porch Attic f Porch Rooms 1 st Floor 471-1 Breezeway Patio ' Rooms 2nd Floor Garage Driveway � ......._..... . ....._. O. B. i I � i + 1 ..._...... ,., ..: ' >°. PARE: ��INSPECTION�SU.RVEY�.:. LOCATION: SCTM#:1000- �Z 7 SUBDIVISION: MAP#: LOT(S): LV NAME OF OWNER(S): OCCUPANCY TYPE: ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SOURCE OF REQUEST: DATE: 'STRUCTURE TYPE OF CONSTRUCTION::.. . . ,. .., , , . . ., ... w #STORIES ® # EXITS: Olt FOUNDATION BASEMENTS (^&— CRAWL SPACE: # OF BEDROOMS IST FLOOR 2ND FLOOR: 3RD FLOOR: BATHROOM(S). Qj TOILET ROOM(S): UTILITY ROOM: PORCH, TYPE: DECK,TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOT WATER: '` TYPE HEATER A/C: TYPE HEAvi�� T �v WARM AIR:Tit4 HOT WATER # OF KITCHENS°-,, tlooeFINISHED BASEMENT: OTHER: ACCESSORY STRUCTURE: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: ..... ..:.. . :vi OLATIONS: CHAPTER 144& NYS-�UNIFORM'CODE: LOCATION: DESCRIPTION: ARTICLE/SECTION: v �q" c�wt4x Sky l °� Larv� rte REMARKS: zoo'n' tor— e--oe— i INSPECTORS: DATE: TIME START: �',� TIME END: E<� INSPECTI`.ON'SURVEY':= - LOCATION: FSCTM#:1000- SUBDIVISION: MAP#;, LOT(S): NAME OF OWNER(S): OCCUPANCY TYPE: ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SOURCE OF REQUEST: DATE: TYPE OF CONSTRUCTION' #STORIES # EXITS\ FOUNDATION' BAS EMEN�T\�, cf�& CRAWL SPACE: #OF BEDROOMS 15T FLOOR2ND FLOOR: 3RD FLOOR: BATHROOM(S): TOILET ROOMS : UTILITY ROOM: PORCH, TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE:.\ A ARAGE: DOMESTIC HOT WATER: TYPE HEATER:' A/C: TYPE HEAT: ov WARM AIR: HOT WATER: #OF KITCHEN n�' FINISHED BASEMENT: OTHER. .ACCESSORY.-STR GARAGE,TYPE OF CONST: STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIRLATIONS: CHAPTER 14.4&`NYS UNIFORM CODE: LOCATION: DESCRIPTION: ARTICLE/SECTION: r) REMARKS: INSPECTORS: DATE:6. 1-a3 TIME START: TIME END: