HomeMy WebLinkAboutZ-32931 FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Noc Z- 32931 Date: 03/18/08
THIS CERTIFIES that the building DWELLING
Location of Property 4100 ALDRICH EXT MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 0006 Lot 001
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior t0 APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCDPANCY N@lQ3SR Z- 32931 dated MARCH 18, 2008
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 BARN, SHED WITH PERGOLA, &
WOODEN WALKWAY OVER POND•
The Certificate is issued t0 JOHN KOROLESKI
(OWNER)
of the aforesaid building.
SIIFFOLR CODNT7 DHPARTMENT OP HEALTA APPROVAL N/A
ELECTRICAL CBTtTIFICATE NO. N/A
PLDMBSRS CERTIFICATION DATBD N/A
PLEASE SEE ATTACHED INSPECTION REPORT.
Au orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION RHPORT
LOCATiw: 4100 ALDRICH HXT MATTITUCK
SOBDIVISI®• 141P ND.: L07 (S)
HAMH OP OIR03B (S): JOHN KOROLHSKI
OCC9PAACY: SINGLH FAMILY DWELLING JOHN KOROLESKI
ADIQTTBD HY: MATTHEW HORMANN AC(,'Q@AHIBD BY: SAMH
7CEY AVAII.ABI.S: SUPP_ CO. TA% MAP HO.: 120.-6-1
SOORCB OP BBQOR,ST: ALLEN M SMITH ATTY 2)28f 08 OATS: 03 18 08
DWELLING:
TYPE OP OW~fTRIICPIOH: WOOD FRAME # $10RI88: 2.0 # 88IT3: 4
POO®]ATiw: STONE & CEMENT HLOCR CBLI.AE: PART. (FANG SPACE:
TOY'AI. BDwS: 1S[ PLR.: 4 2!ID PLR.: 2 3RD PIi.: 0
HATBROa+(s): a.o Tn3J.HT Row(s): o.o DT373TY Row(s): oNH
P~CH TYPS• DBC& TYPS• PATIO TYPS-
HBBS881fAY: PSBSPI1fCS: OARA06
DOMBSTIC HOTIWTSR: YES TYPE HBATSR: A1gC0®IDITIOHINO:
TYPE HEAT: OIL-HW 1H1Rl1 AIR: BI717Q1TSR: YES
OTHB$: PROPANE HEAT & STEAM NEAT
ACCESSORY STRUCTURES:
° ~ TYPE OF ODi1bT.• SRORAGS, TYPE OBIST.• BARN
SIYIIl~ POOL- GDP3T, TYPE ~Y.:
OTHBR: ACCESSORY SHED WITH PERGOLA & WOODEN WALKWAY OVER POND
VIOLATIONS: CHAPTHR 45 N.Y. STATE UNIFORM FIRH PREVHNTION & BUILDING CODE
LOCATION ~ DESCRIPTION ~ ART ~ SHC.
BBlIARKS: BP #29812-COZ-2588 (ADD TO DWHLL)-BP#337472-CD7+-32930 (AGCY SHED)
IgSPHCP® SY. OATS w ISSPSCTIOR: 03 06 OB
GEORGE GILLEN TIlo; 3rAg[:
~ Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~'VN HALL
' 765-1802 $
APPLICATION FOR CERTIFICATE OF OCCUPATVCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following: -~I
A. For new building m- new use:
1. Final survey of property with accurate location of all buildings, property lines, sU~eets, and unusual natural or
topographic features.
2. Final Apprvvat 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. Conunercial 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 Apri19, 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in waiting to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling $25.00 Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning pool $25.00, Accessory buildin 25,Q9,~ldditions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Bur mg -7 00.00
3. Copy of Ceiiificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
Temporary Cerli ticate oCOccupancy -Residential $LS.OQ, Commercial $15.00
Date. Februar}~I, 008
New Consuuetion: Old or Pre-existing Building: % (check one)
182 Sound Avenue Mattituck
L,ocalion of Property.
House No Street Hamlet
Owner or Owners vCPropeity. JOHN KOROLESKI
Suflnik County Tax ~1ap Nu 1000, Section 120 Block 6 Lot 1
Subdivision Proposed set-off for John Koroleski Filed Ma 10938 1 t: 1
P
Permit Nu. Date of 1'ennit. Applicant:_
Health Uept. Approval. _ __Undenvriters Approval _ _
Plarviing Board Approval. _
Kequest for: Temporary i.ertificate Final Certificate: % (~hcck one)
-1---
Fee Submitted: $ 125.00
OH $l; iature
~'n1Lco ~.3a~ 3 r _ -
CONSENT TO INSPECTION
JOHN SOROLESKI ,the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is)%(ttl~ the owner(s) of the premises in the Town of
Southold, located at 182 Sound Avenue, Mattituck, NY 11952
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 120 ,Block 6 ,Lot 1
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-existing Use letter/Certificate of Occupancy
That the undersigned do(es) hereby give consent to the Building hrspectors 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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
S~
Dated: February ~ 2008 ~~nt1
J KO L~ESKI re)
II (P int N le
,~lol~n ad~
(Signature)
(Print Name)
STATE OF TEXAS ) ss:
COUNTX of Q i J"'-
John J. ICorloeski being duly sworn deposes and says that:
1. I make this affidavit ]mowing that the Town of Southold will rely upon
the truth of the matters set forth herein in reviewing my application for apre-
existing use letter/certificate of occupancy.
2. Incorporated herein by reference is a survey prepared by Stanley J.
Isaksen, L.S. last dated January 17, 2008.
3. My family has awned the premises shown om the survey prior to 1957.
4. The `4+vood frame residence" (with the exception of the addition
covered by Certificate of Occupancy Numbered 22588 dated October 27, 1966)
and the "barn" existed in their present location prior to the enactment of zoning in
the Town of Southold (1957).
5. The "frame building "(14.3x20.3) currently in the North West comer of
the parcel ltad been initially built along Sound Avenue and was moved to its
present location prior to 1957.
6. My family owned the farm to the North and East of these premises.
The "pond" shown on the survey is in fact a low point on my property which was
filled by drainage from the sunroundimg farm. I cleaned up the same with a liner
anal walkway to create a gold fish pond.
WHEREFORE, your deponent asks that apre-existing use letterlcertificate
of occupancy be issued by the Town of Southold for the `Svood flame residence",
"ham" and "frame building" (20.3x14.3) shown on survey dated 7anuary 17,
2008.
J fI S
Sworn to before m.e this L day of
Ivl h, 2008.
`~Yc~..~/,~
No Public
TERRI L SOMMERS
NOTARY PUBLIC
STATE OF TEXAS
My CommlNlan Explrea 0&22.2008
_ i
j
lac - ~ ~ / TOWN OF SOUTHOLD PROPERTY RECORD CARD
/G O C - / _
OWNER STREET ~ ~ VILLAGE DIST. SUB. LOT ~ 4,
FORMER OWNER N E ACR. r/ 2 A
- , ' L'~ ~ V Ye N -4Y ~nfen n-,a n ~r - a H < Q l(iua
$ W TYPE OF BUILDING f ~j, r~[ L'--_
~o~ri~. ~ ~~a ~I~
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND ~ IMP. TOTAL DATE REMARKS _
v n ~ o~d a o , ~ z~ S' ~E,nzl-( c.~.~"7 41 ?..i t rl.~-vrwuctio
_ F_ ,
X100 ~v., 7oZ~ S 06 s 2~~9 ~ -y~. ~ ~ i` ~riE.~'i" ~ ~ ~ YrGl ° I~I,~~~ j
/ ~
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable r--, ~ FRONTAGE ON WATER..
Woodland FRONTAGE ON ROAD
Meadowland y ~ ~p~ P DEPTH
House Plot / ,-r.. ~ ~ BULKHEAD
Total ~ I I / DOCK
c~D90 q~n,c
he.. ~ GpR- ~1
OR TRIM q
3 ~
S~
1
120.-6-1 9/06 ~ _ 1 - #
/ia ~:v.
M. Bldg. z x 33 ? y~ ~ 3
Fxtensian z
S ! ti ~ 2 a` ~ ~
Extension 06 3. DO 19 65
Extension
a x a 3 - s .s o o$ S/3
i
~ _ un ation r•~ Bath G °6 a Dinette
S`Y / ` ' S a Basement <f,n T Floors r
~ K.
/3 x 4 ~ - ~ 9 ~ j 340 i E Walls c~~ Interior Finish w~ m~G° ' LR.
: t:
Breezeway s ~ IFire Place
I Tr'~ Heat S7rr-'r`- ~DR.
Garage xty` = r g _ e Roof - Rooms 1st Floor BR.
~F.'
pat1O Recreation Room Rooms 2nd Floor FIN. B
e~
O. B. //°.l?',;,;. ~ ~ , Dormer Driveway
Total
i~
J/65 9 ~06
_ ~ .w fem.
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GL'APANTEES INDICA1f0 HERf ON SHALL RUN NSF KOROLESK
Oh'LY TO P/f PERSON FOR WHOM 1HE SURVEY
IS PREPARED. AND ON HIS BEHALF 70 THE
c crNCDrNSnTYtTnoN~FNUSTEDLHER
oNYAND N 72'40'30'rE 212.32'
O THE ASSIGNEES OF THE LENDING INS DTU DON.
i-UARANT[ES ARE NOT TRANSFERABLE TO
AD0IDONAL MS711U170N5 OR SUBSf0UEN1 OWNERS. z N i0
V ~
UNAUTHORIZED AL tE4A DON OR AOOIDON TO THIS ~
SURVEY IS A NOLATION OF SEC DON 7209 OF (O 101' ~n
THE h'EW YORK STATE EDUCA LION LAW Q S. S TpAME r ~ T SN~F ;
~ ~ N esoc. u. o
COPIES OF THIS SURVEY MAP NOT BEARING ~ Z ~
THE LANG SURVEYORS EMBOSSED SEAL SHALL O O ~pEp GERGUTA
NOT PE CONSIDERED TO 6E A VALID TRUE (p A G
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FMf/ 10938 suRVer of SURVEYED: 17 JANUARY 2008
DATE FILED APRIL 25, 2003 LOT 2 -
SCALE 1"= 40'
TM f/ 1000-120-06-001 IN
MAP OF PROPOSED SET-OFF AREA = 86,6,2 S. F.
FOR JOHN J. KOROLESKI ,.9 BRAGRES
SIiUA7E
MATTITUCK, TOWN OF SOUTHOLD SURVEYED aY
SUFFOLK COUNTY, N.Y. STANLEY J. ISAKSEN, JR.
P.O. BOX 294
SURVEYED FOR: DEBORAH S. REBELL NEW SUF OLK. N.Y. 11956
JOSEPH CAMASTRO 631-73 X5835
GUARANTEED T0:
DEBORAH S. REBELL
JOSEPH CAMASTRO ~ _ _ _ _
COMMONWEALTH LAND TITLE INS. CO. LI NSED D SURV OR
PEOPLE'S UNITED BANK
YS Lic. N 49273 08R1656