HomeMy WebLinkAboutZ-35862Town of Southoid Annex
54375 Main Road
Southold, New York 11971
8/3/2012
No: 35862
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
8/3/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 See/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
4400 Breakwate~ Rd, Mattituck
99.-5-3
Lot No.
built prior to
35862
Fried Map No.
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
dated 8/3/2012 was issued and conforms to aH the requriements of the applicable provisions of the law.
The occupancy for which this ceztificate is issued is:
wood frame hieh ranch one family dwelling and attached one car garage.*
NOTE: BP 7306 deck addition COZ6115
Cottane B (see sm-vey) unheated seasonal wood frame cottanc with oorch.*
Cottage C (se~ survey) unl~ated seasonal wood frame cottage with porch.*
Cottage D (see survey) unheated seasonal wood frame cottage with porch.*
The certificate is issued to
Husak Jr, Frank & Husak, Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACH-ED INSPECTION REPORT.
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
4400 Breakwater Rd, Mattimck
SUYF. CO. TAX MAP NO.: 99.-5-3
NAME OF OWNER(S): Husak Jr, Frank & Husak, Robert
SUBDIVISION:
ADMITTED BY: Michael Herbert
SOURCE OF REQUEST: Husak Jr, Frank & Husak, Robert
DATE: 8/3/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FL1L:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE I~EAT: oil
# BEDROOMS: 2
OT~rER:
# STORIES:
cement block CELLAR:
2ND FLIL:
TOILET ROOM(S):
DECK TYPE:
I~IREPLACE:
yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
# EXITS:
full CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE: one car
offboiler AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
7/27/2012
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
4400 Breakwater Rd, Mattituck
SURF. CO. TAX MAP NO.: 99.-5-3
NAME OF OWNER(S): Husak Jr, Frank & Husak, Robert
SUBDIVISION:
OCCUPANCY:
ADMITTED BY: Michael I-~rbert
SOURCE OF REQUEST: Husak Ir, Frank & Husak, Robert
DATE: 8/3/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLIL:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
# BEDROOMS: 2
OTHER: Cottage B
# STORIES:
cement block/post CELLAR:
2ND FLIL:
TOILET ROOM(S):
DECK TYPE:
~'IREPLACE:
X TYPE HEATER:
WARM AIR:
# KITCI~NS: 1
# EXITS: 2
CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S~:
PATIO TYPE:
GARAGE:
AIR CONDITIONING:
HOT WATER: elec~ic
BASEMENT TYPE:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING FOOL:
OTHF~R:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
INSPECTED BY: GARYF DATE OF INSPECTION: 7/27/2012
TIME START:
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
4400 Breakwater Rd, Matfituck
SUFF. CO. TAX MAP NO.: 99.-5-3
NAME OF OWNER(S): Husak Jr, Frank & Husak, Robert
SUBDIVISION:
ADMITTED BY: Michael Herbert
SOURCE OF REQUEST: Huaak Jr, Frank & Husak, Robert
DATE: 8/3/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
# BEDROOMS: 1
OTHER: Cottage C
# STORIES:
cement block/post CELLAR:
2ND FLR.:
TOILET ROOM(S):
DECK TYPE:
FLREPLACE:
X TYPE I~I~ATER:
WARM AIR:
# KITCHENS: 1
I # EXITS: 2
CRAWL SPACE:
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
AIR CONDITIONING:
HOT WATER: electric
BASEMENT TYPE:
porch
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
7/27/2012
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
4400 Breakwater Rd, MaRituck
SUFF. CO. TAX MAP NO.: 99.-5-3
NAME OF OWNER(S): Husak Jr, Frank & Husak, Robert
SUBDIVISION:
ADMITTED BY: Michael Herbert
SOURCE OF REQUEST: Husak Jr, Frank & Husak, Robert
DATE: 8/3/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: IST FL1L:
BATHROOM(S): 1.5
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
# BEDROOMS: 2
OTHER: Cottage D
# STORIES:
cement block/post CELLAR:
2ND FLIL:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
X TYPE HEATER:
WARM AIR:
# KITCHENS: 1
# EXITS:
CRAWL SPACE:
3RD FLIt.:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
AIR CONDITIONING:
HOT WATER: electric
BASEMENT TYPE:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTI~ER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
INSPECTED BY:
GARYF
DATE OF INSPECTION:
TIME START:
7/27/2012
SHORE ACT
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN IIALL
765=1802
APPLICATION FOR CERTIFICATE OF OCCUPANC
JUL 2 3 2012
BLDG, DEPT.
TOWN OF $OUTHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
For new building or ne~ use:
1. Final survey of property with accurate location of all buildings, property lines, s~a~cs, 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 certi~ing that the solder used in system contains less than 2/10 of 1% lead.
5. Co--,~tcia] building, industrial building, muRiple residences and similar buildings und install~ons, a certificato
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board App, uval of completed site plan requirements.
For exhfing buildings (prior to April 9, 1957) non-conforming uses, or buildJnRs and "pre-exbfing9 land uses:
1. AccunUe sm'vey of property showing all property lines, struts, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant Ifa Certificate of Occulmacy is
denied, the Building Inspector shall state the rea~us the~4'or in writing to the applicant.
F~es
1. Certificate of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Altorations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to acee&~ory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pr~-existing Building - $100.00
3. Copy of Ce~ifl~_*~ of Occupancy - $.25
4. Updatod Certificate of Occupancy - $50.00
5. Temporary Cmificate of~cy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: /-j ~/O 0
House No.
Owner or Owners of Property:
Suffolk County Tax MapNo 1000, Section
Old or Pre-existing Building:
St,:eet
qq
Subdivision
Date. ~ 6 q t ~ , ~ o , ~.
u.-"'" (~he,:k une)
Block
Filed Map.
Hamlet
Permit No. Date of Permit. Applicant:
3
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted'. $ ~ ) ~
Underwdtom Approval:
,/'
Final Certificate:
(che~k one) - ,~ O~0 ~' S
o Se -v Mos m
CONSENT TO INSPECTION
JUL 23 2012
BLDG. DEPT.
TOWN OF SOUTHOLD
, the undersigned, do(as) hereby state:
That the undersigned (is) (_a~) the owner(s) ofthe~premises in the Town of
Southold, locatedat ~40o ~ff.~t~t~
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section '~ , Block ,.~ , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: /$~o,~,~/a~' o t--
That the undersigned do(as) hereby give consent to the Building Inspoctors of the
Town of Southold to ~ntor upon the above dascxibed property, including any and all
buildings located thereon, to conduct such inspoctions as they may deem neeesasry with
raslX~'t to the aforesaid application, including inalzctions to de~m~ine that said pmnises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(as) so with the knowledge
and understanding that any information obtained in the condu~t of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinance% rules or
regulations of the Town of Southold.
Dated: ...7'o/..,./ lq,
_ (sign )'
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD iq~OPEI~TY RB
VILLAGE
:O~l)
DISTRICT
ACREAGE
LOT
.~ - ,. )~- ~ S ¢V .-- TYPE OF BUILDING . , ,~ ,~¢L¢,.,~,~
RES. ~/~ S~.' ~ VL. FA~ C~. J IND. J C~.~ MI~. ~. Mkt. Val~
~ N~L - ~&~/ ---''UABO~ FRO~AGEON WA~R
Farm
Tillable 1
Tfllable 2
Tillat¢~ 3
Woodland
S~'amp!ond ~,
Acre
FRONTAGE ~, ROAD
BULKHEAD
T6ta!
Bru~land
.J-Iome Prot
Value Per Acre
Value
DOCK
Foundation Both
~t. Walls ~.~¢ Interior Finish
Porch R~f T~e
Patio R~ms 2nd Flor
Driveway ~rmer
06/05/2012 11:39 6315435099 PAGE 02/04
AFFIDAVIT
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) ss:
RE: Property located at 4400 Breakwater Road, Mattituok, New York
Tax Map No. 1000-099-005-003
ROBERT HUSAK, being duly sworn, deposes and states as follows:
1. I am the current owner of the property located at 4400 Breakwater Road,
Mattituck, New York ("Subject Premises") and make this Affidavit in support of my
application to receive Certificates of Occupancy for two of the three "summer" cabins
located on the above-referenced premises. I am fully familiar with the facts herein, as
more fully explained below.
2. My parents purchased the Subject Premises in 1949. Copy of deed annexed as
Exhibit "A", At that time, I was 14 years old.
3. Over several years, my family commenced building the current structures on the
property. Within the first year of purchase, we built the cabin at the top of the road,
designated as building #1 on the survey annexed as Exhibit "B".
4. Shortly after that construction, we commenced construction of the second
summer cabin, which was necessary to function as a pump house for the well,
(designated as building ~). The two first structures were by the end of the summer of
1951.
5. The third cabin (designated as building #3) was constructed within the next
summer or two.
6. I was present at the Subject Premises for most of the summers of 1949 to 1955,
as my immediate family used the Subject Premises as a summer home.
86/88/2812 11:39 6315435899 PAGE 83/84
7. I am certain that the three cabins were completed prior to 1955. I joined the
Navy in 1955 and I am certain that all of the cabins were constructed by the time I
joined the Naw.
8. The main house (designated as building fl4) on the survey, was completed, upon
information and belief, in 1961.
9. Upon information and belief, both the main house and one of the cabins possess
Certificates of Occupancy and this Affidavit is in support of the issuance of Certificates
of Occupancy on the other two pre-existing cabins.
Sworn to before me this
g/'day of ..~b,t~._ 2012
Notary P,J~C
~--ROBERT~HU~
JUL 2 3 2012
BLDG. DEPT.
TOWN OF SOUTHOLD
~ ¥=i=~ MBiC~ HI.WAY
Via Federal Express
July 20, 2012
Mr. Michael J. Verity
Chief Building Inspector
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, N.Y. 11971
RE: 4400 Breakwater Road, MattJtuck
SCTM # 1000-099-005-003
Owner: Robert Husak
Request for C/O's for pre-existing structures
Dear Mr. Verity:
I am the attorney for Robert Husak, the owner of the above-referenced property.
As set forth on the enclosed old survey, there are four residential structures on the
premises, one full time house and three "summer cabins." Based upon research on
the title and through your Department, it appears that the year-round structure and one
of the cabins have Certificates of Occupancy. It does not appear that there are C.O.'s
for the remaining two cabins.
Please treat this letter and the accompanying paperwork as a request to your
Department to inspect the premises for the purposes of determining that the two
structures without C/O's were constructed prior to April 9, 1957 and thus, can be issued
certificates of occupancy for prior existing use.
Enclosed please find a completed application for the Certificate of Occupancy,
the owner's permission to inspect the premises and my client's check, in the amount of
$200.00, made payable to the Town and two affidavits, as described below.
The property has been in my client's family for about 65 years. The two affidavits
are from Mr. Husak and Dora Johansen, a lifelong friend of the Husak family. These
Affidavits are based on personal knowledge and each indicate that the two remaining
structures were constructed prior to 1955, when Mr. Husak joined the Navy.
Thank you for your consideration of this request. If you need access to the
interiors of the structures, you may contact Michael Herbert at Community Rentals and
Sales Realty of Mattituck. His phone number is 631-298-9300. If you have any
questions or need any additional information, please do not hesitate to contact me.
Sincerely,
Leonard J. Shore
LJS/tc
Encls.
July 23, 2012
Building Department
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, N.Y. 11971
^ttn: Sue
~ ¥= I m=RAN8 MEM~ HISHWAY
OOl~ NEW YORK 1172B
~IJUL
2 4 2012
BLDG, DEPT.
7OWN or $ODTHOLO
RE:
4400 Breakwater Road, Mattituck
SCTM # 1000-099-005-003
Owner:. Robert Husak
Fee for C/O's for pre-existing structures
Dear Sue:
As we discussed on the phone, enclosed please find my check, in the amount of
$100.00, payable to the Town of Southold to cover the fee due. Thank you for your
prompt attention and cooperation with this matter.
Sincerely,
Leonard J. Shore
LJS/tc
Encl.
Z~
LOCATION:
number & street)
(municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
SOURCE OF
MAP NO.: .... LOT(S): ,
,._(type) (owner-tenant)
.. SUFF. CO. TAX MAP ~000-
..... DATy
TYPE OF i
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
BATHROOM(S): ~
PORCH TYPE: ~
BREEZEWAY: ~
2ND FLR:
DECK, TYPE:
CRAWL SPACE:
3RD FLR:
?ATIO, TYPE:
DOMESTIC ~WATER: ~
TYPE HEAT: ~ WARM AIR:
# OF KITCHENS: ~
FINISHED BASEMENT: YES NO
OTHER: ~
ACCESSORY-STRUCTURES
TYPE HEATER. _~_d~IRCONDITIONING:
HOTWATER: ~
GA~.AGE,,T~PE OF CONST.:
." (. -- ,~. . "
'SWlMMalNG POOL:.
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DEscRIpTION ART. SEC.
INSPECTED By:
DATE OF INSPECTION:
TIME START: