The URL can be used to link to this page

Home My WebLink AboutZ-11430FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z ~ .1.420 ~A ....... Date .......... J.u~..~7 ............... 198~. THIS CERTIFIES that the buildings.. L 2 ) ........................................... Location of Property 11815 Sound Avenue Mattituck I~ ~oi ....................... '~'tle~i ....................... /~ie~ County Tax Map No. 1000 Section .... 1.4.1. ..... Block ...... 0.~ .......Lot ...... 0. ~. 5 ........ Subdivision .......... ~ ................... Filed Map No .... ;( .... Lot No ...... ~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~. p.n± 1.2.3. ....... 195 7. pursuant to which Building Permit No ...... Z..~ 3 .q.3. O ......... dated .... danu~c.g..rT. ............ 1983., 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 ......... · · .a. pr~e x i.%t ing.,., t wo.~f ami.]-~t. ~.al 1 in4~. wi.tl%, acc.~ $ O~.Y.. g~.~g~ ......... The certificate is issued to ......... F.EANK..L.. DA~OWS~CI ............. of the aforesaid building. Suffolk County Department of Health Approval ...... n /~ ................................. UNDERWRITERS CERTIFICATE NO .............. n / a ................................. Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD Building Department Town Hal! Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Lqstructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 naturai or topographic features. 2. Finai approval of Health Dept. of water supply and sewerage disnosal--(S-9 form or equal). 3. Approval of eiectrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildinos and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit P~anning Board approval of completed site plan reouirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre*existing" land uses: 1. Accurate survey of peoperty showing ali property lines, s~reets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety insoection of buildings or premises, or other pertinent informa- tion required to prepare a certificats. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 / for a~t~o-fami_~y residence/) New Building ............ ~ Older Pre-existing Buildinq/ ..... . .xt~..f. Vacant Land'.. i t ........... Locat on of ProlJerty-..$(;~ .~Re~q~.,...i~.a~.t~.'.t..u~. ~. ~. ~g~ ............ ..................... Hou~ ~o, S~reet Hamlet Owner or Owners of Property . .~az~k .L.. ~ ......................................... County Tax Map No. 1000 Section .... 141..(~Q ..... Block ... O;], QQ ....... Lot..QZ.5...0.0.0. ....... Subdiv s on /~'/. Filed Mas No M' Lot Nn Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .................. .~.. Final Certificate ....................... eeSu m t ed$.. ,.O.O ........................ ~onstruction on above de~ribeO building and permit meets all app~e c~d,~:~lations.,pplicant ~ ¢..~~' . ........... ~*~e key for a~ess is at S~ ~ Es~. You ~y noSfy ~is STATE OF 6~0R~IA F~INK L. DANOWSKI, residing at 225 A~ington Drive, N.E., Atlanta, Georgia, being duly sworn, deposes and says: I am the owner of a residence ~ the North side of Sold Avenue, ~ttituck, bounded c~ the West by Douglas Bogovich, (xl the North by Middle R~d ~xtensic~ C.R. 27) a~d on tJ~e East by (/aang. ~ne ~x designation is 1000 141.00 03.00 015.000. %hJ~ is a large t~o story brick building on a parcel of 1.1 acres. It has a frontage of 125 feet as compared with ~r~tages in the J~diate neighborhood, ranging frc~ 50 to 75 feet. ~his was the ho~e of my father and mother, Alexander S. Danowski and Stella D~no~ki.. Prior to 1955, ~ brother, Stanley Dmnowski, who was the constructio~ business, occupied the second floor. He mDved to Flanders, L0~g Island in that year but completed the transfornmtion of the house into a full two-family house. My sister, Bertha Pendzich, thereafter occupied the second floor and helped to take care of n!; father, who di~ in 1963 and my mother in 1970. Since 1970, my sister has cc~tinued to stay in the house to take care of it for mm, althou§h she occl~ied the first floor. %he secc~d floor has been left intact as a separate apartment. I make this affidavit in ccnnection with an application for a certificate of pre-existing use as a two-family d~elling. Frank L. Dano~ski S~TE OF ¢~DRGIA Sworn to before me this ~ day of November, 7~ ~y ~mmission £xpires ~:eb. 11,