The URL can be used to link to this page

Home My WebLink AboutZ-10126FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No ...... Z101.26..... Date.......September..4............. 19.80 THIS CERTIFIES that the building ................................................ Location of Property ....0 .Captain. Kidd Driv�e...............Mattiiucko .N..X. House No. Street Hamlet County Tax Map No. 1000 Section ... 106. ..... Block .... 02 ......... Lot .....0.46 ........ Subdivision ...Capt..- Kidd .Estates....... Filed Map No. ...1672Lot No. .. 15.Q ....... requirements of a one family dwelling built prior to° conforms substantially to the Certificate of Occupancy 210126 .... April .23........ 19 5.7 pursuant to which$ai'I i - F dtfta. ................... dated .... S.eptember..4........... 19 8q , 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 ......... ................... Privat»..One. Yamily..Dwe7ling............................. The certificate is issued to ............. Jenni.e .Jazwinski ....... • . • • • • • • • (owner,1�� of the aforesaid building. Suffolk County Department of Health Approval ............. NSR ......................... UNDERWRITERS CERTIFICATE NO ..................... N/.R ......................... /! . Building Inspector Rev 4ns FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, 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 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 / Date .....4. L_! .�.0..... . New Building ............. Old or Pre-existing Building ............ Vacant Land ............. 150 Captain Kidd Drive, Mattituck, N.Y. Location of Property............................................................. ..... House No. Street Hamlet Owner or Owners of Property .. JOSEPH, JAZWINSKI....................................... County Tax Map No. 1000 Section .... 10 6 ........... Block .. 02 .......... Lot. 0.46.......... . Subdivis&! CAPTAIN. KIDD. ESTATES ......Filed Map No. 16.7.? .....Lot No. .. 7 5.R ....... Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ... ................... Fee Submitted $. .5 , 00 . . . ................... . Construction on above described building and permit meets all applicable codes and regulations. Applicant.................................................... T,("""" F- ,7 ACT LTD L,O. Z Rev. 10-10-78 1 277 1. 41i,r �� q. NORTH SHORE ABSTRACT LTD. 277 NORTHERN BLVD. • GREAT NECK, N. Y. 11021 (212) 428 - 6900 (516) 466.6050 DATED: Q /v X Q J Building Department HF: 'i'itle Ido. gentlemen: With reference to the above mentioned title report, please send us a copy of the Certificate of Occupancy alonr* with any other Building Permits or information concernin^ Certificate of Comnletion that you may have on record. In the event you have no record of a Certificate of Occupancy or any of the above, please provide us with a letter or necessary forms indicating the building was erected prior to the requirement of the certificate of occupancy, or forms to be completed to i -,sue RuildinW Permits and Certificates of Comnletion. ® STREET ADDRESS NO. Y l> 1 n- 010D "ECTION: / V (o BLOCK:_ a Attached kindly find our check in thy- r_mount of NOT TO E' ,7F.F.D <� e , along with a self -address,: �-.tamned envelope for your convenience. If you have any questions concernin,r *.ie above request, please do not hesitate to call me. IHC:me Enc. V,,":: • rul y o.ir:- , ILI''i': rOLDI3i:HC i I NCOGG' GCN. oti c..�NE O 0 O O N N I CONC. PST/o �z.gz 2B / 3B as / 3TOQY c/6 N FG�IME N ,�'myl 28.0 3B. i i � � h z ,p 279.27 • � * NO�o SGL '.�O'" W /G17. GU �. \\ \ o/L m 3717 NE .wMT NO CURD OR N/ALK N Co4STA OO 0�4. M/N//1/1UM STANO.�.�705 0/�'NYS LAA/p T/TLE 425A�oLY GU.gQ. TO: COMMONN/EALTf / G ANO T/TLE /NSL�.4A NCE CO. OF N. 'P G- 7za Z55-S G'.-14/ `T i / NNE .4C3' S LOT /SO B L O C'k C�IO7A /n/ K/00 �ESTATZ'S F/LES ✓A N. /9, /949 - /�o7Z AT(MATT/TY/CK /1vG.E7-) TOlN/�/ Off' SOCJTi� /OL O ✓-A (:::%/-<.14 NO SLIA;> E1?�4 Ny5 c,/c- .30979 .995 SUN.0/SE H/NY BABYLON N. Y �U. 60X /Oqe Y✓fST B/IB YLON N.Y SU.QtiEYEO AUG. 2/, /960 $CAGE /"z Z0' /V41 32z8S BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location /,5-0 LS47,-A /A) el V O �ft . , /1J/'7i -- �/ •� number street Municipality) -7 Subdivi s ion (:aYgZ )l�.,�a s T, 77' 5 Map No. / K Za Lot (s) Name of Owner(s) JCiyA-"ic Occupancy /C -- e) towner - Admitted by: ��,� Accompanied by: Key available Ct—,Suffolk Co. Tax Source of request,6rQ/ At)Date s DWELLING: Type of construction al/wy 42j �9' E T #stories_ 2& Foundation J d -r 2TXTr Ce11aCrawl space akz� Total rooms, 1st. Fl 1x'C4_-2nd. Fl 3rd. Fl Bathroom(s) — Toilet room(s) Porch t -- -- asZw ype Deck, type Patio, type�r/e.TF Breezeway Garage — Utility room — Type Heat nlo,v g: darm Air — Hotwater Fireplace(s) -- No. Exits /�j1,�� Airconditioning Domestic hotwater 11 Type heaterT Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by •,.& ��✓,, d:t,= to of Insp J T Time start 3'.'37c) i 4 end 3:So P -/'j TOWN OF SOUTHOLD PROPERTY RECORD CARD M- 3l OWNER STREET VILLAGE DISTRICT SUB. LOT ,tN/v/E pZW/NSK/ COPT. KD,D &el VE +"7,TvC MISC. LAND FORMER OAER- N E ACREAGE 3 � � .--� aSL- I414 : fat w/N9 t�( $ W TYPE OF BUILDING I �� y^Y t / dJ6� RES.��A SEAS. VL. FARM COMM. ` IND. 1 CB. MISC. LAND IMP. TOTAL DATE REMARKS 3 � � 2 4 O �S D p E To �6/ % rI3 � cSr l�tl SAZ/NSK/ �D .I rNNit � AZwiNSK� — vC i4TN. b o U / 2oa AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value-- � v. p � P r N 12-0 ---- -- Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House.Dot ... Total t E -i �fl�LM i �-� � ,C-- ✓ e- 7 - All; All: �2 Foundation C rL�, I Bath h Q - --- - t Basement Floors aK Extension � Extension Ext. Walls ; f J �J , Interior Finish Extension Fire Place h ,� Heat i ----- --� ------ - - ---_ Porch 1 Attic Porch i - - Rooms ] st Floor ------- --------- - --- Breezeway Patio Rooms 2nd Floor Garage Driveway _ -_--- ----- -