HomeMy WebLinkAboutZ-19896FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19896 Date MAY 7~ 1991
THIS CERTIFIES that the building
Location of Property 2600 YOUNGS AVENUE
House No.
County Tax Map No. 1000 Section 63
Subdivision Filed Map No.
ONE FAMILY DWELLING
SOUTHOLD~ N.Y.
Street Hamlet
Block 2 Lot 2
Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19896 dated MAY 7~ 1991
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
The certificate is issued to DANIEL KUJAWSKI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-13716 - JUNE 21~ 1990
PLUMBERS CERTIFICATION DATED N/A
*PI.RASE SEE ATTACHED INSPECTION REPORT.
NOTE: THIS CO UPDATES PRE CO Z-17493 DATED 11/4/88.
Rev. 1/81
BUI~DI:,G DEP.~aXT2.LENT
TO','R,I OF SOUTHOLD, N. Y.
Location
Subdivision
HOUSIi~G CODE IHSPECTION REPORT
2600 YOUNGS AVENUE SOOTHOLD, N.Y.
~numoer ~ s~ree~)
No. Lot(s)
Nome of Owner(s) DANIEL KUJAWSKI
Occupancy. ONE FAMILY D~ELLING
Ad.mitred by:
(own er- ~ enan~)
Accompanied by:
Key available
Source of request
Suffolk Co.
DANIEL KUJAI4SKI'- .
Tauc No. 1000-63-2-2
Date MAY 7, 1991
D~','FELL !MC:
Type of construction
Foundation BLOCK
Total rooms, 1st. F1
Bathroom(s ) 1
Porch, type wood
Breezeway
Type Heat NATURAL GAS
Fir_=plac e ( s )
Domestic hotwater SEPARATE
Other
WOOD FRAME
Deck, type
Garage
'Warm Air xx
No. ~cits 2
#stories 1
Cellar F~LL Crawl space
2nd. F1 3rd. F1
Toilet room(s) o
Patio, typ~
Utility room
.Hotwater
Airconditioning.
~s
.Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swim. ming pool
Other
Storage, type const.
Guest, type const.
VIOLATIOMS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location ~ Description -- -- t-A~-t-.'I Sec. -
OPEN BP ~ 19642-Z FOR ACCESSORY GARAGE.
Remarks. BP #I7683--Z/COZZ~i8703 ALTERATION TO ONELF/~M~I.v DWELLING,
BP $17653~Z CO -.[',6Yu~- I~OR ACCESSORY S~ED. . .
Time start end
BLDG. DEPT.
TOWN OF SOUTHOLD
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 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. Commercial 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.
For existing buildings (prior to April 9, 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 a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
. . Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Dst ... ~..d~..~.~y ..........................
New Construction ........... Old Or Pre-existing Building ........ ~..
Location
of
Property ..... .......... ~. ~.~.~.. ......................................
House No. ~treet-' z Hamlet
Onwer or Owners of Property .... .... ................................
County Tax Map No 1000, Section..............65 Block ...... 2........Lot ..................
Subdivision File
.................................... u iviap ............ Lo~ ................... /...
Permit No ............... Date Of Permit ................ Applicant... p~ .. ~.~' .
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate~ P~-~ CC)
Fee Submitted: $ .~..~.~ .~. .................. ~.~~.......~~..~~....~
-it .... .........
. S7~