The URL can be used to link to this page

Home My WebLink AboutZ-7427FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .4?!tV ..... Date ............. Dec. ..20....... 19..76 THIS CERTIFIES that the building located at . 2/8. -Aldrich . Lam,, ....... Street Map No. = ......... Block No. =........ Lot No. Wit.. Zaurej I - N wY. 9 ............. 94U1conforms substantially to the ode Welt. bai"ors. Apr ... 23 .... , 19 . j7.ey pursuant to which* l +' Ao.X1427 dated ............ D Qc... 20..., 19. 76, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. RrIva.te .one ..fati11yr. du.' .11Ins ...................................... The certificate is issued to ..John.&.11Lrbx.a.burjayski. • • • • • • . 01mer$ • • ( owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval -prom. -*xj&t-izg .....• • • . • . • . • • • • . . UNDERWRITERS CERTIFICATE No. ..pre....existing.................. • . • • • • • . HOUSE NUMBER ....415.0 ..... Street . Al lrich lane ........................... Building Inspectoll HOUSING CODE INSPECTION December 14, 1976 4150 Aldrich Lane R-1 Mattituck, N.Y. Tax Roll: John P. Kujawski, Jr. Unoccupied Upon reciept of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one -and -one-half story, wood -framed dwelling. I was admitted to building by Raymond Kujawski who accompanied me during this inspection which began at approximately 1:30 P.M. The first floor consists of a kitchen, living room and dining room conbination, full bath, front entry hallway, and a bedroom with an adjacent dressing room. The second floor half story contains three bedrooms and a half bathroom. Heat is supplied to all rooms from an oil -fired, hot water furnace located in the partial cellar of building's stone and mortar foundation. The balance of the foundation is crawl space. There is an attached garage at the rear of building which ac- commodates two cars. The easterly portion of the garage was constructed under Building Permit #56862, dated January 3, 1972 to which subsequent Certificate of Occupancy #Z4516 was issued. At the time of this inspection, the kitchen was under renovation. An enclosed porch protects entry to the kitchen area. This is located on the northwest corner of the building. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection completed at appr 'mately 1:50 P.M. Re ectful submitted, and Hinder Building Inspector EH:med FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, 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 property 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 in- formation 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 ,December 8 , ............. 1976 ............... New Building ................ Addition ................ Old or Pre-existing Building . X............ Vacant Land .............. Location Of Property . EJ S„Aldrich Lane, Mattituck, New York ..... ............ Owner Or Owners Of Property ..Jabx1..�,...X1tj. �k ,,,,.Jr,,.., nd„Barbara Kuj awski............... Subdivision................................................................Lot No............. Block No............. House No............. Permit No. Date Of Permit Applicant Raymond, Kujawski„&_ Barbara J. .................... .................... ............ Kujaws i Health Dept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ... ?�.................................... Fee Submitted $ S...Q.Q.......................... Construction on above described building and permit et all a `mac es and regulations. Applicant................................................................... Rich d F. Lark, attorney for applicants/ Sworn to before me this purchasers - Raymond Kuj awski and Barbara J. 8th December 1976 v (�� aw i day of....................�....................... (stamp or scop /�/ 7b Suffolk6� Notary Public .................................... County „a Y Lou naeosKi � y pUL�LIC, Steta of New York Y� 5 NQTAI Suffolk County e j / l.. 0„�„u�ission Expires March 30, tA� %F 17 5153 9-73 417k5PR- N Reeve Roy . � formerly ,SpOp1 "E or 1.10 i NOTE: ■ =mowumENr MAl N JNAUTHOFU= AL'ERATION OR ADDITION TO 'HIS SURVEY IS A VIOLATION OF SECTION 1209 2F THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEYMAP NOT BEARING THE LAND SURVCrCR'S INKED SEAL OR EMBCS5ED SEAL SHALL NOT BE CONSIDERS TO 9F A VAI !0 TRUE COPY 4R.N'Ef -: NDI(-ATE" HEREON SHALL RUN --NLY T' `F PEP�pN FOR WHOM THE IS "REPARED, AKE ON IIS BEHALF IHS .. rnM,_ANY GO", RNMFVIAI. YS Rte ROAo r>'OnO Gave S�pSE OF 1YFW y0 Csi P� D �! yo 't fit. I5i G 1. it's .yam 451593 8ftp 14NII -SIiR�tydt REVISIONS YOUNG & YOUNG DEC 2,/976 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. NO, 12849 N.Y.S. LIC. NO. 49893 SURVEY FOR: RAYMOND KU✓AWSK/ Q BARBARA KU✓AWSK/ AT MArrirucK TOWN OF SOUrHOLD GUARANTEED TO: THE r/TLE GUARANTEE CO