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Home My WebLink AboutZ-22162FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22162 Date FEBRUARY 25r 1993 THIS CERTIFIES that the building Location of Property 125 SOUND AVENUE House No. County Tax Map No. 1000 Section 120 Subdivision ONE FAMILY DW~.LI,ING MATTITUCK ~ N.Y. Street Block 1 Filed Map No. Lot Lot No. Hamlet 2.2 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22162 dated FEBRUARY 25{ 1993 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 WITH ACCESSORYTWO CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF_~kLTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. JOHN & BARBARA KUJAWSKI N/A N/A Building Inspector Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) BUILDING DEPARTMENT TOWN OF SOUT[tOLD HOUSING CODE INSPECTION REPORT 125 SOUND AVENUE MATTITUCK, N.Y. (number & street) (municipality MAP NO, LOT (s) BARBARA & JOHN KUJAWSKI OCCUPANCY RESIDENCE (2 STORY) (type) (o~mer-tenant) ADMITTED BY: BARBARA ICUJAWSKI KEY AVAILABLE SOURCE OF REQUEST; BARBARA KUJAWSKI ACCONPANIED BY: SAME SUPF. CO. TAX MAP NO. 120-1-2.2 DATE: FEB. 24, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION STONE WOOD FRAME TOTAL ROOMS: IST FLR. BATHROOM (s) 3 PORCH TYPE BREEZEWAY DONESTIC HOT~ATER YES TYPE HEAT OIL OTItER: · ~ STORIES 2 # EXITS 9 CELLAR XX CRAI~L SPACE 2ND FLR. 3 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK, TYPE PATIO, TYFE FIREPLACE 4 GARAGE TYPE HEATER OIL AIRCONDITIONING WARM AIR IIX HOTI~ATER X ACCESSORY STRUCTURES: GARAGE, TYFE OF CONST. WOOD FRAMING STORAGE, TYFE CONST. WOOD SWIMMING POOL , GUEST, TYPE CONST. OXI~I~X PROPERTY CONTAINS A T~/O CAR GARAGE WITH AN ATTACHED UTILITY BUILDING. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOBI~ FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: Victor Lessard DATE ON INSPECTION FEB. 25, 1993 TIldE START 7:40 AM END 8:i0 AM 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 bui%dings 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 '~re-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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. 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 Date .~.~.. ~ .~.~. ~.~. ...................... New Construction ...... ..... Old Or Pre-existing Building...w~.. ........... Location of Property. ~.~.~ ........... ~.~.~..~...~.~.~.~.. ........ . .~...~.-~.-%2%~Q_~.~ ........ House No. Street Hamlet Onwer or Owners of Property..~..'~.......~~=~'....~..~_~.~ .~v%~...~l~--\-- ~'--~ ~ County Tax Map No 1000, Section..5.~...~ ....... Block ..... ~ .......... Lot...~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval. .Underwriters Approval ......................... Pianning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 MEMORANDUM PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 TO: FROM: RE: DATE: Harvey A. Arnoff, Town Attorney Richard G. Ward, Chairman ~.qW/~3 Request for a Finding as to whether the Kujawski residence, can be recognized as a separate "set-off" lot. May 26, 1993 At last night's Planning and Zoning Committee meeting, it was agreed that the procedure set forth in Town Attorney James A. Schondebare's September 8, 1989 memorandum would be followed for the time being. Pursuant to that agreement, all supporting documentation in the Planning Board's possession that pertain to this subdivision by deed or "set-off" are attached. If we can be of further assistance, please let staff know.' Encls. cc: Gerard P. Goehringer, Chairman, Zoning Board of Appeals ~/Curtis Horton, Senior Building Inspector