The URL can be used to link to this page

Home My WebLink AboutZ-19536FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19536 THIS CERTIFIES that the building Location of Property 900 PIKE STREET House No. County Tax Map No. 1000 Section 140 Subdivision Date NOVEMBER 27, 1990 ONE FAMILY DWELLING MATTITUCK, NEW YORK Street Hamlet Block 3 Filed Map No. Lot 9.1 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-19536 dated NOVEMBER 27, 1990 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 ACCESSORY 1 CAR WOOD GARAGE WITH ATTACHED SHOP. * The certificate is issued to of the aforesaid building. PEARL MAZGULSKI (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 Location BUI~DI:..G DEP.~P, Ti-IENT TO'.'~,[ OF SOUTHOLD, N. Y. HOUSI:~G CODE IHSPECTION REPORT 900 Pike Street Mattituck, New York ~n~BDe~ ~ s~ree~) Subdivision ~[ap No. N~e of Owner(s) PEARL A. MAZGULSKI [l'iunzczpa±zny) A-I Occupancy ~Zype) Ad,mitred by: P~AY MAZCULSKI Key ~vailabl e O~4NER ( owner- n enan~ Accompanied by: SAME Suffolk Co. Tax No. 140-~9.1 Source of request PEARL A. Date OCT. 23, 1990 DI'~LLI~IG: Type of construction Foundation CEHENT BLOCK Total rooms, 1st. F1 Bathroom(s) I FULL]Y~%'I'H Porch, ~pe Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other wood FRAME Deck, type Garag~ 'Warm Air Mo. ~cits #stories ! STORY Cellar I/2 Crawl space I/2 3 2nd. FI - 3rd. F1 - Toilet room(s)_. - Patio, type_.. Utility room Hotwater xx Airconditioning OFF BOILER .Type heater REAR ENTRYWAY (WASHER, DR~rER) ACCESSORY STRUCTURES: Garage, type const. I CAR WOOD PRAMEStorage, type const. Swinuning pool Guest, type const. Other SHOP ATTACHED TO GARAGE VIOLAT!O~IS: Lncation .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Description I Art. I Sec. i' Date of Insp. · Time start OCTOBER 25, 1990 end 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. 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. %. 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.O0 Date___. :ew Construction ........... Old Or Pre-existing Building Location of Pro~r~y ~ ~! ~ '~ ~ House No. Street Hamlet )nwer or Owners of Property ........................................................ % ......... :ounty Tax Map No 1000, Section .... /~ ..Block ..... ~ubdivision .................................... Filed Map ............ Lot ...................... 'ermit No ................ Date Of Permit ................ Applicant ............................. Iealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ........................ iequest for: Temporary Certificate ........... Final Certicate ........... 32PLICANT kVICHH~M M~ T TI TUCK FIRE DISTRICT '~ I 308 5a GEORGE L. CULLEN CONSENT TO INSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shoxvn and desiEnated on the Suffolk of Southold located at ~ County tax map as District 1000, Section , Block , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: ~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town 6f Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) (print name) (signature) (print name)