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Home My WebLink AboutZ-25737FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25737 Date: 05/26/98 THIS CERTIFIES that the building STORAGE BUILDINGS Location of Property 1356 GRAND AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 0003 Lot 011.002 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25737 dated MAY 26, 1 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 WOOD FRAME GARAGE AND STORAGE SHEDS (2). The certificate is issued to SYLVIA PAFENYK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ?-�- v4oe� Bui g Inspec r Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1356 GRAND AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): SYLVIA PAFENYK OCCUPANCY: STORAGE BUILDINGS SYLVIA PAFENYK ADMITTED BY: SYLVIA PAFENYK ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 107.-3-11.2 SOURCE OF REQUEST: GARY PLANNER OLSEN DATE: 05/26/98 DWELLING: TYPE OF CONSTRUCTION FOUNDATION: TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 0.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OTHER: # STORIES: 0.0 # EXITS: 0 CELLAR: CRAWL SPACE: 2ND FLR.: _k TOILET ROOM(S): DECK TYPE: FIREPLACE: TYPE HEATER: WARM AIR: HOTWATER: y0ptppwm wFYI4;0l" rif 7*ljm 3RD FLR.: 0 UTILITY ROOM(S): PATIO TYPE: GARAGE: AIRCONDITIONING GARAGE, TYPE OF CONST.: WOOD FRAME #1 STORAGE, TYPE CONST.: WOOD FRAME 2.WOOD FRME 3 SWIMMING POOL: OTHER: GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ' ART SEC * BUILDING #1 GOOD CONDITION * BUILDING #2 POOR CONDITION * BUILDING #3 GOOD CONDITION * SEE SURVEY i i REMARKS: INSPECTED MICHAEL J VERITY DATE ON INSPECTION: 05/12/98 Greenhouse Roof. TIME START: 10:20 END: 11:15 . FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted r sftm r 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 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $10.00 4.Vacant Land C.O. $'20.00 5. Undated C .O. $'• 50.00 Date Apr i,l, ,28 ,, ,1998 , , , , , , , , , , , Frame Garage and 2 sheds. NewConstruction,,,,,,Old orPre-existing Building ............ Vacant Land ............. ...... Location of Property ...... QUnMYgQYQ sNWAggl ,. Aevi Aork ............................ House No. StreetHamlet Owner or Owners of Property „Syl Yi a ,Pafenyk , , , , , , , , , , County Tax Map No. 1000 Section ..1Q7 .......... Block . A ............ Lot . , 11,2......... . Subdivision .................................Filed Map No. ..........Lot No. ............. 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 $ ..IQQ.QQ ...... . ........ . ...... Construction on above described building and permit meets all applicable codes and regulations. Applicant ................................................... GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, NY 11935 PAk- c 0- -2a5�37 Sylvia Pafenyk Owner(s) do(es) hereby state: CONSENT TO INSPECTION by Gary Flanner Olsen, as attorney , the undersigned, Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Grand Avenue, Mattituck, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 107 Block 3 Lot 11.2 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in -the Southold Town Builoing LnspQ(;Lw& ♦tin fnllntvinL?: frame garage and two sheds 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 of 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 subsequeo prosecutions for vio- lations of the laws, ordinances, rules or regulation 9/# tW/Town of Southold. Dated: April 28, 1998 signature GARY FLANNER OLSEN (print name) (signature) ote M�ttltt�ANE /�- ENe�e�lcEppR /. DemOhuk 63°gda01E'. , Will ion► known os'I Of Way I " 41.�d ` ,F rht u11°4d� E'- Q T— O W m W�. -- Areo = 49,75/sq. ft. N_ tD •w b Hansen johonnes R. 1> o\ 00 M,\ ,•�, 600511ON C w4) h��b IO�p g$ ? OoA 0 3k9693A �z'm ° T 0 s. m 24 60 00 ROPE 9 - 01% y 4!- E. ,t �s ya°oiz 0 4. PR' JPTE X0,53 s 00 0 LOt 5t0 E Opt, 400 OSTRANDER AVENUE, RIVERHEA 1 detm E GK N a x MONUMENT PROFESSIONAL ENGINEER AND E R o r LOT NUMBERS REFERTO ede(' ( MAP OF Bu/Lme s/T£s of SURVEY FOR: JOHN MUTT/T N SYLVIA PAFENYK S.C. FILE NO..665 9 NCO O o�Fss�ONAl FILED DEC. 5,19/4 ENG N6EQ'e UNAUTHORIZED ALTERATION OR ADDITION TO AT GUARANTEED TO: IvArTirucK MEMLEMARANTEFCO. THIS SURVEY IS A VIOLATION OF SECTION TOWN OF SOUTHOLD ' 7209 OF THE NEW YORK STATE EDUCATION LAW - COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED 10 BE A VALID TRUE COPY d1ARANIUE INDICATED HEREON SHALL RUN %: Y TC THE PERSON FOR WHOM THE REVISIONS .. YOUNG & YOUNG' F NEW yC)R 400 OSTRANDER AVENUE, RIVERHEA a `y/ ALDEN W. YOUNG 5 PROFESSIONAL ENGINEER AND E R o r LAND SURVEYOR. N.Y.S. LIC. NO, 12849 98 35 r SURVEY FOR: SYLVIA PAFENYK 9 NCO O o�Fss�ONAl ENG N6EQ'e AT GUARANTEED TO: IvArTirucK MEMLEMARANTEFCO. TOWN OF SOUTHOLD ' TOWN OF SOUTHOLD PROPERTY RECORD CARD /006 -/197- ,3— //. i 11 A4_ Ir OWNER STREET `i G-,' VILLAGE DIST. SUB. LOT V n/ FORMER OWNER N H, k�- 0 A Ft= N ,v o ACR. 4. I 5 NE- W / I M u 7 7// S S. 1 W ( 1 C C ^ OY H i 1 TYPE OF BUILDING _ RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value . LAND IMP. TOTAL DATE REMARKS - yo� 8a,2- 3 D $.20 000 N m u --� �- �.1 ._-_ PAS= =� .:: __.l- 6 'gi d i '60 /0 3 7s �J i �'c �, ;� % � � ! U t .:. N /300 13o o a Goo x"/30 � eo ?SOS as foo y9oo z 10 ?6 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BEAD 7I1`. v v DOCK I 9 LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSIN DE INSPECTION REPORT ,5 &Re, number & street municipality MAP NO. LOT (s) i ype ADMITTED BY:_� KEY AVAILABLE SOURCE OF REQUEST: DWELLING: towner -tenant) ACCOMPANIED BY: SUFF . CO. TAX ,MAP NO. %O % DATE: $ Z99 TYPE OF CONSTRUCTION I STORIES # ERITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. 3 OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE REMARKS: INSPECTED BY: �l,G(I��-�� DATE ON INSPECTION '511 Z TIME START Q.'.ZD END