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Home My WebLink AboutZ-19982FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19982 Date JUNE 14, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 235 EAST LEGION AVE. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built piror to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z19982 dated JUNE 14, 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 PETER R. & ELIZABETH PETROWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. QQ Built -Vg Inspector Rev. 1/81 BUILDI::G DEPARTHENT TOY01,1 OF SOUTHOLD, N. Y. HOUSE.'G CODE INSPECTION REPORT Lo cation 235 EAST LEGION AVE. MATTITUCK, N.Y. �nunoer oc street) li,iuni.(;ipa1.Lty) Subdivision 21av No. Lot(:,)_ Name of Owner(s) Occupancy Admitted by: Key available PETER R. PETROWSKI 6 WIFE I FAMILY DWELLING (type) OWNER OWNER owner- cenant Accompanied by: SAME Suffolk Co. Tax No. 122-3-14 Source of request PETER R. PETROWSKI D`rrELLI`1G : Date MAY 24, 1991 Type of construction FRAME Tstories 1-1/2 Foundation MASONRY Cellar x Crawl space Total rooms, lst. Fl 4 2nd. Fl 2 3rd. Fl Bathroom(s) 2 Toilet room(s) Porch, typeCLOSED IN NOT Deck, type WOOD- Patio, type Breeze,aay Garage g Utility room Type Heat ELECTRIC Warm Air Hotwater Fireplace(s) 1 No. Exits 2 Airconditionina Domestic hotwater xx Type heater ELECTRIC & SOLAR Other OUTSIDE SHOWER ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other BULKHEAD, FLOATING DOCK Storage, type const. Guest, type const. VIOLATIONS: CRAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE BP#1704 - CO Z-1379 for Addition, BP #4874 -CO Z-4123 - Deck Add. Remarks • BP #8889 -Z -Co Z-1092SA7Dormer Add. Inspected bDate -of Insp. June I1, 1991 S SEER • Time start 9:25 end 9.55 Form No. 6 F10 VO TOWN OF SOUTHOLD Nr� �7", or f BUILDTOWNING DEPARTMENT JVI: HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 archi•:ect 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 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 ................... ....................... dew'Construction........... Old Or Pre-existing Building ................. vocation of Property. "23 5.......4 .:. L' EG!0/Y .4.v/_-; ...... epJi%9TT/ rU L K , House No. Street Hamlet )nwer or Owners of Property. !� GT �. ,L/ Z /�f,�ETH Of T/? OW ,S..kr/l ................... .ounty Tax Map No 1000, Section../ .....Block... 3 ............. .J ................ subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. iealth Dept. Approval..........................Underwriters Approval......................... 'lanning Board Approval ........................ equest for: Temporary Certificate........... Final Certicate. X....... ee Submitted:........................ .. .. ......' : . ............ f_0 9 2 APPLICANT CONSENT TO INSPECTION F 7—l-,21 , PZ_ r/eP LZ/ S/l/ Owner(s) Namc(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at a2 3 5 X LSE 41/ TF1 /-W e- ~Which is shown and designated on the Suffolk County tax map as District 1000, Section /c),2, Block 3 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 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 subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (signature) /�)f 7-1 le le f 7`/e 41"6411AY (print name) (signature) r�w,k� (print name) . .. __ ___.� ,_.... �a..., •..., „..�.+r xl+.w. rMr uwn way.wlwlwuiyrn3m'c�xasrirY+rar��rirr�w 064 �' er.x IAVA le �'' • � . 1r' a 1 g "-..,� I ho .Y ,,.�,#..,,z ,,,,, x _ �, J r •zy t I� *r k .yam V aJ i _` JNAUTHORIZE0 ALTERATICN OR ADDITION / 7 a TO TVIS SULV;Y IS A VIOL ATIC-1 OF SECTION %C9 F THE Ni4: YJi:n STATE �+ t' LDUCATICN LAW. r5 e/tl � x CO. I.S CF T: 'S SURVEY -AD h... T 4EA ING rT ty 1 y r x r :x 4 � . IMAU M-14 w ,5,-,5-o 7 3 W 4 a ggg�`apt- Ri R macro :p 0 x Pk -t 2 3 ma .� l .-.�.� ,r$� rp1w.... ..7 ' • tJ'* ,� x °,.`�s ��ss��b "`ri �� a�c�� ;! I b `.SOu IS fR.D CA`, A.tE J ►JS 1,.•., 1 ., MU CCMMP 'Y, 3JV.'t—; r ._. ANO L.NCL ;i Ld5TiIUTION E SI ' TO THE ASS,GNEES OF T- , .. vt, INS11' IU)Q-1- GUARANI tIS A,.. 0Y I A...SF.'A ILE TO AD�)ITIONAI IIJSTIi�,WNS V.x :i,��,ti.QUENT �WivkRS. Ive w. y X` ,� .... "T':"t;~�'"F .'1-P @nwmrat�41"-'t >•,�:u+n,mv-a,Y. '1 ..s:.! _ rGur:.J.,_. ,.....,_.. i _` JNAUTHORIZE0 ALTERATICN OR ADDITION / / TO TVIS SULV;Y IS A VIOL ATIC-1 OF SECTION %C9 F THE Ni4: YJi:n STATE �+ LDUCATICN LAW. e/tl CO. I.S CF T: 'S SURVEY -AD h... T 4EA ING ' y G r''%,D S6A_ MALL N•,1 92 CONSIDERED 2f AvA.iC r. UE C.:?r. .. IMAU M-14 0 x Pk -t 2 3 ma .� l .-.�.� ,r$� rp1w.... ..7 ' • tJ'* ,� x °,.`�s ��ss��b "`ri �� a�c�� ;! I b `.SOu IS fR.D CA`, A.tE J ►JS 1,.•., 1 ., MU CCMMP 'Y, 3JV.'t—; r ._. ANO L.NCL ;i Ld5TiIUTION E SI ' TO THE ASS,GNEES OF T- , .. vt, INS11' IU)Q-1- GUARANI tIS A,.. 0Y I A...SF.'A ILE TO AD�)ITIONAI IIJSTIi�,WNS V.x :i,��,ti.QUENT �WivkRS. Ive w. y X` ,� .... "T':"t;~�'"F .'1-P @nwmrat�41"-'t >•,�:u+n,mv-a,Y. '1 ..s:.! _ rGur:.J.,_. ,.....,_.. Location BUILOr G DEP^RTHEE T T0.•r,1 OF SOMIOLD, N. Y. HOUSDEvG CODE. INSPECTION REPORT knunoerr/6( street Subdivision Nap No. Na, e of 0%iner(s ) , -iuni.cipality) Lot(z) Occupancy k , �pe downer- cenanz) Admitted by: 6_w'f' 1e Accompanied by: SA/yJ� Key available Suffolk Co. Tax No. /,2-2.-3-/ Source of requestz�,0!�, 11'e Date D!:IELLING : Type of construction Foundation Yr�Qc�taZ/L�� Cellar L-'' Ts-tories / Crawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Wao D `7V4Patio, type_ _ Breeze,aay Garage Utility room ---- Type Heat �/2_�darm Air Hotwater Fireplace(s) No. Exits v Ai co ditioni^o- Domestic hotwater i/ Type heater 127Z Other v� 7-5 514 -j'6&' ACCE.SSORY STRUCTURE'S: Garage, type const. __._. _. Storage, type const. Swimming ,pool Guest, type const. _ Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remar.cs : Inspected by '. ��- Date -of Insp. p • Time start /end ' �� TOWN OF SOUTHOLD P40PERTY RECORD CARD OWNER STREET VILLAGE DISTRICT ZUEL— LOT I'z F-j:r zn W -S jV1, 4- CCBS.M K Est. Mkt. Value LAND IMP. FORMER_ OWNER N E ACREAGE 1 0 ,3 b I&OP goZZ -3,5acei CAI )t WdIr —zo ;-,e 0 W s ff I it A- 767Z oyr, P,1-4 7 <1 7). A/ ..I 'i 1vC S nn E fa -a W I I,-- 1 -0 f,- ^ TYPE OF BUILDING RES. SEAS. VL. FARM comm. IND. CCBS.M Is . C 1 Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1 0 ,3 b I&OP goZZ -3,5acei CAI )t WdIr —zo ;-,e 0 W s ff I it A- 767Z oyr, P,1-4 7 too COIL 131 '0 J75 0 t. I OM r /8 La f& 1?,5-6 0 7-L I CS 17 S Lot A)GE BING S&1129 7:7 NEW RIM��L '1 -BELOW el ABOVE FRONTAGE ON WATER Farm Acre Values Per Acre Value FRONTAGE ON ROAD C)o I Tillable 1 � cc..,410 BULKHEAD Tillable 2 DOCK Tillable 3 Deb f1l Woodland Swampland Brushland' House Plot Tota I a M. Bldg. Q �/� ! 0 �� ,' . . �� h Foundation `fit Bath / Extension a � a Basement Floors Extension - ., Ext. Walls '!'�it',t Interior Finish. Extension - y M. Bldg. Q �/� ! 0 �� ,' . . �� 3s b Foundation `fit Bath / Extension r Basement Floors Extension - ., Ext. Walls '!'�it',t Interior Finish. Extension - - Fire Place Heat r- Porch Roof Type LAG K o / j a S .Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage 3; C6 Iry ` Driveway Dormer O.f Pt.1 - r 70