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Home My WebLink AboutZ-22832FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22832 Date JANUARY 11{ 1994 ONE FAMILY DWELLING THIS CERTIFIES that the building. Location of Property 11305 MAIN ROAD House No. County Tax Map No. 1000 Section 142 Subdivision MATTITUCK~ NEW YORK Street Hamlet Block 2 Lot 19 Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22832 dated JANUARY 11~ 1994 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 WITEACCESSORY ONE CARGARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PI.RASE SEE ATTAC~RD INSPECTION REPORT. Rev. 1/81 HW3~N G. SZAWINSKI ESTATE LOCATION: l]305 l~tlN ROAD (mumber & street> SUBDIVISION NAME OF OWNER (s) HELEN G. SZAWINSKI BUILDING DE I'A RT~f~: NT TOWN OF SOUT~IOLD [lOUSING CODE INSPECTION REPORT MATTITUCK, NEW YORK (,,~flicipaiity MAp NO. LOT (s) OCCUPANCY SINGLE FAMILY (type) ADMIi-i-aD BY: KEY AVAILABLE SOUr, Ca OF REQUEST: (o~ner-tenant) ACCOHI~ANIED BY: ~ SUFF. CO. T~K MAP NO. 1000-142-2-19 WILLIAM WICKHAH, A'FrY DATE: Dec. 30, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTf~L ROOMS: ]ST FLR. BATIIROOM (s) ONE WOOD FRAIq~ # STORIES I-1/2 # EXITS ~ CELLAR FULL CRAWL SPACE 3 2ND FLR. 3 3RD FLR. TOILET ROOM (s) ONE UTILITY ROOM DECK· TYPE PATIO, TYPE FIREPlaCE ONE GARAGE TYPE HEATER ELECTRIC AIRCONDITIONING WARM AIR HO~ATER X~ POURED'CONCRETE PORCH TYPE FRONT COVERED BREEZEWAY DOMESTIC HO~ATER YES TYPE HEAT OIL O~[ER: ~AK ~m~Kf#aY ACCESSORY STRUCTURES: CARAGE, TYPE OF cONST. S~IMMING POOL OTI~R: WOOD FRAME-ONE CAR STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION :- DESCRIPTION ,~RT. sEC. REMARKS: DATE ON INsPEcTION JAN. 7, 1994 TIME START 9:30 AN ENI~ 10:00 ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 APPLICATION FORCERTIFICATE 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 I% 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. 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: l. 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 $ years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building.. ~ ............. Location of Property, .............. ~$D gPD~ Mattituck House No. Street Hamlet Onwer or Owners of Property...Est~C.~.~9$CD.$~$p~ki ...................................... County Tax Map No I000, Section..142.00 ...... Block.. O~.P.0 ......... Lot ~i~.~QQ .............. Subdivision .................................... Filed Map... .......... Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. ~eal[h Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate. .. Final Ce ................... C.O. for Pre-Existing Us~ · ~X-3~Ot~'//-~O~ APPLICANT 'William Wickham N/o/F sTEPHEN DUKE EVELYN B. DUKE N 49'02'40" E 55.00' WOOD S 49'02-'40" W 55.00' (s.a. 25) SITUATED AT MA??TTUCt~ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-142-02-19 SCALE 1"--20' NOVEMBER 22, 1995 AREA = 15,726.24 sq. ff. 0.515 oc. CERTIFIED TO: CHICAGO TITLE INSURANCE COMPANY CENTERBANK MORTGAGE COMPANY STATE OF NEW YORK MORTGAGE AGENCY ROBERT S, WHITE THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY. NOT SHOWN ARE NOT GUARANfEED, Joseph Land A. Ingegno S u rveyo r PHONE (516)727-2090 Fax (516)722-5095 OFF~CES LOCAT~ AT ~,~UNC ~DflR£SS One Union ~uar. P,O. Box 1931 93-302 CONSENT TO INSPECTION WILLIAM WICKHAM, Attorney for Estate ~f Helen Szawinski o the undersigned, Owner(s) Name(s) do(es) hereby state: attorney for the That the undersigned (is) ~) the_/owner(s) of the premises in the Tomrn of Southold located at Main Road, Mattituck~ New York .... , which is shown and designated on the Suffolk County tax map as District 1000, Section 016 o Block 09 , Lot~ That the undersigned (has) ~Tmvav,,v~ filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certification of Occupancy for Pre-Existing Use 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 rio- lations of the laws, ordinances, rules or December 29, 1993 William Wickham (print name) Dated: (signature) (print name)