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Home My WebLink AboutZ-20151FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20151 Date AUGUST 15, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 320 MEDAY AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 10 Lot 6 Subdivision Filed Map No. 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-20151 dated AUGUST 15, 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 WITH ACCESSORY WOOD SHED & DOG HOUSE The certificate is issued to JOSEPH TOMACZAK & IRENE MAJKNER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. zz;Ll- //Building Inspector Rev. 1/81 BUI�'I• 1 DEP:,. T:,T=-i �� T0°+14 OF SOUTHOLD, N. Y. HOUSIi:G COD:=. INSPECTION REPORT Location 320 MEDAY AVENUE MATTITUCK N.Y. knumoer & stree-c �i-iuni cipa.iity) Subdivision Map No. Lot(s) Name of Owner(s) JOSEPH TOMACZAK 6 IRENE MAJKNER Occupancy A -I RES. OWNER (type) (owner -tenant Admitted by: IRENE MAJKNER Accompanied by: SAME Key available Source of request IRENE MAJKNER M, ELLING - Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 Bathrooms) ONE Porch, type FRONT ENCLOSED Breezeway Type Heat OIL Fireplaces) NO Domestic hotwater Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other LARGE DOG HOUSE Suffolk Co. Tax No. 113-10-6 Date AUG. 9, 1991 WOOD FRAME rstories 2 Cellar FULL Crawl space 5 2nd. F1 2 3rd. F1 Toilet room(s) Deck, type Patio, type_ Garage Utility room Warm Air XX Hot.aater No. Exits 2 Aircor_ditioning YES Type heater PROPANE WATER HEATER Storage, type const. I WOOD FRAMED SHED Guest, type const. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE Location DescriTtion Art.Sec. BASEMENT INSTALLATION OF NEW PROPANE HOT WATER HEATER AS I I SPECIFIED ON INSTALLATION INSTRUCTIONS IT MUST BE VENTED TO THE OUTSIDE. NEW EQUIPMENT INSTALLED IN EXISTING BUILDINGS CHAPT4 E SHALL CONFORM TO THE REQUIREMENTS OF THE 1231.1 N.Y.S. UNIFORM CODE. Remarks: Inspected by: Date of Insp. AUGUST 14, 1991 GAR - FISH Time start 9:30 end 9:50 -A FORM NO.6 TOWN OF SOUTHOLD Building Department /IV A(�G/ Town Hall South6olld, N.Y. X1971 Tai✓gt� ` X19191 APPLICATION FOR CERTIFICATE OF OCCUPANCY wG 0 Instructions A. This application must be filled in typewriter OR ink, and submitted ut womriiiiiiiiiii to the Buildinwspec- tor wkth 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 $ 5.009 over 5 years $ 10.00 4.Vacant Land C.O. $.'20.00 5.Updated C.O. $•'50.00 Date August 9,;,1991,,,,,,,,,,,, NewConstruction...... Old orPre-existing Building . X......... Vacant Land ............. Location of Properwjk Meday Avenue, Mattituck,. _New. York , , , . , .... . . ....... j House No. Street Hamlet Owner or Owners of Property .. , . Irene. Maj kner........................................... County Tax Map No. 1000 Section 113 ...`. Block .. I ............ Lot, 6 .............. Subdivision ....................:....... ...Filed Map No. ...... '...Lot No. ............. Permit No. .......... Date of Permit ......... Applicant .... ............................ . Health Dept. Approval ................. .:...Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval ................. :..:`..Planning B r Approval ..... I................ Request for Temporary Certificate ................... incl ertificate*.... :�:{ � . • . • . Fee Submitted $..100=00,,•,,,,,,,,,,,,,,„,, i Construction on above described building and per Applicant ... Gary Flann Rev. 10-10-78 P. 0. Box Cutchogue, ets pplica codes and regulations. ........-....................... ar Olsen, Esq. 706 NY 11935 CONSENT TO INSPECTION Irene Majkner the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Meday Avenue, Mattituck, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 113 , Block 10 Lot 6 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-Zh -southold Town Building inspet;wo orrL�e rer +ka fnllowing: a two story frame house and two frame 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 -svith 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: August 9, 1991 (signa u r� r (print name) (signature) (print name) �^ apll�G` AUG 1 21991 L4 fid, f. A�EN�E MEDAY 7T.2q'00"E' m N gp.00 100.00 MOO O 11w � Q 1� O ii, o' C'X C i fr, 0 � hsc 69' ' 8.5 ' II ,v i Fn d 24' pow W. S. 7 7. p p' g0. 96 CERTIFIED TO* KEITH J. BAINBRIDGE CHRISTINE BAINBRIDGE HARTFORD FUNDING LTD. PECONIC ABSTRACT, INC. 605-S-9199 AREA = 11,570 SO. FT. SURVEY OF LOT 77 78 „ MAP OF TOLLEWOOD AUD JAN 24 W7MAP NO 175 A T MA TT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. SCALE 1"= 30' AUG. 7, 1991 (516) 765 - 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 AUG 1 2 19 91 14 Prepared in accordance with the minimum LIC. NO. 49618 standards for 11/le surveys as esiabllshed by the L.I.A.L.S and approved and adoptec P. C. for such use by The New York Stale Lanc Title Association. 91-217 BUiLDI_:;. TO�ii•I OF SCUT;OLD, ;I. Y. F.OUvIi:G CC INSPECTION R-7: ORT Location AUS li.L:.:�oer «cic- SubdivisionNo liiun�cipa�luy) . Lots) Na,,e of Own er (s i2 NE i�sjc/✓�-62 Occupancy A- I R -L,-. ( ;,yp - AL �� ot:mer- ��na J- -4.-4.. ed by _..�u 11Tt tiE,-. -Ac -'bmp, hied by Key available Suffolk Co • Tart No. 11,3-1 Source of request a t e uc --------------- DUE LING: Type of construe tion L Foundation „stories ,� > —_— '"�- Cellar�_Crawl space Total rooms; 1st. F1 5 2nd. F1 G2 Bathroom(s) 3rd . Fl — Toilet rooms) Porch, . t:r�e rG�.-rte,,._% �eck, type Breezeway — Patio, type Garage — �room Utility e Heat — -�a'��.. alarm. Air Ho tTr�ater Fireplace(s) �o No. Exits a2 Domestic ho "Water Aircondi tions -,g -- ��S pe hea•cer • Other Ty%-bA°�.i� ,�•' �,A ACCESSORY STRUCTURES: Garage, type const. ng piil Stora -e type constAvoko�-�- Other stvi,;.m; b L - Guest, type const. 9 } VIOLATIONS :C23APTER 45--N.Y. STATEUNIFORPI FIRE plVNTIpN & BUILDING CODE Lncati on DPsc"=nticn vT Art . 1 SecOf . n !/--V r T/Vf- /Ir --Y-- •' Rema.-ks : Inspected by: Dste of Insp. r1 _ .• •• -Time start x'34 end • f§r ..:L:t�J.., .._._.�..n.. - .., ._ ..,��: �•-e„�v. fs.-,.d£%.; �a..h..ua.as,^vt>.i_R s:>..,�r. �....2..- �+u,`,,. . _.� ._.•.,�.w�.sS-:.:...,,C.i.,�,_..�.v�e<.t.: .'� __..:'i....��.�L-^a+� Va! G�',„'...i:�xsr. � t s�