The URL can be used to link to this page

Home My WebLink AboutZ-23023FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. EXISTING CERTIFICATE OF OCCUPANCY No Z-23023 Date JUNE 1, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3595 NEW SUFFOLK AVENUE MATTITUCK, House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 3 Lot 31.1 Subdivision 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-23023 dated 4uNE 1, 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 F/%MILY DWELLING WITH ATTAc~D GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.~E SEE ATTAu~D INSPE~TIONREPORT. TERESA VAITIS, DECEASED N/A N/A N/A /~uilding Inspector Rev. 1/81 LOCATION: 3595 NEW SUFFOLK AVE. (number & street) SUBDIVISION [~P NO. NAME OF OWNER (s) ESTATE OF TERESA VAITiS BUILDING DEPARTMENT TOWN OF SOUTHOLD IIOUSING CODE INSPECTION REPORT NATTITUCK, NEW YORK (municipality) LOT(s) OCCUPANCY A-I RES (type) ADMITTED BY: EI}MI~NDJ. VAITiS KEY AVAILABLE SOURCE OF REQUEST: EDMUND VAITIS OWNER (owner-teuant) ACCOMPANIED BY: SAI4E SUFF.C0. TAX HAP NO. 10oo-~-03-31.1 DATE:NAY 25, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. BATHROOM (s) 2 FRONT E~TgY PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES TYPE HEAT LILCO GAS OTHER: REAP. ENTRY WAY CEIq~NT BLOCK WOOD FRANCK ~ STORIES CELLAR FULL CRAWL SPACE 3 2ND FLR. 3 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK· TYPE PATIO FIREPLACE ONE GARAGE I CAR TYPE HEATER LILCO GAS AIRCONDITIONING WARM AIR HOTWATER XX 2 ~ EXITS 3 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. V_I=0~ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY , ,- DATE OF INSPECTION NAY 31, 199/+ G~ ~z FISH TIME START 9: 35 END 10:05 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. 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. -' 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 $15.00 May 25, 1994 Date ......................................... New Construction ........... Old Or Pre-existing Building. X Location of Property. 3595 New $uffolk Avenue, Mattituck, NY House No. Street Hamlet Onwer or Owners of Property...~d~q~q .~i~i.¥i~% .~u~q~ ~ ~h~ ~.s>~>~. pl. Teresa Vaitis County Tax Map No 1000, Section...1.~.~ ........ Block. 3 .Lot..~.-.1.. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Appro~~ .................... / u~, ~'L~NEI~ OLSEN, ESQ. //~ P. 0. B0X 706 P lannlng Board Approval ........................ Fee Submitted: $..,'~0/ ......... ' .............. . . ..................... APPLICANT co o73 - CONSENT TO INSPECTION Edmand Vaitis as Executor of the Estate of Teresa Vaitis Owner(s) Name(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 3595 New Suffolk Avenue, Mattituck, NY · which is shown and designated on the Suffolk County tax map as District 1000, Section 11'5 , Block 3 · Lot 31.1 . That the undersigned (has) (have) filed, 'or caused to be filed· an applica- tion in"~a~Southold Town tiullcilng lnspeu~,,, .o c,~.t~.o to, +~. f,~llo%ving: lwo story frame house and 9arage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town or Southold to enter upon the above described property, incl.uding ..... 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 inspe~ctions, 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 regulations of the Town of Southold. Edmund Vaitis as Executor of " (prini nar~e) .... Estate of Teresa Vaitis ' (signature) · , (print name)