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Home My WebLink AboutZ-19904FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19904 Date MAY 14, 1991 THIS CERTIFIES that the building Location of Property 240 NORTH RILEY AVE. House No. Street County Tax Map No. 1000 Section 122 Block 3 Subdivision Filed Map No. ONE FAMILY DWELLING MATTIT~JCK, N.Y. Hamlet Lot 37 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-19904 dated MAY 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~ASE SEE ATTACHED INSPECTION REPORT. MARGUERITE REEVE WASSON N/A N/A ~uilding Inspector Rev. 1/81 Location T BUI~DI:-.G DEP ?~,T:.LENT T0'.'Fd OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 240 NORTH RILEY AVE. Mattituck, N.Y. ~numoer ~ snrees) Subdivision N~me of Owner(s) Occupancy blau No. Marguerite Reeve Wasson OWNER ~Hunlcipa±lny) ~ype) Admitted by: Ellen Thomson [owner- uenanv Accompanied by: SAME Key ~vailable Source of request Suffolk Co. Ta~< I{o. 122-3-37 MARGUERITE REEVE WASSON Date MAY 4, 1991 D:'~ELLI~IG: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 Bat.hroom(s ) Porch, t~-pe Breez e;.;a~ Type Heat OIL Fireplace(s) Domestic hotwater Other 4 i Deck, ~fpe Garagq 'Warm Air xx No. ~cits 2 WOOD FRAME Cellar FULL 2nd. F1 Toilet room(s). Patio, type. .. Utility room .Hotwater kirconditioning Type heater ELECTRIC #stories 1 Crawl space 3rd. Fi ACCESSORY STRUCTUEES: Garage, type const. Swim. ming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Lncation I .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks Date of Insp. May 8, 1991 Time start end FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765- 1802 HAY - ? 1991 APPLICATION FOR CERTIFICATE OF OCCUPANCY · : Instructions A. This application must be filled in typewriter OR ink, and submitted m ~mmmma to the Building Inspec- tor wiAh 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 feature~ · ' . "' 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), Nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~"operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner' as ~o 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 $1O.O0 4.Vacant Land C.O. $.'20.00 5.Updated C.O. $"50.00 Date ...M.ay../.. New C on s t, r uc t i on ...... Old or Pre-existing Building . .X .......... Vacant Land ............. Location Of Property .. ).4.0. J~.a.s.~. J:gg~PP. fi.~gpjag.,. ~19.~.~.~p.cJ%'. [q.Y ............................ House No. street Hamlet Marguerite .R.e.e.v.e Wasson Owner or Owners of Property County Tax Map No. 1000 Section . ]~ ........... Block .. Q~ ........... Lot. ~7 ............. SubdivisiOn ' Filed Map No Lot No Permit No ........... Date of Permit .......... Applicant .................................. Health Dept Approval ' ' Labor Dept. Approval Underwriters Approval ........................ Planning Board Approval ...................... Request ~or Tempora~ Certificate ................... ~ertificate .................. Construction on above described building and perm;tj~te~~able c~es and regulations. y [P/sen, Esq. R~v. 10-10-?8 · P. 0. Box 706 Cutchogue, NY ].1935 CONSENT TO INSPECTION Marguerite Reeve Wasson , , the undersigned, Ov~er (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the of Southold located at 140 East Legion Avenue, Mattituck, NY ...... , which is shown and designated on the Suffolk County tax map as District 1000, Section 122 , Block 03 , Lot 37 Thai the undersigned (has) (have) filed, 'or caused to be filed, an applica- sin§le family residence 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: Ma.¥ ~ 1991 . ~/~- ' ~,~ (signature) Marguerite Reeve Wass0n (print name) (signature) (print name) CM ~ N ~ aOc~/v $0,2' ..... ) cM TM~'IO00· I~P' OJ ,,~ SURkEP OF DESCRIBED PROPERTY $~/RV~y~O ~ M~R~y~ 1~91 $CA/£ /'L ~0' MATTITUCK, TOWN OF SOUTHOLO SUFFOLK COUNT)", N Y. SURVEYED FOR dOHN F de~EEOE~' Gu&R.SN7£££9 TO C~I~GO TITLE INSURANCe- CO. town OF ~Ou~HOL ~ Un~uth~i~e~ alterat~ or addi~ lo thl~ ~ey i~ ~ ~iol~tlon of ~lon 7209 of the New York State Ed~at~ ~w, ~y, G~ramees ~a~d here ~ ~a~ ' , ~ ~ ~is behalf le,~d;ng insl:t~fi~, if lisled here~, Ouar. ntees are ~t transferable additional Insli~t~ns or s~bs~quen'/o~e~' ~/ ,q ~5 0