HomeMy WebLinkAboutZ-26906FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26906 Date: 02/01/00
THIS CERTIFIES that the building SEASONAL DWELLING & GARAGE
Location of Property 1750 MILLER RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 0012 Lot 003.003
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- 26906 dated FEBRUARY 1, 2000
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 SEASONAL DWELLING WITH WOOD DECK AND ACCESSORY ONE CAR
GARAGE. *
The certificate is issued to KIM ALAN YOUNG
of the aforesaid building.
(OWNER}
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
Rev. 1/81
BUILDINU DEPART~fENT
TOWN OF SOUTHOLD
EOUSING CODE INSPECTIQN REPORT
LOCATION: 1750 MILLER RD
SUBDIVISION:
NAME OP OW~R {S): KIM AIJ%N YOUNG
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: JEAN YOUNG
MATTITUCK
MAP NO.: --, LOT {S) --
KIM ALAN YOUNG
ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 106.-12-3.3
SOURCE OF REQUEST~ G~¥ OLSEN, ATTY. DATE: 02/Q~/00
TYPE OF CONSTRUCTION: WOOD FR3%ME ~ STORIES: I-0 ~ EXITS: ~
FOUNDATION: ~MENT BLOCK PIERS CELLAR: __ CRAWL SPACE: __
T~AL ROOMS= 1ST FLR.: 1 2ND FLR.: O 3RD FLR.: _~
BATHROOM(S): ~,O TOILET ROOM(S): 0.0 UTILITY ROOM(S): --
PORCH TYPE: DECK TYPE: WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC EOTWATER: YES TYPE HEATER: ~ AIRCONDITIONING:
TYPE MEAT: ~IQ_~WARM AIR: HOTWATER:
OTHER:
GARAGE, TYPE OF CONST.: ~ STORAGE, TYPE CONST.:
SWIF2~ING pOOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DATE ON INSPECTION: 01/24/00
TIME START: ~50 AM END: 10:10 AM
TONN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildi~
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property linen
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 build~
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.
B. For existing buildings (prior to April 9, 1957) nou-conforming uses, or buildings a
?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 ~?~n~p~t !~i~/ed b~ fhe applicar
reasons therefor in writing to the applicant.
C. Fees dd~.~er~-~0 dWe~lii%g $~5.00,
1. Certificate of Occupancy - New dwelling $25.00,
· Alterations to dwelling $25.00, Swdmming pool $2~.00,. Accessory oU~±_G.zmg ~zo ....
Additions to accessory building $25.00. Busine~"~'$50-00-
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - = .~5C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15fO0, Commercial $15.O0
l/ 14/00
Date .....................................
New Construction ........... Old Or Pre-existing Building .................
1750 MILLF~R ROAD, MATTITUCK, NY 11952
Location of Property ............................ Hamlet
House No. Street
0nwer or Owners of Property ...... K.]~ AT.AN YOUNG
County Tax Map No 1000, Section. 1 .... Bock.. ..1 ..... Lot...
Subdivision ........................... ' ......... Filed Map ............ Lo t .................
Permit No ................ Date Of Permit ............ ' .... Applicant ........................
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................ .
Request for: Temporary Certificate ........... Final Cert~ane.~/ ........
lOO.OO //' .--
Submitted: .............................
...... ' ....
ATTOP. NEY
CONS; ENT
TO
INSPIgCTION
K]]~ ~ YOIJI~G
Owner'(n) lq;tlne{n)
do(es) hereby staI,::
the undersigned,
That the undursigned (is) (at'e) tile owuer(s) ot tim premises in the Town
of Southold located at
, which is shown and designated on the Suffolk
County tax map as District 1000, Section , Block . Lot
That thc undersigned (Ires) (have) riled, 'o~ caused to be rile~, an applica-
tion in"th~ Southold 'Focal ~uildln[~ lllSi)gutu~ '~ o~t;.o t~. fha tnll~wing:
O~ F~LY ~SID~CE ~ D~CHKI} ~
That the undersigned do(es) hereby give consent to tile Building Inspectors
or tile Town orSouthold to enter upon the above described property, ioeludlng
any aud all buildings located thereon, to conduct such inspections as they may
deem necessary with respeetto the aforesaid applieatlon, including'inspections
to determine tlmt said premises comply with ali or the laws. ordinances, rules
and regulation~ of the Town of Southold.
The uudersigned, in eons;eating to such inspeetlons, do(es) so ~tb the
knowledge and understnnding that any information obtained In the conduct or
such h~spectlons ~nay be used ns evidence in subsequent p~utlons for vio-
lations o~ tho laws, ot'dioances, rules or regulations o~the 'l~wn or Southold.
~J/~gdature)
~Y ~ OLS~ ~ A~ ( priot
(signature)
0CT,$0,1979
YOUNG & YO[
SURVEY FOR:
ffl,~f YOUNG
?OWN 0'= SrlI/THI')I D