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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