The URL can be used to link to this page

Home My WebLink AboutZ-30185FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30185 :ate: 05/10/04 THIS ~TIFIES t~t the buil~/ng DWELLING Location of Property 2433 CAMP MINEOLA RD MATTITUCK (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 0006 Lot 007.001 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Requirem~ts for a ONE FAMILY DWELLING built prior to APRIL 9~ 1957 OCuuwANCY ND~BER Z- 30185 (~ated MAY 10~ 2004 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 RAISED CEMENT PATIO AND ATTACWW. D ONE CAR GARAGE. * The certificate is issued to CATHERINE D BURNS (OWNER) of the aforesaid building. ~uF~LK CO~NT~ DEPARTMENT OF H~ALTH APPROVAL ~.~-a-KXCAL ~-'w~TIFICAT~ NO. PLD~E~S CERTIFICATION DA'&'~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 2433 CAMP MINEOLA RD E~ OF ~ (S): CATHERINE D BURNS OC~ICY: WOOD FRAME AI~I-*-~ BY: JIM TONSMEIRE MATTITUCK CATHERINE D BURNS I~'Y AV~L~: ~u~'m' . CO. ~]%X ~%P I[O.: 123.-6-7.1 SO~C~ OF P~: J. KEVIN MCLAUGH~IN~ ATTY DAT~: 05/10/04 DWELLING: TYPE OF L~-a-X~: WOOD FRARB t NTOHIEB= FO~TX(~: CEMENT BLOCK C~= FULL 2.0 # ~t-,-TS: __3 3IH) F~a.: __0 PATIO TYP~: RAISED CEMENT PATIO ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ;iRT. SEC. E~MAP~F~S: BP21419 DECK COZ22461 DAT~ ~ I~SI~TI(~: 02/27/04 STAP. T: 10:00AM ~: 10:30AM Form No. 6 TOWN OF SOIu'I'IIOLD BUILDING DEPARTMENT TOWN HALL 76~-1802 APPLICATION FOR CERTifICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depaflraent with the following: A. For new building or new use: 1. Finn! survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topoFqAfic 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 Unde~vriters. 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, muitiple nmide~c, ns and similm' buildin~ 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 exi~dng Imih~laS~ (prior to April 9, 19~7) non-cenformlag u~, or bMMin~ and "pre-ezi~ag' land uses: 1. Accurate survey of property showing all prope~y lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Ce~ificate of Occupancy is denied, the Building Inspector shall state the reasons ~ in writing to the applicant. C. Fees / 1. Certificate of O~apancy - New dwellui8 $25.00, ^ad~tions to dw¢llin~ $25.00, Altemtion'~ to dwelling $25~-t~0, Swimming pool $25.00, Acc~sory Imildi~ $25.00, A_~lRio~ to aece~ory I~fildin~ $25.00, Bnsines*es $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 // 3. Copy of Certificate of Occupancy - $.25 / 4. Updated Certificate of Occupancy - $50.00 (. 5. Temporary Cegdficate of Occupancy - Residential $15.00, Commercial $15.00 o te. 1 q/o4 New Comtruetiun: Old or Pre-~xi~ing Building: '~ (¢h~k one) House No. Street suffolk countyMap 000, Section mock (o Lot 7. I Subdivision Filed Map. Lot: Hamlet Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ I ~2~O. (.X~) Final Certificate: (check one) t,4o~v, oY qoYY.~Y&~ CONSENT TO INSPECTION tx ~,~.._ k.~.~ '~ o. r' W.% , ~e ~d~i~ do(es) h~eby s,te: Om~s) N~s) ~t ~e ~d~i~ (is) (~) ~s) bf ~e p~i~ in ~e T~ of -- Sou~old, l~t~at ~ ~ ~ ~ ~o~ ~o~, I~,~{ ~ w~ch is ~o~ ~ d~i~ on ~e S~o~ Co~ T~ Map ~ ~s~ 1~, S~on ~,Block ~ ,~t ~, ~ That the undersigned (has) (have) filed, or cause to be filed, an at~lication in the Southold Town Building Insl~ctor's ~co for the following: C~-¢A~-~ co~_~ ~ ~' 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 premiss comply with all of the laws, ordinances, rules and r~gulations of the Town of Southo/gd. 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. (Signature) (Print Name)