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Home My WebLink AboutZ-30594FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30594 THIS CERTIFIES that the building DWELLING Location of Property 115 EAST SIDE AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 099 Block 0003 Lot 019 Date: 11/03/04 MATTITUCK 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- 30594 dated NOVEMBER 3, 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 ACCESSORY GARAGE & ACCESSORY COTTAGE * The certificate is issued to FRED J MEINHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aut rized Sign 'u -re Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 115 EAST SIDE AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): FRED J MEINHART OCCUPANCY: SINGLE FAMILY DWELLING FRED J MEINHART ADMITTED BY: KIMBERLY MUELLER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 99.-3-19 SOURCE OF REQUEST: GERTRUDE DONDERS 10/13/04 DATE: 11/03/04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: 2/3 CRAWL SPACE: 1/3 TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: COVERED CONCRETE REAR BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: HW -STEAM* WARM AIR: HOTWATER: OTHER: *OIL ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: BLOCK WALLS -WOOD RAFTERS STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: WOOD FRAME ** OTHER: **GAS HOTWATER HEATER, GAS HEATER,WALL TYPE, CRAWL SPACE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. REMARKS: BP#30797-Z-COZ-30593(DECK) (REINSPECTED ON 11/29/04) INSPECTED BY: �, AKuo j DATE ON INSPECTION: 11/03/04 %Or 6F MICHAEL J. VERITY TIME START: 10:15 AM END: 11:15 AM 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 Department with the following: A. 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. I or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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. I C. Fees 1 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. �0 New Construction: Old or Pre-existing Building: (check one) Location of Property: Z• ti C 45� S- rt✓�� ll�c t"C� C�� House No. Street Hamlet Owner or Owners of Property: _ �, 1\ t L_ J ' `k \ Suffolk County Tax Map No 1000, Section - (>N Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: IA a"6 Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ) n4� �. 6_)3(P6 6AZcoit305W Applicant Signature /0 0 0 — 9 9 — -3 — / 9 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET f VILLAGE comm. I IND. DISTRICT SUB. LOT LAND IMP. TOTAL DATE REMARKS i 4 FORM OWNER N E 'SA - ACREAGE1 0 1 SO (9 1 Y 7 S 4(C3<5cH)-(vl(t��) W TYPE OF BUILDING RVS. VS EA!r VL. �ARXA comm. I IND. I CB. I misc. LAND IMP. TOTAL DATE REMARKS Y 7 916' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 Tillable, 3 Woodland Swampland Brushland House Plot Tota I CONSENT TO INSPECTION - -ct 'D E /- c.-vk- 1 , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at c- Sc d--,— 5rc ka fit,(. cc -1:f L: -i-c Q which is shown and designated on the Suffolk County Tax Map as District 1000, Section '?? , Block 2) , Lot 1q. D . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office forkhe following: ,4� h1 , c r►i' t `h \,o Cl 4 - 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) (Print Name) (Signature) (Print Name) LOCATION: S 4wej (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: ,� NO.. (municipality) LOT(S): (fype) o (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: dq SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST:.... DATE: /o Z2 3 df DWELLING: TYPE OF CONST CTION: # STORIES: # EXITS: 2- FOUNDATION: CELLAR:� CRAWL SPACE: TOTAL ROOMS: 1ST FLR:_ 2ND FLR: 3RD FLR: BATHROOM(S): / TOILET ROOM(S)• ,�_ UTILITY ROOM: PORCH TYPE: — DECK, TYPE: - PATIO, TYPE:, BREEZEWAY: FIREPLACE:_ GARAGE: DOMESTIC HOTWATER: TYPE HEATER: �AIRCONDITIONING: TYPE HEAT: /70-01t WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OFCONST.:,4"&--e44Je STORAGE, TYPE CONST.: SWIMMING POOL: .—..» U SS', TYPE CONST: OTHER: .��c VIOLATIONS CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION- I ART. I SEC. REMARKS: INSPECTED BY: ATE OF INSPECTION: ///O 3 /D TIME START: 10,'I END: /X•`X'-� SURVEY OF PART OF LOT 2 MAP OF OLD MILL HAVEN GO. FILED OCTOBER 2, IG25 FILE No. 7Gci 51TJA-M: MA171TUCK TOM: 5MTNOLD 5UFFOLK COUNTY, NY SURVEYED OG -2C,-2004 SUFFOLK COUNTY TAX # 1000 -GG -3 -IG NOTES: ■ DEED REFERENCE LIBER 6582 PAGE 09 FIRM FLOOD ZONES REFERENCE MAP 3610360143 G DATED MAY 4, IGGB AREA = 17,724 sf or 0.41 acres GRAPHIC, 5GALE I"= 50' cop as' roerunco[ions mamated hereon signifg uat u,�z vey was prepared m accortlance w n the - �sLNg Code of Prac[Ice for Low Surveys adoptt ed bt Ne New York State Assacbtbn of Profess onol Law surpeyors. sem Dart i catmnz ,tial ren only to the person rar whom the sirvey is prepared, mtl on his t»blF to [M title compmy. govemman- tai agency and iewbg �nzuwcmn iiseed hereon, and to u,e azzigreaz of rhe lowing insuwuon. certinco- uonz are noc o-v,zieracia tc oddrzrcnai �nzuwuons JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\04-278.pro