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Home My WebLink AboutZ-30607 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30607 Date: 12/08/04 THIS CERTIFIES that the building DWELLING Location of Property 675 EAST LEGION AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 0003 Lot 031 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- 30607 dated DECEMBER 8, 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.* The certificate is issued to NORMAN B WENK JR (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. A- orize- SigTrKture Rev. 1/81 i BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 675 EAST LEGION AVE MATTITUCK SUBDIVISION: NAP NO.: LOT (S). NAME OF OWNER (S) : NORMAN B WENK JR OCCUPANCY: SINGLE FAMILY NORMAN B WENK JR ADMITTED BY: LINDA MERCURIO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-3-31 SOURCE OF REQUEST: LINDA MERCURIO DATE: 12/08/04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE: X TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S) : 3.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: YES TYPE HEAT: KEYSPAN WARM AIR: X HOTWATER: OTHER: *WASHER & DRYER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD FRAME 8 X 10 SWIMMING POOL: GUEST, TYPE CONST.: OTHER: LOCATION DESCRIPTION ART. SEC. I I I BP 8671 GARAGE ADD & ADD CO 28037 I I � BP 9909 ADD CO Z9428 (THIS WAS DEMOLISHED AND I I � REPLACED WITH A DECK UNDER BP 17537 CO Z17549) I I � BP 10743 DECK AND ALTERATION CO Z9998 I I � I I � I I I � I I I I I I I REMARKS: INSPECTED BY- ` DATE ON INSPECTION: 12/01/04 GARY J F H TIME START. 9:50AM END: 10:20AM Form No.6 TOWN OF SOUTHOLD - BUILDING DEPARTMENT TOWN HALL 765-1802 i NOV _ � 2004 i 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 buil ling or r.e=t•ttsc: i. F in&i 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,a certificat, 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, 19.57)non-conforming uses, or buildings and"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 consent to inspect signed by the applicant. If a Certificate of Occupant is denied, the Building Inspector shall'state the reasons therefor in writing to the applicant. ti Y C. Fees 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. %c�71a G /0 New Construction: Old or Pre-existing Building: (check one) Location of Property: 7 � GA s T X E G o,LJ LIE /1-//I- House No. Street �iamlet Owner or Owners Of Property:Y• T %%7-.0 O /V02G✓l� h/.0 • Suffolk County Tax Map No 1000, Section Block Lot 7j Subdivision Filed Map. Lot; Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ j D®- �� Applicant Signature CONSENT TO INSPECTION J5.s•77+YP 0,C:'W09.114,4/WK011t i•l141—`ems 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 7S— E<JJ 7— r= 6 10A4 f4M017-7_1r-vG1-- , which is shown and designated on the Suffolk County Tax Map as District 1000, Section / , Block o 3 , Lot 3/ That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office forthefollowing: lE r 1 ratio-- 0OF 2 /=02 o2to- •�4L a3✓� �r'.d�- ' c.�py ofS�,e�/� �- �!r 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) rr✓�14 A®r/LG✓ (Print Name) (Signature) (Print Name) I , i SURVEY OF PR OPER"TY AT" m T UCK N D ' SOUTFOL DOND S'JU 'FOLK GO UNTY; NEW YORK 100.:0 12.2 „03 31.. SCALE: :1 =:30 4AN:,:8, 2:001 W JAh[ES 0 M.H:W.M. AT BULKHEAD o;rn 110 93' o N 85'26'30'. E - " ,.BULKHEAD - Z ` WOOD - LZNE' rIEW FLAG t rr .. '' POLE COR BULKHEAD' •SOLKHEADBUL'KHEAD 0.6.E Z n b � O a O aZ ws%v -y r Z - \ FR:-'SHED 42W-. Z �. ' �`� WALL/ - - - --L L'F D ENC 0 VO OD 462' m, 24.1 ,."" FC 5. 4.2'W STY 'FR, c ti� 1 112 ❑mo "Q HSE.•':& .GAR. ad FE 00V " V 700. - N e 0 BRICK WALK m N O 4 N >>35 00, 120,00, a ZF,; G: Ip,1 y .4,P! AREA=23,334 S..F. TO TIE LINES �O/.� ' ■=MONUMENT �l "`'' .p .Y S. LIC. ND. 49618 ANY.-ALTERATION OR ADDITION TO THIS SURVEY IS 'A:VIOLATION NI -�•, l/EY P.C. OF'SEC.TION 7209 OF THE NEV YORK STATE EDUCATION 'LAW." ,� �65gg6�a5 FAX(631)" 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2.• ALL "CERTIFICA'TIONS P. NN HEREON ARE VALID FOR THIS MAP:AND COPIES THEREOF•'ONLY IF 1230 V STREET SAID.MAP-OR COPIES:"BEAR THE.IMPRESSED SEAL'.OF THE SURVEYDR SOUTH�LD, N.Y." 11971. - A 00 - � 3 WHOSE-SIGNATURE APPEARS HEREON, _