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Home My WebLink AboutZ-31113FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31113 Date: 08/16/05 THIS u~KTIFIES that the building DWELLING Location of Property 5780 NEW SUFFOLK AVE (HOUSE NO.) County T~x Map No. 473889 Section 115 Subdivision MATTITUCK (STREET) (HAMLET) Block 0010 Lot 007 Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which C~RTIFICATH OF OCCUPANCY NUMBER Z- 31113 dated AUGUST 16, 2005 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 4 CAR WOOD FRAME GARAGE AND 1 ACCESSORY CONCRETE STORAGE BUILDING* The certificate is issued to DAVID C. of the aforesaid building. & LESLIE P. TUTHILL (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ASthorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOSD HOUSING CODE INSPSCTION REPORT LOCATIOn: 5780 NEW SUFFOLK AVE MATTITUCK S~I~SI(~N: ~AP NO.: ~OT (S) ~ OF O~ (S): DAVID C. & LESLIE 9. TUTHILL O~t~PANCY: ONE FAMILY RESIDENCE DAVID C. & LESLIE P. TUTHILL SO~C~ OF P~: GARY OLSEN~ ATTY 8/5/05 DATE: 08/16/05 DWELLING: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. TO¥~rN OF SOUTHOLD [! ~? [..~.r:'_,t: I: _V/ BUll, DING DEPARTMENT ~i a'5 I '-"~ i i/ Tov~qNH:ULL Ill/Ii'AUG 5 2005r 765-1802 ~ ~"~J . APPLICATION FOR CERTIFICATE OF OCCUP~ ,;.r"S,(; ':i; This application must be filled in by typewriter or ink and subnfitted to the_Building Department ~;ith the following: A. For new building or new use: l. 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 sexverage-disposal (S-9 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sm-¢ey of property showing all properly lines, streets, building and unusnal natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Ce~xificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Addition; to dwelling $25.00, Alterations to dwelling 525.00, Swirmning 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. Dpdated Certificate of Occupancy- $50.00 5. Tempora .r?Certi. ficate of Occupancy - Residential $15.00, Commercial $15.00 Date. August 1, 2005 New Construction: Location of Property: Old or Pre-existing Building: X __ (check one) 5780 New Suffolk Avenue Mattituck House No. Street Hamlet OwnerorOwnersofProperty: David C. Tuthill and Leslie P. Tuthill Suffolk County Tax Map No 1000, Section ~ Block __ 10 Lot 7 and 115 5 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant. Health Dept. Approval: Platming Board Approval: Request for: Temporary Cmtificate Fee Submitted: $ ~,.1:)0.00 Under-writers Approval: Final <,ertificate: ___ , eck one) Mn. ~ BOX 706 ~HOGUE,~ 11~ ~ ~.~p~ca~t Signature CONSENT TO INSPECTION Gary Flanner 01sen as attorney for David Tuthill and l~='~o P T,_,th~!! the undersigned. Ovaaer (s) Name(s) do(es) hereby state: That the undersigned (is) (are) U~e owner(s) of the premises in thc To~ of Southold located a~ 5780 New Suffolk Avenue, MattitUck, ~ which is shox~ and deslgna~ed on the Suffolk County tax map as District 1000, Section 115 , Block 10 , Lot 7 il Thai the undersigned (has) (have) filed, 'or caused [o be filed, an applica- tion in'th. Southold To~ ~ullGing li]sp~uuo~ .= O~ri~ r~ +h. [n]lowin~: Two Stor~ Frame House, detached Frame Garage, Metal Shed and Frame Garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town orSouthold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary xvith respect to tho aforesaid application, including"inspections lo determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. Tile undersigned, in consenting to such inspections, do(es) so with the knowledge and undt~rstanding that an3' information obtained In the conduct of such inspections may'be used as evidence in subsequent prosecutions for lations o[ the laws, ordinances, rules or regulations~he Town orSouthold. Dated: August 1, 2005 ~/.~'// /(signature) Gary Flanner Olsen (print name) (signature) (print name) REm (~LLm ,LI'~oi ~',O0, GO. LON ~ :~o hiu~tU,~o.3 uo Mohl puol .