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Home My WebLink AboutZ-31707FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31707 Date: 07/27/06 THIS CERTIFIES that the building DWELLING Location of Property 1200 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0012 Lot 016 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- 31707 dated JULY 27, 2006 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 KEVIN & CYNTHIA LYNCH (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. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1200 DEEP HOLE DR MATTITUCK SUBDIVISION: NAP NO.: LOT (S) MAKE OF OWNER (S): KEVIN & CYNTHIA LYNCH OCCUPANCY: SINGLE FAMILY DWELLING KEVIN & CYNTHIA LYNCH ADMITTED BY: JOHN NICHOLAS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 115.-12-16 SOURCE OF REQUEST: KEVIN LYNCH 7/20/06 DATE: 07/27/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME i STORIES: 1.0 Y EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: CEMENT DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC ROTWATER: YES TYPE BEATER: AIRCOEDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: OIL HOT WATER RADIANT HEAT CELLAR ENTRANCE ACCESSORY STRUCTURES: TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE CONST.: GUEST, TYPE COMET.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 07/25/06 GEORGE GITJ TIME START: 9:45 AM END: 10:15 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL L 765-1802 L 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 cerlificate of Code Compliance from architect or engineer responsible for the building. ��6. Submit Planning Board Approval of completed site plan requirements. B, dor 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 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. l �yu New Construction Old orr Pre-existing Building: _ (check one) Location of Property: y(1Gsv House No. 1' Street Qo Hamlet Owner or Owners of Property: / -e- C r%7 Suffolk County Tax Map No 1000, Section (I ( Block r (� Lot 1 (Q , 06 Subdivision Filed Map. Lot: Permit No. _ Date of Permit._ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: 6?"R.C.)oGG[ &M Co -p --317o7 Final Certificate: (check one) r Applicant Si ature CONSENT TO INSPECTION 4Q l n A `%ill l/1 the undersigned, do(es) hereby state: Owner(s) ame( That the undersigned (is) (are)a owner(s) of the remises in the Town Southold, located at Jf q() 1.12r1p - 4=3t,' 3t, 1U4 t L which is shown and designated on the Suffolk County Tax Map as District I OOC Section i 0 , Block I Z .OD , Lot D 1 �, aD . That the undersigned (has) (have) filed, or cause to be filedan lication in the A Town Building Inspector's Office for the following: c(r� ca -It .. > 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: G (Si ature) U " 1�E (Print N e) trU, Cwt ur 1krt-rh 1��1�� (Print Nam , ^ I/ TOWN OF SOUTHOLD PROPERTY RECORD CARD DIST. -5blr LOT OWNER STREET 2cD j VILLAGE FORMEA OWNER N Ed ACR. O ins 140 b � i5 p7S S W TYPE OF BUILDING 7+� RES. �. �0 SEAS. VL FARM COMM. CB. MISC. Mkt. Vale LAND IMP. TOTAL DATE REMARKS S 0 C ')-.S-00 .3000 0 o ;� 90 o 3 -tv 6L.,,o'o-rIt o + 31 8- PO h64,5, Fs4. fo o bbl'Id -4'40r5, o AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Gd �' y Swampland FRONTAGE ON WATER j (� Brushland FRONTAGE ON ROAD 5-0 1 House Plot DEPTH L s D BULKHEAD Total DOCK ii � r r Na/A @� I 1 LC M1�. SECTION BLOCK DATE �'t pite 5.00 OF FENCER STRUCTURES OR MY OTHE111YVIIOVEYENi. GUARANTEED TO TME EAlRNfE Of RICMCF WAYS AXOCR EME•1EN]I Cf REC0110.E MY. NOT91NIWN MEHOI CUMNOEEO. LgWI¢as nXG /NSURAN� i_uq�'Pn"u OUAUMEES INOICATED HEREON 9,ALL RUN ONLY gpuy/Tgc c T% -E .hlW J '�' SuFF�'A at, c tq TO TME PERSON FOR WHOM THE SURVEY I! PRE- PARED. ANO ON HIS BEHALF TO THE TIDE COBFAHY- MEASUREMENT N U.S. STANDARD KULHANEK & PLAN LAND SURYEV• .C. 14tt1N0 ADURE49 Tc (51311]tA]Y P. O. dOYt1e Y]M T]WESEII AVE (TIUU7-]S]] FOUND FOODS. NY. WSIS TELEFNONf:B5 N FAY: WN2-05 0.1�966 EMAIL kgRpP�rtlacdn J�FY'^c.r to�M� l>4� MAP 00EMIO]Y SHOMR, HEREON. TION THE STRUCTURES TO THE RROPERiY UNE, ARE FOR A 90ECi1C RURPOBE ONLT.INEY ARE SECTION BLOCK DATE THE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCER STRUCTURES OR MY OTHE111YVIIOVEYENi. GUARANTEED TO TME EAlRNfE Of RICMCF WAYS AXOCR EME•1EN]I Cf REC0110.E MY. NOT91NIWN MEHOI CUMNOEEO. LgWI¢as nXG /NSURAN� i_uq�'Pn"u OUAUMEES INOICATED HEREON 9,ALL RUN ONLY gpuy/Tgc c T% -E .hlW J '�' SuFF�'A UNAUTHORIZED ALTERATION ONCORES PRO THE CRIOL OF TNUI SURVEY YANKED TO TME PERSON FOR WHOM THE SURVEY I! PRE- PARED. ANO ON HIS BEHALF TO THE TIDE COBFAHY- COUNTY OR ADDOION TO A SURVEY NAF BURINO A LICFN8E0 LAND XAL WITH AH ORIGINAL Of TXE OOSTED HEATLENNORD ON ANDDCTYO THE ASSUMED o� JOB NO. 2 NOE 9HALAND RED SEALL E ODMUOUE0 NS ARE NOT TRANSFERABLE TO ADDI• TON OF SECTION 0,lUB- DWMION; OF THE NEW YORK TO BLA� VALID TRUE COPIE9. CUARANTEE9 RONAI INBTRI(]IONl OR SUBSEQUENT OWNERS. OS -65Y7 BG !TATE EX=TNRI LAW. _ LOCATION: 1140 (number & street) SUBDIVISION: r-_ NAME OF OWNER(S): OCCUPANCY: / (type) MAP NO.: (municipality) �— LOT(S): (owner -tenant) ADMITTED BY: ACCOMPANIED: BY: KEY AVAILABLE: — — SUFF. CO. TAX MAP NO. 1000- —— SOURCE OF REQUEST: ,Q.�,;,.� L DATE: — _ e DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: FOUNDATION: CELLAR: �_ CRAB, SPACE: TOTAL ROOMS: 1ST FLR:-2ND FLR: 3RD FLR: BATHROOM(S): ITOILET ROOM(S): •-- UTILITY ROOM: PORCH TYPE: DECK, TYPE: WOO PATIO, TYPE: r -- BREEZEWAY: FIREPLACE: D GARAGE: DOMESTIC HOTWATER: ZrS TYPE HEATER: AIRCONDITIONING: TYPE HEAT: b /L WARM AIR: HOTWATER: y OTHER: o/L # 0't- W,4 7-ek X R 1 / r 2w ACCESSORY STR4tCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: or INSPECTED BY: ./�- DATE OF INSPECTION: TIME START: l� END: �� S