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Home My WebLink AboutZ-31716FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31716 THIS CERTIFIES that the building DWELLING Date: 08/01/06 Location of Property 935 JOHNS RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 0003 Lot 018 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- 31716 dated AUGUST 1, 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 HELEN LUCAS IRR. MGMT. TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Authorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 935 JOHNS RD MATTITUCK SUBDMSION: MAP NO.: LOT (S) NAME OF OWNER (S): HELEN LUCAS IRR. MGMT. TRUST OCCUPANCY: SINGLE FAMILY HELEN LUCAS IRA. MGMT. TRUST ADMITTED BY: JOYCE STEVENS ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-3-18 SOURCE OF REQUEST: JOYCE STEVENS DATE: 08/01/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CR[J AR; PART CRAWL SPACH- PART TOTAL ROOMS: IST FLR.: 5 2ND FIE.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET RODM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC ROTWATER: YES TYPE BEATER: OIL BURNER AIRCONDITIONING: TYPE BEAT: OIL HW WARM AIR: NO HOTWATER: YES OTHER: OIL HOT WATER BASEBOARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE COMET.: 4 X 6 SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP 1302 ADDITION CO Z-1018 INSPECTED BY: GEORGE GILLEN DATE ON INSPECTION: 08/01/06 TIME START: END: 'iFtr.: 'i'u -i::0 UGJL4't'. bVUi �'JLL t1U1LL 1'rb GJl ItD 7✓Ge: r. L Form No. 6 __ _ -- - --- - TO'WN OF SOUTFIOLD BUILOING DEPARTMENT - TOWN HALL JUL 2 5 765-1802 APPLICATION FOR CERTIFICATF. OF OCCUPANCY I 1 tu crus: be f19'WI rn by typewriter or it .k and submitted to the Building Department with the following' k. For new bull. -ling or new nsc: I. final survey of property with accurate location of all buildings, properly lines, streets, and unusual natural ur opo&-aphic i'satures. 2. Firial Approval from iietd0i Dept. of water.mpply and sewetxge-disposal (8-9 form). 3. Approval of aleovicai installation from Botr;d of Fire Underwriters. 4 3wom stntem nt froth plumbef colllf! ing tl+at the solder used in system contains less than 2/10 of 1% lead. S. rr,om merorsl hWlding, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance front architect or engilicer responsible for the building. 6 Submit planning Beare Approval of compl:.ted rite plan requirements. B. For existing buildings (prior io April 9, 1957« non -conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showitrg all property lines, streets, bolding and unusual natural or topographic features. 2 A property completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy' is denied, etre Building Inspector shat. state th.; reasons therefor in writing to the applicant. C. Fees Certificate oC Uccupancy - NV w dwelling `015.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, .Accessory buildin,: $25 GO. Additiorm to alzessory building. $25.00, Businesses $50.00. ^-. C e tilicate of Occupancy ou Pre•cxiscing 13'iilding - $100.00 3. Copy of Conificatc of Ucoupency - $.25 4. Updated C'ertilicat,: of0ccupsncy - $50.00 5. Ternpo,ary Certifieale of Occupancy • )tcrideutial $15.00, Commercial $15.00 Date. p:ety Constrllmion Oki or Pre-existing Building:._ f/ ____ (check one) Locationol'Yroptrty- House No. /Street Hamlet l timet w�s roperty: ��'�G 1/�YL C� �� t Su;tn) o my Tax Map a OOd: S. _71 _Block rt Subdivision Filed Filed A1ap. ---- Lot' parm CNo. Cal col'Pei mit.,_.._..----.-- lieultli Dept. Approval' . _---•--_^._ .__--- --- ... -_ Underwrites Approval: _ Plamung Buard Apfrm'al: • _. Re+..est LCT: 'I emporiuv (crtifwatc .. _..._.__. Pee Submitted: 1i 31'7 - .... _._._— / Final Certificate: _ ✓ —_-- (ahook out) 16; _ ; ti _ - �� TOWN OF SOUTHOLD PROPERTY RECORD CORD Aw OWNER STREET % / VILLAGE DISTRICT _SU&.— LOT i� Q Vi t LCCiS Yie ✓O CIA e- zse, _t1 ggPmDr,�- ru {- JQ In S 1111A FORMER OW1 R N E mow ACREAGE S W _ r-AQ-i-GIt0 iii I'ANLALt"a t pr. LJ LL., weL k y1V TYPE OF BUILDING ;,f. ES.w SEAS. VL. FARM COMM. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS o Q ZVO6 2600 3,27 �{gD 7 10 Lucas I rrov 4. Mf AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE X do �7 7 Farm Acre Value Per Acre Value Ilable 1 Ilable 2 oble 3 codland ampland ,shlond )ase Plot tal MRP 09 '06 02:56PM SOUTHOLD BUILDING 631 765 9502 CONSENT TO INSPECTION P.2 �K f eGn D� C�� .[,�c� a""a /%LAiXJi�` A�/ j— t( ),-'% the undersigned, o(es) hereby state: UU Owners) Name(s) That the undersi egn d (is) e) the o et s) of the promises in the Town of Southold, located at In5_��0�_ which is shown and designated the Suffb County Tax Map as District 1000, Section /aZ� Block .._,Lot That the undersigned (has) (have) filed, or cause to be fil , an application in the [dT n Building Inspector's Office for the following: 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 rmpeu to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinmices, rules and regulations of the Town of Southold. The utdersigneci, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the <,.ondw of such inspections may be used in subsequent prosecutions for violations of the Iaws, ordinances, rules or regulations of the Town of Southold. Dated:.--�-.-.— (Si tore Jo ce� T des ( rint Name) (Signature) (Print Name) s $OUTCHEIZ 5.57°51'40`E. 0 fp 7 K I 0 u >� F � � P o 2 to % �,L57'5140'W. /N.57.04-40• W. 20�i0 ., N�►� R'9hf ?f / N.56'S0.40"W. MAP OF PROPERTY SVRVEYGD fGR (PAUL (HELEN IAWGELA (LUCAS AT MOTTITUCK TOWN OF SOUTHOLD N Ew Yo¢1c ESTATE 150.0 I sirs ! {r. horse BOuTCF+fi R. F•� 04 Way r SCALE- 30'=I" O°MONUMENT Guaranteed to The -rl le Gowaatee Co, as 6ur%m4ad A69 10,1910. VAN TVYL!, SOA( Licensed Land 5ovlf l' Greenport — New YoriC rI ( f LOCATION: 3 A4v,�- 4e, (number & street) (municipality) SUBDIVISION: 02 MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner -tenant) ADMITTED BY: _b .c,� ACCOMPANIED:BY: KEY AVAILABLE: E SUFF. CO. TAX MAP NO.1000- —_3 — SOURCE OF REQUEST: DATE: % p DWELLING: TYPE OF CONSTRUCTION: WOOD FKllME # STORIES: # EXITS: FOUNDATION: C CELLAR: J° y- CRAWL SPACE: TOTAL ROOMS: 1ST FLR: S 2ND FLR 3RD FLR: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: r— DECK, TYPE: PATIO, TYPE: --- BREEZEWAY: FIREPLACE: NoiyE GARAGE: DOMESTIC HOTWATE TYPE HEATER: o i✓g0, AIRCONDITIONING: TYPE HEAT: o /L WARM AIR: a HOTWATER: ,5/4T OTHER: \A/4-TE_R � Be AFF ACCESSORY STRIJCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: �/ 6 .sr}o VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTI6W ` ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: