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Home My WebLink AboutZ-32349 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- 32349 Date: 05/10/07 THIS CERTIFIES that the building DWELLING Location of Property 670 OLD (HOUSE NO.) County Tax Map No. 473889 Section 144 SALT RD (STREET) Block 0005 MATTI TUCK (HAMLET) Lot 013 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- 32349 dated MAY 10, 2007 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 MARIE A HERRMANN (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. ~z~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: SUBDIVISION: NAME OF OWNER (S): MARIE A HERRMANN OCCUPANCY: SINGLE FAMILY DWELLING 670 OLD SALT RD MATTITUCK MAP NO. : LOT (S) MARIE A HERRMANN ACCOMPANIED BY: SAME ADMITTED BY: PAUL LEARY KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 144.-5-13 SOURCE OF REQUEST: STEPHEN LICATA 5/2/07 DATE: 05/10/07 DWELLING: TYPB OF CONSTRUCTION: WOOD FRAME # STORIES: ~ # EXITS: 3 CELLAR: FULL CRAWL SPACE: FOUNDATION : CEMENT TOTAL ROOMS: 1ST FLR.: -2 BATHROOM(S): ~ PORCH TYPE: FRONT SLATE- REAR* 2ND FLR.: -1. TOILET ROOM (S): ----2....:...Q DBCK TYPE: 3RD FLR.: 2 UTILITY ROOM(S): ~ PATIO TYPE: SLATE BREEZEWAY: DOMESTIC HOTWATER: YES FIREPLACE: YES TYPE HEATER: GAS BURNER GARAGE: 2 CAR AIRCOHDITIONING: YES TYPE HEAT: GAS WARM AIR: YES HOTWATER: YES OTHER: *REAR COVERED SCREENED PORCH ACCESSORY STRUCTURES: GARAGB~ TYPE OF CONST.: SWIMMIIlG POOL: OTHER , STORAGE~ TYPE COHST.: GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS , GEORGE GILLEN DATE ON INSPECTION: 05/09/07 TIME START: END: INSPECTED BY: l~~ /311 7 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: I. 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 (8-9 form). 3. Approval of electrical installation from Board ofF!re 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 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: I. 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 Owner or Owners of Property: Dale. J_ (check one) (s 1+L:r LAKl:: VI LLAGG ~'JVlA-1ILTVLk Hal et -;)TFPH-A-tJ l-1GA-1A (r ()tvTf?ilrT VGNr::e:f) Suffolk County Tax Map No 1000. Section ------1!i-Y:----____ Block cDS Lot /3 Subdivision Filed Map. Lot: New Construction: Location of Property: G70 ~r Pre-existmg Building: '/... ()LD S,A-c:r-- RDA!) Street House No. Pennit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval -~-,._-_.~ Request for: Temporary Certificate __ FlIlal Celiificale Fee Submitted: $ (check one) ~::;"';~ . -tJ ~~ l3./'bfi(6 ~.IJ 50r <Su.co ~ 3.2 3 "1 CONSENT TO INSPECTION tlR. ~EPft~ L, CA-*a0mfTkll\l,"'-V~\ undersigned, do(es) hereby state: Owner(s) N e(s) , That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at '" 70 (;)I.-1:).s P.L",/ ROAD VV1 m!'ivc.j<:... Ny, which is shown and designated on the Suffolk County Tax Map as District 1000, Section ~ Block 05 , Lot \ 3 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: , 17(~~ - &';</ '31/~ ~-1Z1I r-ICffi~ D~ u:BJ'V~ 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 South old. 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:~~ ~r;lOD7 ~;t~ / (Signature) ~1FPfl-AiJ 1-1C-A-TA /' (Print Name) /' GO NT7< AeT V J'?1.JD/;€ (Signature) (Print Name) ,MAY 12007~ 6:WM mENHRPRiSEAiSTRACT ..- G"UHOlI5G NO. 1330_P. J p.l ...-.-,-. 1) I e., .'7= HI 1'1 tr-...... \ ~ (Il ~ 0 o ~ ~ II ,. iP "'lIo: ;g '2.~.s ~ i i b ..... "iao"""'1.- "0 n l112 I I~.!I! ~..-.. - ~ - ~ ~ I · .....--- - -1 . , ij ~ on ,0 ~ rJ '2:'2:,4Q , n >>~ ~ ~HJ.. ~~ ~.~ - ..,,'S- ~ ~ ~ ~ N ~ .. r ~ t c ~ ; . ~"$.'~ r [Il ~l ~ r t i ~ y1 '\ B 0 I "S'."7= Ri . J """' '--= .... -s. ~ \II =-~~ ~ M -' '--./L...-..! ~ _I~ o=oc=.-' ~=r _ '- =,.. ..::\- ~ Pt~ () ~ ~ ~~n~n~ ~ [ D~~~ D l1f or ~!!!~ .0 ~ p ~ , ~ n i ~ o~ -; 19l 11 r. r JI. 'll . - ~ mH~~ ~ " w I ~ L' [ r . <. n 1l.Jj ~ 1\ j 11(" 0 l . ~ ~ ~ . .. 0 i nu ~ ~ . i "( n i Ul L r f t - , II ~ .. . 01 ~ ~in" r ~ i L t ~ J . 0 ~ -\ L II ~ ~ ~ ~ ~,g . 0 Ii . ii Eoo/Eoolll .~~'~.tt.H , ,uo.,~. ~~E~ OiE lE9 xv. LE'll OaM LOOZ/ZO/SO