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Home My WebLink AboutZ-32712 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- 32712 Date: 11/02/07 THIS CERTIFIES that the building DWELLING Location of property 4230 GRAND (HOUSE NO.) County Tax Map No. 473889 Section 107 AVE (STREET) Block 0002 MATTI TUCK (HAMLET) Lot 002.006 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING buil t prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 32712 dated NOVEMBER 2, 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, ACCESSORY 5 CAR GARAGE & ACCESSORY GUEST COTTAGE" The certificate is issued to MARGARET E CRUISE (OWNER) of the aforesaid building. SUFFOLK COtllllTY 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 LOCATIOII : 4230 GRAND AVE MATTlTUCK SUBDIVISIOII : MAP BO.: UYr (S) HANK OF OIIHER (S): MARGARET E CRUISE OCCOPARCY: SINGLE FAMILY DWELLING MARGARET E CRUISE AmlITTBD BY: MICHAEL CRUISE ACCOIPAlIIKD BY: KEY AVAILABLE: SOFP. roo TAX MAP BO.: 107.-2-2.6 SOURCE OF REQDES'T: MICHAEL CURISE 10/26/07 DATE, 11/02/07 DWELLING: TYPE OF COHSTRUCTIOII: WOOD FRAME . STORIIlS, ~ . 1lXITS, ---' FOURDATIOII: CEMENT BLOCK CELLAR: FULL C'JlAJfL SPACE: "l"O'l'AL ROOMS: 1ST FLR.: 4 2BD PLll..: ---1 3RD PLR.: .......Q IlATIIIl<UI(S) , ~ TOILET IlO<>>t(S) , ~ lI'ITLITY IHD'I(S) , PORCH TYPE: ROOFED SCREENED DECK TYPE: PATIO TYPE: CEMENT BRBBZEWAY: PIRKPLACB: ONE Gl\Il1lGK , IX>>IBSTIC IIO'l'IIATKR: YES TYPE IIRATBR: OIL AIRClBDITIOND1G: YES TYPE BEAT: OIL H/AIR IIARM AIR: NO BO"J."IIATKR.: YES 0'l'BKR.: CELLAR ENTRANCE, ENCL WRAP AROUND PORCH, HOT WATER HEATER ACCESSORY STRUCTURES: GARAGB. TYPE OF COIiST _: 5 CAR WOOD FRAME STORAGE. TYPE CCIRST.: WOOD FRAME LESS 100 SQ. FT S1IIJMIRG POOL: GUEST. TYPE COIIST _: *WOOD FRAME UNHEATED OTHER: LIVING ROOM, KITCHEN, BATH, SLEEPING LOFT,WOOD BURN. STOVE, OUTDOOR SHOWER VIOLATIONS: CHAPTER 45 N. Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #24592-Z CO Z26601 (ALTERATION & ADDITION) IRSPBCTED BY: ~~n'" ~'gl7. ~ ~ DATE ON IBSPECTION, 11/01/07 GEORGE GILLEN TIME START: BHD, BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOH: 4230 GRAND AVE MATTITUCK SOBDIVI8IOR: MAP 110.: LOT (S) ID\MB OF OIINKR (8): MARGARET E CRUISE OCC'IJPAHCY: SINGLE FAMILY DWELLING MARGARET E CRUISE ADMITTED BY: MICHAEL CRUISE ACCOIPAHIRD BY: KKY AVAILABLE: SUFF. 00. TAX MAP 110.: 107.-2-2.6 SOURCE OF RBQOEST: MICHAEL CURISE 10/26/07 DATE, 11/02/07 DWELLING: TYPE OF CIlBSTRUCTIOH: WOOD FRAME . 8'l'OlUBS: ~ . EXITS: ----1 FOUHIlATIQR: CEMENT BLOCK CELLAR: FULL CIlAIIL SPACE: TOTAL RtX>>IS: 1ST PLR.: -.! 2ND PLR.: 3 3RD PLR.: ~ BAmROOM(S) , ~ TOILET ROaM(S) , ~ 1I'l'ILITY ROaM (S) , PORCH TYPE: ROOFED SCREENED DECK. TYPE: PATIO TYPE: CEMENT BREBZBIIAY: FIREPLACE: ONE GAIUlGB , IXMRSTIC BOTIIATKR.: YES TYPE BBATRR: OIL AIRCOIIDITICIIIHG: YES TYPE HEAT: OIL H/AIR MAlZM AIR: NO BO"1'IIATKR: YES OTHRR.: CELLAR ENTRANCE,ENCL WRAP AROUND PORCH,HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPIC OF calST.: 5 CAR WOOD FRAME STORAGB, TYPE CORST.: WOOD FRAME LESS 100 SQ.FT swn.u:RG POOL: GO:BS:T. TYPE cmIS'T.: *WooD FRAME UNHEATED OTHKR: LIVING ROOM, KITCHEN, BATH, SLEEPING LOFT,WooD BURN. STOVE, OUTDOOR SHOWER VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. RBMARKS: BP #24592-Z CO Z26601 (ALTERATION & ADDITION) DlSPBCTED BY, /~ ~ DATE ON DlSPECTION, 11/01/07 GEORGE GILLEN TIMK START: ""I" " -,---,- -'--- 'L~ ! o;~:; ~ L ;Z<6l? - f 0 1.2... .-. --",. hl.Lj, rz:f';, TO\fY..i,' OL.5,r~'.flJiQI,.') " . "'1' i~ J Form No.6 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depalimenl with the following: A. For new building or new use: I, Final survey of propeliy 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 of Fire Underwriters. 4. Sworn statement from plumber celiifying that the solder used in system contains less than 2/1 0 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. ll. For existing buildings (prior to April 9, 1957) non-conformiug 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 tnerefor 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 Celiificate of Occupancy - $50.00 5, Temporary Celiificale of Occupancy - Residential $15,00, Commercial $15,00 _ Old or Pre-existing Building: __ V Date, /{J /21- /0 7 I ' New Construction: _ (check one) Location of Property "/:2. ~O c., ~RNI') ~ Y'i?, r1h1'+/t.w~J( House No, Street Hamlet Owner or Owners of Property: /1 ;::~R~j:jR-r:i' Suffolk County Tax Map No 1000, Section _LC2 '7 Subdivision ~ j:;:, eRJJi.gE Block ~2. Lot 2.. I:> ____ Filed Map. Lot: Permit No, Date of Permit. __~ Applicant: ____ Underwriters Approval' Health Depl. Approval ____________ Planning Board Approval ____ ___ Request for: Temporary Certificate Final Certificate: r -----,- (check one) Fee Submitted $ )~IJ, '4 ( / /': . ,~?~~/~~./;;/~~ v Applicant .~ignature // 6(~. 133Sr 6~co-2.3d?'.2.. CONSENT TO INSPECTION /'1;:}"R'?Ai?E"f 2:::. <2. R .J >'-~S; Owner(s) Name(s) , the undersigned, doe es) hereby state: That the undersigned (is){lu4the owner(s) of the premises in the Town of Southold, located at 'f;l... 30 &;~.HNJ> hllis=..)'1 ~ -t'!->'T')Je..k.' which is shown and designated on the Suffolk County Tax Map as District 1000, Section J 0"7 ,Block OJ.... ,Lot "2 .(;, That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C. >E 'RoT" tj'c.A11: ot r)r">LJPArJe.1 That the undersigned doe 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 detennine 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, doe 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 South old. Dated: /01:2;;'/07 I I I .... /';:1 ~tv/,'0~~ ~ignature) i"7)'C~L:T. c2R)JJ~';: (Print Name) (Signature) . (Print Name) !>1.)i~.t.Ol<J" . f,.,,.fL1c.JP< .... ~ ',\k ~j \ ", '-':t>~q,. '" ?~t ~ " ~ V'% .", .- (----------- \ \ , ~-- ,.,- ',/ --- .: J~~ ~....i':~' , 4~' T. t '1 ~ 'j, ~ . \, .1~:.!_~~~~~_~~;;:: ~/' .. ;;;, ~ . ~, T. ~ '" ~ '~ , \ . .Ii' " ~ c 1:. '" . ~ " .. ., \ ~ . ~ o . -. . ~ . . ~ "- ~ ~ ~ .. ... D~lVE~ OFF 'Ro.""'" !-JoT LoCAT'F-= 'l., .....x MAP DI'5TJIt'CT 1000 . ~e:eTlo.J /07 ~LOC-K. 02 1..0T Z.V ~~F~~. '~...:r~"it1f<~~ =f&~'" . . . I;l .. t Ql , ~ RAYNO'" f MAR.C.KS SLJ~vE't'"oJi!:.~.p.c. GoJOGfLll'.,tJ,y' SJ~- u.5''!-4()~u ~/'::: 2!o p~: 7/,72. 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