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Home My WebLink AboutZ-34033FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34033 Date: 10/27/09 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 11645 SOUND AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 0003 Lot 012 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- 34033 dated OCTOBER 27, 2009 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 AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to WILLIAM LYNCH SR (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. Aufhorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 11645 SOUND AVE MATTITUCK SUBDIVISION: MAP NO.: LAT (S) DIANE OF OWNER (S): WILLIAM LYNCH SR OCCUPANCY: ONE FAMILY DWELLING WILLIAM LYNCH SR ADMITTED BY: ERIN KAELEN ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP MO.: 141.-3-12 SOURCE OF REQUEST: WILLIAM LYNCH DATE: 10/27/09 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: BRICK TOTAL ROOMS: IST FL.R.- 5 BATHROOM (S) 1.0 PORCH TYPE: BREEZEWAY: FRAME # STORIES: 2.0 # EXITS: 2 CELLAR- PART CRAWL SPACE: 2ND FIR.: 2 3RD FIR.: 0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): DECK TYPE- PATIO TYPE: FIREPLACE: GARAGE: DOMESTIC HOTHATER: YES TYPE HEATER: ELECTRIC TYPE HEAT: OIL OTHER: WARM AIR: YES HOKATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.- OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP34971 ALTERS COZ34032 INSPECTED BY: �'� DATE ON INSPECTION: 09/11/09 -C. GEORGE GILLEN TINE START: END: Form No. 6 ^ /� TOWN OFSOUTHOLD IIIY BUILDING DEPARTMENT TOWN BALL 765-1802 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 certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 1. 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 I. 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: �Sa h � Aye- House g/P House No. Street Hamlet Owner or Owners of Property: _ LJ rA t (7r,-1 Suffolk County Tax Map No 1000, Section Ll Block 3 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: .Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /60 O `ave E)�� P-�c 1 c�9 ay Applicant Sign TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.1 SUB. LOT FORMER OWNER NACR. _/ '80� 0 / 1/ v W 6:� S TYPE OF BUILDING ESV SEAS. VL. FARM COMM. CB. MICS. Mkt. Value ND IMP. -TOTAL DATE REMARKS o O 30.0 /070 to 0skU NL '/ld� IL Y'.^:'u- v c v o Lc o c v P//,o -✓ �-� -tie L J ya a v/a��i 'lot) 32.¢=�,�v 3(bo 0O AGE BUILDING CONDITION JEW NORMAL BELOW ABOVE =ARM Acre Value Per Acre Value liable FRONTAGE ON WATER 'oodlond FRONTAGE ON ROAD eadowland DEPTH Duse Plot BULKHEAD )tai DOCK r 71 t r°r CONSENT TO INSPECTION _- W 1 /l I i r -D LtihCdl lY the undersigned, do(es) hereby state: Owne ame(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at—/ 16 y S SUun J . Wa44,-ir,,-,- which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block , Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Twn Building Inspector's Office for the following: CI6� � V b✓e-0n i„�r��l'nr, I 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: )Cf (Signature) (Print Name) SIC(IO:I`�::• Of INS: MW'TGRIL STATE.' .140UCATIOV LAW. COMES. of tNIS SWVtT MAR NDP MARINO `TNT LAND SV.VfVOR'S IMID SIAL Cit EMBOSSED SfAI SHASL NOT U CONSIDERED TO U;A,VA.tD 1RUI CORY GUARANTIES INOICAi1O HNtON SHATLIRUN ONLY 10'INf DIRSON FOR WHOM YNS SURVkT "` I$ RRfAAt(D. ON HIS UIIALI TO -1N5 IIID COMRA.S'Y 60VERNM(NIAL A4d:CV ANO tINDMG:NSMUiION LISS(O-HMtOKL" 10 SL',^ A5SIGNUS OF. THE LUOIIIQ0611- TUTWn v Atr.N1f1S A.T NOT ISAIOURAUt a ` SO AD.aw,W. USSw..b:.:.S OR SLIBStat n OWNERS., 1'Df�''ek nDl . �.............�� YD NSF •x I5+4 r»tr •i,: UNANNOm(`O AIR OR ADDUION (_ i0 11115 :1x�(V IS A VIOUTION OC SIC(IO:I`�::• Of INS: MW'TGRIL STATE.' .140UCATIOV LAW. COMES. of tNIS SWVtT MAR NDP MARINO `TNT LAND SV.VfVOR'S IMID SIAL Cit EMBOSSED SfAI SHASL NOT U CONSIDERED TO U;A,VA.tD 1RUI CORY GUARANTIES INOICAi1O HNtON SHATLIRUN ONLY 10'INf DIRSON FOR WHOM YNS SURVkT "` I$ RRfAAt(D. ON HIS UIIALI TO -1N5 IIID COMRA.S'Y 60VERNM(NIAL A4d:CV ANO tINDMG:NSMUiION LISS(O-HMtOKL" 10 SL',^ A5SIGNUS OF. THE LUOIIIQ0611- TUTWn v Atr.N1f1S A.T NOT ISAIOURAUt a ` SO AD.aw,W. USSw..b:.:.S OR SLIBStat n OWNERS., LOCATION: I 14 4-5— (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: I (municipality) (owner -tenant) ADMITTED BY: C—R/N it. -If O✓ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: irk., DATE: 9 —� 0 9 DWELLING: TYPE OF CONSTRUCTIOW N; -v,_L # STORIES: ;2—_ # EXITS: FOUNDATION: Z CELLAR: / a4;E CRAWL SPACE: --- TOTAL ROOMS: 1ST FLR: ' 2ND FLR: d2 3RD FLR: BATHROOM(S): i TOILET ROOM(S): .- UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: -^ FIREPLACE: DOMESTIC HOTWATER:TYPE HEATER: fief e. TYPE HEAT: 0 /L WARM AIR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: GARAGE: AIRCONDITIONING: HOTWATER: -__ STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIONI ART. I SEC. REMARKS: INSPECTED BY: jd6DATE OF INSPECTION: %' /�' O 7 TIME START: END: