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Home My WebLink AboutZ-34846FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPD/gCY NO: Z- 34846 I~ate: 02/23/11 THIS CERTIFIES that the building DWELLING Location of Property 1020 NEW SUFFOLK AVE (HOUSE NO.) County Tax Map No. 473889 Section 114 subdivision MATTITUCK (STREET) (HAMLET) Block 0012 Lot 016.001 Filed Map NO. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which ~KTIFICATE OF ~Uu~ANC"f ~3b~ Z- 34846 date~ FEBRUARY 23, 2011 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.* Thc certificate is issued to GARY H ROSE of the aforesaid building. ( OWN E R ) SuFfOLK COUN~fDEPART~TrOFH]~ALTHAPPRO~rAL ELEL-rKICAL CERTIFICATE NO. PL~]4BERS c~TIFICATION D;~rKU *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD EOUSING CODE INSPECTION REPORT MATTITUCK ~AP ~O.: LOT (S) GARY E ROSE DWELLING: ~OFCi~l~l'k~.-l-£(~: WOOD FRAME # ~TORXES: 1.0 ~ EX]ITS: 3 ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE P~NTION & BUII~ING CODE LOCATION DESCRIPTION ART. SEC. P.~: BP9445 COZ34844, BP30973 COZ34847 ~ATE Oil IN~PECTI(~: 02/23/11 /~ S~ART: 12:15PM END: 12:45PM Form No. 6 TOWN OF SOUTHOLD 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 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 Pl.?ming Board Approval of completed site plan requirements B. F~ exis~g b~i~dings (pri~r t~ Apri~ 9~.~957) n~n-~nf~rming uses~ ~r bui~dings and "pre-existing~ ~and nses: 1. Accurate survey of pr0perty showing all property lines, streets, building and unusual natural or topographic feature, s. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Insp~ector shall state the reasons therefor in writing to the applicant· C. Fees 1. Certificate of Occupancy - New dwelling $50·00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimralng pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Buslnesses $50.00. 2. .Certificate of Occupancy on Pre-existing Building - $ t 00.00 3. Copy of Certificate of Occupancy - $.25 · 4. Updated Certificate of Occupancy - $50.00 · 5. Temporary Certificate of Occupancy - Residential $ l 5·00, Commercial $15.00 Date. lxl~w Construction: Old or Pre-existing Building: /-~"~"~(check one) Location of Property: /~O~_2 /L]~_~, ~-~vL..JS__ ~q~ House No. Street oWnerorOwnersOfProperty: ~y }5~5 ~' __ · Suffolk County Tax Map No 1000, Section Subdivision P.~mit No. ' Health Dept. Approval: Planning Board Approval: DateofPermit. Block Filed Map. Applicant: Underwriters Approval: Hamlet Request for: Temporary Certificate Fee Submitted: $ ~'~2)O , ID~) Final Certificate: (check one) ~Annllr'nnt ~ LOCATION: (number & street) SUBDMSION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner-tenant) ADMITTED BY: ~ ~ ACCOMPANIED BY: KEY AVAIL&BLE:-- /. ]- SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST. DATE: DWELLING. . ~ . T~PE OF CONSTR~CTION. 6xJ~,~,~']t,.d.,,~-~ # STORIES. ~ # EXITS: FOUNDATION: ~ *p ~,~4,,~fi-' ' CELLAR: 37~9 ~ CRAWL SPACE:~ TO~L RooMs: 1ST ~R: ~ 2ND FLR: / 3~ FLR: BATH~OOM(S~ TOILET ROOM(S): ~~ITY ROOM~~_ P~~~_~EC~ TYPE: ~ ~<'~IO, TYPE: DOMESTICaOTWA TYPE HEATER: ~~ AIRCONDITION~G: TYPE HEA~: ~~fl ' WA~ AIR. ' /~ .HOTWATER: OTHER: .~/~. ~~ ~d..~ ~.~ ACCESSORY STRUCTU~S: GAUGE, TYPE OF CONST.: STOOGE, TYPE CONST.: SWIMM~G POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE LOCATION DESCRIPTION ]ART. SEC. REMARKS: INSPECTED BY: .~-7 >_.o~ TIME START: ~X~/O''''-/ END: / )-;' ~.~ CONSENT TO INSPECTION Owneffs) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold, located at , 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 Town Building Inspector's Office for-the following: That the undersigned do(es) hereby give con~ent to ~he Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail buildings located thereon, to conduct such iuspectious as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with ail of the laws, ordinances, rules and'regulatious of the Town of Southold. The undersigned, in ~onsenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used insubsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: ('gn tu ) (Print Name) '(Signature) (Print Name) TOWN OF SOUTHOLD PR,OPERTY RECORD CARD STREET /~)'~ 0 v~m_AGE DIST SUB. LOT OWNER FORMER oWNER ~,~t~j~__ n ~- £ ,~'~R. W~land FRONTAGE ON ROAD /~ ~ ' ~ ~ o o : ~b d Meadowl~d ~ DEPTH ~ / ~ / M. Bldg, Extension Extension Extension Porch O.B. Total Foundation Basement Vails !Fire Place R~of ~ecreation Room ~orrner ~th Interior Finish Heet Rooms 1st Floor Rooms 2nd Floor Driveway / Dinette z N 'CONC o 0 88'39'30" E NEW SUFFOLK N 88'2' u~-~ PiPE FOUND AVENUE FRAME GARAGE 109' CONC APRON TIE=277.58' Lid Z 65.00' ;"39'50" W 45.65' 0 SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-114-12-16.1 SCALE 1"=20' JANUARY ,51, 2011 AREA = 57,477 sq. ff. 0.860 ac. CERTIFIED TO: CAROL RAFFE FIDELITY NATIONAL TITLE INSURANCE COMPANY I.Y.S. Lin. No 50467 Nathan Taft Corwin II! Land Surveyor PHONE (651)727-Z090 OFFICES LOCATED AT 1586 Main Rood damespo~, New York 11947 Fax (651)727-1727 31-00