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Home My WebLink AboutZ-19266FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19266 Date AUGUST 3~ 1990 THIS CERTIFIES that the building. Location of Property 11080 SOUND AVENUE House No. County Tax Map No. 1000 Section 142 Subdivision Filed Map No. ONE FAMILY DWELLING Street Block 1 MATTITUCKr N.Y. Hamlet Lot 18 Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCC. #Z-19266 dated AUGUST 3~ 1990 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 EDGAR AUGUST & ANO. { owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2kLTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. H-017161 - JULY 23r 1990 PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. - ~/ '~ng Inspector Rev. 1/81 Location BUILDIEG DEPJdRT:.~NT .. T0%'~I OF SOUTHOLD, N. Y. HOUSIi~G CODE Ii'ISPECTION REPORT 11080 SOUND AVENUE (nu~nser ~ s~ree~) Subdivision Map No. Name of Owner(s) EDGAR AUGUST & ANO. Occupancy RESIDENTIAL ~type) A~mitted by: OWNER MATTITUCK, N.Y. (idun~cipa±i~y) Lot(s) OWNER ~owner-nenan~) Accompanied by: SAME Key available Suffolk Co. Tax No. 142-1-18 Source of request NASSAU SUFFOL~ PERi'IT PROCESSING, I~te 5/23/90 $I'fELL!MG: Type of construction FRAME Foundation BRICK & CEmENT BLOCK Total rooms, let. F1 Bathroom(s) Porch, type - - Breezeway - - Type Heat GAS Fireplace(s) Domestic hotwater Other #stories I-1/2 (PART) Cellar 80Z Crawl space 2o~ 2nd. F1 3rd. F1 Toilet room(s) - - Deck, type- - Patio, type - - Garag~ - - Utility room - - 'Warm Air xx .Hotwater No. ~cits 2 Airconditioning - - xx ~ype heater GAS ~CCESSORY STRUCTURES: Garage, type const. FRAME Swimming pool Other Storage, type const. Guest, type const. VIOLATIOMS: _Lncation .C~APTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Descriotion I-Ar~.l Sec. REMOVED. UNDERWRITERS CERT. H-017161 7/23/90 SMOKE DETECTOR INSTALLED. ADDITION TO DWELLING 6621Z-CO Z-5724 I AC[~/ GARAGE 5216Z-C0 Z-4302 - I ACCY SHED BP #19294-Z CO Z-19265 Remarks: ,."7 Inspected Date of Insp. c~- 'i"lt%~yJ~/~{SlfllR ' · Time start I1:15 end 12:15 Form No. 6 TOWN OF SOUTHOLD i/~~ BUILDING DEPARTMENT ~-, TOWN HALL ~' NAY 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCYi ~" This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Bo 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 a 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... , ...... New Co ction Old 0 Pre i ting Buildi g '"~' nstru .... .....,. r -ex s n .,. ~, Location of Property l!~,~' ~,~,,~,~ ,'v,,w,~, House No. Street Hamlet Onwer or Owners of Proper ... ~ ..~,~.~ ................................................... 1000 ['~ ..... ~ ~ ~ County Tax Map No , Section.. .;.; .... Block ~;.. .Lot. . . ' ........ Subdivision .............................. ... .. . Filed Map .......... .. Lot .................. . . . . Permit No ................ Date Of Permit ............ ... . Applicant .......................... . .. Health Dept. Approval .......................... Underwriters Approval ..................... .. .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cert~cate ..... ~-,~. Fee Submitted: $ ............................. ( .............. EDGAR AUGUST CONSENT TO INSPECTION · the undersigned, Ov~ner (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Sound Avenue, Mattituck an,~ ues~ ~ateu the Suffoik County tax map as District 1000, Section 142.00, Block 01.00 , Lot 018.000. That the undersigned (has) (have) filed, or caused to be filed· an applica- tion in the Southold Tox~ Building Inspector's Office for the follow,g: Certificates of ~cu~cy for ~in ~elling, ~. 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 Gf 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. EDGAR AUGUST (print name) (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ! ;',i~i/~14g BUREAU OF ELECTRICITY ElS .JOHN STREET. NEW YORK, NEW YORK 10038 /,q,r,, JULY 23,1~90 .~ppli,~,~tlon,%o. onflfe 69532290/90 H 017',61 AN AUGUST, 11080 SOUND AVENUE, MATTITUCK, N.Y. ,, ,t.,,follo~'in~tocution; ~ B~se~nt ~ IstFI. [%~ 2nd FI. GAR/OUT .%etlon Bl~k 'rio VISUAL DEFECTS: '~ ~.~ctrical 25 NORTH HAMILTON AVENUE LINDENHURST, NY, 11757 /~~MA~AGER must .o, be altered in any manner; return to the office ~f the hoard f incorrect Inspecto~s.j~y/~oe identified by their cteden, soUND ~AP .K, I LOT 18 SURVEY FOR £DGAt~ AUGUST AT MATT/TUCK TOWN OF SOUTHO~D SUFFOLK COUNTY, NEW YORK '~UNAJTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF $1[CTIOR 720S OETNE NEVI YORK STATE EDUCATION LAlff. NOV. 19,198'/' DATE : '/L~IL 5, 1~78 SCALE = / ~ .-' .~0 ~ NO. ; ZS-/~ YOUNG a YOUNG ALDEN W. YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR NX.S. LICENSE N0.12845 HOWARD W. YOUNG~ LAND SURVEYOR NYS LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK