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Home My WebLink AboutZ-22083FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z- 22083 Date JANUARY 6r 1993 THIS CERTIFIES that the building. Location of Property 775 LEGION AVE. House No. County Tax Map No. 1000 Section 142 Subdivision ONE FAMILY DW~TJ.ING Street Block 2 Filed Map No. MATTITUCKr N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22083 dated JANUARY 6, _1993 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 WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 LOIS W. BARI~ER & ANO N/A ' ~~Bu~pector Location BUILD I..':G DEP.~qT[.LENT TO'.'C.; OF SOUTHOLD, N. Y. HOUSIxG CODE IUSPECTION REPORT 775 LEGION AVE. MATTITUCK, NE~ YORK ~numoer ~ s~reer) ~l'iun~c~pa±z~y) Subdivision Name of Owner(s) NaD No. LOIS W. BAE~ER & ANO Occupancy A-! ~ES. [type) A~itted by: JONANA~ELLS Key available Source of request__ [ Owner- 5enan~ Accompanied by: SAME Suffolk Co. Tax No. GERARD & JO~,NA ~LLS Date 12/27/92 D%'~LLING: Type of construction Foundation CONCRETE Total rooms, 1st. F1 Bathroom(s) ! Porch, ~e Breezewa~ Type Heat OIL Fireplace(s) NONE Domestic hotwater Other ~OOD FRAME Deck, typ% Garage 'Warm Air xx ~o. ~cits 2 #stories ONE Cellar FULL Crawl space 2nd. F1 3rd. F1 Toilet room(s) Patio, Utility room .Hotwater ~ype heater PANTry OFF KITCHEN, ~EAR ENTR~I4AY Aircondition~ng OIL A_CCESSORY STRUCTURES: Garage, type const. 2 CA~ Swimming pool... Other Storage, type const. ATTAC~ED TO CAP, AGE Guest, type const. V~IOLAT!0NS: .CHAPTER 45--N.Y. STATE L~IFORM FIRE PREVENTION & BUILDING CODE _~Lncation I De~criotion I Art. I Sec. Remarks: BP #2ll75 - CO z-22081 . FISH DECK ADDITION ~Da. te of Insp. DEC. 31, 1992 · Time start 9:00 end 9:~5 · ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1992 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildmng 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 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. 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. 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. ~ 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 Construction ........... Old Or Pre-existing Building...~ ............ Location of Property...~.V..~. ........... ~.~.~ p~ .... ~ ~..~ .............. .~..~.t.~j~ ........ House No. Street Hamlet Onwer County Tax mp No 1000, Section..Z~.~ ....... 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 Certicate ........... Fee Submitted: $~ ~3~ ............................ -' · .... .~. ~.~..~.~--~ ......~..~ ~ Co 0 ' PL C T ' ................. CERTIFIED TO~ GERARD S. WELLS JOHANNA WELLS AMERICAN RESIDENTIAL MORTGAGE CORP. SURVEY FOR GERARD S. WELLS & JOHANNA WELLS A T MA TTITUCK TO WN OF SOUTHOLD SUFFOLK COUNTY, N. Y. I000 - 142- 02 - 02 Scale.. 1"= 40' Dec. 8, 1992 AREA= 43,061 sq. ft Prepored In accordonce wllh the minimum slandor#s for lille surveys as esto~llshed bfy tbe L.£A.L,$. ~d ~pproved one edopled or such use by The New York $1ole Lend T/lie Assoclolloe. N.Y.S. LIC. NO. 49618 DEC 2 8 1992 TO do(es) hereby state: That the undersigned (ts) (arc) the OWner(,:) of thc pre,nisei,; in I}lc To,;in ' ~ ~ _, which is shown and desicn, a~ed on the Suffolk County ta~ map as DistricL I000,' SeCtion /~. Elock ~ ' ' ' ~e Undersigned (h~s) (have) filed, o~ caused ~o be flied, an applica- tion in the Southcld To~ Euild~n~ [nsDe~to~,s Offlce for the follo,,-~s. _. _ Tha~ the unders~ncd do(es) hereby give consen~ to the Build~ Inspectors of ~he Town of Southold to enter upon %he above described proper -, includin~ any and all build~n~s located thereon, to Conduct such inspections as they dee~ necessary with respect to ~he aforesaid application, ~c!uf~n~ inspections ~o dC~ermlne that said premises co~p!y x~'ith all of ~he laxvs; ordinances, .rules a~d regulations of the Toxvn cf Southold. The undersigned, in Consentin~ to such ~spec~ions. do(es) so ~;i~h the kno;;'ledge and understanding that any ~for~ation obtained in the conduc~ of such inspections ~ay be used as evidence in subsequent p O~ec~lons for la~ion~ of the Iax,/s, ordinances, rules or re~lations of ~he Town of Dated~ -