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Home My WebLink AboutZ-23474FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. P~E EXISTING CERTIFICATE OF O~CUPANCY No Z-23474 Date FEBRUARY 2, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 4055 OREGON ROAD House No. County Tax Map No. 1000 Section 94 Block 3 Subdivision Filed Map No. Lot No. ONE FAMILY DW~?.~.ING MATTIT~CK, N.Y. Street Hamlet Lot 3.1 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23474 dated FEBRUARY 2, 1995 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 DW~T~.ING WITH ACCESSORY GARAGE & 2 STO~AGE 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 BAR~Y B. BEP~I~%N & ORS N/A N/A N/A LOCATION: SUBDIVISION NAME OF OrbiTER (S) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 4055 ORE~ON RD. (number & street) MAP NO. BARRY RERKNAN & ANO MATTITUCK, N.Y. ~mu~icip~lity) LOT(s) OCCUPANCY A-I RES. (type) ADMITTED BY: ANDRE~BERgMAN KEY AVAILABLE SOURCE OF REQUEST: ANDREW BERGSON O~NER (owner-tenant) ACCOMPANIED BY: SAI~ SUFF.CO. TAX MAP NO. 1000-94-3-3. I DATE: JAN. 25, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION BRICK TOTAL ROOMS: IST FLR. BATHROOM (s) 2 PORCH TYPE FRONT CO. RED BREEZEWAY DOMESTIC HO'IWATER YES TYPE MEAT OIL OT~-R: WOOD F P. AI~ CELLAR 6 2ND FLR. 4 TOILET ROOM (s) FIREPLACE TYPE HEATER WARM AIR PARTIAL 3RD FLR. DECK, TYPE NONE OIL ~ STORIES 2 CRAWL SPACE UTILITY ROOM PA_TIO GARAGE AIRCORDITIONING HOTWATER XX EXITS 3 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD F~ STOP, AGE, TYPE CONST. SWI~ilNG POOL , GUEST, TYPE CONST. OTHER: PRIVY, DOGHOUSE 2 VIOLATIONS: CltAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED DATE OF INSPECTION Jan. 31, 1995 TIME START 11:10 AM END 11:30 AM P. 1 -: ... APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspec£or with the followin$: for new bulldin$ or new use: 1. Final survey of property wi:h 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 fro~ Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder usnd in system contains , leas than 2/IO of Il lead. 5. C~er¢ial buildin$, indus=rial building, multiple residnnces and similar buildings and installations, a certificate of Code Compliance from architect or eaR/near w responsible for the buildin~. 6. Submit Planning Board Approval of completed site plan requirements. B. FOr existing buildings (ri~_qr~o _ April~ ~957~ non-conformin$ uses, or buildinKs and '~_re-existin~" land uses: 1. Accu~ra=e surv__e¥ o~ property showin~ all property lines, streets, building and unusual natural or topographic features. 2. A properly completed aoDlica~QqAand a case ~ t in si~nsd by the spplieant. If a Certificate of Occupancy ks denied, the Buildin$ Inspector shall stats :he reasons therefor in writin~ ~o :he applicant. C. Fees 1. Certificate of Occupancy - New d~elling $25.00, Additions to dwellin~ $25.00, Alterations to dwsllin$ $25.00, S~imming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50,00. ~ Certifica~s of Occupancy an ~re-eX!~tin~uildin~ - $100,00 3, Copy of Certificate of Occupancy - $20.00 4. Updated Cartifica~e of Occupancy - $~0.O0 5.. Temporary Certificate of Occupancy - Resid~ntial }1~,00., Con~nercial $15.00' Januarx 25, 1995 Dace .... .................................... Nsw Construction ........... 01d Or Pre-exist/nE BuildinE .... X. ............ 1..7.3 Oreqon R. oa.d. ,. ' .Ma t t. i .t.u.c.k Location o£ Property ..................................................... ... ... . . . House No. Street Hamlet ~...ert. .Barrv, Andrew and Deborah Berkman ~nwer et Owners of .~ ; .................................................................. 2aunty Tax Map No 1000, Seetion...¢..~. ....... Block .... ~ .......... Lot....~.~ ............... 3ubdivision .................................... Filed. Map ............ Lot ................... ... ~ermit No ................ Date Of Permit ................ Applicant ......................... .... lealth Dept Approval Underwriters Approval ' 'lannin~ Board Approval ........................ ~equost fo~: Temporary Cer~ificate ........... Final Cettieata.. X 'Z" 0/3 ¥ 7 c/ ,PPL CA ' ............. JAM 24 '95 OE:i?PM SOUTHOLD TOWM HALL 516 ?65 1023 TO INSPECTION ~_B. arr¥, Andrew and Deborah Berkman Owner(s) Name(s) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 173 Oregon Road, Mattitu. c.~k&_ New Y.ork._ · which is shown and designated on the Suffolk County tax map as District 'il000, Section 94 , Block 3 , Lot 3.1 That the undersigned (has) (have) filed, Ior caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on .Preuexistin~ Building 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 cf Southold. The undersigned, in conseating 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 To~vn of Southold. Dated: January 25, 1995' (signatur e) Andrew S. Berkman -- - (print name) I Mdc, 0~' TOWN O~ ,~)OUTHOI-D