HomeMy WebLinkAboutZ-18457FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE-EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18457
Date OCTOBER 12r 1989
THIS CERTIFIES that the building
Location of Property 1240 INLET DRIVE
House No.
County Tax Map No. 1000 Section 99
Subdivision CAPT. KIDD ESTS.
ONE FAMILY DWELLING
MATTITUCKr N.Y.
Street Hamlet
Block 2 Lot 6
Filed Map No. 1672 Lot No. 97&98
conforms substantially to the requirements for private one family
dwelling built prior to: APRIL 9r 1957 pursuant to which
CERTIFICATE OF OCC. ~Z-18457 dated OCTOBER 12~ 1989
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~TJ.ING WITH ACCESSORY WOOD FRAME 2 CAR GARAGE*
The certificate is issued to EDWARD P. BERTERO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
Building Inspector
BUILDIL~G DEPJJ{T~"LE~[T
TO~,'~! OF SOUTHOLD, N. Y.
HOU~L~G CODE INSPECTION REPORT
Location 1240 INLET DRIVE
[numaer & street)
Subdivision
MATTITUCK, N.Y.
Map No.
(Piunicipatity)
Lot(s)
Nmme o£ Owner(s) EDWARD F. BERTERO
Occupancy R-40 RESIDENTIAL
(type) (owner-~enan~)
A~mitted by: EDWARD BERTERO Accompanied by: SA~E
Key available
Suffolk Co. Tax No. 99-2-6
Source of request
Willla~ J. Clark~- A~tty
Date 10/6/1989
DYgLLI~:
Type of construction
Foundation Cement Block
Total rooms, 1st. F1
Bathroom(s) 1
Porch, typ~
Breezeway
Type Heat OIL
Fireplace(s) ONE
Domestic hotwater
Other
WOOD FRAME
OIL
#stories I Story
Cellar 1/2 Crawl space 1/2
8 2nd. F1 - - .3rd. F1
Toilet room(s) !
Deck, type, Patio, typ~.
Garage Utility room
Warm Air Hotwater xx
No. ~its 3 Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const.WOOu FRA~ 2 CAR Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS:
.CRAPTER 45--N.¥. STATE UNIFORMFIREPREVENTION & BUILDING CODE
Descriotion I Art. Sec.
_Location
Remarks:
Date of Insp. 10/11/1989
· Time start 10:40 end I 1:00
TOWN OF SOUTNOLD
BUILDING DEPART~IENT
TOWN HALL
SOUTHOLD. NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCHPANCY
DATE...~C.~%~%~ 3, 1 9~.9
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. X .VACANT LAND ....
Location of Property ...... Injet:~rive, Mattituc~
124p .............................................
HOUSE NO. STREET HAMLET
Owner or Owners of Property. Edward P. Berter0
County Tax Map No. lO00 Sectiou 99 Block 2
...... - ...... Lot'.~ .......
Subdivision. Capt. Kidd Estates Filed Map
1672 97 & 98
........ Lot ..........
Permit No ........... Date of Permit .......... Applicaot ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submitted: $ I00.00
Final Certificate .. X
rev. 10/14/88
FOP~ NO. 6
TOWN OF SOUTHOLD
BUILDING DEPABTMENT
TOWN UALL
765- ]802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
I. Final survey of property with accurate location of all buildings, property llnes,
streets, and unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installatlon from Board of Fire Under~rrlters.
4. Sworn statement from plumber certifying that solder used ia system contains less
than 2/10 of IZ lead.
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, ~957] non-conforming uses, or buildings
amd "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of tltle issued by a title company whlch shall
show single and separate ownership of the entire lot prior to April 9, ~957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire 10t prior to April 9, ~957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
3.
4.
5.
6.
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
Certificate of Occupancy on pre-existing dwelling - $100.00.
Copy of Certificate of Occupancy - $5.00 - over 5 years - $~0.00
Vacant Land Certificate of Occupancy - $20.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
rev. 10/14/88
Edward P. Bertero
CONSENT
TO
INSPECTION
OCT I 0 1989
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Tom
of Southoldlocated at 1240 Inlet Drive, Mattituck
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 99 , Block 2 , Lot 6
That the undersigned (has) (have) filed, or caused to be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy - Pre-existing 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 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: October 4, 1989 ~//~,¢~-/~_tt /2
(signature)
Edward P. Bertero
(print name)
(signature)
(print name)
STATE OF NEW YORK )
) SS.:
COUNTY OF SUFFOLK )
OCT 0
EDWARD
That
Inlet Drive, Mattituck, New York.
That I have occupied the said
P. BERTERO, being duly sworn, deposes and says;
I am the owner of the premises known as 1240
premises as a one-family
dwelling since 1950.
That the building erected on said premises is and has
been in good condition and suitable for occupancy as a one-
family dwelling.
Edward P. Bertero
Sworn to before me
this~~~j4th day of~ctob~1989~