HomeMy WebLinkAboutZ-19966FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19966 Date JUNE 11~ 1991
THIS CERTIFIES that the buildin~ ORE FAMILY DWRTJ.ING
Location of Property 235 MARRATOOKA LANE MATTITUCK~ N.Y.
House No. Street
County Tax Map No. 1000 Section 115 Block 4 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Private One Family
Dwelling built prior to: APRIL 9~ 1957
Hamlet
pursuant to which
CERTIFICATE OF OCC. #Z-19966 dated JUNE 11~ 1991
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 ORE FAMILY DWELLING WITHACCESSORYGARAGE & STORAGE SmD *
The certificate is issued to JOAN & LEONARD BRUNS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTAC~ED INSPECTION REPORT
- '~ ~B~il~din~g Inspector
Rev. 1/81
Location
Subdivision
BUILDI!.~ DEP~qT:.~?iT '.
TO':~! OF SOUTHOLD, N. Y.
HOUSIi2G CODE INSPECTION REPORT
235M~YOOKA]~ MAT~ITUCK, N.Y.
~nuunoer ~ s~ree:)
Map No.
kPiunzczpa±±~y)
Lot<=)
N~.me of Owner(s)
JOAN & LEONARD BRUNS
Occupancy A-|
(type)
A~itted by: JOHN MOORE
OWNER
(owner-~enanz)
Accompanied by: SAME
Key available
Suffolk Co. Tax No. ||5-4-1
Source of request
JOAN L. BRUNS
Date 19.Y 22, 199l
pZ'FELLING:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1
Bat.broom(s) ONE ~uLL BATH
Porch, ~y-pe
Breezeway.
Type Heat OIL
Fireplace(s) NoNE
Domestic hotwater
Other
Deck,
Garag~
'Warm Air
No. ~its 2
YES Type heater
FRONT RAISEDLARGESTOOP/ATTIC FAN
#stories
FULL
Cellar Crawl space=
2nd. F1 3rd. F1
Toilet room(s)
type. Patio, type. CONCRETE
Utility room
Hotwater xx
Airc onditioning.
OIL
Storage, type const. 6NE~ODFRAME
STORAG~S--~'D---
Guest, type const.
A_CCESSORY STRUCTURES:
Garage, type const. WOOD
Swinuning pool ' ~-~/z
Other
V~IOLATIOMS: .CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
_Lncation Description -- --I-^ri-.I Sec.
Remarks: BP #19923-Z CO Z-19950 FOR ~DDITION.
,
Inspected by: Date of Insp. May 30,
~A~/. FiSH ' Time start 9:30 end
[99 I
mO=O0
· FORM NO, 6
TOWN OF SOUTHOLD ;~/;:/~
· '. Building Depa,~,~ent / '~ ~J~i~.
,' Town Hall · .. /.,~,,...?.o:~:;~,~..~. -' /
~u~old, N.Y. 11971 ~ ~:
, 765- t802 .... -~,.~,~:~
~PLICATION FOR CERTIFICATE OF OCCUPANCY --.~.?.~ j
' * ': In~;tions
A. This application mu~ be filled in wP~ri~r OR ink, and ~bml~d m ~ to the Building In~e~
tor w~ the following; for n~ buildings o[ ne~u~:...
1. Fine ~wey of prope~ with a~ra~ !ocaU~n olau buildings, pmpe~ lines, ~e~, and unu~al
na~ral or topographic fea~re~ · fo~ or equal}.
2. F hal approval of ~eal~h Dept. of wa~r ~pply and ~erage di~o~l-(S-9
3. Approval of ele~rlcal m~allation from Boa~ of Fire Unde~rite~
4. Commercial buildings, Indu~rial ~ildings; Multiple Reside~es and similar ~ildin~ a~
tions, a ce~ificate of Code compliance from ~e Amhit~t or Engin~r m~onsible for the building.
5. Submit Planning Board appr~al of comple~ site plan requirements where applicable. ' '
B. For ~i~ing buildings (prior to April i957), No~onforming u~s, or ~ildin~ pnd "pr~exi~ing"
land urns:
1. Ac~rate ~wey of p~pe~ ~lng all prope~ lines, ;ree~, buildings and unu~al naomi or
topographic fea~ms. ' .... '
2. SwOrn statement of owner or pr~ious owner as to U~, o~panw and condition of building~
3. Date of any housing code or ~feW inaction of ~ildings or premiss, or o~er pe~inent informs'
tion required to prepare a ce~ificate.
C. Fees:'
Ce~ifica~ of omupancy $,25;00 -~ SUSZ~[SS
3. Copy of ce~ificate of oc~pancy 5;00. 0vet 5 yeats ~10.00
4.v~can~ ~a~d C.O. ;.'20.00 '
5.Up~e~e~ C.O. ~50.00 Da~ ~eY 2[, 199[
NewCOn' ~uc ~ton .... ~ Old or P~Iging Building · ~ .......... V~ant Land .............
.........................
Location 0f Prope~ .. ~. ~. ~'P~P~gg~'*~Y~OU~" · ~' ' [ 1952
~ H~ N~ ~t H~let
Owner or Owners of Pmpe~ .., 0g~0 ..........................................
~ ~ [ 5 00 .............. Lot ................
C~n ax Map No. 10~ Section ..... : ......... Block ,~4.00 0~ .000
wT ·
' ; Filed MapNo Lot
Subdivision ..........................................................
~ ...... Applicant
Permit No ........... Date of Pe~it ......................................
' ' ,, ,Labor Dep~ Appm~l ........................
U nde~ri~ers Approval .... ~,.,Planning B al ......................
Request for Temporaw Ce~ificate ..................... Fi~l Ce~ifi~te .......................
..... ...................... /
Fee ~uomltte~ · ' . .. ~ // .
Ga~y Flanne~ 01sen. Esq. .
Rw. lo4o-~s P.O. Box 706
Cutchogue, NY 11935
CONSENT
TO
INSPECTION
Joan L. Bruns and Leonard E. Bru~s
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_ Marratooka Avenue, Matlituck, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 115.00, Block 04.00 · Lot 001.000.
That the undersigned (has) (have) filed· 'or caused to be filed, an applica-
· .. Pre-existing Certificate of Occupancy
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.
May ~ 1991
Dated:
~// "'(signature)
.Joan L. Bruns
(signature)
Leonard E. Bruns
(print nam,e)