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Home My WebLink AboutZ-23206FORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C~TIFICATE OF OC~umANCY No Z-23206 Date SEPTEMBER 12~ 1994 THIS CERTIFIES that the buildin~ Location of Propert~ 835 LEGION AVE. House No. County Tax Map No. 1000 Section 142 Block 2 Subdivision Filed Map No. Lot No. ONE FAMILY DWELLING MATTITUCK, NEW YO~K Street Hamlet Lot 3 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23206 dated SEPTEMBER 12~ 1994 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 D~.ING * The certificate is issued to ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION ~PORT. U~fICAL BANK, AS TRUSTEE N/& N/A Bui'lding Inspector Rev. 1/81 LOCATION: 835 LEGION AVE. (number & street) SUBDIVISION NAME OF OWNER (s) CHEMICAL BANK, OCCUPANCY A-I RES. (type) MRS. PUMILLO ADMITTED BY: KEY AVAILABLE BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT MATTITUCK, NEW YORK HAP NO. AS TRUSTEE (municipality) LOT(s) SOURCE OF REQUEST: HOPE DRROSA OWNER (owner-tenant) ACCOMPANIEfi BY: SAME SUFF.CO. TAX MAP NO. 100U-142-2-3 DATE: AUG. 16, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION CONCRETE TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTI~ATER YES TYPE REAT OIL WOOD FRAME CELLAR IST FLR. 4 2ND FLR. 3 ONE TOILET ROOM (s) FRONT ENCLOSED FIREPLACE TYPE HEATER Wa AIR OTHER: FULL 3RD FLR. ONE UTILITY ROOH BECK, TYPE PATIO N O GARAGE OFF BOILER AIRCONDITIONING HOT~ATER XX ~ STORIES 2 [ EXITS CRAWL SPACE ACCESSORY STRUCTURES: NONE GARAGE, TYFE OF CONST. SWI~I~flNG POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP, H FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP #17244Z-C0 Z-23205 FOR ADDITION DATE OF INSPECTION AUG. 24 , 1994 TIHE START 10:00 END 10:20 FOrm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO:~ IlALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. 5. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exmst:ng" land uses: 1. Ac_curate s~urv~y of property showing all property lines, streets, building and unusual natural or topographic features. 2.A properly completed application and a consent _~o inspect signed by the applicant. If a Certificate of Od~upancy 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. 2.Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated C~ertificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... ~d Or Pr~%st~ilding....~. ...... Location of Property....~..~. ..~..~. House No. Street Hamlet Onwer or Owners of Property .................................. Subdivision ......... . ................. Filed Map ........... Lot ...................... Permit No .............. Date Of Permit ............ Applicant .......... . ................... Health Dept. Approval ....................... · -- Underwriters Approval ..... Planning Board Approval .... ~ ............... Request for: Temporary Certificate ........... Fin. Fee Submitted: $ ......................... ~. .. £ ,l Certiqate....~..i .... BLDG. DEPT. [ CONSENT T0W~ OF SOUTHOLD TO INSPECTION Ovmer(s) Name(s) / do(es) hereby state: · the undersigned, That the ]andersi~ned (is) (are) the owner(s) of the premises in the Town °f S°uth°ld lfc~a~e~ ftYS/~~- L~z'~[~ A~f")l~t~, · which is shown and designated on the Suffolk County tax map as District 1000, Section /d/~ , Block 2 , Lot~ That the undersigned (has) (have) fried, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for tb~ following: 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 rio- I {J (signature) (print name) (siffnature) (print name) ! \ \ AREA = 9,564 sq. ft. SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 142- 02- 03 Scale: I" = 20' June 30, 1994 ANY ,4L / ~MA TION OR ADDITION TO ~ ~I./RV~Y I~ ,4 VIOLATION OF SECTION 7~09 OF Th~ NEIF YORK STA TE EZ~JC4TION LAW, EXCEPT AS PER SECTION 7~ZOg-,=fJ~DIVI$10N 2. ALL CERTJC'ICA TION$ I'~REON /~E VAIJ~ FOR THIS t44P AND COP~$ THEREOF ONLY F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE ~JRVEYOR ADDI~L Y TO COWJ~ Y FISTH $~41D LA~/ THE TERM 'ALTERED MUST BE U~E'D BY ~Y ~ ALL ,~.IRVE'YOR$ UTIUZlN6 A COPY '~eOU~T-TO-~TE' ,~E NOT ~t ~ ~ r~ ~,4~, /~//~.Z~ N.Y.$. LIC. NO. 49618 × PECONIC ~ S(~VEYORS, P.C. (516) 765 - 5020 P. 0. BOX 909 MAIN ROAD $OUTHOLD, N. Y. 11971 94 - 208