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Home My WebLink AboutZ-19107FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19107 Date JUNE 4~ 1990 THIS CERTIFIES that the building Location of Propert~ 1330 MEDAY AVE. House No. County Tax Map No. 1000 Section 113 Subdivision ONE FAMILY DWF3.LING MATTITUCK Block 11 Filed Map No. Street Lot 09 Lot No. Hamlet conforms substantially to Requirements for a private one-family dwelling built prior to April 9r 1957 pursuant to which Certificate of Occupancy No. Z19107 dated JUNE 4~ 1990 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 AND ACCESSORY STORAGE BUILDING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A SARAH ANN CHRISTODOULOU ***SEE INSPECTION REPORT ' '/ Y B~di~g Inspector Rev. 1/81 BUILDI!':G DEP.~dRTI'LENT T0';$r OF SOUTHOLD, N. Y. Location Subdivision N~me of Owner(s) SARAH ANN CNRISTODOULOU HOUSING CODE INSPECTION REPORT 1330 MEDAY AVE. MATTITDCK ~numoer ~ s~ree~) (l,iuniclpall~y) Map No. Lot(s)_ Occupancy A~mitted by: ONE FAMILY DWELLING (OWNER) EMPTY typ e) ( own er- ~ enan~ ) SUSAN SUTTON REALTOR Accompanied by: E~A A, n. Aa~Nq¥ Key available Suffolk Co. Tax No. 113-11-09 Source of request OWNER '- .Date 4/27/90 Type of construction WOOD FRAME #stories I Foundation CEMENT BLOCK Cellar PAR. ~ Crawl space ~ Total rooms, 1st. F1 6 2nd. F1 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type -- Deck, type. -- Patio, type Breezeway. -- Garage xx Utility room -- Type Heat OIL 'Warm Air xx .Hotwater -- Fireplace(s). I No. ~its 3 Airconditionin~ Domestic hotwater xx Type heater ELECTRIC Other COVERED ~O~RETE ~CCESSORY STRUCTURES: Garage, type const. Swimming pool Other J Storage, type const. FRAME' Guest, type const. VIOLATIONS: _L~cation .CHAPTER 45--N.Y. STATE ~tlFORM FIRE PREVENTION & BUILDING CODE Descriotion } Art. I Sec. B.P.~6476 & CO ~Z540! for addition Remarks: and PRE C.O. ~Z1737~ 9/29/88 ~H~9~/S F~ER 'Time start 9=40 end l0:!0 BI.?,G · DEPT. t APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 I. 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 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 ................ House No. Street Hamlet Onwer or Owners of Property.. . . . . County Tax Map No 1000, Section..f/~ ......... 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 ........... CONSENT TO INSPECTION · the undersigned. Owner(a~ Name(s) do(es) hereby stale: That the undersigned (is)'(~ the owner(~of the premises in the Town . which is shox~ and designated on the Suffo~ County tax map as District 1000. Section /1~ . Block ;~ . Lot 0 ~ That the undersigned (has)~ filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: 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. (signature) (print name) (signature) (print name) l 34. ~..,'~U Fz F, C.O. T~ ~ C,~ATA ' IC)O0 - 119 -I I-9,