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Home My WebLink AboutZ-27655FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY ~o: Z- 27655 Date: 05/08/01 THIS CERTIFIES that the building DWELLING Location of Property 535 ELIJAHS LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County T~x F, ap No. 473889 Section 108 Block 0004 Lot 012 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCcumANCY NUMBER Z- 27655 dated MAY 8, 2001 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 WITH ACCESSORY GARAGE * The certificate is issued to DOROTHY CONNELLY & ANO. ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS c~KTIFICATION DArmu *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~A/ut~ Si= ~ gna ture Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 536 ELIJAHS LA NAME OF OWNE~ (S): DOROTHY CONNELLY & ANO. OCCUPANCY: RESIDENTIAL MATTITUCK MAP NO.: LOT (S) DOROTHY CONNELLY & ANO. YES 5 TOILET RO~ (S): 0,0 DECK TYPE: FIP~EPLACE: TYPE HEATER: OFF BOILER HOT~ATER: 1.0 ~ EXITS: __2 C~%WL SPACE: ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P,]~%RKS: BP #27255-Z-COZ 27654 (DECK ADDITION) DATE (3~ INSPECTIOn: 10/31/00 T]]~ START: 10:30 AM ~: 10:50 AM i.; TOk~ OF SOUTHOLD BUILDING DEPARTMENT !~ TOWN HALL '~'~ i~--2 765-1802 EL----~7~;~. [ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont. less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar bt and installations, a certificate of Code Compliance from architect or engim responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildi~ '.'pre-existing" land uses: [. Accurate survey of property sho.m~.g all property lines, streets~ bu:~lding m unusu~i~.[Ural-or topograph±e features, _ ~ 2. ~ properly completed application and a consent to inspect signed by the app~ If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0( Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2f Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - : .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date../.~/./4~ ................. New Construction ......... ..Old Or Pre-exis. ting Building ............. .' ,.ocation of Property... ~ ..... d2,'~,'~.~, Z~'~Z',~..~'"~ ........ · ... House No. Street Hamlet Onwer or O~ers of ~ope=y../.~: ~a'r~ ...................................... County T~ ~p ~o ~000, Section..../.O.~.~..O..~loc~...'~..f,~.~ ..... ~ot..~..Z~,~.~. Subdivision . Filed Map ............ Lot .............. Permit No ................ Date Of Permit ................ Applicant ..................... Health Dept Approval Underwriters Approval .... Planning Board Approval ......... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT ~b~t ¢o ~:3t9655 CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town · which is shown and designated on the Suffolk Oountyta× mapas Distriet 000. Section _. lockY ,. 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: 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·'trules 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. ! '! (signature) · - ('print name) (siRna(ure) (print name) Lot 1 "ELijah Lane Estates, Sect. l" Area = 10878 sq.ft 0.250 Acres N/F Baxter and~or Goeller IUFFOLK COUNTY TAX MAP"~ DISTRICT _ O1 aa SECTION 1 08.00 BLOCK_ _04.00 LOT __ O1 2.OOC~ ~ Lands Described Liber 11710~ Page 453 Suffolk County Clerk 17 November 1994 SI TU ATE A T: Mattituck Town 'of Southold SUFFOLK COUNTY, NEW YORK ~°": ,..~o.=: ,~,o~ 2o~ IDWO # 202E 20172 t~p I I=I"It~=J~ICE T. MROC~OW~KJ L.S. LS,~49959 .0. Box ~82. U~TON. ,.¥. 11873-01~z (~) ~-~.