HomeMy WebLinkAboutZ-24984FORE NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24984 Date APRIL 16, 1997
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 865 LOVE LA.& 4980 COD1TTY RD. %48 MATTIT~CK, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block 3 Lot 26
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
OCCUPANCY NUMBER Z-249~ dated APRIL 16, 1997
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~T~.ING *
The certificate is issued to J~LIA L. COOPER
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTA~D INSPECTION REPORT.
~ Building ~nspector
Rev. 1/81
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOU~IOLD
HOUSING CODE INSPECTION REPORT
865 LOVE LA. & 4980 COUNTY ROAD ~48
(number & street)
SUBDIVISION
NAHE OF O~NER (s) JULIAL. COOPER
OCCUPANCY
(type)
JULIA L. COOPER
MAP NO.
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
F,-AI'flTUCK~ N.Y.
(municipality)
LOT(s)
(owner-tenant)
ACCOMPANIED BY:
SUFF.CO. TAX MAP NO. 1000-1&1-3-26
WICKHAM~ WICKHAM & BRESSLER, P.C.
DATE
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME ~ STORIES ]-1/2
FOUNDATION POURED CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. § 2ND FLR. 2 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) - - UTILITY ROOM
PORCH TYPE COVERED BECK, TYPE - - = PATIO
BREEZEWAY NO FIREPLACE YES GARAGE NO
DOMESTIC UOT~ATER OIL TYPE HEATER OIL HOT WATER AIRCONDITIONING
TYPE HEAT OIL WAP,~ AIR HOT~ATER OIL
OTtlER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIllING POOL
OTHER:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
HETAL SHED
VIOLATIONS: CtLAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDINO CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #11322-COZ-10904 (Addition) BP #11244-COZ-10787 (Accy Bldg.)
INSPECTED BY
DATE OF INSPECTION APRIL l, 1997
TIME START 10:30 AM END 11:30 AM
Form NO- 6
TOWN OF SOUTIIOLD
DUll,DING DBPARTi'IENT
?OUN IIA~L
765-1807
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 uso:
Final survc~ of property with accu~ata location of all buildings, property lines,
streets, and unusual n~ural or topographic features.
2.Final Approval from H~hlth Dept. of water supply amd sewerage-disposal(S-9 form).
3.Approval of electricml installation from Board of Fire Underwriters.
Sworn statement fromfplumber certifying that the solder used in system comtaiFs
lesa than 2/10 of 1% lead.
5. Co,mmercial building, industrial building, multiple re~idence~ and similar buildings
emu instaliations,\a certificate of Code Compliance from architect or engineer
responsible for th~ building,
6.Submit Planning Board Approval of completed site plan requirements.
B. F~r existing buildings (prior to April 9, 1957) non-co.forming uses, o~ building~ and
"pre-existing" land uses:
· .. 1, Accurate survey of property showing ali property line~, streets, building and
unusual natural or topographic features,
2, A properly completed application and a consent to inspect, signed by the applicaet,
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations co dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions Co accessory building $25.00, Businesses $50.00,
2, Certificate of Occupancy on Pre-existin~ Buildin~ - $[00,00
3, Copy of Certificate of Occupancy ~ $20.00
4. Updated Certificate of Occupancy - $50.00
5, Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00'
Date ..M~gb.Zl,.1997 .....................
N~w Construction ........... Old Or Pre-existin~ Building.~.R~J~r~-~.zum~L shed
Location of Property .... ~ .................... %9Y~.%4q~ .................... Ma££~mek .....
Rouse No. Street Hamle~
Onwer or Owners ,.,f Ptoperty...4q%~a'.~.qOg~ ................................................
County Tax Hap No 1000, Section...%4t,OO ..... Block .... QJ~00 ....... Lot ..... 026,000 ..........
Subdivision .................................... Fi l.ed Mop ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approv;~l .........................
?lanning Board Approval ........................
{equest for: Temporary Certificote ........... Final Certlcatc..Of.~revExisting Use for
Residence and Shed
~ee Submitted: $ ................... ~ /j
5 27 .
CONSENT
TO
INSPECTION
JULIA L. COOPER , , the. undersigned,
O~rner (s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 865 Love Lane, Mattituck, New York 11952
· ~vhich is shown and designated on the Suffolk
County tax map as District 1000, Section 141 , Block 3 , Lot 26
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:
Pre-existing Use for house and s, hed
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 ~foresaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The unde~rsigned, 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: M~rch ?1_ lqq7 ~' ~~
(signature) /
Julia L. Cooper
(print name)
(signature)
(print name)
L_o4 I
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