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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 w Z