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Home My WebLink AboutZ-26940FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26940 THIS CERTIFIES that the building DWELLING Location of Property 4250 SOUND AVE MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 121 Block 0003 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- 26940 dated FEBRUARY 23, 2000 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 * Date: 02/23/00 (HAMLET) Lot 005.002 The certificate is issued to EUGENE F & JULIANA DAVISON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A 02/14/00 N/A ut~r ized ~xgnature Rev. 1/81 LOCATION: 4250 SOUND AVE W~ATTITUCK SUBDIVISION: MAP NO.~ -- LOT (S) __ NAME OF OWNER {S): EUGENE F & JULIANA DAVISON OCCUPANCY: RESIDENTIAL EUGENE F & JULIANA DAVISON ADMITTED BY: ~UGENE DAVISON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 121. 3 5,2 SOURCE OF REQUEST: HENRY S. SAXTEIN. ATTY 2/1/00 DATE: 02/23/00 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: POURED CONCRETE TOTAL ROOMS: 1ST FLR.: 4 BATHROOM{S): 1,O 2ND FLR.: 4 TOILET ROOM {S): _ # STORIES: ~.0 # EXITS: __5 CELLAR: FULL CRAWL SPACE: 3RD FLR.: ~ 1.0 UTILITY ROOM(S): __ PORCH TYPE: 1 SCREEN. 1 COVERED ONLY DECK TYPE= BREEZEWAY: FIREPLACE: ONE DOMESTIC HOTWATER: YES TYPE HEATER: OIL TYPE HEAT: OIL WARM AIR: HOTWATER: OTHER: p;~Fi'RY OFF THE KITCHEN XX PATIO TYPE: GARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWI~/~ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CEAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE SEC. RE~S: HP~4694Z-COZ4147 (/~DD] BP#7139Z&7140Z-COZ-6381 {ACCY AGR. BLDG.) INSPECTED BY: DATE ON INSPECTION: 02/11/00 TIME START: 9:40 AM END: 10:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 buitdlmg or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or :opographic features. 2. Final Approval from Health Dept. of wa:er supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying tha~ the solder used in system contains leSS than 2/10.of t% lead. 5. Co~u~ercial building, industrial building, multiple residences and similar buildings and !tats!la,ions, a certificate of Coda Compliance from architect or engineer responsible for the building. 6. Submiz Planning Board Approval of completed site plan requirement. S. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '¥re-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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5,00 ovec 5 years - $i0.00 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential$15,00, Commercial $15.00 Date ..... ¥ ...... .¢P99 ................. New Construction ........... 01d Or Pre-existing Building....X~x. ............ 4250 Sound Avenue Mattituck Location of Property ......................................................................... House No. Street Hamlet Onwer or Owners of Property ..... ~qq~q~ p~vison and Ju~na P~Y~99 County Tax Map No 1000, Section ..... !~! ...... Block..~ ............ Lot ..... P:~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permi~ No ................ Date Of Permit ............... . Applicant. ................... Health Dept. Approval ...................... Underwriters Approval Planning Board Approval Request for: Temporary Certificate ........... Final Cercicate ........... Fee Submz.te~: $..$QQ,QQ ..... Eugene F. ~avis~PLIC,~IT ' CONSENT TO iNSPECTION Eugene F. Davison , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) or' the premises in the Town of Southold located at 4250 Sound Avenue, Mattituck, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 121 , Block 3 , Lot 5.2 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the $outhold Town Building Inspec[or's Office for the following: letter of pre-existing use 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, in~cluding inspections to determine that said premises comply with :ill of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such b]spections, do(es) so with the knowledge al~d unde~standinff that any infoi~mation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules o~ regulations of the Town of Southold, Dated: ~.u~.r~' ~/, 2000 ~ -- _ Eugene~F. Davison (prin~ name) (sianatare) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS 8078845 BUREAU OF ELECTRICITY [~ 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRU/%~¥ '~ ~ ,c~_3~,Q Application No. on file -~, t990~60¢/0~3 H 067169 THIS CERTIFIES THAT only the electrical equipment as described betow and introduced by the applicant named on the above application number is in the premises of EUGENE DAVISON, 4250 SOUND AVENUE, ~%TTITUCK, in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot FEBRUARY 14 was examined on and found to be in compliance with the National Electrical Code. NCANDESCEN1 FLUORESCENT OTHER AJRYE%. O'L FU".,.^CE %C jO"8.... E T.U, EAPP?jCE EEAE. wiS. SERVICE DISCONNECT NO. OF S AMT. AMP, WPE ~ ~2W S3W 3R3W 3~4W OTHER APPARATUS: ELECTRICAL SURVEY AS PER 2/14/00-1 *NO VISUAL DEFECTS: "An electrical suzn/ey has been made of the exposed electrical er~aipment in the premises indicated." "No obvious unsatisfactor7 condition was found. RANGES SPECIAL REC'PT. AMT. AMP. E R TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMI. AMPS. tRANS. NO. OF FEET EXHAUST FANS AMT. H*P. DIMMERS AMT. WATTS EUGENE DAVISON 430¢ SOLqqD AVENUE. MUTTITUCK, NY, 11952 V I C E NO. OF CC COND. PER ~ OF CC. COND. NO. OF HI-LEG OF NEUTRAL This certificate must not be altered In any manner; return to tho office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, iB~IA~iI~OaS er selm'qnt'~ ~ ~FIDAVIT STATE OF NEW ~ORK> >ss COUNTY OF SUFFOLK> DULY SWORN, DEPOSE AND SAY: 1) I m~ THE ~ OF SUFFOLK CO~T~ TAX ~P ~ER: DISTRICT/~ SECTION /~ BLOCK 3 LOT~ , ~ICH IS IMPROVED B~ A SINGLE F~IL~ DWELLING. 2) THAT AT LEASE ONE SINGLE STATION SMOKE DETECTION ALARM DEVICE IS INSTa?.?.ED ON OR NEAR THE CEILING ADJACENT TO ALL SLEE~ING SPACES IN THIS DWELLING RND THAT SUCH DEVICE IS IN GOOD WORKING ORDER. 3) THAT I MAKE THIS AFFIDAVIT PURSUANT TO SECTION 1193.2 OF THE NEW YORK STATE FIRE PREVENTION AND BUILDING CODE. SWORN TO BEFORE ME THIS DAY OF OTARY No. 4e87817 ~~,~oi