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Home My WebLink AboutZ-24431FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~TIFICATE OF O(~J~PANCY No Z-24431 Date JUNE 14, 1996 THIS CERTIFIES that the buildin~ Location of Property 305 M~J~x~a~ House No. County Tax Map No. 1000 Section 126 Subdivision ON~ FAMILY D~.T,ING Street Block 9 Filed Map No. LAUREL~ N.Y. Hamlet Lot 22 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-24431 dated J~NE 14~ 1996 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 * The certificate is issued to ~.~NDl'~-ru~ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTA~ INSPECTION REPORT. Rev. 1/81 LOCATION: 305 MASTEES ROAD BUILDING OEPARI~{ENT TO~i~l OF SOUTHOLD HOUSING CODE INSPECTION REPORT LAUREL, N.Y. (number & street) SUBDIVISION NAME OF OWNER (s) HELEN Dll-I'uS OCCUPANCY RES. ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: (type) K~NMcKILLOP MAP NO. (municipality) LOT(s) (owner-tenant) ACCOMPANIED BY: SANR SDFF.CO. TAX MAP NO. 10(N)-126-9-22 DATE: MAY~L9~6 DNELLING: TYPE OF CONSTRUCTION FOUNDATION CEMENT BLOCK T~FAL ROOMS: IST FLR. 4 BATHROOM (s) ONE PORCH TYPE FRONT ENCLOHED BREEZEWAY DOHESTIC HOTI~ATER YES TYPE HEAT ~/OOD FRAI~ CELLAR PART. PIT 2ND FLR. 3RD FLR. TOILET ROOM (s) BECK, TYPE FIREPLACE O1~ TYPE BEATER LILCOGAS WARM AIR STORIES ONE CRA~L SPACE UTILITY ROOH PATIO GARAGE AIRCONDITIONING HOT~ATER ~ EXITS I~dO fffHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~ilNG POOL ~FHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~23499Z-CO Z-24430 ( ACCY SHED ) INSPECTED BY DATE OF INSPECTION NAY 13, 1996 TINE START 9:55 END 10:15 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 (priqr 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 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 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 5/~/96 Date ...................................... New Construction ........... Old Or Pre-existing Building...¥~s. ........... House No. Street Hamlet Onwer or Owners of Property...~p~en. ... 6~. p~p. ........................................ .. ,.. .. County Tax Map No 1000, Section...J?P ........ Block .... ? ......... .. Lot..~ ............... .. . Subdivision ................................ · · · · Filed Map ........... . Lot ................... . .. Permit No ................ Date Of Permit ................ Applicant ......................... ... . Health Dept. Approval ....................... · -. Underwriters Approval ......................... Planning Board Approval ................... .. ... Request for: Temporary Certificate ........... Final Certicate..y¢$ ...... Fee Submitted: $...!0.Q..QQ ........ CONGEST i BLDG, DEPT. TOWN OF SOUTHOLD Owner(s) do(es) harehy stale: TO INS ) ;'-"' I I.,(. I ION · Ihe tmdersigned, That the umler.~lgned (is) (;tt'e) the owner(s) of the In'Cruises in tim 'l'owii ~~ , width l~i ~ihowll itlld cleslllnatetI on tim Suffoll; Cou,,ty ta~ ,nap as District 100(,. Se,:th, n __¢0 , Bl,,ck ' 3 Lot % That the undersigned (has) (have) filed, of caused to be filed, all al)pllen- lion In Ihe Southold Town Bttildh~g Inspector's Of flee for the followlng~ That the undersigned do(es) hereby give consent lo Ihe Btdldhql lnsDeetovs of the Town of Southold to enter upon the above described pr.operty, ineludh~g any and all buildings located thereon, to conduct such Inspections as they may deem necessary with respect to ihe aforesaid alH)lic:ailolL inchldtng inspections lo doternllne that ~nid premises comply with all.of the laws. ordinances, l'ules and regulations of the Town cf Soulhohl. Tim tu~del'algned. In clmsenthq; to such inslmellons' do(es) scl with tile I{itowledge /tlt(l tlllllel'~tlilld[lll[ that ttlly Jltl'ot'tntttion t)bLitiiled Ill tile ¢:t)lltltlP..I of httions of the laws, (}t'tlinaneeyl, i'ttles ()r t'egn~hohl. (print name) {p~'hlt frame) CONSENT TO INSIN~CTION l-IRr.w~l A. DITiUS tile undersigned, Owner(s) Name(s) do(es) bcueby slate: That tile undersigeed (is) (a~'e) [be owner(s) of tim premises in the Town of Soutbold located at 305 ~sters R~d, ~el which is si]own and dr~s[~Ulated on tile County t~x map ~s District 1000, SecLion 126 , Block 9 , Lot 22 That the undersigned (bas) (bare) filed, or caased [o be riled, an applica- tion tn the Southold Town Building Inspectm,'s OrHce for ibc following: pre aistin9 ~ifiate of ~ That the undersigned do(es) hereby give consent to the 13ullding Inspectors of the Town of Soutbold to enter upon tbe above described pr. operty, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to tile aforesaid application, including inspections to determine that §aid premises comply with all.of the laws, ordinances, rules and regulations of the Town or Soutbold. The andersigned, in consenting to such iUSlmciions, do(es) so with the knowledge a,d understanding that any information obtained In the conduct of such inspections }nay be used as evidence in subsequent prosecutions for vio- lations of tile laws, ordinances, rules ov regulations of tile Town of Soutbold. (signature) ~' ~' ~ Helen A. Dittus (pt'int nallle) CONTACT: Ken McKillop 298-8760 (siRnnture) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ~(~12~ .u.,.Au oF ,=-,:CT.,C,TY ~- 85 JOHN STREET, NEW YORK, NY 10038 ~te JUNE 18,1996 Application No. on/He 11871896/96 N 389115 THIS CERTIFIES THAT only t/~ e/~ctricM s(/uipmea t ins de~rib~N/~ a~d introduced by th4 appflc~it aarn~d off tim abo~ apl~iCation number in tim b~ w examin~ on ~ 11,1996 ~ ~u~ to be in compl~ce ~th the N~o~ ~ect~c~ ~e. I COOKING DICKS i OVENS [DISH WASHIRS TIMlCLOCKS ~ UMT~ M~LvT(I~n-~UuTcWT mT *MPS TRANS[ MT.[ H.P. N~//~T II EXHAUST FANS OTHER APPARATUS: HOVE POINT OF ATTACHMENT OF SERVICE- TO CORRECT CLEARANCE VIOLATION-1 PAUL R. BURNS P.O.BOX 1061 SOUTHOLD, NY, 11971-(~932 Per 11 his ce~fko~ m~t not ~ altered in any manner; ~urn ~ the offke of ~ ~ard if incor~. Insp~ors ~y ~ identifi~ by t~ir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.