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Home My WebLink AboutZ-24478FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~KTIFICATE OF OCCUPANCY No Z-24478 Date JULY 3, 1996 THIS CERTIFIES that the buildin~ Location of Property 10505 BO~ND AVE. Rouse No. County Tax Map No. 1000 Section 122 Subdivision ONE FAMILY DW~L?,ING MATTITUCK~ N.Y. Street Hamlet Block 1 Lot 3 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-24478 dated J~LY 3, 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 ORE F~MILY DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.RASE SEE ATTAr. KC INSPECTION REPORT. JANET DOUGHTY & ORS. N/A N/A N/A ding 'Inspector Rev. 1/81 IHP 11,111 ri(: I)I'~I'AIJ'ItlICHI' 'I'O~IH ()F SOHrlIOI.I) IIOHSJIt(J COI)I~. IIISI,I~.CTIOJt IH~YOIVI' I.OCATION: 10505' SOUND AVg. HATTITUCK, N.Y. NAHE OF ()NNEII (s) JA~T ~ & ORS. OCCIII'AIh]Y A-- l ~S.' O~R AI}HITTIH) BY~ GA~ AgfiTI~ ACCOHPANIEI) tJl~ ~EV AVAiLAm,E .................. ~ii~ ?~'TAX HAP m). 100~1-] TYPI~ OF CO~STIHICTION ~ ~ ....... ~ ~V['()~IE8 2 ~ EX1T8 2 Iq)IJNI)A'I'ION C~ BLO~ CEI,I.AI( F~L CI[A~I, SI'ACE IIATIIEOOH (fl) _~_~ ......... TOII,E'[' ROOH (,) ............. UTII.I'I'Y ROOH I'OSCII 'I'YI'E FRO~ ENCLOSED ....... IH~CK, TYPE PATIO BIH~EZIgMAy F l I(E['I,ACI~ O~ GAIIAGE I)OHI~S'I'IC [IO'I'gATEII ~S TYPE IIEATER LILCO ~S A [ RCONI) ['[' 1ON I 'fYi'l( IIEAT OIL ~AIiH A1E ~ II()'['~ATEI[ ACCE~BO[~Y 8TIJUGTHEliS: (~AIIA(~I~, 'I'YPIg ()~ C()~'F. NO~ .............. B'I'ORAOI~, 'I'YPIg SN1HHINg POOl, ....... , (~HE~Vi', TYI'E (,OH,)l_ OTIIEI[ ~ 7Z~ZZZZZZZ~ZZ~Z~ZZ~Z~ZZZZ~ZZZ~Z~ZZ~ZZ~ZZZ~ZZ~Z~Z~ZZ~Z~Z~-Z~ZZ~Z~ZZ~ZZ~ ~OW~ Of SOUTHOLD BUILDING D EP ARTME~Fr TOWN HALL 765-i802 ~&PPLICATION FOR C~RTIFICAT- OF OCCUP:~xYCY BLDG. DEPT. TOWN 9F SOUTHOLD This application must be filled in by typewriter OR ink and submitted to :he 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 ~ealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 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 b~i!dings (prior to April 9, !957) non-conforming uses, 'or buildings and ?pre-existing" land uses: l. Accurate su~ey 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. 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 :o accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildinm - $100.00 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 New Construction ........... Old Or Pre-existing Building...~ ............. 10505 Location of Property ..................... .Sq..un~.A.v.~qq~ .......... .MD~%A.tp.~ ..................... House No. Street ~let Dnwer or Owners of Pro err Janet Douqht~, V. Avis Reeve, .B~.~..E~e. tino ....... 122.00 ' iounty T~x Map No i000, Section .............. Block. 01.00 .Lot.. 003.000 _~ubdivision ......................... :~J ......... Filed Map ............ Lot ...................... 'ermit No ................ Date Of Permit ................ Applicant ............................. ;eal:h Dept. Approval .......................... Underwriters Approval ...... ~ .................. ~lanning Board Approval ........................ laquest for: Temporary Certificate ........... Final Certicate ..... ~ .... 'se Submitted: ~ .100.00 ...................... ~ kPPLZc~xrr Janet Doughty NIOIF £. S~.5°' / $oUNO .1 CERTIFIED TO' MARK P. SISSON LAUREN D. SISSON THE SUFFOLK COUNTY NATIONAL BANK CHICAGO TITLE INSURANCE CO AvENUE SURVEY FOR MARK P. SISSON & LAUREN D. SISSON A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. K 1000- 122- 01- 03 Scale.. 1" = 40' July 2, 1996 AREA = 21,778 sqft. rl~ t~ll )'O~ $TA TE EDI,~ I'I~ LAgl, ,4U. C~TFI~TIOt~ I'HERE~F ~ )' F QR _ C011,5 EH'r . I N!& IH!'.CT 101'1 B~DG. DEPT. 1OWN O~ $OUTHOLD Janet Douqhty, V. Avis Reeve, Betty,Ebetino - _ ......... Ihn IHHte,' nlll,,,;ll, do(l~) h(;rehy alntl:l '1'hal Ihe Httll(tt'131ff~ed ~ (I,r,;) Ih,~ .wn(;r(H) I)f Ih(~ I~rf~mla..J ltl Ih. '¢(,wH 10505 Sound Avenue, Mattituck, New York 122.00, IlhJcl( O1.00 , I..ot 03.000 . the Ul~dt~r~lllllnd (:~1~ (I,.vt~) filed. ~,~' e.ueed Io Ilo flied. .ti ~ppllcn-- lion I1~ lite ,C3ottlhold 'l'nwu Ih~lhlhlh~ I,s.'~lm~:ler'e Ol'lh;e Certificate of Occupancy on Pre-existing building , 'l'lsiH Ihe ut~deral(l~tell ih)les) horehy i.(Ivtt ,'~lHtuent I0 Ihe Ihtlhlhtl[ In~peelortl of lite 'l'nwn of ~outhold tt~ el~llli' lll)olS II~e .I)ove Ele~erlhed p~./H~et, ly, htehtdhHI deel~l Ilecessat-y xvllh )'e~il~'e(:l Io Ihe nl~reut~hl ISl~lSllcittllolt, h~chtdlllfl hisl)eell~ Io d~Hern~hte Ih.l hnid premises eOml,ly wili~ nil.of ihfl la%¥s, o,'dl,H~neeo, rHi,~s I)nh;lll Janet Dou.o~_~ ........ V. Avis Reeve ;TiTJT, .............. ~t~ ~et~o, by J~et ~ughty Her Attorney in Fact