HomeMy WebLinkAboutZ-24881 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRS SBISTING
CERTIFICATE OF OCCUPANCY
No Z-24881 Date FEBRUARY 4, 1997
THIS CERTIFIES that the building ONS FAMILY DWELLING
Location of Property 2320 NEW SUFFOLK AVE. MATTITUCR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 9 Lot 1
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-24881 dated February 4, 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 ONS FAMILY DWELLING WITH ACCESSORY GARAGE
The certificate ie issued to TONI DOVE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLSASS SSS ATTACHBD INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
'TOWN OF SOUTHOLD
HOUSING CODE INSYEC'fION REPORT
LOCATION: 2320 NEW SUFFOLK AV6. _MATTITUCR, N.Y.
number fi street municipality)
SUBDIVISION _ HAP NO. LOI'(s)
NAME OF OWNER (s) TONI DOVE
OCCUPANCY A-1 RES. OWNER
type owner-tenant)
ADMITTED BY: DONNA CHITIIR ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TA% MAP NO. 1000-115-09-01
SOURCE OF REQUEST: ABIGAIL A. WICRHAM, ATTY DATE: JAN. 22. 1997
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 _ # EBITS_ 4
FOUNllATION STONE CELLAR PARTIAL CRAWL SPACE - - -
TO"fAL ROOMS: IST FLR. 5 2ND FLR. 4 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM
PORCH TYPE WRAP AROUND COVERED DECK, TYPE PATIO
BREEZEWAY FIREPLACE pN6 GARAGE
DOMESTIC HOTWATER LILCO GAS TYPE HEATER AIRCONDITIONING
'TYPE HEAT LILCO GAS WARM AIR R% HOTWATER %R
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPH OF CONST. WOOD FRAME 2 CAR STORAGE, TYPE CONST. ATTACHED TO HOUSE
SWIMMING POOI. _ GUEST, TYPE CONST.
OTkiER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRM PREVENTION 6 BUILDING CODE
LOCATION DHSCRIPTION ART. SEC.
REMARKS:
INSPECTED BY - DATE OF INSPECTION JAN. 29, 1997
G J. FISH TIME START 10:25 AM _ END 10:50 AM_
' l-orm No. G
TObIN OF SOUTIIO LD
6UIhDINC UEPARTN[NT
TOFlN ILnLL
7G5-1802
AP PLICAT[ON FO It CERTIFICA'CG OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildin3
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 na'_ural or topographic features.
2. Final Approval from Nealth Oept. of water supply and sewerage-disposal(S-O form).
3. Approval of electricml installation from board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in sysc_m contains
less than 2/LO of 17. lead.
S. Commercial build in industrial building, multiple residences and similar buildings
and installations,~a cerCif icaCe of Code Compliance from architect oc engineec
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
6. For existing buildings (prior 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 co inspect.signed by the applicant.
If a Certificate of Occupancy is denied, the building Inspector shall state the
reasons CheYefor 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 accessozy building $25.00. businesses $50.00. ~
2. Certificate of Occupancy on Pre-existing Cuildinc - $L00.00
3. Copy of Certificate of Occupancy - $20.OU
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certf.ficate of Occupancy - Residential $15.00, Commercial 515.00
Date ,January 17: 1997,,,,,,,,,,,,,,,,,,,,,,,,
Clew Construction.........., Old Or Pre-existing IIuilding..X........••...-
LocaCion of Ptoperty..?~2Q.~raP'•Suf~olk,Ayenuer,Mattituckt,New,Yprk,~~p,~z,,,,,,,,,,,,,,,,,,,,,
Rouse No. Street Hamlet
Onwer or Owners .:f Property., Toni,Dgye,,,
County Tax Map No 1000, Sectian,.115;00,,,,,,61ock „ 09:00,,,_,,,,,Lac...001;000,,,,,,,,....
Subdivision ....................................Fil.ud M:+p............Lot.,..,.................
?ermit No ................Date Of Permit................Appl iu:+n t.
ilealth Dept. Approval ..........................Underwriters Approval.........................
Tanning Board Approval
request Eor: Temporary Certificate........... Final Certicate..X.......•
'ee Submitted: $.100;00,,,,,,,,,,,,,,,,,,,, ~j'(//j//{//]
~~'Z ~ ~ g 8' Abigail A. Wickham, Attorney for Toni Dove----
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CONSENT TO INSPECTION
TONI DOVE , the undersigned, do(es) hereby
Owners) Name~~
state:
That the undersigned (is) 6~sa~d the ownerk~~ of the premises in the Town
of Southold located at 2320 New Suffolk Avenue, Mattituck, New York 11952
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 115.00 Block 09.00 Lot 001.000
That the undersigned (}i'as) 6cEt~ueJ filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Pre-Existing Use Certificate of Occupancy
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, including inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the Town of Southold.
The undersigned, 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.
r
Dated: u~
igna ure A igail A. Wickham,
Attorney for Toni Dove
Print name
Signature
Print name
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