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Home My WebLink AboutZ-26212 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26212 Date: 01/12/99 THIS CERTIFIES that the building DWELLING Location of Property 4210 OLE JULE LA MATTITUCR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 0004 Lot 028 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- 26212 dated JANUARY 12, 1999 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ONE FAMILY DWELLING* The certificate ie issued to VIOLA ELLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. $ it ng in pector Rev. 1/81 / BUILDING DBPARTMHNT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4210 OLE JULS LA MATTITUCR SUBDIVISION: MAP NO.: LOT (S) NAME OP OWNER (SI: VIOLA ELLBR OCCUPANCY: A-1 RESIDENTIAL VIOLA SLLHR ADMITTED BY: CARL AUSTIN ACCOMPANIED BY: SAME REY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-4-28 SOURCE OP REQUEST: DATE: 01/12/99 DWELLING: TYPE OF CON6TRUCTION: WOOD PRAMS # STORIES: 1.0 # EXITS: FOUNDATION: BLOCK CELLAR: PULL CRAWL SPACE: TOTAL ROOMS: 16T PLR.: ~ 2ND PLR.: ~ 3RD PLR.: _Q BATHROOM(S): l.a TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DBCR TYPE: PATIO TYPE: RAISED SLATS PATIO BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HHATHR: PROPANE AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: NOTWATER: OTHER: ACCESSORY STRUCTURE6: GARAGE, TYPE OP CONST.: STORAGE, TYPE CONST.: SWIPAfING POOL: GUHST, TYPE CONST.: OTHER: VIOLATION6: CHAPTER 45 N.Y. STATE UNIFORM PIRG PREVENTION & BUILDING CODE LOCATION I DESCRIPTION ~ ART. ~ SEC. ~ i ~ i i : i : i i i i i i i i : i i i i REMARKS: INSPECTED BY: DATE ON INSPECTION: 01/08/99 GARY PIS TIME START: 10:00 END: 10:20 ' roan wo. o ' ~ 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 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-4 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 1X 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. B. 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 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 Buildia¢ - $100.00 3. Copy of Certificate of ,Occupancy - .25C. , 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date „December 1998 New Construction..... Old Or Pre-existing Building.. X..... 4210 Ole Jule Lane Mattituck Location of Property House No. Street Hamlet Viola Eller Onwer or Owners of Property County Tax Map No L000, Section. 122:00 „,„glock.,04: OO,,,,,,,,Lot.... 02$,0,0,,,,,,,,,. Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit.:..............Applicant............................ Health Dept. Approval ..........................Underwriters Approval........................ Planning Board Approval Request for: Temporary Certificate........... Final Certicate.....X..... Fee Submitted: $...,100,.,OQ,,,,,,,,,,,,,,,,,, n ' ~ ~ ~ APPLICANT •y-- U~ _ N~^' ~ s^^- ccU- , CUNSLNT '1'O INSPLC'f1ON VIOLA ELLER the undersigned, Owner(s) Name(s) I do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises to the Town of Southold located at 4210 OIE JULE 7,ANE P9ATTITUCI: ~c•iiisii ;s shnwn and designated on the Sutfollc Coanl.y tax map as District 1000, Srction 122_, Block 04 Lot 028 'c'hat the undersigned (has) (have) tiled, or caused to be filed, an applica- tion in the Southold Town 13uilding Inspector's UCfice For the following: Certificate of Occupancy for pre-existing buildings. That the undersigned do(es) hereby give consent to the Building Inspectors oCthe'1'own of Southold to enter upon the above described property, including any cu id all buildings located thereon, t~ conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all oC the laws, ordinances, rules and regulations of the Town of Southold. 'Che undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding, that any information obtained In the conduct o[ such i.nspcetlons rosy be used as evidence in subsequent prosecutions [or v[o- lation~ of the laws, ordinances, rules or regulations o[ the Town of Southold. Dated: December ~ I 1998 _ ~~IM. _ (signature) Viola Rller_ by John Hosh~~la , (print name • her attorney-in-fact. (signature) (print name) suRVE~o FOR:-ER/c g/?k7R~E MujuER p' _ LOCATEp AT MATT/7vc y a' ,TOWN OF SOUjF/O(_L7 .SUFFOLK COUNTY N.Y. LOT /5 G~°SGR/GSED a~ MAP OF o5 St/o KI<./ ~ CO. CLK. NO. FILED c- SCAIE t"-25' ~ SUFT-0LK CO. TAX MAP DATA: , ~,q ~ IQ ,i//fC ROLO oisr. /opo .SEC. /P2.00 ~ S ,30' 2~J '4o"E ~ /(a9 ~ ` BLK 04,00 LOi OZB~~~ f y J rxr ~ Q/~ED V n ~ ) Q 24. 9A Q `~aa ``~o' _ N W ~ - W ~ ~ ,i~ w'i ' ~ V 6 ~V ~,k Lid ry V . Q i~ 7 ` ~ /e. a ~ ~ Q s -b ~ ~ v ~R/C ~ MAR/G MC/J'~t/E?, ~ 'V ~~4T U4~JC / 1 _ _ i Q h ~ 1 Gh//GG E+O J:jt~ h `Y ~,eISeIQ.LF~KE CIoM,~aA.~/Y ~cJ~o'29'4o"Zt/ /90" f ~ 7i7zF _ `Jc~B -oZe 94 I` .v~F 4,`rrcxuo ~ P[,eo/u= E 1'// a ~S i~a..rrcq f~i/cr SURVEYED Lac. /4, 1898 BV 6 RAMPART SURVE11N0 P.C. ~P PIO BOX 340 3 I~~~~ EAST MORICNES. ll., N.Y 17840 , tY HLE NO. DRAWN BY M# r