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HomeMy WebLinkAboutZ-22316 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-22316 Date MAY 11, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 750 MILL ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 1 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-22316 dated MAY 11, 1993 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 WITH ACCESSORY ONE CAR GARAGE * The certificate is issued to ELIZABETH FOX (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Buildin--y "~I` n p for Rev. 1/81 _ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 750 MILL ROAD MATTITIICR, NEW YORK number 6 street municipality SIIBDIVISION 'MAP NO. LOT (s) NAME OF OWNER (s) ELIZABETH FO% OCCUPANCY A-) RES. OWNER (type (owner-tenant) ADMITTED BY:. SELF ACCOMPANIED BY- SELF REY AVAILABLE SUFF. CO. TA% MAP NO. 1000-107-1-1 SOURCE OF REQUEST: KATHLEEN A. NEIIMANN DATE: APRIL 30, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 $ E%ITS FOUNDATION BRICK CELLAR SMALL AREA CRAWL SPACE TOTAL ROOMS: 1ST FLR_ 5 2ND FLR. 2 FOR 3RD FLR. BATHROOM (s) ONE FULL BATH TOILET ROOM (s) UTILITY ROOM PORCH TYPE SCREEN PORCH DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT PROPANE GAS WARM AIR HOTWATER ~ OTHER: ACCESSORY STRIICTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. SWIl~ff~fING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION lk BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP i~21309Z-CO Z-22315 FOR CONVERSION INSPECTED BY: DATE ON INSPECTION MAY 6, 1993 GAR ISH TIME START END Form No. 6 _ ~ TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTII'ICATE 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-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 1Z 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 ' 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 ' Date ~}'R_l~/:. 29.E 5 . New Construction........... Old Or Pre-existing Building..../X~............ Location of Property..,jrJ.© .........~`.fj. ~.~~~..12.C~~~.......~TT«~K....... House No. Street Hamlet Onwer or Owners of Property..~/?r,~}'j~-.E~;N„ N~UMA-jV~y~,J~?p,~~.V15ES O~.EI-lZAd3ETH , FOZC, ~ounty Tax Map No 1000, Section...~.d.[.......Block......~.........Lot 3ubdivision.....N R ............................Filed Map............Lot...................... 'ermit No.....N~".........Date Of Permit ................Applicant............................. :iealth Dept. Approval.....'N,1} ...............Underwriters Approval...~~:................... Tanning Board Approval ...1~11~, , tequest for: Temporary Certificate........... Fina ticate..~..... iee Submitted: C~D ' . C(7z~a31~ APPL C _