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Home My WebLink AboutZ-25552FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25552 Date: 02/23/98 THIS CERTIFIES that the building DWELLING Location of Property 5150 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0010 Lot 004 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- 25552 dated FEBRUARY 23, 1998 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 ROBERT L GARBEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5150 NEW SUFFOLK AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ROBERT L GARBEN OCCUPANCY: SINGLE FAMILY ROBERT L GARBEN ADMITTED BY: GLORIA SHIRVELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-10-4 SOURCE OF REQUEST: RUDOLPH BRUER, ATTY 1/24/98 DATE: 02/23/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 5.0 # EXITS: 0 FOUNDATION: CEMENT BLOCK & PIERS CELLAR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: 0 BATHROOM(S): 1.0 PORCH TYPE: 2ND FLR.: 0 3RD FLR.: 0 TOILET ROOM(S): 00 UTILITY ROOM(S): DECK TYPE: BREEZEWAY: NONE FIREPLACE: GARAGE: PATIO TYPE: DOMESTIC HOTWATER: GAS TYPE HEATER: L.P. AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: OTHER: STAIRS & DOCK AREA (POOR SHAPE) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION i ART ; SEC 1 I I 1 I I I I I I I I I 1 I 1 I I 1 I I I I I j j I I I 1 1 I I 1 I I I I I I I I I I 1 1 I 1 I I 1 1 I I 1 I I I I 1 I REMARKS: REINSPECTED 2/19/98 INSPECTED BY: JOHN M. BOUFIS DATE ON INSPECTION: 02/10/98 TIME START: 11:00 AM END: 11:20 AM Form No. 6 TOWN OF SOUTIIOf.O BUILDING IMPARTMENT' TOWN HALL 76-1-1802 APPLICATION FOR CERTIFICATE,, t1F OCCIJI'ANCY This application must be filled in by typewr.it•er. OR inic and submitted to the bnf(Alar f.rispector with the f.ol.lowtng: for new bulldlug or new use: 1. Final survey of property with accurate location of a.l.t buildings, property I.lnes, streets, and unusual natural or topographic features. 2. Final Approval from flealth Dept. of water supply and sewer.are-dtsposa1(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 contal.ns less than 2/t0 of. 17 lead. 5. Commercial building, industrial building, multiple restcletices incl similar bui1dinR_s and installations, a certificate of Code Compliance from ar.chl.tect or engineer responsible for the building. h. Submtt Planning Board Approval, of completed site pl;Tn requirements. 1) For existing buildings (prior to April 9, 1957) non-couform hig uses, or buildings and "pre-exi_sti.ug" land uses: 1. Accurate survey of property showing all property Ilues, streets, buildilig and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If n Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees t. ►Certificate of Occupancy - New dwellfug $25.00, Addtttous to dwellltig $2.5.OU, Alterations to dwelling $25.00, Swimming pool. $25.00, Accessory building $2.5.00, Additious to accessory building $25.00. Bust.npsses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over. 5 yenrs - $10.00 4. Updated Certificate of. Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentin.l. $15.00, Commercial $15.00 date ......January.29,.1998................... ew Constructi.on........... Old Or Pre-existing But.ldinr... XX............ -7cation of Property ......... _ New .Suffolk Avenue......,._. .. Mattituck. ... (louse No. • • ..... ... Street Il:unl et ewer or Owners of Property ......... Garbeu................. Robert.L:.................. :...... ,)unty Tax Map No 1000, Section.B.l.ock 10;00...........Lot... 004:000 .. . ubdIVi.Bion....................................ri.led Mill ............ f:.nt....................... ermit No................Date Of Permt.t................ App I tcniit... BypXX€.G..Lafaygtte....... 9.1101 Dept-. Approval...........................Underwriters Appr.oval.......................... (naffing Board Approval ........................ efluest for: Temporary Cer.tificate........... Flunt Cer0.icate... X...... ee Submitted:$..LQQ.0,0...................... kkc. X53 .... ... ......�.. .. ... e„� 3SS PRICAPrr Rudn1T}i k ii",- .a Anent 01/29/98 11:01 FAX 5168786485 SUTER AND SUTER C 02 1111 f�Nn ! '' i p1111 f 1FR' S Nn -ro ogA C-: A Vj5NUf-�y ND 6lfrR X tit !`V Turd s J� 1 �I Itl lj\� 1i rh C N LOT No.: DESCR/B46a PROPERTY JOHN. P. SEARBY .5 /T 41A 7-,-- AT LAND SURVEYOR BLOCK No.; 22 CENTRAL AVE. /fA 7—T / T U C K MASSAPEOUA, N. Y. MAP OF: LOCATION: �n GUARANTEED RAN �� yE TO: Gworor, /y1ar gaq CO s41.cl=04x Cd; /+l.Y T15�/Ydt'7}11F�+r'rY',Bc�hl�� rr�stC�imonny DATE- /&M,5 C , /9 r. �r SCALE: / "= 3 0_ _ !� LIC. 33124 SURVEY No. IV- FOUNDATION MFASUSIEWNTS U. S. STANT)ARD HOUSE LOCATION F. !. No. 111111.111 NC DEPARTI-11.34 ' TOWN OF SOUTHOLD HOUSING CODE INSPECTION I(EVORT 7um:er b slre tte (muntclprCy� SUBDIVISION _ lIAP NOLOT(s) NAME OF OWNER (A) - �/1/� - -- — -- --- -- --- OCCUPANCY .,��G ` Cy, e1` "--_---..-��owner=l'ennnl' ADM IT 1'E1) BY : /L 4 � � ��ACCOMPANIED BY: KEY AVAILABLE _ ii11Pl'.((). 'CAX MAP NO 1 SOURCE OF REQUEST: y- DACE: -- DWELLING: TYPE 'TYPE Or CONSTRUCTION �i �•• -/ STORIES- / EXITS Q/• �- POIINDA t TON2'S --(;ELI,AK _ CRAWL SPACE �- TOTAL ROOMS: IST PI.R. � _2ND P1.11. 3RD P1.R.-- BATHROOM To lI.ET ROOM (e) --- _ 11T 1 LITY ROOM PORCH TYPE DECK, 'i'YI'I? I'A'fi0 BREEZEWAY FIREPLACE _ �--- _ GARAGK DOMESTIC 110TWATER j�„S ---TYPE 1IEA'1'Elt _,�� /�� - _ ATRCONUITIONIN(: - - TYPE HEAL WARM ATH ------ - -- � 1101VATER-�- O•I'lllil(: ACCESSORY S'1'RIIC'1'11RES: GARAGE, 'TYPE OF CONST. _ 8'1.ORACK, TYPK CONS•l'_ SWIMMING POOL. - CUKS•i', TYPE CONST. —v -- O'1'IIKR:,T4,1-es ly400 ------------------------------------------------------------------------------------------- VIOLATIONS: ----------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. S•CATV UNIFORM P I RK PHRVENTI ON A BUILDING CODE LOCA'T'ION DESCRIPTJON RKMA 1 NSl' O ----------- - ART. SEC. DATH OF INSPECTION ------------ ----- ---- -- T i MK START END a ml M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE A CHIMNEY ] ROUGH PLBG. ] INSULATION ] FINAL ,g M-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a4t", - / z w 44-51e�-62t>v DATE � 1 CONSENT TO INSPECTION Robert L. Garben the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at New Suffolk Avenue, Mattituck which is shown and designated on the Suffolk County tax map as District 1000, Section I t5_ Block ()_ , Lot 0n4_ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: pre-existing 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 inspections 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. IN Dated: January 29, 1998 ( ign tube) (ori name)Rudolph H. Bruer, as agent for the Estate of Robert, L. Garben (signature) (print name)