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Home My WebLink AboutZ-21122No Z-21122 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date OCTOBER 30, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1100 COUNTY ROAD #48 MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 1 Lot 2 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-21122 dated OCTOBER 30, 1992 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 WELL,4 OUTBUILDINGS PUMPHOUSE & BARN* The certificate is issued to ESTATE OF EDWARD GILLES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uil ing Inspector Rev. 1/81 TO',-,[ SCF CCUT:iO'3JPf.ilY. 6 ECG I::C CC." IIi-PECTIO&f Loc-ation 1100 COUNTY ROAD #48 kr:u.-.eur u L; z;reeC� NEW YORK �. u.. -V 1jJulll.f Subdivision I lap CTo. Lot(5) Mane of Otjner(S_) ESTATE OF EDWARD GILLES Occupancy A-1 RES. 11-ype) lo'• ner-LMan ) Admitted by• PEGGY KILLIAN Accompaniedy. SAME Accompanied b . Key available Suffolk Co, Ta:. �r 122-1-2 1 0 . Source Of reCuest WILLIAM WICKHAM, ATTY De 9/8/1992 at D' ,= - ,Type of construction WOOD FRAME 2 s Ds orie Foundation CEMENT BLOCK PARTIAL Cellar raml space PAR Total rooms,.lst. Fl 5 2nd. Fl 4 a 3ru. Fl Bathroom(s) hr°°a(s) Toilet room(s) �� Porch, type Deck, .type Patio, type Bresze•.;ay .. .,Garage Utility roma • Type Heat OIL Warm Air - HO :•later %X Fireplace(s) NO D1o. E:'� 3 1 l".i Airconditicn=no Domestic hot:•Jater YESBOTTLED GAS Type heater Other ENTRYWAY MUD ROOM OFF KITCHEN, PANTRY OFF KITCHEN ACC -SSC -Y STRUC^r.T,- vS: Caraoe, type const. Storage, type const. swi:. Zino Pool Guest, type const. Other WELL, 4 OUTBUILDINGS, PUMPHOUSE 6 BARN V=OL•gTTOi,?S: ,CHAPTER 45--N.Y_ STATE U1IIF0*1 FIIU7PIUSVENTION 6 BUILDING rnnF Re�ar'cs : Inspected by: ` %��% & Date of In. -p. 1 F H • Tine start 9:15 end 9:45 Form No. 6 Q j TOWN OF SOUTHOLD C� BUILDING DEPARTMENT S& , ' TOWN HALL 765-1802 BLDG. DEPT. TOWN )FSO ION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 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. 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 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 New Con Date •.•• Septem0 ber 8, 1992 t••••••••• s ruction........... Old Or Pre-existing Building .... K............ Location of Property ........ S9"d,Avenue Mattituck . ..lIeW .xco k .1195.2. . House No. Street Hamlet ')nwer or Owners of Property......., Estate of Edward P. GiUeLs , ,ounty Tax Map No 1000, Section .... 122 ;00 , , , ,Block... 001•.0,0, , , , .. ,Lot.... AD2,.pAp, .......... ��•�•� ...............................Filed Map ............ Lot ........ 'ermit No..... •••�• �••�• ••••••••.. Date Of Permit..... ...........Applicant ............................. Iealth Dept. Approval.......... . Underwriters Approval ......................... 'lanning Board Approval ........................ <equest for: Temporary Certificate..... •..... Final Corticate ....... X,,, ee Submitted: $.....100.00 .................. ec.�s66I ............ .:�..r�!� . �s ... William Wickham, A r Estate 0 Edward P. Gilles CONSENT TO INSPECTION The Estate of Edward P. Gilles , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Which is shown and designated on the Suffolk County tax map as District 1000, Section 122.00 Block 001.00 , Lot 002.000 That the undersigned (Pias) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy Certificate of pre—existing use 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 Tcwn of Southold. The undersigned, in consenting to such inspections, do(.?s) 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. Dated: September 8, 1992 Si t' Williackham, At orney fo The Estate of Edward P. Gilles rint name Signature Print name FOR ACCESS PLEASE CONTACT PEGGY KILLIAN AT 298-9125. I I'; E ' !' V,EIT �s 1� 4 4- 37.7-85 ACPFS o t7 �7. o IM Cj V. M 7� POP -Tot, AVC. 7.1 92.43 jz IV 10 C'n l=� r. Al �' �-Olo 1999 7t. tj J` %`t` ~.;r !l 7 Y