HomeMy WebLinkAboutZ-20722FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20722
Date MAY 12~ 1992
THIS CERTIFIES that the buildin~
Location of Property 3865 GRAND AVENuE
House No.
County Tax Map No. 1000 Section 107
Subdivision
ONE FAMILY DWF. IJ.ING
Street
Block 1
Filed Map No.
MATTITUCK~ N.Y.
Hamlet
Lot 4.1
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-20722 dated MAY 12, 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 *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PI.RASE SEE ATTAC~E~ INSPECTION REPORT.
Rev. 1/81
EUGENE & MARIA GRAF
Building Inspector
Location
BUiLDZifC
TO~'E; OF SCUTiiOLD, Pt. Y.
HOUS!:[G CODE IHSPECTION REPORT
3865 GRAND AVENUE MATTITUCK, NEW YORK
Subdivision
~r~ No.
Name of Owner(s)
EUGENE & MARIA GRAF
[mun±c±pa±z ny)
Cot< )_
Occupancy
A- ! RES.
(<ype~
OWNER
owner- ~enan~)
Ad.mitred by:
Key available
Source of request
SUSAN SUTTON
Accompanied by: SAME
Suffolk Co. Tauc N'o.
WM. GOGGINS, A'T'TY
Date
!07- I-4. i
MAY 7, 1992
,Type of construction WOOD FRAME
Foundation CEMENT BLOCK Cellar
Total rooms, 1st. Fi
Bathroom(s)
Porch, type
Breezeway
Type Heat OIL
Fireplace(s) NONE
Domestic hotwater
Other
4
I FULL BATH
FULL
2nd. Fi
Toilet room(s)
Deck, type
Garage
'Warm Air xx
No. ~cits 2
YES
mS ·
~ tot!es
Crawl space.
3rd. FI
ONE
Patio, type_
Utility room
Hotwater
Airconditioning .
Type heat'er PROPANE
AC~cs~0~· r STRUCTURES:
Garage, type const.
Swim. ming pool
Other
NONE
Storage, type const.
Guest, type const.
Exterior doors, windows and similar
VIOLATIONS: .CIIAPTER 45--N.y. STATE UNIFOI~[ FIILE PREVENTION & BUILDING CODE
~NTRYWAY{ Exterior stairs, porches, entrance j } CHAPT. F.
condition.
~ART.~(b)
Openings shall be maintained weather
tight.
Remarks:
Inspected by:
Date of Insp. MAY ]], 1992
· Time start 9:30 end 9:45
2 1992
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTtIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 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.
iB.~ 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.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy --$5.00 over 5 years - $10.00
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date March 16~.!~
New Construction....3~.. Old Or Pre-existing Building..~ ...........
Location of Property.~Q~.~K~e.~%e,U~,.~i~qk ............................................
House No. Street Hamlet
Onwer or Owners of Property Eugene Graf and Maria Graf
County Tax Map No 1000, Section..~Q~,QOf ..... Block .... Q!~QQ ....... Lot...QQ~,QQ! ............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant..~qgg~.~Q~.~i~.~f ......
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $...~OO,0O .................... ,,.~/,~ ~'/ ,4 ~,~ - ~ ;
.......
~ ~09~ ~ Euge~ Graf ~PglC~T and Maria Graf