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Home My WebLink AboutZ-27539FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27539 Date: 02/05/01 THIS c~KTIFIES that the building Location of Property 1140 BAY AVE (HOUSE NO.) County Tax Map No. 473889 Section 143 Subdivision Filed Map No. DWELLING MATT/LAUREL (STREET) (HAMLET) Block 0003 Lot 019 Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANC"f ~ER Z- 27539 dated FEBRUARY 5, 2001 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 GARAGE* The certificate is issued to MARTIN L GRIFFIN (OWNER) of the aforesaid building. SUFFOLK COU1TrYDEPARTMENT OF HEALTHAPPROVAL ELEctrICAL CERTIFICATE NO. PLUMBERS c~TIFICATIONDA'r~O *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ' ~/t ho~/d~S ignat ur e Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 1140 BAY AVE MATT/LAUREL NAME OF OWNER (S): MARTIN L GRIFFIN OCCUPANCY: SINGLE FAMILY DWELLING ADMI'I-r~ BY: MARTIN GRIFFIN MAP NO.: LOT (S) MARTIN L GRIFFIN ACCOMPANI~) BY: SAME KEY AV]~ILABLE: SUFF. CO. TAX MAP NO.: 143.-3 19 SOURCE OF REQUEST: MARTIN GRIFFIN DA~: 02/05/01 DWELLING: · "fPE OF CONStrUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: CINDER BLOCK CEIJ~a.R: FULL CRA~ SPACE: __ TOTAL RO(~MS: 1ST FISH.: 4 2ND FI~{.: 2 3PJ) FLR.: --0 BA'r~u(O(~(S): 1.0 TOILET ROOM(S): 1.0 I]TILITY RO(]~(S): __ PORCH ~"fPE: REAR ENTRY DECK ~"fPE: WOOD REAR PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 2 CAR S~3RAGE, T"fPE CONST.: WOOD FRAME ATT. TO GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. p~a~KS: BP27038Z- AS BUILT SWIMMING POOL~ COZ27537; BP27039- AS BUILT DECK ADD INSPEt-rm BY: DATE ON INSPECTION: 01/26/01 TI~ START: 9:55 END: 10:30 Form No. 6 TOWN OF SOUTIIOLD 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, p~perty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and s~we~age-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Und~cW~iters. 4. Sworn statement from plumber certifying that the solder used in ~yStem~ontains less than 2/10 of 1% lead. 5. Co~tmercial building, industrial building, multiple residences and simii~r~u~ldings 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. January 19t ~001. New Construction ........... Old Or Pre-existing Building...~ ............. 1140 B~y A ttitu k Location of Property ........................... venue Ma c House No. Street Hamlet Onwer or Owners of Property. Martin L. Griffin and Mary Theresa Griffin County Tax Map No 1000, Section .... ~P .... 3 ...Block ................ Lot.. 1 Subdivision ' ...................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval.' ................. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~ ....... Pee Submitted: ..................... c,o , ................ ~- -~ ~077 .- ' .... APPLICA~. Griffin CONSENT TO INSPECTION MARTIN L. GRIFFIN · the undersigned, Owner(m) Name(~) do(es) hereby state: one of the That the undersigned (is)/(m~M~exowner(s) of the premises in the Town of Southold located at ll40 Bay Avenue, Mattituck, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 143 , Block 3 , Lot 19 That the undersigned (has) (~) filed, or caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for the following: .~ Certificate of Occupancy on Pre-existing building 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 ~vith 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: January 19, 2001 ~ (signatur e)~b Martin L. Griffin (print name) ~ i330 d fllq AV Z >.. Z Z b- b- - x 2~ 28.3' ii =O0ogO.I~ hi .~o _~/N