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Home My WebLink AboutZ-18171FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18171 Date JULY 6~ 1989 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 2505 CAMP MINEOLA RD. MATTITUCK~ N.Y. House No. Street County Tax Map No. 1000 Section 123 Block 6 Lot 8.1 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one-family dwelling built prior to: APRIL 9~ 1957 Hamlet pursuant to which CERTIFICATE OF OCC. #Z-18171 dated JULY 6~ 1989 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 DW~-TJ.ING* The certificate is issued to MATILDA HABERMAN (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL NO RECORD PREEXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLRASE SEE ATTACHED INSPECTION REPORT. f ~~~ld~ctor Rev. 1/81 Location BUILDIi,[G TO%'~ OF SOUTHOLD, N. Y. HOU~II.~G CODE Ii'iSPECTI0['I REPORT 2505 CAMP MINEOLA ROAD Ln~m~er ~ szreev) Subdivis ion N~me of Owner(s) Map No. MATILDA RABERMAN MATTITUCK, N.Y. [biunicipali~y) Lot(s). Occupancy Key available Source of request OWNER (owner-5enanv) . ~ -Ac~'Ompanied b~: SAME Suffolk Co. R-40 RES. PETER KREN GARY OLSEN Tax No. 123-6-8.1 Date JULY 5, 1989 Breezeway Garage ONE CAR Type Heat OIL 'Warm Air Fireplace(s) ONE ON Ist I~0' 5tits 2 Domestic hotwater PROPANE Other D?~LLI~: Type of construction WOOD FRAME Foundation CEMENT BLOCK Cellar 3/4 Total rooms, 1st. F1 5 2nd. F1 3rd. FI Bathroom(s)2 on lst.fr. I ou }~Toilet room(s) Porch, type REAR, ENCLOSE~eck' type. Patio, type CEMENT IN ~ype heat'er #stories !-1/2 Crawl space {/4 Utility room Ho twat er xx Airconditioning -- ACCESSORY STRUCTURES: NONE Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: C~APTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ~ocation FRONT STEP Description J Art. ] Sec. STEPS, I~ALKS, DRIVEV/AYS, PAI~ING SPACES AND ICHAPT?} F AREAS SIL~LL BE ~INTAI~D TO ~S~E ~~ PASSAGE EX'I'KR [OR TRIM OUTSIDE [coating of paint .or other suitable preservative. Exterior surfaces shall be maintained in good tCBAPT.]F condition. Surfaces not inherently resistant to [1242.4[E ~tion shall be treated ~ NO ~2~OKE DETECTOR Date of Insp. July 6, 1989 Remarks. BP #~z~9o~ Inspected by: 'GARYX/~IS~ ; BUILDII~G INSPECTOR ' Time start 9:30 end 9:50 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling ~ .... /oo, oo 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date ....0.u.~.e..2.2~..1.9.8.9 .......... New C one t r' uc t i on ...... Old or Pre-existing Building ...X ......... Vacant Land ............. Location of Property ... ~.0~..C.a[llp..M.1.rl.e.o.1.~..R.o.a.d~..M.a.t.t.i.t.u.c.k ............................... House No. Street Ham/et Owner or Owners of Property . .M.a.t.~.l.d.a, .H.a.b.e.r.m.a.rl ........................................... County Tax Map No. 1000 Section 123 Block 6 Lot. 8.1 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning B~oard Approval ...................... Request for Temporary Certificate ..................... Final Certificate ................ Fee Submitted $ ! 00.00 / Construction on above described building and perrrfft~ meel~s~all ~e'plicabl~:~ odes and regulations. Applicant ...~/v~: ~.~~ ........................... Gar3 Flan~Olse~ Esq. R.,.~O-~0-TS P.O. B0~06 " ~. ~]~70 Cutchog~e, NY 11935