The URL can be used to link to this page

Home My WebLink AboutZ-16940FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. z-16940 ................. Date June I , i988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Location of Property 4050 Cam~ Mineola Rd. Mattituck, N.Y. h~&~ ~V'o: ....................................................... Street Hamlet County Tax Map No. 1000 Section . .. ! .2 .3 ...... Block 5 .Lot 2 0 Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a private one-family dwelling built prior to conforms substantially to the April 23, 1957 CERTIFICATE OF OCCUPANCY # ..................... pursuant to which-l~]~l~l~i~ ~. Z 16940 dated June 1,' 1988 ............................ was issued, and conforms to all of the requirements of tile applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING - The certificate is issued to PATRICK B. & MARY ANN HANNON rO wnerXM.&~k'~i~'X' .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Btfilding Inspector Rev. 1/81 Location 4050 Camp Mineola Rd. (numOer & s~ree~) Subdivision Name of Owner(s) BUILDI~ DEPARTi.~NT .. T0%'~I OF SOUTHOLD, N. Y. ' HOUSING CODE INSPECTION REPORT Mattituck, N.Y. (Municipality) Map No. Lot(s) PATRICK S. HANNON & MARY ANN HANNON Occupancy A~mitted by: Key available Source of request R-I (type) MR. HANNON OWNER ( owner-t enanv Accompanied by: SAME 123-05-20 Suffolk Co. Tax No. PATRICK B. HANNON" Date 4-28-88 .D%'CELL I~IG: Type of construction Foundation Cement block Total rooms, 1st. FI Bathroom(s) 2 Porch, type WOOD FRAMED WOOD REAR Breezeway. Type Heat OIL FIRED Warm Air Fireplace (s) WOOD BURNING NO. Domestic hotwater YES Other SHOWER IN GARAGE #stories 2 Cellar Crawl space ALL 5 2nd. F1 3 3rd. F1 Toilet room(s) Deck, type WOOD FRONT Patio, type Garage Utility room x Hotwater x Exits 5 Airconditioning Type heat'er OIL FIRED ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. WOOD Other fence 6' high, rear yard, guest building has 2 rooms and a bathroom VIOLATIONS: Housing Code, Chapter 45 N.Y. Location 2 Description STORAGE BUILDING VERY POOR SHAPE REAR STEPS TO DWELLING BROKEN 3 BOILER ROOM POOR CONDITION 4 GARAGE VERY POOR SHAPE State Uniform Fire Prevention · ld' --[~'d~ ....... tArt. I Sec. CH t 45 PART i ]240 CHAPTER F I, BUILDING PERMIT #5093Z issued Dec. 4, 1970 C/O issued Z4378, BUILDING PERMIT August 4, 1980, deck front yard Z11721, BUILDING PERMIT #10506Z, Chimney, issued Dec.4, 1979, C/O issued Z-16939. Remarks: ~'~ate of Insp. May 22, 1988 Curtis W. Horton -Time start lo:00 end 1~:00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 76.5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY- Instructions A. This application must be filled in typewriter OR ink, and submitted mm 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. C. Fees: 1. Certificate of occupancy New Dwellln§,$25.Q0, Accessory ,~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ...A.p.r.i.1..$~..].~)~.8. ...... New C o n s t r u c t i on ...... Old or Pre-ex isting Bu ilding .... K .... '... Vacant Land ............. Location of Property . .4.0. 5. .0..C.a.m.p..M.i.n..e.o.l.a...Rp.a.d. ..................... ?.@ .t.t.i.t.u..c.k ....... House No. Street Ham/et Owner or Owners of Property ?.a.~ .~.c.~..~:. ?.a..nD.o.n...a.n~ .~,cy..~.~D..[~7~/~.q~ ............... County Tax MaP No. 1000 Section . .1.2.3....0.0 ....... Block ... {).5...Q Q ...... Lot...0.2.Q ~ {)p.0. ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..: ........ Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... X Fee Submitted $ 50.00 Construction on above described building and p licable codes and regulations. Applicant .... J/. ~~~ ----': · ~a~rlcY~ B. Ha'r[~o~ ............................ / Rev. 10-10-78 PATRICK B. HANNON CONSENT TO INSPECTION · the undersigned, Owner(s) Name(~ do(es) hereby state: That the undersigned (is~/~m~ the owner(s) of the premises in the Town of Southold located at 4050 Camp Mineola Road, Mattituck, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 123.00, Block 05.00 , Lot 020.000. 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-existinq dwellinq. 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 bi the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws· ordinances· rules or regulatio f the Town of Southold. Dated: April 28, 1988 V ~ (signature) (print name) (signature) (print name)