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Home My WebLink AboutZ-19420No Z-19420 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 4, 1990 THIS CERTIFIES that the building SEASONAL ONE FAMILY DWELLING Location of Property 595 HOL_BROOK LANE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 6 Lot 7 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 OCC. #Z-19420 dated OCTOBER 4, 1990 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 SEASONAL ONE FAMILY DWELLING (OCCUPANCY FROM 5/15 TO 9/151* The certificate is issued to EDGAR A. JAHN (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. /uilaing Inspector Rev. 1/81 BUILDI::G DEP�,RT:LiT T0JN OF SOUTHOLD, N. Y. HOUSI77G CODE INSPECTION REPORT Location 595 HOLBROOK LANE MATTITUCK, NEW YORK knumoer 6c street) (1,iunicipality) Subdivision Map No. Lots) Name of Owner(s) EDGAR A. JAHN Occupancy A- I (type) owner -tenant) Admitted by: EDGAR A. JAM Accompanied by: SAME Key available Suffolk Co. Tax No. 113-6-7 Source of request EDGAR A. JAHN D',TELLING : Date 8/27/90 Type of construction WOOD FRAME i1stories ONE Foundation CEMENT BLOCK 6 PIERS Cellar PARTIAL Crawl space Total rooms, lst. Fl 5- 2nd. Fl 3rd. Fl Bathroom(s) 1 FULL BATH Toilet rooms) Porch, type FRONT ENCLOSED Deck, type Patio, type CEMENT -•R99FED Breezeway Garage Utility room Type Heat NONE Warm Air Hotwater Fireplace(s) NONE No. Exits 2 Airconditioning Domestic hotwater ELECTRIC Type heater Other • ACCESSORY STP.UCTURES: Garage, type const. Storage, type const. WOOD FRAME Swimming poolGuest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Remarks: SEASONAL DVRU.LING ONLY OCCUPANCY FROM 15th OF MAY TO 15TH OF SEPT. Inspected by:Date of Insp. AUGUST 31, 1990 F H _;�Z � Time start 9:45 amend 10:00 am E Form No. 6 TOWN OF SOUTHOLD n _, BUILDING DEPARTMENT TOWN HALL 765-1802 AUG 2 7 I99G : APPLICATION FOR.CERTIFICATE OF 0 --- LOG. DEPT \. This application must be filled in b t TOWN OF' , UTHCji-;; an inspector with the following: for new building oOrRnewkused submitte to`the building 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 12 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 �. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........:.... 7✓_90 New Construction.. Old Or Pre-existing Buildin Location of Property.. -5,,,�ptf�;�p.K•. �fj Nr. �T�s�.G�.• House No. •........• Street Hamlet Onwer or Owners of Property .... .DGAft...A,:ft KN, .................................... County Tax Map No 1000, Section... ....... Block..... d4. Subdivision.... .► .....Filed Map ............ Lot. _ Permit No ......... ...Date Of Permit .. GC .. .... ..............Applicant.�s�J•• . ....... .......... health Dept. Approval .QQ, .Underwriters Approval ✓.CY.Aj� Planning Board A PProval. .................. Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ , /4Z. P.ZZ�................... Q i� • �{ d .......�1 91.. G .4 —................. j ... C�LZ lqc o o J AP LI CONSENT TO INSPECTION W Owner(s) Name(s do(es) hereby state: r w r AUG Z 719% That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located atLANg: M AT-riTuCK_ N y which is shown and designated on the Suffolk- County uffolk County tax map as District 1000, Section 1/3 Block �, _, Lot ? That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 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 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: 0 signature) EDGAR 0, .TRHN (print name) signature (print name) r 103.74' , � 4L. _.C?955gq.cre W 0 140.0 X. Q %fie l.s V. • do _ o r� tw e 0 w t ' h k a • � o by rrk'` Z. r}- m 1 t10 ) a r � 0 46 JAI-•lN , s a N.89'Z6-W, -4 Ar M o ' J A/j'AT T I TL/GAG ! h i { O L1*0 osd Poo o V4 � i • a �i r 103.74' , � 4L. _.C?955gq.cre W 0 140.0 X. Q %fie l.s V. 9 o/ . • do _ a tw e 9 o/ . 0 0 Z'� O 2pp•O �.� { P • do _ tw e fi i�V�YEG FQ�C Z i. a 0 JAI-•lN , s a N.89'Z6-W, Ar A/j'AT T I TL/GAG ! TOW 'QF SovTxoco, N.Y. L1*0 osd Poo o ? � Al lit,eJ 0 0 Z'� O 2pp•O �.� { P MAP OF LAND tw i�V�YEG FQ�C JAI-•lN , Ar A/j'AT T I TL/GAG ! TOW 'QF SovTxoco, N.Y. L1*0 osd Poo w •3 � lit,eJ 77'''�-.. � • i', �a�,•ard-s 8ral�ch ; af' NJ�r�y=i}•u� Guar�rxf`�e�d to rti� ritl� �uarar�ta�i. �q•1 cxB 6WrY�y.�d NOV. 3; 1971. Come � VAN. TuYl. N. +� ,��Je�erspd, O = MGN�/rt/6t1t 1 Ci.(/t�.� 3, 5�c� sg •��- - �� ,� nd .Sures .' aK;�c '� l••i h a Pipe. -IS. p ,..• :, 5 b .�$� rl O� 1t1Q.H? �i �" ,f •*�YQ.. Ii 1178- 7 - #111PiA Yi ded "f Location BUi:.D DEP.'I T.. NT TO.•ri Or SCUT,' -:OLD, N. Y. HOU. Ii.0 COD-':' I iS ECTIOi•i Rte. ORT kr_umoer « s ee z j Subdivision �IaD Name of Owner(s) 0,iunic i.pa! l zY ) No. Lot(s) Occupancy �///`'Y e o�;mer-zenan ) � ] .. 11 V r.c�.l� .mad by: «((ffjj/� _ 'Acs'0mpanied by: Key available Suffolk Co. Tax No. Source of request " _.. Date 70 D'YE LING. Type of construction lt,/ FoundatioLstories �_, n f �-�� Cellar Crawl space Total rooms, 1st. F1 13- 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type eck, type Patio, tyre •. Breeze,aay Gara Utility room Type Heat `mss n ;alarm Air Hotwater Fireplace(s) No. Exits 02 Aircor_di Lioni r Domestic ho twater Type heater Other ACCESSORY STRUCTURE'S: Garage, type const. Storage, type const. SWi;mmi ng pool 1 Other Guest, type const. VIOLATIONS- CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location i Remarks: Inspected by: Desc^_*oticn xrz.l sec. Date of Insp. • Time start s^ en TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE ,� I DIST. n SUB. LOTlow%. EQ f /t IMP. TOTAL DATE waft FORMER OWNER N cn E -- ns AfCR , %� G i 7' 7-0 J0 4 C C 700 S W TYPE OF BUILDING RES. Z X00 SEAS. VL. i FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 70 0 0 0 .23 0 0 i 7' 7-0 J0 4 C C 700 o V /7 -V � d 2,f0 4 IA1711 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total All Alp, 416