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Home My WebLink AboutZ-26379FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26379 Date: 04/16/99 THIS CERTIFIES that the building DWELLING Location of Property 5660 SOUND AVE MATTITUCR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 0004 Lot 002 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 OCCUPANCY NUMBER Z- 26379 dated APRIL 16, 1999 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 ATTACHED TWO CAR GARAGE. The certificate is issued to JANET JAZOMBEK & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. .,Z�f le.� BuAding Inspector 117 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 5660 SOUND AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) OCCUPANCY: SINGLE FAMILY DWELLING JANET JAZOMBEK & ORS. ADMITTED BY: DOROTHY JAZOMBEK ACCOMPANIED BY: SAME KEY AVAILABLE: SOURCE OF REQUEST: SUFF. CO. TAX MAP NO.: 121.-4-2 DATE: 04/16/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CM4ENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: --6 BATHROOM(S): 1.0 PORCH TYPE: 2ND FLR.: _a 3RD FLR.: __Q_ TOILET ROOM(S): 1.0 UTILITY ROOM(S): DECK TYPE: PATIO TYPE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: ENCLOSED BREEZEWAY ArrFSSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION i DESCRIPTION i ART. SEC. i REMARKS: REINSPECTED 4-14-99 INSPECTED BY: --� /!= !L' -/:f:i4— DATE ON INSPECTION: 03./18/99 GARY J! FISH TIME START: 9:55 AM END: 10:20AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY a; I r1 E P7. 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. 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. r2. 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. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155.0G0, Commercial $15.00 Date....�JJ.1 ............................ f New Construction ........... ^^/ Location of Property...tf.Yr.,yq...................�TTTG{r... House No. Street Hamlet Onwer or Owners of Property ........<4-�`�%��Kf • , � /¢C 'c l� .. (j .... County Tax Map No 1000, Section/ 4460 ..... Block.�./T: GC....... Lot. . Z)........ l Subdivision....................................Filed Map ............ Lot*..,.................. PermitNo................Date Of Permit ................ Applicant .............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ / Request for: Temporary Certificate........... Final Certicate...!'..... Fee Submitted: $.....149 .0? ............. APPLICANT SOUNL7 ofL��ry4{ormrr/�{ r i a X N U 51 �oi�rnUr,a �Cl2on.b�FE b b 11i � f 0 9� r i "TAP OF PFS n � ��iJ�VEYEo F'o�w 7-77 7 -UC K Tvwni op- 50L) rHo c- a v` I h; �1 —�Y70r7�IMCr>f -j A � G(.IC7�'r.7/I CPU i J 'ki!- 0/f CO n-7/ r7^!r'/�rrrtr_' '� ie �JLi14�17 Luti?�Gf/7'/ f CONSENT TO INSPECTION j6z-014,414 � Siti°S,C / , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (tie,) the owner(-&) of the premises in the Town of Southold located at 56 Soo , 104eA,0 a .if'e�C, 7T1 which is shown and designated on the Suffolk County tax map as District 1000, Section 121 , Block, Lot God 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, grules 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: signatur ) (print name) "nnn - /-)/ . 4,/- -) TOWN OF SOUTHOLD PROPERTY RECORD CARD /Al OWNER YS STREET VILLAGE DIST SUB. LOT FORMER OWNER N 4 �o 1 E,• E , _- /, m Gpx ACR. S �/, M Ac AK 1 W � i, M pcooe 1 TYPE OF BUILDING t$7 i SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 30 o D 0302 0 / �qqi/1 r s 17 q i A ee 11 /(* a- LI P573 D7 _�aZQM& be 4 yr — K c rIA 72 1 I ezt;- 3- H k AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH DJ ' Hous&►PIgL BULKHEAD T -1 nnc,K BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number 6 street municipality SUBDIVISION MAP NO. LOT (s) -T— NAME OF OWNER (s) OCCUPANCY type owner -tenant f ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION k)wj # STORIES , /y # EXITS FOUNDATION_mAojr /�, j,�j,� CELLAR_ CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 02- 3RD FLR. BATHROOM (s) dLk9 ,. TOILET ROOM (s) . UTILITY ROOM PORCH TYPE DECK, TYPE // PATIO, TYPE — BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATE ,�,5 TYPE HEATER �AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER A"` OTHER: j..1 s- ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION /z? TIME START END