HomeMy WebLinkAboutZ-24488 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE SBISTING
CERTIFICATE OF OCCUPANCY
No E-24488 Date JULY 10, 1996
THIS CERTIFIES that the building ONE FANZLY DWELLING
Location of Property 1400 RUTH ROAD MATTITUCR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 5 Lot 22.3
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-24488 dated JULY 10, 1996
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 ONL FAMILY DWELLING WITH ACCESSORY GARAGE & GAZEBO &
The certificate is issued to JOAN M. JOHN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLSASE SSS ATTACHED INSPECTION REPORT.
Bu' ding napector
Rev. 1/81
ISII f LU1 NC p131'All'I'NIiN'1'
LUWN OF 50U'l'fIO1.U
II(TlIS1NG CUUI? lllSl'EC'I'fON 121?1'Ult'1'
1.OCA't'ION: 1400 RUTH ROAD MATTITUCR, N.Y.
- ~(ni:~~: i cZ pe li C y
number !s aCreeC)
;;I/11N1VLSIUN-- -,__----`!-ltAP NO._------ t.0'I'(a)-
Nnllr oc owNrlt (s) JOHN M. JOHN
OCCIIPAN:;y A-1 RES. _OWNER _
~CYP~~-Y--- -Z~wi~ec-l'enanLj
AI)ML'I"l'I?U 1)Y: JOHN M. JOIiN ACCOHPANIt?b IIY: JORN M. JOHN
KIiY AVAL1,nIN,C -----if5Uf1?.((1. `fAX MAP NO.--_106-3-Z~3-
So111tC1? ol? Itt?(ttll?S'I'; JOHN M. JORN t)n'1'I?: JULY 3, 1996
{)WELLING : Z
TYhI? OP CONS'LKUCTL(1Nu- WOOD FRAME ti'l'OItIES 1 / l?Xl'l'fi`----
I~OIINDA'f1pN CEMENT BLOCK -CEt.1.Alt-PARTIAL CItAFII. Sl'ACC_
'f0'1'A1. It00HS: IS'1' YLR- 6 2NI) PLR. D :112N P1.)1_ 0--__--
nn•rnRUOM (a) _ ONE 'rolLt?•r nooM (a) u'1'Lt.~'rY Roc)ct_------_J
1'O1tCll '1'YPIi 11GCK, '1'YPfi PA'1'IU ON WEST SIDE
ISItGR7.L'wnY PTItI?l'LACI? GARAGI?,
NOMI?S'1'IC IR)'1'WA'PI?R YES_-- '1'Yl'1? I11?A'1'lilt _OFF BOILER--_ A[IICUNDi'l'LONING -i,--____,
'ryPl? nrn'r, OIL-_`~_ unltlt nut - uc)'run'rGtt ~ --,-r_-_-_
0'1'111?Il:^_____-
ACCESSURY S'fRl1CTOll[iS:
(:nIIACL, "1'Y['R OC CONS'C._ 1-1~2 CAR WOOD FRAMES'1'(IItAGI?, 'I'YPf? CONST.__ _
Su1HlIING P001, GIIR!i'1', "1'YPI~. CONS'1'-------------
-
O'llll'slt: GAZEBO
V1.OLn'L'LONS: CIIAI''I'F.It 45 N.Y. S'1'A'I'li 11NLIiOItM 1'1111{ l'ItliVl?N'I'ION 6 ItlI1.1.N1NC CODI?
I,UCA'1'LUN _V-` ~_____,-~-bLSCltll''LaON--_-- _Alt'Ca51;C_
ACCESSORY
GARAGE ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION N.Y.C. .R. VOL 9B
PART. 1242.5 (d)
urNnultS: BP #7484 - CO Z-6858 (ADD)
INSrr:.c;'rlio nY on'rt, or 1N:;Prr,rn)N JULY 8, 1996
G J PISH '1'RIR 5'I'nlt'I' 10:35 AM CNU 10:50 AM
Form Vo. o
_
_
~ ~ ~ TOtv~I OF SOUTiiOLD
IJZ~~~i C~' BUILDING DEPs1RT~.EVT n
0 TOW'V :~LLL 5 ~ ~ ~ S
765-1802
APPLICATION FOR.CERTIFICATE Or' OCCTJPaNC°
ThiS dpD11C3tiOR auSL be .i1,l eC .R bV tVD ewrlter OR inK and SubmltteC t0 t_le building
inspector Wita tae LOl1CWing: fOt ne~a building ornew use:
1. Final SllrVey OL prODert;7 wlth accurate lOC3t10n OL al_ buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-O °orm).
3. Approval of electrical installation rrom Board or Fire Unde^ariters.
4. Sworn statement from plumber certifying that the solder used in system contains
lass than 2/10 of 1e lead.
5. Commercial building, industrial bu11a1ng, multiple residences dnd 51m1.1aT buildingS
3Rd 1RStd1l3ti0II5, a CHrtlfiC3te OL Code Compliance Lrom architect or engineer
responsible for the building.
o. Submit Planning Board approval of completed site plan requirements.
B. For existing buildings (prior to aaril 9, 1957) non-conforming uses, or buildings and
"are-oY~ land uses:
1. accurate Sur7ey OL OLOD er t;7 Showing 311 property 11neS, Streets, Olli ding and
~unusual natural or topographic features.
2. a proper'-y completed ano licatiQn and a consent to ;;.as~,7~t signed by tae apnllcant.
IL ,d C2rtiL 1C3te OL OCC:1~ S Qen1e , e Bu11d1ng LRSD eCtOT Shdl1 StaL2 file
reasons taeref Or in writing t0 tae 3PDliCanL.
C. Fees
1. Certificate or Occupancy - New dwelling 525.00, additions to dwelling 325.00,
alterations to dwel Lng 525.00, Swimming pool :325.00, accessory bu~idiag 525.00,
Addi*_ions to accessory building 525.00. 3usinesses 550.00.
2. Certificate of Occupancy on Pre-existing 3uildine X5100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Car*_i_*icate or Occupancy - 550.00
5. Temporary Certificate of Occun_anc;r - Residential 5 5.00, Commercial 315.00
Date ~.3 .I.1 ~ .
Ne*a Construction........... Old Or~~~~Yisting Building.... ..1l........
Location or Property......L~ ~ .......~.`1 !l I~~~~.... ~ ~ ~ ~1 .
House No. Street Hamlet
Onwer or Owners of Property..... ~JJ..1.....!M
County T_aY ~.ap No 1000, Section....(. .V. .~°.....31oc'_c...... s! ........Lot.... ~.a.:.3...........
Subdivision .........................:i;_........Filed ?1av............Lot......................
Permit No ................Date Of Permit................:~onlicanc.............................
Health Dept. approval ..........................underwriters approval.........................
Planning 3oard Aruroval
2eauest nor: Temaorar;r Certificate_.......... Final Certicate...........
Fee Submitted: 3 ~~.L.~<:fl.Q
C~.~,~ . s js 9 a APPLIC~IVT
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