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Home My WebLink AboutZ-22337 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22337 Date MAY 17, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 940 BAY AVENUE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 3 Lot 16 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-22337 dated MAY 17, 1993 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 ACCESSORY ONE CAR GARAGE The certificate is issued to BRUCE JOHNSON & ORS. (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. ~ ` uil ing Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUT110Lb HOUSING CODE INSPECTION REPORT LOCATION: 940 BAY AVE. MATTITUCK, NEW YORK number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) BRUCE JOHNSON ~ OTHERS OCCUPANCY A-1 RES. OWNER (type) (owner-tenant) ADMITTED BY:. BRIICE JOHNSON ~ ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP N0. 143-3-16 SOURCE OF REQUEST: WICKHAM, WICKHAM 6 BRESSLER, ATTYS ;;s;TE; MAY 7, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME ~ STORIES ONE ~ EXITS 2 FOUNDATION CEMENT BLOCK CELLAR FBI- CRAWL SPACE TOTAL ROOMS: IST FLR. 6 2ND FLR. ONE 3RD FLR. BATHROOM (s) ONE FULL BATH TOILET ROOM (s) UTILITY ROOM PORCH TYPE FRONT COVERED DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE NONE GARAGE DOMESTIC HOTWATER YES TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER II OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST_ SWIl9FIING POOL GIIEST, -TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. GARAGE ROOFS SHALL BE MAINTAINED IN A WATER TIGHT CONDITION NYCRR 9 (B) • 1242.5 (D) REMARKS: INSPECTED BY: DATE ON INSPECTION MAY 13, 1993 GARY IS TIME START 9-40 END 10.00 " Furm :Jo. 6 TO;Jid OP SOUT110LD , BUILDISG DGPART:(ENT TOIJN HALL 7G5-1802 ~ APPLICATION FOR CLRTIFIC~'1TL OF OCCUPAI\Cl Ttiis.application must be Eilled in by typewriter OP, ink and submitted to the building inspector with the following; for new building or new use: 1. Final survey of property ;pith accurate location of all buildings, property lines, streets, and unusual natural of topographic features. 2. Final Approval from Healcll DcPt. of water supply and sewerage-Jisposal(S-9 form). 3. Approval of electrical installation from board of Fire Underwriters. 4, Sworn statement from plumber certifying that [tie solder used in system contains less than 2110 of 17. 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. S. For existing buildings (prior to April 9, 1957) lion-conforming uses, or buildings and "pre-existing" land uses: 1. ,lc curate 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 dwulling S25.00, AJJitions to Dwelling $25.00, A1[eracions to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, AJditions to accessory building $25.00. Businesses $50.00. 2. Curt ificate of Occupancy on I're-existing Building - $100.00 3. Copy oC Certificate of Occupa~icy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $L5.00, Commercial $15.00 , Dale .......M~Y.~ J.1993 ~ew Construction...... OLD Or Pre-existing Building.... X.......,..-. .ovation of Property.~~Q, 4~+ Bay Av_enue,. Mattituck,.New York Housc.No.. ..Street Hamlet Hoer or Owners of Property.., Bruce Arthur JOhnson,.Beverly, J.. Bender. &.Robert_Rudolph Johnson aunty Tax Map No 1000, Section., 143:00 .,,,,Block.., 03:00.. ,,,,,Lot.,,016;000............ ,bDivision ....................................riled Pi:~p............Lot...................... ~rmlc No ................Date Of Permit...,............Applicant............................. altli Depc. Approval ..........................Undcrtaritcrs Approv:il......................... inning Board Approval......... quest for: Temporary Certificate,,,........ Final Certicate,of.Pre-Existing Use..%.... ~ Submitted: $..1.RR.RR ~ C3wc.. 95G . . ~ ~ ~a3 7J7 BRUC ~A. JOHN APPLIC,\\'T _ { CONSENT TO INSPECTION Bruce A. Johnson the undersigned, do(es) hereby Owner(s) Name(s) state: one of That the undersigned (is)x~~~/ the owner(s) of the premises in the Town 9~0 of Southold located at Bay Avenue, Mattituck New York Which is shown and designated on the Suffolk County tax map as District 1000, Section 143.00 Block _ 03.00 ~y___", Lot _016._000 That the undersigned (li"as) 1c~ filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre-Existing Use 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 inspec- tions 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: Ma 7 1993 ignat Bruce A. Johnson Print name For access to the premises, please contact Bruce Johnson at 298-5000 Ext. 1112. Signature or call him at 734-5968. week of 5/10/93. Print name . . u Y ~ r- ~Y ~ Z Zp a 7aq Q2 jU1U Q Y N J ~ ~Z aNLLI aSfII ~Q}> Y J Z ~ W Z H J~ ~~LL Z Fr- O~C Z ~ O Q Z O 7 W S ~A ~ ~U9F. !i y,; Q ~ ~ 1r 2 `7''~' _ (J ~ U M t.. u _ LL. Q. E- O Q uy ! la! Z, ~ 2 V- Q r to ~m~. O 4J+-~~ w' J~~JE ~x/ 6b'Q : ~ 0P 'o O°O \ ~ ~ $N 5• C `mss a w~ ~ / P ~ ~ w \ ~ 1 O l [ O 4'J ~ , ~ D _ 1 ~ D R ~ V (•/'Y ~s = t.i z YZ VF ~ µ / C 1 Y u ~.s ° V W ~ ~ } a w v C ii` ; ~ N ~ , S 'Y i C ~`J 1 V.l~ d o- da .a oyv -tom .tea ~ i ~Z _ Q ~ , O~~,F.~ GAG ~?OopO O~ E5 Q N Pam _