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Home My WebLink AboutZ-24225 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS SBISTING CERTIFICATE OF OCCUPANCY No Z-24225 Date MARCH 21, 1996 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 145 MEDAY AVENUE MATTITIICR, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 8 Lot 10 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-24225 dated MARCH 21, 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 ONS FAMILY DWELLING WITH ACCESSORY WOOD FRAME SHED * The certificate is issued to HAL RIRSHNSR (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. t $ it ing Inspector Rev. 1/S1 / , Lill i L.DI NG DEPAfI'1'MI:NT 'DOWN O~ SOU'L'110LD IIOIISING COUI? iNSPEC'l'LpN REPORT i45 MEDAY AVE. MATTITIICK, N.Y. LOCATION: number 6 streeC (municipality SUOULVISION lIAP NO, IA'1'(s) NAME OF OWNER (s) HIRSHNER OCCUPAT+~:Y A-1 RES. OWNER _ _ type----- -~ovner-lenant SAME AUMI7"FIiU BY; REAL ESTATE AGENT ACCOMPANIED liY: KEY AVAILARL,E _ SlIPt:.CO. 'FAX MAP NO, 113- - SOURCE Or RRi)UES'1': WILLIAM H. PRICE,_ATTY___.________, UA'CR: 3/7/96 DWELLING: - 1-1/2 2 TYPE OP CONS'L'RIICTLON WOOD FRAME II STORIES ~ ERT.'I'S FOIINDATiON CEMENT BLOCK _CET.LAR__ FIILL CRAWL SPACE 'I'O'1'AI. ROOMS: 1ST FLR. 2 _2ND CLR. 3RD PLR._^^_ liA'1'IIROOM (s) ONE TOILET' ROOM (s) _ U'L'LL.LTY ROOM PORCH TYPE DECR, 'FYPL' PATIO 13REE7.EWAY P IRL' PLACI; GARAGE DOMESTIC IIOTWATER YES 'TYPE ?EA'L'CI( ELECTRIC ALRCONDITIONI:NG _i '1'YPI? IIL'A'L' pit WAILM AiR _ 110'fWA'FER 0"1'111?R: ACCL'SSOI(Y STRUCTURES: GARAGE, TYPE OP CONS'F, S"FORAGE, TYPE CONST, WOOD FRAME SHED SWIMMING PO01. GUEST', 'i'YPR CONS'L'.___ o•ruru: VIOLATIONS: CHAPTER 45 N.Y. S'I'A'l'E UNLPORM 1711Hi PREVLN'L'ION 6 Iil1ILDING f,OUE LUCA'I'LON UESCRIP'170N AR'F. SEC. REMARKS: _ iNSPL'CI'ED 11Y~-- ~ UATii OL' 1NSI'EC'f'fON MARCH 18, 1996 GARY F SH 'TIME S'fART 9:20 ENU 9:40 rv.w trv, v TOWN OF SOUTIIOLD BUILUINC DEPARTI•IENT TOWN ItALL 765-1802 u • APPLICATION FOR CERTIFICATE OF OCCUPANCY i 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 t{ealtl; Dept.•of water supply and sewerage-disposal(S-9 form). 7. Approval of electrical installation from Board of Fice Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17. lead. ' S. Commercial building, industrial building, multiple residences and similar buildings • and installations, a certificate of Code Compliance from architect or engiacer responsible for the building. ' 6. Submit Planning Doard Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, ar 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 applicaiiC. If a Certificate of Occupancy is denied, the Building Inspector shall state tltie reasons therefor in writing to the applicant. C. Fees • i. 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 aver S years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00 • March 7, 1996 Date New Construction........... Old Or Pre-existing Building.. X~............ Loc{?tion of Property...X45 ...............~trG~.I:.~Y~AUe..............MS~.t.~~.#•uGk............. House No. Street Il~imlet Hal Kirshner ORweC Or Owners of Property•.•••••..•.......•.•••......•.• County Tax Map No 1000, Section..•~~~........Rlock....$...........Lot.1.Q.• Subdivision ....................................Filed Map............Lot.............:....... Permit No....;......:+,.i.Date OE Permit ................Applicant............................ Itealttt Acpt. Approval ..........................Underwriters Approval.......................~i • Planning Board Approval Request for: Temporary Certificate.:......... Final Certicate Fee Submitted; 100.00 / S a ~ APPLICANT ~ . William H. Price, Jr., attorney et7 aYao?S for applicant CONSrNT O . 1NSP1jCTION William H. Price Jr., attorney for the owner ~ the undersigned, Owner(s) Nafn~(S) do(es) hereby state; attorney for That the undersigned (i:;) (~i~~) the owner(s) of the premises in the Town of Southold located at _ 145 MPr3av Avenue, Mattituck, NY , which is sho~m and desifinated on the Suffolk County tax map as District 1000, Section 113 IIlock 8 Lot 10 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; r Pre-existing certificate of occupancy for one and one-half story one-family dwelling with detached shed. That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the about 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 cf Southold. Tlic undersigcicd, 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: March 7, 1996 ' ' (signature) William H. Price, Jr. ' (print name) (si~naturu) (print name) ~9LD I.AN~~ ntli~ ~irvoyls°rvlalatlw+ae~uon a~ o tt«fon r2ce a ew Nrw rock ann ~ ~J .yJ. 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