HomeMy WebLinkAboutZ-23091 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE E%ISTING
CERTIFICATE OF OCCUPANCY
No Z-23091 Date JULY 11, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1620 PIKE STREET MATTITIICR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 140 Block 3 Lot 18
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-23091 dated JULY 11, 1994
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
The certificate is issued to GARY R. & BETTS C. RRON
(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.
Building Inep for
Rev. 1/81
1,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1620 PIKE STREET MATTITUCR, N.Y.
number ~ street municipality
SUBDIVISION MAP NO_ LOT(s)
NAME OF OWNER (s) GARY 6-BETTS C. RRON
OCCUPANCY SINGLE FAMILY DWELLING OWNER
type owner-tenant)
ADMITTED BY: JOHN DeRSSDSR ACCOMPANIED BY: SAME
REY AVAILABLE SUFF.CO. TA% MAP NO. 100 - -
SOURCE OF REQUEST: GARY ~ BETTS RRON DATE: JUNE 28, 1994
DWELLING:
TYPE OF CONSTRUCTION MASONARY BLOCK 6 WOOD FRAME # STORIES 2 # E%ITS 3
FOUNDATION CEMENT BLOCK CELLAR 3~4 CRAWL SPACE PARTIAL
TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 4 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) OME UTILITY ROOM
PORCH TYPE ENCLOSED SIDS DECK, TYPE p~1O CONCRETE PATIO BLOCK
BREEZEWAY FIREPLACE ONE GARAGE NONE
DOMESTIC HOTWATER YSS TYPE HEATER OIL FIRED AIRCONDITIONING NONE
TYPE HEAT OIL FIRED WARM AIR HOTWATER YES
OTHER: KITCHEN PANTRY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. 2 ACCESSORY SHEDS
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
V1;pZ.ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE A
LOCATION DESCRIPTION ART. SEC.
REMARKS. BP #2427 - CO Z-2031 (ADDITION) BP #8451-Z-CO Z-6631 (ACCESSOY BLDG.)
BP #134552-CO Z-15633 (ACCESSORY BLDG.)
INSPECTED BY ~ ~ DATE OF INSPECTION JULY 11, 1994
TIME START 9:35 AM END 10:00 AM
_ Form No. 6 ~"7~~
TOWN OF SOUTHOLD
t~ ~ BUILDING DL'PARTMENT
'L, ~ 2 9 ^~r~ TOWN FIALL
765-1802
fSLs~ia. DE?T,
TOWN OF SOUTHOLD .
" APPLICATION FOR C~,ItTIT1CATP OF OCCUPANCY .
A. This application must be filled in.hy typewriter OP, ink and submitted to the building
inspector with the following: for new building or new usee '
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 eleztrical installation from Board of Fire Underwriters.
A. Sworn statement £rom plumber cert~.fying that the solder used in system contains
• Iess than 2(10 of 17 1ead.~
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 Approeal,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 naturak or topographic features. '
2. ~A properly completed application and a consent to inspect signed by Che 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 Euilding - $100.Od
3. Copy of Certificate of Occupancy -.$5.00 over 5 years $10.00
•4. Updated Certificate of Occupancy - $50.00 •
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OD
' Date June 28,. 1994
:Jew Construction........... Old Or Pre-existing $ui,kding.....X...........
Location of Property., 1620 Pike Street: Mattituck~.IX...J-1.952
House•No.• Street Hamlet
)nwer or Owners of Property..,, Gary R.~:Kron.~d.Bette.C:.Kron....,.,..
3 18 '
:ounty Tax Map No LUDO, Section.., 140,..•..•,Block ................Lot...... .
.Filed Map............Lat..
ubdivision
ermit No ................Date Of Permit................Applicant...._........................ .
ealth Dept. Approval.......,.. .....••.••••-•.Underwriters Approval
lanning Board Approval..........~
equest for: Temporary Certificate........... Final Certicate..~,.......
ee Submitted: $
F
• :.:4~~ '
C~~•'-I ~ ~r Y PLTCANT
tghc t,o ~ d3 0~ ( '
'Ib l i 4_II_~ ' ~_L_I l l` 1: ~1_~ ~_~I J i !Jl ~.-~'JI_I I VLL~ I'. L' c=
CUA'SDNT
TO
INSPBCTIUN
Gary R. itron and Bette C. Kron the undersigned,
Uwner(s) Name(s) '
do(es) hereby state:
That the undersigned (is) (are) the owner(s) oP the premises in the Town
oP Southold located at 1620 Pike Street, P?attituck, NY 11952
«~hich is shown and designated on the Suffolk
County tax map as District 1000, Section 140 Block 3 Lot 18
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspectar~s Office for the following;
Certificate of Occupancy
That the undersigned do(es) hereby give consent to the F3uilding 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 tivith 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.
The undersigned, in consenting to such inspections, dales) so tivith the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
latians of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: June 28, 1994. ,.~~~'~/L! /d
- (si ature)
Gary R. Kron -
(print name)
~ CCU., z c
(signature)
D R ~ ~ a ~ ~ Bette C. Kron
L5 (print name)
9 ~ I
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s~~~
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1Tie existence of rigfit of ways ana or easerPl OR FORMERLY JEROM E
Q{ ~ecordF if any, not shown are Mat buaral-lied,
LOT AREA 0.593 ACRES
fHE OFFSETS (OR DIMENSIONS) GUARANTEES WDICATEO HEREON JAB NO. 9 4 -2 15 FILE NO. 6 27 F
sieucruRESERroNTHER ROPERHY FORLLWHOMaNE S
RvEY` IstR~EN. SURVEYED FOR LEONARD and AMY GREENBER(
ONES ARE FOR A 5PECIFIC PUR- PARI!U, AND ON HIS. IlEHAIF TO
POSE ANA USE ANA THEREFORE TIDE TITLE CCIMPANV. GOVERMMEN~ -
ARE NOT INTENDED TO GUiOE THE TAI .AGEIJCY At-07 LENDING INSTI-
ERECTION Oi FENCES, REYAI NiNG TUP.ON USE? !+.EREON, AND TO
WMLS, POOLS, PATiGS, PLANTING THE A;3IGPIF.ES OF THE LENDING
AREAS, ADDITION 70 BWIDRJGS INSTITUTION, GUARANTEES ARE ~ M A T T I T U C K
OR ANV OTNER CONSTRUCTION. NOT TRANSFERABLE TO ADDITIONAL
1N5T7TUTiONS oR suBSe~uENr SITUATED AT
UNAUTNORIZ[D ALTERATION OR ovnJFRS. SUFFOLK COUNTY N Y
ADDnLON To TNIS suRVEr Is A TOWN O F ~ O U T H O L D ,
vlOtArloN of secTL4N rsa of cowFS of TNIS suRVEr nwP Nor 199 4
U\W, NEW YORR STATE BDUCATR7N NKEDN SEAL EORA EMBOSSED Y SEAT SCALE 1 " - 4 O " DATE 6 - 2 7 -
SFIALL NOT BF CONSIDERED TO E/F
A VALID TRUE FILED_ MAP- NO. - DATE
GUARANTEED ONLY 70 pF NEW yOq T A'X MAP NO 1000 -140 -3-18 r~t.only dlskl2
LEONARD and AMY GREEN E
FIRST AMERICAN TITLE ~ HAROLD F. TRANCHON JR. P.C.
p Q
FL At BUS H FEDERAL SAV N ~ an~,~:k~~+N "?A ~ LANA SURVEYOR
~ ¢ ~ `'Ii°i ~ SUCCESSOR ~TO WILLIAM G. METER
,y
NORTH COUNTRY ROAD - WADING RIVER
~te4 _ % 048992 NEW YORK 1 1 7 9 2
~js__. ~ ~ ~
N.Y. LJC. Nl7°'-~489~ (516) 929-4695
HAROLD F. TRANCHON JR. PENN. LTC. NO. 211 5-E