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Home My WebLink AboutZ-24234FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24234 Date MARCH 25, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4235 CAMP MINEOLA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 5 Lot 25 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-24234 dated MARCH 25, 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE The certificate is issued to JOHN & JUDITH LYNCH (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. uilding In ector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4235 CAMP MINEOLA RD. MATTITUCK, N.Y. number ✓ti sCreel' ZURI nicipality SUBDIVISION MAP NO. LoT(s) NAME OF OWNER (s) JUDITH LYNCH OCCUPANCY A-1 RES. OWNER pwy--- (owFie r-tenanC ADMITTED BY: JUDITH LYNCH ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.co. TAX MAP NO. 1000---F23--5--25- SOURCE OF REOUEST: JOHN LYNCH _ -- _ -_ DA'I'S: MARCH 21, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDA'T'ION CEMENT BLOCK CELLAR NONE i STORIES CRAWL SPACE TOTAL. ROOMS: IST FI.R. 3 2ND FLR. 3 3RD PLR. BATHROOM (s) 2 TOILET ROOM (s) _ UTILITY ROOM_ PORCH TYPE ENCLOSED PORCH DECK, TYPE 2 WOOD BREEZEWAY FIREPLACE _ DOMESTIC UOTWATF.R YES TYPE HEATER ELECTRIC TYPE HEAT ELECTRIC 6 PROPANE WARM Alit II OTHER: - ACCESSORY STRUCTURES: PATIO 2 # EXITS 2 GARAGE AIRCONDITIONING UOTWATER GARAGE, TYPE OF CONST. WOOD FRAME WITH STORAGE, 'TYPE CONST. SWIMMING POOL. S GUEST, TYPE CONS I'. o•ruER: — ---- -------------------------------------- 7---------------------------------------------------- --------------------------------------=---------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STA'L'E UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP ;11342-Z - CO Z-10929 (Addition to Accy Bldg.) BP #112148 -Z -CO Z-13954 (2nd Story addition Alteration) INSPECTED BY DA'T'E OF INSPECTION TIME START 9:50 AM March 22, 1996 END 10:15 AM ync%C -ate �• 2— `%idv�� 40_1 �) Q .� Form No. 6 - _- TOWN OF SOUTHOLD r" BUILDING DEPARTMENT TOWN HALL ''u'YS ,,Ary 2 Q 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 0F,��.._r ^' \. 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.' 3.' 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. 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. 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 Building - $100.00 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 $15.000, Commercial $15.00 Date .... 3�"�/./ �..................... :ew Construction...... . Old Or Pre-existing Building.., ocation of Property..�a,3 � CR � . if'-,f!E-tom ("i9 ' 'r✓ �A/7/ Tvc �% House No. Street Hamlet •.•• •. . )nwer or Owners of Property..�o '��% !.y . '..�/L'� t :ounty Tax Map No 1000, Section... .��.:3 ,,,,Block... 5 ........ Lot..-��............. subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. lealth Dept. Approval..........................Underwriters Approval.......................... 'lanning Board Approval............ equest for: Temporary Certificate........... Final Certicate.. ee Submitted:wt V/V. � �a�i�3' f _ APPLICANT 'MAR 21 '96 02:14PM 5162486445 . Soft m o' IA om of fjrSt Boar N. r ba4n7 'a♦ clava o f . : (- ♦. a p r da4um: suis` cc y r O. R W. ger,{ �•. P� Rod , • • .: mlev �• oo fe• ,,. , Uy :=Ihertte= aherailon or addajoe to this carver b a vratatien OF N of eaatlm LM the Now Yon t3tete , A C Str A COORS o/this a�wap wot Qr . Aro rl 1. the lana Surwowe e&ad a" CC e -iry • 0 e, a +mwad d eha1 nabs �qb• iy L r agldatrsadawmtq, : t Quttttntgw fndieitee hwson tA»a run a p G to eyr Is the veeee for www the etnvat. k Wq maq, and an Me behaq to ttr doemnamntal agave t tan&v b,atl M t Wad hereon and y m the eapneA of the landW4Ingo. beton. Guaranaw wo not tnenterabte i/= 6Al<A6R 1 Q taadeldmdkadwtlmrrabmuent ' J sl:Eg i to .MAP OF. PROPERTY I'h SUIZveyff :.. e6ix At �. •eCC w f i iift MAT �'f" t'?'E! C1'1; :�:' '•�::' .L 3 Z-SKaRY t i - ,S UFF`4LK.. .CCs. r\V:.f./.,: ' .. lz 4 S1t QC:nA 5Fv Aur: .'2S9 t-989 OF NFtw , G7t.1�iU'Ist0(�:' s SscM�trrl,j y StifCli�atn f s ,.' t4�r ri 1fiAG,'*-.4 .. . `, .0 NjG' i �,L4 �P�GK 4ti��q lVbY;ft�:..�•OR',�i; $a�'� �Tl[t#�•. �fr'gi�(ptY►i• . - �� • .. �� i ` r o° �G'P a � � �'6..�!�K�+r�-"'.Ocfob�>e' L,C (��:...K.'°'• . CACI ;�� :'VA`W/:TGI`U'1, .�+ �i>M :-.... ` :�.".: n'• `' 4S SFOLA nsos� Lrcec�5Lrp LAND . Surzv�Yo�eE';• • S.C.'rAK MAP NO: i000- rL3 -5-;z5 faR6$NPO, RT, N. Y P.2/2 CONSENT TO It\ ;I'I:CTION the undersigned, do(es) hcrebY state: That the undersigned (is) (are) the owne(s) of lllc' premises in the 'Town Of Southold located at 5 whisk is showcl and designated on tllc Suffolk County tax map as District 1000, Section �p'l3, Block �� Lot _ 'That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold 'i'ow-rl Puilding 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 "poll 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 §aid pl•enlises c:onlp►}• with all•of the laws, ordinances, rules and regulations of the 'Town of Southold. The undersigned, in cousenlhlg to such ills p¢clions, do(es) so with the Inlow](!dge Lind uncicrsttuldiug that ally inforlrlalion obtained In the conduct of such inspections in,ly be used ;ls evidence in subsequent prosecutions for vio- lalio"S of the laws, ordinances, rules of Dated:o/l/ �G W 2 01996 regulations of the 'Town of Southold. (sjij� T— (pl•int nallle) Signature print name BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number & street SUBDIVISION niunic ipal i ty)— MAP NO. Lo'(' (s ) NAME OF OWNER (s) ( type) CC�J�C-f� owner -tenant ADMITTED BY: �� f Lf ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP N0. SOURCE OF REQUEST:- ] -- -------•-----_-^- DATE: DWELLING TYPE OF CONSTRUCTION STORIES-- / EXITS�- FOUNDATION -� . CELLAR 61VI CRAWL. SPACE '.TOTAL. ROOMS: IST PLR. / 2ND FLR.�`— 3RD FLR. -� BATHROOM (s) TOILET ROOM (s) -- U'F lJJTY ROOM PORCH TYPE �'�S �� t DECK, 'TYPE '�L- r) PATIO BREEZEWAY - FIREPLACE GARAGE ^� DOMESTIC UOTWATER _ (,/ J TYPE HEA'L'ER AIRCONDITLONING TYPE BEAT — ' C� Q WARlL AIR HOTWATER OTHER: ACCESSORY STRUCTURES: ((�� GARAGE, 'TYPE OF CONST. I. STORAGL 'TYPE CONST. SWIMMING POOL. , GUEST, TYPE CONST. o'THER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING COME INSPECTED BY % ✓[< ------ -- DATE OF INSPECTION TIME START i S'c� END - /,r j,r