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HomeMy WebLinkAboutZ-24546FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24546 Date AUGUST 5, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 13250 MAIN ROAD MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 8 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-24546 dated AUGUST 5, 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 AGNES LYONS (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. ng Inspector Rev. 1/81 ISUII.DING DEPARTml-l'NT TOWN OF SOUTUO1.1) HOUSING CODE INSPECTION REPORT LOCATiON: 13250 MAIN RD. & street) tmunicipality SURD IV IS MAP NAME OF OWNER (s) AGNES LYONS OCCUPANCY A-1 RES. OWNER -- ant owner-Lenant� ADMITTED BY: AGNES LYONS ACCOMPANIED BY:— SAME------- KEY AVAILAIII.-E------------ -----SUFF.CO. TAX MAP NO. --.114 _I1-8 SOURCE OF REQUEST: AGNES LYONS DWEi.I. LNG TYPE OF CONSTRUCTION WOOD FRAME I STORIES 1-1/2 1 EXITS 2 FOUNDATION—STONE CELLARPARTIAL CRAWL. SPACE____________ 'TOTAL. ROOMS: IST FLR.--4-------2ND FI.R. 3 3RD FI.R.­­ — BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM_ PORCH TYPE FRONT COVERED DECK, TYPE PATIO RAI_SZD FLAGSTONE._ BRI-"[-"Zl-"WAY FIREPLACE -2 NOT IN USE GARAGE---------------- ...... . DOMESTIC HOTWATER YES---- TYPE HEATER LILCO GAS A IRCONDiTIONING TYPI, HEAT OIL WARM AIR iio,rWA'1'1-"R,-gg - OTHER: PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE OTHER: ----------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------ VIOLATIONS:- CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE . LOCATION DESCRIPTION ARTSEC.:_1 INSPECTED BY DATE OF INSPE'urioN JUNE 19, 1996 GAR��J'AH TIME START -10-:09--, --------- END 10:151-1 -rrr ✓ ey- 117 _-�_ Form No. 6 TOWN OF SOUTHOLD rrrJ �} BUILDING DEPARTMENT �..2 _..�,. TOWN HALL 765-1802 AUG 196 a APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDa. DEPT. TO\NN Of_ -pr;yTH0LD 'Stiff 3 st 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. 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 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 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .251c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....r ::Z,;a : f A ....................... New Construction........... Old Or Pre-existing Building ................. Location of Property.. .'/. 02 5� ..../E-L�l.. n1..d�.ah.1�............. A/ !r. T.% ./.^T.Q.4/.0 ..... House No. /,, Street Hamlet Onwer or Owners of Property....!y.5r.!V AS�... ./ted.!'!.4.................................... County Tax Map No 1000, Section...`.. y...... Block ..... //......... Lot ...................... Subdivision .......................... •........... Filed Map ............ Lot ...................... PermitNo................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate...... Fee Submitted: $............................. APPLICANT .......... 6n) C-6 -?-jV S y4 C'ONSGNT TO 11 ;I'I�:C'fIUIV �1j S - vo.,V S, the undersigned, do(es) hereby stale; That the underslC,ned (is) (;;re) the o\vner(s) of tho premises in lhr. 'Town Of Southold located atQ1k7w — c do /Ui // S awhich i;; shown ;u;d desill"aled on lhc: Suffolk County tax map as District 1()00, Section / 00 Block l.a LotaG�,�da That the undersigned (has) (have) Cited, or caused to he filed, all applica- tion in the Southold Tow -Ii L'uildiut; I"speclor's offlee for the following: That the undersigned do(es) hereby Give consent to the 1.3u11dL;g Inspectors of the 'Town of Southold to enter upon the Fchove described properly, Including any and all buildings loc::;ted thereon, to cond"et such inspections as they m;;y deem necessary Nvilh respect to the aforesaid applicalion, including inspections to determine that said Premises comply with all•of the laws, orclinances, rules and regulations of the Town of SoUtholll. The undersig"ed, iu consenting to suet iuspeclious, do(es) so with the know1odge and undurstand i ill that any infor";ation obtah;ed In the conduct Of such Inspections luny be used us evlclence in sul�seque"t prosecc;llons for vio- 'alio": of the laws, ordinances, rules or regulations of the 'Down of Soullwld. sisnalurc) print name s ipilalure print n;uue ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PA TCHOG UE, NE W YORK 11772 (516) 286-6642 111288 DATE: 7/10/96 APPLICATIONNo. ONFILE VILLAGE: MATTITUCK TOWN. SOUTHOLD ADDRESS: 1766 ROUTF 25 ISSUED To: AGNES LYONS INTRODUCEDBY: HOMEOWNER LICNo: was examined on 7-10-96 andfound to be in compliance with the National Electrical Code LOCATION: Base.. 1st 'u 2nd AX 3rd Attic Dat. Garage - Hot Tub Pool SWITCHES RECEPTACLES I FIXTURES HEATERS FANS G.FI. AIR COND. 3 17 1 3 2 DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN WOKED=CTOR FURNACE OIL GAS CIR. MOTORS BELL TAW.. SERPICEDISCONNECT ME7P7t "S PA4.V OTHER EQUIPMENT 1 _ RES din+t CtlF, tE rj •". <�i.- k E S�JF L [)E.FE4TS FJ INptvii�tS V! HUGO S. SURDI PRESIDENT BUILDING PERMIT No. TTw certscate must not be altered m any mama Inspatom may be ident fiedby their credwwls BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE of r - 5.86 popcv� 'To IV-, 'TORY vi uj 5.86 popcv� 'To IV-, 'TORY uj A -Z S.V F E /a97/- V"' t ,� > z RVEYEQ I=O;Z U A \�l A7' OWN OF SOUTHOLD) NY F N (I r -V- V'q \V1 SCA' E IDF-51GNATTC;N: GUARANT-EE % M THE zSECUP-!T--e 7t%E 9 GUAPAN7Y CC- JVLY. 24 1075 AS SURVEYED iVill 7! Y! L< 1 L LOCATION: SUBDIVISION BUILDING DEPARTMENT TOWN OF SOUTiIOLD 110USING CODE INSPECTION ItEPORT (number & street municipality NAME OF OWNER (s) Azo .S ! MAP NO. LOT (s) OCCUPANCY (type) (owner -tenant) ADMITTED BY:. �� f �•�/ f" ACCOMPANIED BY: ��/�'. KEY AVAILABLE SUFF . CO. TA.IC MAP NO. sour.;:.: of REQUEST: /�6N s ,' DATE: DWELLING: TYPE OF CONSTRUCTION Alld# STORIES v4 � � EXITS FOUNDATION CELLAR �/'��,r3G CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR_ :3 3RD FLR. BATHROO21 (s)y �-"�-- TOILET ROOM (s) UTILITY ROOM PORCH TYPE F/�,J7✓% DECK, TYPE PATIO, TYPE /C�9lJ�: /`f.�C?jr'%✓1 BREEZEWAY r—' FIREPLACE o2 i✓v /.J est• GARAGE DOMESTIC HOTWATER f TYPE HEATER //Z/<:, 6W,_ AIRCONDITIONING TYPE HEAT D/�_ 11WARM AIR HOTIIIATER ACCESSORY STRICTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWD24ING POOL GUEST, TYPE CONST. OTIIER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION 1 ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION 6ZI TIME START AV X0'7 END /v ; 45— w TOWN OF SOUTHOLD PROPERTY L srr� RECORD CAR ��g , TOWNER STREET VILLAGE DIST. SU �L YIPS G(/, O yiS FORMER OWNER �`�©I E _ �! �= ACR. ' TYPE OF BUILDING S �N., L, �,� �t-"' W , L A . �E SEAS. VL. _ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS -- e o O��©� /�l ��a0 000 /yecoeS /P 56� Id/ AGE BUILDING CONDITION j NEW --------------- -FARM NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD S is -gym _ 7 7.r Meadowland DEPTH House Plot BULKHEAD TotaSo, -%.-p ,� DOCK � ,�-•�.�1#'r� fait+ � � .�: '� > �y,.�� .. :. _ Ams