HomeMy WebLinkAboutZ-20814FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20814 Date JUNE 19, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1160 TOWN HARBOR LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 5 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957
OCCUPANCY NUMBER Z-20814
pursuant to which CERTIFICATE OF
dated JUNE 19, 1992
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 SCREENED PORCH & ATTACHED GARAGE
The certificate is issued to MATTHEW LYONS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
ilding I spector
Rev. 1/81
Locat
Subdivision
BUII.DI::G DEP:u1T:L;iT
TO 1. OF SOUTHOLD, 11. Y.
HOUSIi:G CODE INSPECTION REPORT
1160 TOWN HARBOR LANE
(numoer do street)
Name of Owners)
Iap No.
MATTHEW J. LYONS, JR.
N.Y.
,i•iun-acipality)
Lot(S)
Occupancy ONE FAMILY TENANT
(type) Owner -tenant)
Admitted by: BILL COOPER Accompanied by: SAME
Key available
Suffolk Co. Tax No. 64-5-9
Source of request WILLIAM J: PRICE, JR: ATTY
Date JUNE 12, 1992
MTE'LLING :
Type of construction
FRAME
rstories 1
Foundation CEMENT BLOCK Cellar
252 Crawl space 752
Total rooms, 1st. Fl
3 2nd. F1
3rd. Fl
Bathrooms) 1
Toilet
rocm(s) 1
Porch, type SCREENED
Deck, type
Patio, type_
Breezeway
Garage %%
Utility room
Type Heat NATURAL GAS
Warm Air
Hotwater II
Fireplace(s) 1
No. Exits 2
Airconditioning
Domestic hotwater x%
Type heater
NATURAL GAS
Other
ACCESSORY STRUCTURES.
Garage, type const.
Storage,
type const.
Swimming pool
Guest,
type const.
Other ARBOR
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE
Remarks:
Inspect
A
_Date of Insp.
FISHER Time start 10:00 end 10:20
R Form No. b r�
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
TOWN OF SOUTf10LD'&LIGATION FOR. CERTIFICATE OF OCCUPANCY
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 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 1R 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 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 $15.00, Commercial $15.00
Date ..
June 12: 1992 .........................
New Construction........... Old Or Pre-existing Building..x..............
Locption of Property. (no .#)� Town. Harbor Lane, Southold NY 11971
........................1................................
House No. Street Hamlet
Matthew Lyons
Onwer or Owners of Property...................................................................
009
County Tax Map No 1000, Section ..064... ....Block... 05....... .Lot ......................
Subdivision....................................Filed Map ............ Lot ......................
Permit No...... ...... .,.Date Of Permit ................ Applicant ................... I.........
Health Dept. Approval..........................Underwriters Approval......................
• .f
Planning Board Approval ........................
Request for: Temporary Certificate.:......... Final Certicate... x.......
Fee Submitted; 100.00
.................................
Coyaogiy WILLIAM H4?44§M JR.
JUN 1 51992
BLDG. DEPT.
[ TOWN OF SOUTIiOLD
CONSENT
TO
INSPZCTION
William H. Price, Jr., attorney for owner,
O%+mer(s) Names) the undersigned,
do(es) hereby state:
That the undersigned(is)Jhe ttorne fo)r
ftlt�lathe ow r s of the premises in the Town
Of Southold located at (no #) Town Harbor Lar.e, Southold,
New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 064 Block 05 Lot09
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:
e -existing certificate of occu
from 1 story frame house with
attached -garage and detached arbor
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 inspections
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: June 12, 1992
(signature)
William H. Price, Jr.
(print name)
lI
(signature)
(print name)
From : PECONIC SURVEYORS, P. C. C516)765-1797
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SURVEY FOR
AREA = 25,367 sq. ft. PERR Y T. CRISCI TELLI &JILL B. CRISCI TELLI
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 64 - 06 - 09
Scale: l" = 30'
June 11, 1992
VAND S
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,,landords for !Ills survoys as estabAhad
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Q for such vse by The Now York Slate Land
[R lTilt# Assoctatloa.
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BU 1LDI:.G DE u�l.'L IST
TO, -JN OF SOUTHOLD, N. Y.
HOUSI7,TCODE INSPECTION REPORT
Location 116 O %a`yl AA ,la.Jre oie�
knL:moer & street (i'iunicipaiity)
Subdivision ikiap No. Lots)
Name of Owner(s)
Occupancy
Admitted by:
Accompanied by: lz"�
Key available_ Suffolk Co. Tax No.
Source of request h"01
/�
6ll/�i'J Date lv /z 9 �--
MC'- LLING
Type of construction JL
#stories
Foundation ! Cellar d?Jr' Crawl space ,5-
pr -
Total rooms, 1st. Fl 2nd. Fl 3rd. Fl
Bathroom(s) / Toilet room(s)
Porch, typeaY ,4zZ,:a/ Deck, type Patio, type___
Breezeway ------ Garage Utility room
Type HeatTo
'Warm Air Hotwat er
Fireplace (s) / No. Exits 2- Aircor_di tion i ng
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other /lis rola -
VIOLATIOi\1S : CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks:
Inspected
Date of Insp.
Time start /Ofd -vend /0.,' 7-a
$ V
91
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.1
SUB. LOT
-J
(/()
--='� 17
FORMER OWNER
N
E !!
ACR e
J.
S Wit,
W
TYPE OF BUILDING
RES. j /6
SEAS.
VL.
FARM
CMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
Z,30 Cd
`f D 0
5�
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I — d?C CS . 4 &V6 Jr.
— At
/zoo
L 6 0 0
V1 o o
y vo (a
AGE
BUILDING CONDITION
NEW'..
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable ..
FRONTAGE ON WATER
:Woodland.
FRONTAGE ON ROAD
Meadowland
DEPTH
p
House Plot
BULKHEAD
Total
DOCK
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