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Home My WebLink AboutZ-17565FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy No. 7565 Date . DECEMBER 27 1988 .............................. THIS CERTIFIES that the building .One f am i 1 y dw e 11 i n g ....................... Location of Property...,4040 DEEP HOLE DR. MATTITUCK House No . ...................... Srreer .......................Nam/er County Tax Map No. 1000 Section ... �.15......Block ... ?..........Lot ... 0�'......... , . Subdivision ...............................Filed Map No. ........Lot No. REQUIREMENTS FOR A PRIVATE.ONE-FAMILY DWELLING BUILT PRIOR TO conforms substantially to the A1iIIIibblbxt�1$�xl{ll��X APRIL 9, 1957 CERTIFICATE OF OCCUPANCY NO. Z17565 pursuant to which�illjMX)Q fcN5. . dated .DECEMBER. , 1988 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 .... W,H ILLIAM & JUDITH MACOMBER (owner, lc ��iAtXwux.................... of the aforesaid building. Suffolk County Department of Health Approval .... N/A .................................. UNDERWRITERS CERTIFICATE NO............ N /A .................................. PLUMBERS CERTIFICATION DATED: SEE INSPECTION REPORT ALSO B.P. II17607Z -- CO Z17564 for Rev. 1/81 N/A accessory building. .. ir/L. ................. Building Inspector BUILI DEP=RT LI TO41\1 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 4040 DEEP HOLE DR. MATTITUCK (number do street) i•iunicipality) Subdivision Map No. Lot(s) Nagle of Owner(s) WILLIAM A. & JUDITH H. MACOMBER Occupancy RESIDENTIAL type owner -tenant Admitted by: WILLIAM Accompanied by: Key available Suffolk Co. Tax No. 115-17-4 Source of request WILLIAM A. MACOMBER Date 11/1/88 Dl,, ELLING : Type of construction WOOD FRAME rstories 1 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, lst. Fl 4 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type -- Deck, type -- Patio, type_ -- Breezeway -- Garage -- Utility room -- Type Heat -- alarm Air OIL Hotrrater Fireplace(s) -- No. Exits 2 Aircor_ditioning Domestic hotwater -- Type heater OIL Other ENTRY WAY ON SOUTH SIDE ACCESSORY STRUCTURES: Garage, type const._ Swimming pool - Other -- Storage, type const. Guest, type const. \rrr)T AMr Tc _ ,T_-- Remarks: Inspected by: �t� Date of Insp. GARY ISH Time start 3:oo end 4:00 ntion r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING.L;r�..VACANT L/ANLD........ Location of Property... p 0....... �e�0'10 , IVA&' %V c , , , , , , HOUSE NO.1 /y� /.STREET HAMLET Owner or Owners of County Tax Map No. 1000 Section .�� Block . l.? ... Lot ...... Subdivision ....................... Filed Map ........Lot.......... Permit No. ..........Date of Permit ..........Applicant ................... Health Dept. Approval .................. Underwriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $..�0�� ............ APPLICANT � rev. 10/14/88 FORM NO. 6 L= l.l�`�j TOWN OF SOUTHOLD j BUILDING DEPARTMENT NOV - 11988 TOWN HALT 765 - 1802 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of 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 solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. OFor 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D_ FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00_ Accessory building $10.00 Addition to Accessory buildings, $10.00. - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.00 COz/7SZS rev. 10/14/88 VICTOR LESSARD EXECUTIVE ADMINISTRATORvS ,\ (516) 765-1802 -'A ti OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 6, 1988 TO WHOM IT MAY CONCERN Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 The property with the Tax I11000-115-17-04 has had a house number correction 3810 to 4040 Deep Hole Drive, Mattituck. 0-) wner(s) Name(s do(es) hereby state: CONSENT TO INSPECTION r the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of ySouthold located at 410 qO -Ie—ey tlo% fir, which is shown and designated on the Suffolk County tax map as District 1000, Section //5- , Block / 7 Lot I_. 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: 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: /7 % / 9 PP JL -1/ 74 ' (Q�d77�'t1 (signature) 07 6 e �— (print name) (signature) (print name) W4 41 4 'I W W WAND 4F AoflOr Afwh'IAOPCA va Au Ju 41 4-- Z7 jew-F VA. 'o AM*%Ww,or 4A.W./Av. 77ht ^rOk doir"00.0 *91F"t W/// 'of A. i 0 WMo6A*t aAw%dxwo. A** ,OIA444*-A or A&* Af A. MAPAPY4 ci A A 7A n t woj MATrMA�om 7t7ftW OW SON Adve AAV jc^Lx /Nam" CAM 0477 I I &1AM AO.,OVM I Le.,7 Location Subdivision BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT number & s eet l ci.pali. Map No. Lot(s) Name of Owners ^A �n - ��,�e�,r,, � • r 1+4 Co.n 81'2 v�- �1t 'tu2,,t1 4 &4 C, o Occupancy type owner -tenant Admitted by: Accompanied by: Key available Suffolk Co. Tax No. //S /7 - Source of request�✓ w .t�x^a�+r. � • � -- �� , Date DWELLING• - / Type of construction W #stories / Foundation Cellar_)�k_Crawl space Total rooms, 1st. Fl 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type — Deck, type Patio, type_ Breezeway___— Garage Utility room — Type Heat 'alarm Air Hotwater Fireplace(s) No. Exits Airconditioning Domesti hotwater �' - �/Type heater�(,� Other,_ �j .D41•c.�C �.�G . ` ACCESSORY STRU31URES: Garage, type const. Storage, type const. Swimming pool Guest, type const. ------" Other V1UL,ATIUNS: housing uoae, cnapter 45 N.Y. state, UdniforomdFire & BunLocation Prev Description Art.1 Sec. Remarks: Inspected by: Date of Insp. Time start ,3=e d �ntion