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HomeMy WebLinkAboutZ-24301FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24301 Date APRIL 24, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4355 ALDRICH LANE EXT. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section Subdivision 112 Block 1 Lot 13 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-24301 dated APRIL 24, 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 PHILIPPE L. & HELEN MAITREJEAN (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. , " / � , f, /" �;/' B lding inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUT1101U HOUSING LOUR INSPECTION REPORT I.00A'rION: 4355 ALDRICH LANE EXT. MATTITUCK, N.Y. number 6 streeC (mu SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) PHILIPPE MAITREJEAN cipality OCCUPANCY A-1 RES. OWNER T -y—pe-T-- -- (owner -Tenant) ------ ADMITTED BY: PHILIPPE MAITREJEAN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-112-1-13 SOURCE of REQUEST: PHILIPPE MAITREJEAN DATE: 4/14/96 TYPE OF CONSTRUCTION CEMENT BLOCK (STUCCO) FOUNDATION CEMENT CELLAR PARTIAL 'roTA1. ROOMS: IST PLR. 7 2ND FIR._ 3RD F1.R. BATT ROOM (s) 2 FULL TOILET ROOM - PORCH 'TYPE DECK, TYPE BREEZEWAY FIREPLACE 2 DOMESTIC UOIVATER YES TYPE NEATER OIL TYPE HEAT OIL WARM A11( — -- OTHER: ENCLOSED SDN ROOM ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST._ WITH ATTACHED POTTING SHED. oTnER: # STORIES ONE / EXITS FOUR CRAWL SPACE UTL1.17'Y ROOM PATIO CEMENT FRONT GARAGE AIRCONDITIONING noTWA'TER II 3 CAR CEMENT BLOCK STORAGE, 'TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STA'L'E UNIFORM FERE PREVENTION 6 BUILDING CODE REMARKS: BP #202962-COZ-21140 (Addition) BP 14871 CO Z-4144 (Accessory) INSPECTED 11Y ` GAR J. FISH DATE OF INSPECTION APRIL 23, 1996 TIME START 10:45 AM END 11:05 AM do(as) hereby stale: CONSENT To IN SPEC"'I•LOIV Al the undersigned, Thal the under,3igL,e(I (is) (are) the owners) of ilio premises in the Town Of Southold located it mA/'f/cfCiG ze y cchir.h in ,jii()cvn and desillnaled on the Suffolk County tax tnap as District 1000, Section Bloc1c _/ L.ot f That the undersigned ("as) (have) filed, or caused to be filed, all applica- tion in the Southold Totvrl L'uildiut; Inspector's Office for the followhtl!; e ']'flat the undersigned do(es) hereby give consent to the Lluildhtg Inspectors of the 'Town of Southold to enter upon the above described property, inelucling any and all buildings located thereon, to conduct such inspections as they may- deem necessary with respect to (fle aforesaid apl)lical]on, including Inspections to determine that said premises comply ;villi all -of the ]a;;•s, orclinartees, rules and regulations of the '1 own of Southold. The undersigned, lu consenting to such iuspeclions, do(eq) so with the lulu;vledge tutd undct'st;uuliul( that any infortnaticxt obtained hl the c:ouducl of such inspections inny be used ns evidence in suPiseyuenl proseccttions for vio- latious of OW laws, ordinances, rules or regulalious of the Town of Southold. (signature (print mule) sif!nature (print name a9g-- 4 S5cD Form No. 6 E 0 TOWN OF SOUTHOLD fD1 BUILDING DEPARTMENT TOWN HALL 765-1802 { APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......... �.q.l.�� ...................... ew Construction........... Old Or Pre-existing Building ... f .... ocation of Property.?- p2/Cf/„� House No. / Street Hamlet )nwer or Owners of Property!..y� 1. .. ..... ..'EAne . . .... . ................. . ounty Tax Map No 1000, Section. A P?........Block....I...........Lot.(.?� subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit ................ Applicant ............................. -lealth Dept. Approval..........................Underwriters Approval......................... Tanning Board Approval ........................ request for: Temporary Certificate........... Final Certicate........... 0 -ee Submitted: $............... ��36, APPLICANT 0 MONUMENT y ` Y p• I ` .200. (� 0� s 1 o x+000 ,•:540 rl 1lp 0 0 1 0 i A \ o \ s' w1 cr. o` A 1+11 IL\. I j ROQ U. SURVEY F(�R NORTH 'Y PHILIPPE 4., MAITREJE'lN I 5. >"LA K'. '.MAITREJEAN MA7`:TITU.Vt ,I TOWN Off'. - SOUT HO L D 7 81.10. CO .' N , Y. GUARANTEED tO+ ` p' PHILIPPE L. MAITREJE/ SCAL IE f.("`=,.i0 STELLA K.. MAITREJEI Q GUARANTEED TITLE DTVI "MAY 91 AMERICAN TITLE INSURA it �• ,� PROFESS10iW ` NGINE BUILDING DEPAR'TMEN'T' TOWN OF SOUTHOLD IIOUS)NG CODE INSPECTION REPORT LOCATION: T135�5_ 1/4bklC�c (,f, er & street /v/,i-/ /Y! municipality SUBDIVISION MAP NO. LOT(s) NAME, of OWNER (s) ht� % �P� ,�✓�/�� Ti�Ti9n1 OCCUPARCY 94rK� _ type owner -tenant % ADMIT'T'ED BY: p#//f& M _ ACCOMPANIED BY: C"�- 44. KEY AVAILABLE SUFF.CO_ TAX MAP N0. //02 -13 SOURCE OF REQUEST:_.... /Jr! DATE:�,/ DWELLING: TYPE OF CONSTRUCTION FOUNDATION �'f� CELLAR '.T'OT'AL. ROOMS: I ST FI.R._2ND FLR. BATHROOM (s) J- f�Q f l TOILET ROOM (s ) /4r I STORIES -,#t I EXITS CRAWL SPACE �---- 3111) FI.R. UTILITY ROOM PORCH TYPE BECK, 'TYPE BREEZEWAY — FIREPL.ACE5_ ,21- GARAGE PA'T'IO_ l�intc,✓T r DOMESTIC IIOTWATP.R 'TYPE ITEATER �G AIRCONDIT10NING TYPE BEAT G WARM Alii 110TWATER �L OTHER: /: rwc ACCESSORY STRUCTURES: - GARAGE, TYPE OF CONST.. C--4-YL �%� ) A�RnGE, TYPE /c@D?"STS�� SWIMMING POOL GUEST, TYPE CONST. OTHER: VJ.ULA11Urls: U11AFTEK 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: c p%p.Q))1 f ty'.0 5�,%' UKP' a 14 1(4QI INSPECTED BY DATE OF INSPECTION yA& TIME START ENI) a o .SOWN OF SOUTHOLD PROPERTY RECORD CARD OwiNER STREET L VILLAGE DISTRICT S LOT e ' rAk�n ` IND. CB. ` MISC. I ✓� LAND ch: TOTAL DATE REMARKS FO MER 8qNER ' N // • % �tis__W Lj�� E CG; ACREAGE / q E P ..h 0 v Y ccRa. S W TYPE OF BUILDING a RES. 4 SEAS. VL. FARM COMM. ` IND. CB. ` MISC. I ✓� LAND IMP. TOTAL DATE REMARKS //A.3 - �.,r _ i _ 1 u Nc G� o I1q r d Wrr ��L ' ..Z O C3 / : A 0- O .571P 7 � tl - 1 ���' 63:Q Q tib - L aiim, rI d&s Y(- 4, H � l L i Yr+l1rj cMC7t - o J72 00 /0%7`i 'as i - ;z 0 c 64 P 44 a -g 17 c) 40 -7 -IRE 7 2D p L G ONDITI 1� �� C� oZ 1I NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value 1 Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushland — -- - 200 �oN SovO 3 N 3 (� 600 - — 1s�6iot _ `v -- ------ — - - -_ - p — .Tota 1 IN ■E■EENHANNEEN■■■■■■■ ■■NI■■■■EN■■■E■■■■■■■ ■■11,91■■■■■■■■■®■■■NOON // D .' er Foundation , ',.- I �, ■NUME■■E■EE■ 1 y y NONE ■■■■ Basement Floors 7 rte' , F ■■■■ENN®®■■NZ_1M R ° x �`� ;: `� g 3 L s� ME MR,=■�■■� MNN Ext. Walls G� % Interior Finish 0 IN ■E■EENHANNEEN■■■■■■■ ■■NI■■■■EN■■■E■■■■■■■ ■■11,91■■■■■■■■■®■■■NOON // D .' NNOMMEREMEMEMIN Foundation , ',.- I �, ■NUME■■E■EE■ 1 y y NONE ■■■■ Basement Floors 7 rte' , F ■■■■ENN®®■■NZ_1M R ° x �`� ;: `� g 3 L s� ME MR,=■�■■� MNN Ext. Walls G� % Interior Finish 0 0 WNv'` RN■E■■■■ ■EEE 1 3 25 ,v 1( � ■EEI�■CNEM�N■l!�OE ■■■EEOaJONENI _ ASO ■■■■E■ �■ S �9 U NE■N■■■OIRMO■■■■E Fire Place / ■■ 1414-7` 11)47& ■■■■■■■■H®:M■■■■ ■E■NE■■■■■■■E■■� MENEENNIN ■ M. Bldg.yS= // D .' Foundation , ',.- I �, Bath 1 y y Extension X Z 4 ,. 2 .�! Basement Floors 7 rte' , F Extension R ° x �`� ;: `� g 3 L s� G o q p Ext. Walls G� % Interior Finish w q2C 1 3 25 ,v 1( _ Extension S �9 U Fire Place / Ht eai 1414-7` 11)47& Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage•� yX y.� c %OPS i 8►d ltd ta:� Driveway O. B. G` x i yr �' SL y s 0 7X fi