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
—
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Porch
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Porch
Rooms 1st Floor
Breezeway
Patio
Rooms 2nd Floor
Garage•�
yX y.� c %OPS
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ltd ta:�
Driveway
O. B.
G` x i yr �' SL y
s 0
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