HomeMy WebLinkAboutZ-22155 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22155 Date FEBRUARY 24, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of. Property 400 LEGION AVENUE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 142 Block 2 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-22155 dated FEBRUARY 24, 1993
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 ONE CAR WOOD FRAME GARAGE *
The certificate is issued to WILMA G. MATTHEWS
(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:17
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 400 LEGION AVENUE MATTITUCK, N.Y.
(number & street) (municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) WILMA G. MATTHEWS
OCCUPANCY A-1 RES.
(type) (owner-tenant)
ADMITTED BY: PEGGY KILLIAN,CELIC REALTY ACCOMPANIED BY:SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 142-2-8
SOURCE OF REQUEST: WILMA G. MATTHEWS DATE: JAN. 22, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EXITS
FOUNDATION CANT BLOCK CELLAR PARTIAL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE NONE GARAGE
DOMESTIC HOTWATER XX TYPE HEATER ELECTRIC AIRCONDITIONING
TYPE HEAT OIL WARM AIR XX HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: 1 DATE ON INSPECTION FEB. 23, 1993
Gar F'sh TIME START 9:25 END
9:45
•
FORM NO. G FEB 619A(3
TOWN OF SOUTHOLD
. Building Department
Town Hall
Southold, N.V. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted on a.r.o. .i to the Building Inspec-
tor 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 or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25 .00 -- BUSINESS $50 . 00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 •
4 .Vacant Land C.O. $20 . 00
5.Updated C.O. $"50 . 00 Date February, 11,, .1 . . . . . . . . ,
NewConstruction Old or Pre-existing Building X Vacant Land
• Location of Property 400 Lei on Avenue' Matti tuck
House No. Sneer think r
Owner or Owners of Property Wi 1 ma G. Matthews
County Tax Map No. 1000 Section . .1A2. Block . z Lot 8
Subdivision Filed Map No. Lot No.
Permit No. Date of Permit Applicant
Health Dept. Approval Labor Dept. Approval
Underwriters Approval Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted $
•
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . GARY. FLANNFR.QLSE J, .c$Q,
n.v.to•to•To P.O. BOX 706
Cutchogue, NY 11935
Comic, Li 55 31
t3nv comma ISS
CONSENT FEB I 61993
TO
INSPECTION
Wilma G. Matthews , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 400 Legion Avenue, Matti tuck, NY
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 142 , Block 2 , Lot 8
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in-'the Southold Town Building inspect,i orr;a, rem. +ha following:
One family dwelling
•
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 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: //2o2g3•
(sign ure+ttettla-)
Wilma G. Matthews
(print name) w
(signature)
(print name)
46
o Young & Young, Land Surveyors oA
400 Ostrander Avenue, Riverhead, New York 11901 a
auu 516-727-2303 lit
Seta
3 6
�IIung 1� Alden W. Young, Professional Engineer & Land Surveyor €
o� ^V Howard W. Young, Land Surveyor
r Thomas C. Wolpert, Professional Engineer °
( O ) t^ Kenneth F. Abruzzo, Land Surveyor a
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`°a A 'o\ ' �,tyy JOSEPH LAZZARO 81 BARBARA LAZZARO _
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, ,0y em, •Q� ' r At: MATTITUCK Town of: SOUTHOLD °
\\ /' vr..cc.' Suffolk County, New York
F �0 0 re '� 14 2 2 8
L \Q ,,� 6 �� `� JP e� Suff. Co. Tax Mop: 1000 ,
C`� C�0 y P �� tE 0� A�4e.
Olstrlct Section Block of � <
v �, a CERTIFI_ r •
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"GP� O r. 11,•1. 7 �• • DTITLE INSURANCE COMPANY °
NOTE I iF a"
I. • = MONUMENT FOUND i RFs A / r `a
�( "f FEB.23, 1993 4.b�
. _ DATE : FEB. I, 1993 xewil
g
i p ,y SCALE :1*— 30 a
••408.:.'''r•\,/` JOB NO. :93- 0051
'FbLANIO ' SHEET NO. :1 OF 11<z
EUILD C..7?:2i;.--::T
.T0.,,1 OF SCUT:;OLD, N. Y.
HOU:I::C COE: INS_ P:72ORT
Loci ticn
dU Z,(G,cr A47177tCC/c_
(:.L-goer uzzreet)
)
Subdivision
l� lu:_cl a -
Mao No . ��
Lot(
s'of O ner(s ) ,
Occupancy /1 --/ eES
17-yPe)
•
Admitted by: GG F.Pv (owner--`n`r��
m � �- -Ac.companid
by : 4
Key available
Suffolk Co. Ta:,: No./<1;2 -,2 _ cr
Source of request .'
• 4%4 tt f-u/1
Date /1� j
DT;E LT TG-
Type of construction U/0p
Foundation ' Air /S'CocrG .-:'stories G/114
v4P
Total rooms, 1st. Cellar cT/� 'Crawl space __
Fl 2nd. FI
Ba thio o.:�(s) 3rd. F l --
Porcz •�- Toilet roor�(s)
type______________Deck, typeBreezeway
�'atio
Gara' type
Tyne Heat 47� plc Utility room
____7_ 17_77----
Fireplaces) oa/' N rm Air F:o t/a,-
Domestic hotc�aterxits y °-_o'-Lio:�-
Other T;rpe heater
ACCESSORY STRUCTURES:
URTt .
ti
Garage, type const. 2K W de .
Slli,:.;,li;Zc fora
0 pool_____________________Guest,
type const.
Other
Guest, type const.
•
VIOL sTTOLS: CHAPTER 45--N.Y. STATE
UNIFOIttI FIRE PREVENTION & BUILDING CODE
Lncztion
T,eEVr .L.
-P VZCin
• IArt. 1 Sec.
I. I
/-P
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I .._ _ _ , :._.atI 1
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Remaracs
Inspected by; .
: * . Date of Insp. oz3 -
..Time / .
e st..rt S'qM end ,T 2M
•
TOWN OF SOUTHOLD IOPERTY RECORD CARD
OWNER STREET `r i0 VILLAGE DISTRICT SUB. LOT
F•
marfbew:; p&-1-7,-61-\,. 2 - �- ire.s
FORMER OWNER 4 N E / / ACREAGE y,
akt
1 Sx).clz / ,/J��, w � TYPE OF BUILDING
/c/Q l7�l�1''G� Lfw) i� l.�(ii,GG?�' ,Q.l./ /x 1, c„1-/-f
RES. 02/45 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
0 0 /8" a/ /eo-LiOccs /toi /omedMet S /V/ -
„ y1)-,0 •
V_J-7j-,0 • 2166) 2. aoA J I
•
•
CONDITION
BUILDING CON ON
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value. Per Acre Value FRONTAGE ON ROAD -7 o > / 1.0
Tillable 1 BULKHEAD
Tillable 2 DOCK
•
Tillable 3
Woodland
Swampland
Brushland
.1
House Plot ”
• S
•
Total
I
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•
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'ig
iOM
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- f 1
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r.
f_
. .„:5:4,...... 1
I
h " I I r I. t
.�� I (
\, �".,`d _ "‘Lam ' "'�--"�' I1I
I � I r I� I i i I ! I
M. Bldg. U T"7 1241 fill 1FO F�tmdation C/3 • j Bath
i r
Extension Basement /Dj re"' Floors _El i,
Extension Ext. Wallsy44 Interior Finish /74--te`141'
Extension ( Fire Place I /(/ Heat , ^
Porch Roof Type p- ,{I
Porch Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
Garage ) q \I Y7/e U i , 3 0 Y Driveway — Dormer
O. B.
' 1J i
e