HomeMy WebLinkAboutZ-17850F941ITZERRIM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17850 Date MARCH 15, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1645 MEADOW BEACH LANE MATTITUCK, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 116 Block 04 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially requirements for a private one -family dwelling
built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-17850 dated MARCH 15, 1989
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 & ACCESSORY WOOD FRAME GARAGE
The certificate is issued to FRED MORITT & ROSEMARY SKYE MORITT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE-EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD - PRE-EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD -PRE-EXISTING
,n
Building Insp for
PLEASE SEE ATTACHED INSPECTION REPORT
Rev. 1/81
BUILDI:;�
T0,-iN OF SOUTHOLD, N. Y.
HOUSI77 CODE INSPECTION REPORT
Location 1645 MEADOW BEACH LANE MATTITUCK, NEW YORK
(numuer do street) i,iunicipaiity)
Subdivision ivlap No. Lot(s)
Name of Oaner(s) MORITT, JUDGE FRED & ROSEMARY SKYE
Occupancy ONE FAMILY DWELLING
(type) owner -tenant)
Admitted by: JOAN TYLER Accompanied by: SAME
Key available
Source of request GARY OLSEN, ATTY
Suffolk Co. Tax No. 1000-116-04-14
Date March 15, 1989
DWEL LING :
Type of construction
WOOD FRAME
12
rstories
Foundation CEMENT BLOCK
Cellar
Crawl space xx
Total rooms, lst. Fl
6 2nd. F1
2 3rd. F1 --
Bathroom(s) 2 Ist floor 1
2nd floor Toilet
room(s) --
Porch, typdM FLOOR SCREENED Deck, type
Patio, type_
Breezeway
Garage I Attached Utility room I
Type Heat OIL
'alarm Air xx
Hotwater
Fireplace(s) 2
No. Exits 6
Airconditioning
Domestic hotwater YES
Type heater OIL FIRED
Other
ACCESSORY STRUCTURES:
Garage, type const. WOOD FRAME
SWimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 45 N.Y. Sta
form_Fire Prevention
Location Description Art.{ Sec.
Ist Floor SMOKE DETECTOR NEEDED BY BEDROOM I 3 + 717
Remarks • AMENDED CO ii 17644 for BUItDING PERMIT #2210-Z
Inspected by:L.2 ILa Date of Insp. MARCH 15, 1989
VINCENT R. WIECZORE
.Time start 10.00 AMend 10:30 AM
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 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 $1 .00
4.Vacant Land C.O. $ 20.00
5.Undated C.O. $ 50.00 Date .... 1 a��..........
NewConstruction...... Old o(rPre-existing Building ....;h..... Vacant Land .............
Location of Property ... ��."� !: �i�!�,tl,�l�` , f ,,.'. `: �1 1;'�iU 1/li ..t .
House No. freer H ler
Owner or Owners of Property
County Tax Map No. 1000 Section .. \.1.�......... Block ...� ........ Lot ... ..........
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 .. e.j .. ...... .
Fee Submitted $ ....6.. Q..................Dnp _ .
Construction on above described building and
Applicant
Rw. 10.10-78
&1".3C80g'
8^t, c.Q 4 1')8g 0
t m all applic le codes and regulations.
;. �. . .............................
GARY FLANNER OLSEN, ESQ.
P.O. k:."X 706
CUTCHOGUE, L.I., N.Y. 119.35
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located atf f /M / 104K ms
fi% ) TV C_ K which is shown and designated on the Suffolk
County tax map as District 1000, Section //6 , Block /4-/ , Lot / �;Z .
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:
�- Q 0
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 renulations 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:r�vo,--c, IS; /J J
(signature)
(print name)
(si ature)
�7-67)H6 :L22CP1,
(print ame)
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T0.'1i\1 OF SOUTHOLD, N. Y.
HOUSIiiG CODE INSPECTION REPORT
Location
�nunioer do s treez
Subdivision
P"r 4 C 4.'
�'Aue-
if `-t —to c -k .
cipaiizy)
Map No. Lot(s)
—_
Name of Ocvner(s) WOL 11 - 5OhG6 LLQ Ah k05EJAl4�k-Y sFI-'YE
Occupancy QVE( f 0.W £i,`t -I) pie t,,( -o &(
tYP e
Admitted by: Accompanied
owner-zenanz)
by: '5P W,.
Key available Suffolk Co. Tax No. ld00-116 -b -�
Source of request�4 ` Date
DWELLING:
Type of construction (j)p0 i ; rstories �2
Foundation���.
_ � �' � � Cellar Crawl space__
Total rooms, 1st. Fl `2nd. F1 3rd. Fl �--"
Bathroom(s) .2, t F4,, I 41, 1Q Toilet room(s)
Porch, type �� �',� Deck, type Patio type_
Breezewa
Y Garage / c14k- ATl)OG/s#Wtility room 1�
Type Heat0 6 L Idarm Air _ Hotwater
Fireplace(s) No. Exits 6 Airconditioning=
Domestic hotwat er jr " . Type heater 6/ t, i
Other
ACCESSORY STRUCTURE'S:
Garage, type const. UJ0o b f kE V +, Storage, type const. ---
Swimming pool Guest, type const. ---
Other
Remarks: AU1 a(fi1g`I-, C, a1 0 -:Or- Zl76`iY rod'. 9, P-0- Z- 2-10 Z
r �
Inspected by• V jO cis g % P, U)1 &' c.-2bR'(4D . � t�
of Insp. /� E l
-Time startD, end l0 2 �,
ntion