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Home My WebLink AboutZ-20757FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20757 Date MAY 28, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 615 MARLENE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 3 Lot 26 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-20757 dated MAY 28, 1992 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 METAL STORAGE SHED. * The certificate is issued to LILLIAN A. McCARDLE (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. Bu lding Inspector Rev. 1/81 BU`.n- V r•-�r� - To?.,Lr of SCUTciOLD, N. Y. 1-.0UZI::G CODE INS?-ECTION RZZ70 .T Location 615 MARLENE LANE MATTITDCK, N.Y. �nu:.oer Lx ;zreer;) lVjun,c-.pallcy) Subdivision Mau No. Lot(z) Name of Owner(z) Occupancy A-1 RES' (type) Admitted by: SELF LILLIAN A. MCCARDLE OWNER ( owner- r:enanz Accompanied by: SELF Key available Suffolk Co. Tax No. 143-3-26 Source of request BRENT R. BOORMILLER Date MAY 4, 1992 Drr:.-T LING . Type of construction WOOD FRAME ;;`stories ONE Foundation CEMENT BLOCK Cellar Crawl space X% Total rooms, 1st. Fl 5 2nd. F1 3rd. Fl Bathroom(s) ONE FULL BATH Toilet rooms) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat alarm Air xx Hotwater Fireplaces) NONE No. Exits ONE A.irconditioning . Domestic hotwater YES Ty -pe heater ELECTRIC Other ACC-SSOR'/ STRTJC'—rn 'S : Garage, type const. Storage, type const. METAL SHED Swim.ming pool Guest, type const. Other V!OLATIOPIS: CIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE Location } De=-io-F:ion I Art. I Sec. Remar'cs: AFFIDAVIT Inspected by: .ILLIL Date of In.— P.-Time start 9:30 MAY 7, 1992 end 9:45 0 �•-�'- W"'�'r"'�`,. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MAY 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR 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 1% 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. "B. 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. C. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 Date .... //411.39192- ............................ New Construction......// ... (Oyl�d Or Pre-existing �Building r .....,./....... Location of Property..b/5 ..�. 1/�Rkn C ..L' J.'.'.�.�L�c .): Y.• ......................... . House No. I/ a Street % / Hamlet Onwer or Owners of Property.. �fR/. [!.✓./vim.:.. �!: S�/✓J.� ................................ County Tax Map No 1000, Section...�.f....... Block....�..........Lot..?6 ................. Subdivision....................................Filed Map ............ Lot ........ ........... C Permit No................Date Of Permit ................ Applicant........... �.,....,...... Health Dept. Approval . .......................Underwriters Approval........ ............. Planning Board Approval ........................%7. Request for: Temporary Certificate........... Final Certicate..Y ....... Fee Submitted: $. M12 :.crkn� ,........ n- P70,g `- APPLICANT AFF IDAV I3°: S'r ATF OF DTW YORK ss COUNTY OF rUFFOLK LIT -LI -V7 A. McCARDTE, first 'being duly sworn, deposes and says: n.Vr, she is the sole owner of house an -T land known as 615 Marlene Lane, 14attituck, 1. Y; also known as Tax '-lap Designation: 1000 - 1.43 - 3 - 026. "ENT, said house was constructed prior to 1957, TILr1T, said house has a complete heating system which was installed prior to 1957. Lillian ^,. m4Ardle Owner Sworn to before me this Yk day of %/� A �/ 1992 "? T- A TIY PUBLIC KATHLEEN OT,0 " !OA Notary Public, yt +e✓,nf3tew York r:.. G OualifiRd in Oucens Coenty Cert. Filed in Nn,IU County Commission Exolres June 22, 19473 COI SF T TO INSPECTION -->��%i'N li•I'i�Cl`�.-t'�L ��ien'i t•�r,r•�tYn, do(es) hereby state: the undersi,gncd, That the undersigned (is) (are) the owner(-,) of the prcrnises in the Tovm of Southold located at j J/Y]M /f VI 4Q_ - (� -4 which is :shown and desirn,•Ited on the Suffol;c County tax map as District 1000, Section /`f-3 Blocic.. Lot 2 b That the undersigned (has) ((lave) filed, or caused to be filed, an applica- tion in the Southold Tonrn Building Inspector's Office for the follmvir.rr: QCCL, ee. rv,-e— 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 inspec-ior:s to determine that said premises comply 1:•ith all of the lav�-s: 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 info. mation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laves, ordinances, rules or regulations of the Town of Southold. Dated: (s i ; /na7 to/!r5/`e�) 0 0 JJ %pi -int name) (signature) y (pr' t name) .y. �Q Lli1/ e-1 i/hcc�' cD - FORMER OWNER /1), /1 'c lz'J4. M TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET 6 GE DIST. SUB. N%C cj'�tc1/t �,2l11, E '/�)1s7� L//✓e, ACR.y 7 W�j . TYPE OF BUILDING S /611A- 54�4 / A //i�.r LOT A /'- 'a -i RES. y� 9 SEAS. VL. FARM � COMM. CB. MISC. Mkt. Value REMARKS LAND IMP. TOTAL DATE 'n D U✓ OZ -/,O O /o AGE BUILDING CONDITION NEW NORMAL BELOW Value Per Acre ABOVE Value FARTAcre 9 Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland HouseApt,..,. FRONTAGE ON ROAD DEPTH BULKHEAD Total DOCK IN, erre-cn-a4 l un l c , 4d r nn IYV. 0104L 14UU 1 r. uc 1000 - /43.00 - 47,i 0 - 0241. Ct:Vt3 f ,txf owel(/ \/ F, f ,evTN C. GG rNTON h If cow e. p �7 JO / 7Pir /RGiV FIFE,! P.PE 1 Al eO 3 9 /O W 75. DO ' <,ly, 5 lvnSE, w�Avt.a ,au.4t>) 4csc,2'iB,Ev �,e�a.�EweTY � „4 Aj y Y 7.7 y '� MEYr7L .SyEP W li ,,.. d.0 W i1 i Z PH�E4C.; ti N wl zo.s' P.PE 1 Al eO 3 9 /O W 75. DO ' <,ly, 5 lvnSE, w�Avt.a ,au.4t>) 4csc,2'iB,Ev �,e�a.�EweTY � „4 Cif �' 7'c7L✓,c./ cam .sol�ryoG o, �� ,,.. d.0 ocr i Z PH�E4C.; ti N zo.s' oti Irlr e�j `VJ P.PE 1 Al eO 3 9 /O W 75. DO ' <,ly, 5 lvnSE, w�Avt.a ,au.4t>) 4csc,2'iB,Ev �,e�a.�EweTY � „4 Cif �' 7'c7L✓,c./ cam .sol�ryoG o, �� ,,.. ocr i Gc/.q,rrr�,urE6 A-> To JAr1E.5' d' G/.vaA 15G/r�.CY, c.�rc/r�,�a,4iv,� rlozrG,y�.E cv. � G'OM.'�7O.41L✓,�.9G Ti'a1 L f-7Nd 7'/ iG E - NEW r\ 37 /,,9u4 r, c.9A1,441zo, cSU,ev yOR f/i9n-7�TON Br9 A/6�)-V )/oa.k Location BUILDING DEPARTMENT TOWN OF SOUTHOLD,.N. Y. HOUSING CODE INSPECTION REPORT numoer 6( streets kPlunicipality Subdivision Map No. Lot(s) Name of Owner(s) Occupancy ty e owner --tenant Admitteci.by: Accompanied by: Key available Suffolk Co. Tax No.1 ,3 — 3 Source of -request— h91c �) .e Date_o �� nw-;T.r.rnTr Type, of construction stories. - Foundation Cox., le,4A,Cellar Crawl space Total rooms, lst. Ff 2nd. Fl _3rd. Fl Bathroom(s) Toile- room(s) Porch, type Deck, -type Patio, type Breezeway Garage Utility room Type Heat Warm Air ;� Hot-water Fireplace(s) AOZA� No. Exits r97tC, Airconditioning� Domestic hotwater Type heater &its-e— Other ACCESSORY STRUCTURE'S: Garage, type const. Storage, type const. Swimming pool. Guest, type const. Other VIOLATIONS: Housing Code, Chapter 95 JL5' Remarks: 4�- Inspected y: -4&4 >1 AFFIDAVIT `..TATF OF NM YORK ss COUNTY OF SUFFOLK LILLIAP? A. McCARDTE, first being duly sworn, deposes and says: THAT, she is the sole owner of house and land known as 615 Marlene Lane, Mattituck, 11. Y; also known as Tax Map Designation: 1000 - 143 - 3 - 026. THAT, said house was constructed prior to 1957, THAT, said house has a camplete heating system which was installed prior to 1957. cc L . Lillian A. IvSc�ardle Owner f/t� Sworn to before me this of �jQ ,199 2 NOTARY PUBLIC KATHLEEN O'CON,NOR Notary Publie, State of New York t;&. 4-1-48SMa53 Oualifiod in Queens County Cert. Filed in Nassau County Commission Exolres June 22, 19q 3