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Home My WebLink AboutZ-21005FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21005 Date SEPTEMBER 11, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 195 MARYS ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 36 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-21005 dated SEPTEMBER 11, 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 : The certificate is issued to DENNIS & JANE McBRIDE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 rUL:.D7.. r77-) 1 T. �:;T TO'." -Ll CF 31CUT,10LD, H. Y. FCU I::G CO.r,.. IN39ECTION iZ O;tiT Location 195 MARYS ROAD MATTITUCR, N.Y. t,c:�.:.ocr � :: gree c / �.•iva_c�pall c'l l Subdivision Piap Ifo. LotO Na., e of Owner(..-) DENNIS a JANE McBRIDE Occupancy A-1 (type) Admitted by: JANE McBRIDE Key available Source of request JANE McBRIDE OWNERS owner- uenanz ) Accompanied by: SAME Suffolk Co. Ta:c No. 140-02-036 Date MAY 13, 1992 D'..'ELLING : Type of construction WOOD FRAM zgstories 2 Foundation ANT BLOCK Cellar FULL Crawl space Total rooms, lst. Fl 4 2nd. F1 2 3rd. Fl Bathroom(s) 2 FULL BATH Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL Warm Air Hozwater xx Fi_ eplace(sy!0 No. E:cits 2 A.ircc^diticnirg Dcnestic ho twater YES Type heater OIL Other SMALL REAR ENTRYWAY & FRONT ENTRYWAY ACCFSSO�`,r STRTJCTJRES: NONE Gzraoe, type const. Storage, type const. Sui,=i ng pool Guest, type const. Other V_OLATIONS • CIIAPTER 45--N.Y. STATE UNIFORM FIRL P1ZLVENTION S 13UILDING CODE Remar'.:s: Date of Ins Inspected by: � -°�� P• SEPT. 3, 1992 GARY IS • Time start 1:30 end 1:50 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 a G� 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 New Dwelling, $25.00, Accessory $10.00 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.Uodated C.O. $'50.00 Date ...MAY. AL. .1.992......... NewConstruction ...... Old or Pre-existing Building ...X........ Vacant Land ............. Location of Property .... 195 Mary's s Road Mattituck . . ... . ..... . House No. Street Ham/et Owner or Owners of Property , , Jane A. McBride and Dennis A. McBride , . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section 14 0...0.0 Block , , , 0200 ... I ....., , Lot .. q3 6: 0100 .. , . . 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 ....... X.............. . Fee Submitted $.100:00,,,,,,,,,,,,,,,,,,,,, Construction on above described building an it.meets all applicable codes and regulations. i r Applicant .. e Ar-�Niclricle ..,. ............. . Rev. 10-10-78 cv �a 0 01-5 CONSENT TO INSPECTION JANE A. McBRIDE the undersigned, Ownerks) Name(z) do(es) hereby state: That the undersigned (is)o) the owner(s) of the premises in the Town of Southold located at 195 Mary's Road, Mattituck, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 140.00, Block 02.00 , Lot 036.000. That the undersigned (has) (him) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on pre-existing 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 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: May 13, 1992-e��-f• / iccQr (signature) Jane A. McBride (print name) (signature) (print name) F_ wa thjbed Alay zt, 199Z zadericAL Vir" 'rm APPROVED By;, 4c".6 Land PLANNING BOARD TOWN OF SOUTHOLD AUG l'i 199 I, oPj C7 40 Lor- ti ri A4A Do- ocro je DEvms A. J.41vE A. McB;z IDE '7.f. 78 CAQ i F'rIZANCE5 57ELZE� 4#.o E. suffoJk Gourrty rax PO t -C Ar /J 14000-/40 Z If Z6. e JV' Vh~ Mt40MlW AF499 /"At PIP, 4b F_ wa thjbed Alay zt, 199Z zadericAL Vir" 'rm APPROVED By;, 4c".6 Land PLANNING BOARD TOWN OF SOUTHOLD AUG l'i 199 I, oPj C7 40 Lor- ri A4A Do- ocro je DEvms A. J.41vE A. McB;z IDE CAQ i F'rIZANCE5 57ELZE� 4#.o suffoJk Gourrty rax PO t -C Ar /J 14000-/40 Z If Z6. e JV' Vh~ Mt40MlW AF499 /"At F_ wa thjbed Alay zt, 199Z zadericAL Vir" 'rm APPROVED By;, 4c".6 Land PLANNING BOARD TOWN OF SOUTHOLD AUG l'i 199 Location Subdivision T0.'iid OF SCUT.iOLD, H. Y. HOUSI::C CODE INSPECTION RE?0 LT tx L;zreec) P,lan No . ` 0-iun-, cipal1 cy ) Lot(.:,) Niil an, of 0%•jner(o M ��D;t _ Occupancy (tyP e) o�:�ner- (;enanz) Admitted by: k �(-&tdC Accompanied by: &W -r - Key available Suffolk Co. Tax No. /5�/Q - 02-e 5( Source of request - -- D? , -LL IVIG 'Type of construction ,stories �. Foundation �.j� = Cellar Crawl space Total rooms, lst. Fl 2nd. Fl 2,- 3rd. Fl Bathroom(s) ,% �c�� j64 -r{/ Toilet room(s) ^ � Porch, type Deck, type — Patio, type_ Breezeway ,� Garage Utility room Type Heat ,�j/, C • Warm Air -, Ho �... ester Fi= eplace(s) Ap No. E=cits Aircor_ditioni r. -T Domestic hotaaterw- Type heatcer ®jc- Otter 40# 2 �ivrny �,M4/ W- ��i�,- x.9-0,-4 1®_� ACC-SSO?Y STRUCTURES. Garage, type const. Stora ge, type const. SWi=J no pool Guest, type const. Other' VIOLATIONS: CIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remar'cs: Inzpccted by. Date of In. p. ��? 3 t, Time start rl end i