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Home My WebLink AboutZ-20366FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20366 Date NOVEMBER 20, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 515 CEDAR DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 11 Subdivis Filed Map No Lot 6.2 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-20366 dated NOVEMBER 20, 1991 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 STORAGE BUILDING * The certificate is issued to JOAN NELSON, WM. A. RIEDELL & JEANNE CRUM (owners) 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. ilding Inspector Rev. 1/81 ACC BUI�DI:.G DEP:u�T: L,1 TO`.PN OF SOUT;iOLD, N. Y. HOUSING CODE Ii'iSPECTION REPORT Location 515 Cedar Drive Mattituck, N.Y. tnumoer do street �i•iunicipaiity) Subdivision i`Iap No. Lot(S) Name of Owner(s) JOAN NELSON, WILLIAM A. RIEDELL & JEANNE M. CRUM Occupancy A-1 OWNERS (type) owner -tenant Admitted by: FRAN SMITH Accompanied by: SAME Key available Suffolk Co. Tax No. 106-11-6.2 Source of request JOAN NELSON, WM. RIEDELL DWELLI'M : Date NOV. 4, 1991 Type of construction WOOD FRAME JL Tstories ONE Foundation CEMENT BLOCK Cellar PARTIAL Crawl space PARTIAL Total rooms, lst. F1 5 2nd. Fl 3rd. Fl Bathroom(s) 1 FULL BATH Toilet room(s) Porch, type FRONT SCREENEBeck, type Patio, type_ Breezeway Garage Utility room Type Heat OIL Warm Air Hotwater xx Fireplace(s) ONE No. Exits 2 Aircor_ditioning Domestic hotwater YES Type heater OFF THE BOILER Other ACCESSORY STRUCTURES Garage, type const._ Swimming pool Other Storage, type const. WOOD FRAME WITH Guest t TOIL type const. VIOLATIONS: _CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description JArt.j Sec. 3SSORY BLDG. ROOFS SHALL BE MAINTAINED IN A WATERTIGHT I CHAP . F CONDITION. 1242.5 (D) Remarks: Inspected by: Date of Insp. November 18, 1991 Ga J. Fish Time start 9:30 end 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 k NOV" r x:31 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. 3•�desting+busldip� `fprioY~ Co April"9, prdm`'existing" land ua® 197),,,non-conforming uses, or buildings and , 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 appli"nt. A copy of the description of the premises is annexed hereto. 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 $15.00 Date ....Novemher 4, 1991 ::ew Construction... ... Old Or Pre-existing Building.? . Location ofPrope`5rty..fir@da;,i2;}Yg,,l;ucl�; New York House No. Street Hamlet Unwer or Owners of Property.44a$.1Yvlr?9x William A: Riedell and Jeanne W. Crum County Tax Map No 1000, Section ... 106 ........ Block...il, .Lot. 62 "Map of Mattituck Development ..............•••• Subdivision..Co. ..IUC „.ktCltOCk,.L.........Filed Map. ZZq ,,,,,,.Lot. ?72 28 and 29 Permit No................Date Of Permit ................ Applicant ............................. lfealth Dept. Approval..........................Underwriters Approval......................... :Tanning Board Approval ........................ Request for: Temporary Certificate........... Final Corticate.. A ....... ee Submitted: $,,,,,.100.00 9 Q Joan Nelson, William A. Riedell So Jeanne W. Crum C5,nc a .... . .......................................... c o aoa �4 APPLICANTS CONSENT TO INSPECTION Joan Nelson, William A. Riedell and Jeanne A. Crum Owner(s) Namc(s) ' do(es) hereby state: , the undersigned, That the undersigned ($R) (are) the owner(s) of the premises in the Town of Southold located at Cedar Drive, Mattituck, New York which is shown and desi,[n,ated on the S�iffol}c County tax map as District 1000, Section 106 , Block 11 , Lot 62 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the following: a pre-existing Certificate of Occupancy 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: AIaejAjw Alo d d -t(-sibnature) (print name) (signature) IIAM R tecle H (print name) N �� O • o �r ��►4-1 (aeo Fatw�Or� In 10 O.s,nf: Q-�sa.� zs, i99i .�rruy srMw,w nrwo � � Nj f� "'�fJ37•,s3'Iy I k I •— BUI D= TO MI OF 60JT :OLD, H. Y. ' FOU: I .G CC - IiiSJr1IGii RE IT. Loca Lien Subdivision k� iunycipa�i Iran No. Lo�(s) N e o Occupancy < 6y e Lam. A-.,Lted by : `. o,-zehar.z) -Acs--onpani c -d by: Key available Suffolk Co. Tax Source o- requesi. Date DVEL IN Type of cons truc�.on Foundation Lstori-es Total rooms, Ce11arCraw1 space ,�lst. Fl S 2nd. Fl — 3rd. FT Bathroom (s ) Toilet room(s). �- Porch, type Deck, type Breezeway � Patio, type �- Ty-oe Heat Garag Utility room T- • =;7arm Air , 'ir.o IJO �r1ai..er ��.,... places) No. Edits Domestic ho wafer Aircondi Lioni.-2� Other Type heater ACCESSORY TR Garage, type_consz: "Storage, type const. Slll;;,iling Dool. c Guest, type const: ' Other ,�-vim,, VIOLATT . aT _Oi.S : CHAPTER' 45--N.Y. STATE UNIFORM .FIRE PREOENTION BUILDING CODE Location �t1cn I Art- Sec . I• ------------- Inspected by Daze .of Insp K Time start- • r , 6.. ! � � - i'U a ; a-- }•� r :: r x vr�.�,f, ty t n i w �.�4 M'..�f bfd n��e �` .Y•=:n'��hy�irYx'. ?a,ra�i's �'_ ._.'f4,L � ;vL awa1;�.. +x 'z4" 3. ,�» ..... ._. ..r x... _,.., ..ex _+.,...�..,..,a,x.'a..Yaax.x.,..xrc.._r�x,,.,o as nn?�Tc.,..,x_..n_._4. �,.aE. wx' ,_.W_,_;:s:i.•.,'.z..-'�^Yan-.�a�..:_... st ':�"tvt�t4V.x.. �.nazt��v. rrs>a%:4zc�.T�;�e".��£