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Home My WebLink AboutZ-26607FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26607 THIS CERTIFIES that the building DWELLING Date: 08/03/99 Location of Property 1155 LOVE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 140 Block 0001 Lot 020 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- 26607 dated AUGUST 3, 1999 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 FRONT OPEN PORCH AND SIDE ENCLOSED PORCH.* The certificate is issued to GLADYS G NINE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1155 LOVE LA MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): GLADYS G NINE OCCUPANCY: SINGLE FAMILY RESIDENTIAL GLADYS G NINE ADMITTED BY: RUSSELL NINE ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 140.-1-20 SOURCE OF REQUEST: DEBORAH DOTY, ESO, DATE: 08/03/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: -2. FOUNDATION: CONCRETE BLOCK CELLAR: PART, CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: _I 2ND FLR.: _I 3RD FLR.: _Q, BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT OPEN, SIDE ENCLOSED DECK TYPE: BREEZEWAY: FIREPLACE: GARAGE: PATIO TYPE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: M. BOUFIS DATE ON INSPECTION: 07/28/99 TIME START: 9:40 AM END: 10:10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 17 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 7/21/99 Date ......................................... New Construction........... Old Or Pre-existing Building..... Yes ........ Location of Property... 1155, Love Lane . Mattituck ............. .. ......... . House No. Street Hamlet Gladys M. Nine Omer or Owners of Property ....... ...........•. •......... ..........•.. ... ....... County Tax Map No 1000, Section ... JAJO ....... Block ... I ............ Lot..?Q.................. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate... yj2P ..... FeeCq ubmitted: $, 100.00........ .. APPL?CANT JUL-21-99 WED 11:33 PM STRANDBERG ASSOC FAX NO, b183YB660 F. U2 I; Job No.: 99—saha Amended 7/218x79 ( Certification only ) i I LOVERS LANE IT LOVr LAW 00.00, I- I M ' 6.2' b y+ j21 �a.a' I B'iU o3.3 r �j 21.31 x.0• a2' 4 01 N fCWO Qg!�{� 91 Gd ri is 0 PAPt OF LOT N PARI OF Lor a, m I i E 6 d1o. Nis IA rFTQCK -'rAAK DISTRICT 00.00, 1 i ME DTI OR DIMENSIONS SHOWN FRONT TRE STRUCRURES 10 II[ PIROPOIN M13 - I ARE "A '.A 3FITIM o PIMPOSE AND WE AND INERE,011t, ME NOT INTENLm TO WDE THE SRECIION OF aDICES, RVAININO WAUB POOUL PLAITING MELS. MOTIONS 70 STRUOIUREB AND ANY aT1EN CoxsTRxItDi. ,THE EXISTENCE OF RIOHT OF WAYS AND/OR EASEM NTS jOF RECORD, IF ANY, NOT SHOWN ARE NOT CERTIFI U 44kFINCRIZET UTERI OR ADDITION 10 1111S SURKY IS A "WLATION OF SECTON ?Ift OF INC. NEW YORK STAN EDUCA7wN TAW. LEONARD J. MAND6ER0 AND ASSOCIATES, :.Niru OF DAD SURVEY SaW .NOT p7ARN0 THE LAW SURVEYOR'S DINED SED: CONSULtiNO ENGINEERS AND IANO SURVEYORS, I P.C. OR UAII(AI Z SOta SHAL Not BE DICKERED TO K AVA-D TREE COPY. 02 ATLANTIC AVENUE FREEPORT. NY 11 920 DEATS CA1px INOCATR1 1IFAEON SMALL RUN ONLY TO THE PERSON FON WHOM THE 516--371-2061 a 212-21Y-4040 R F•AYN SIS -378-{+6639 SNRVLY N PROMAEO, RID ON HIS ISSAW W a ME TITLE COMPANY, OOVERNNTCMA E EDGEWA TEA PLAZA. STATEN lSLANO. NY IOS06 AGENCY AND U.NdNO IRSOTNTION LORD "UNION. AND TO ME ASSIGNEES OF INE SUT1W 203 7f8-420-5091 a FAX 7TO-320-0673 A010114 WSTRUTNNR. CERTIFICNI NS MZ 101 TRANTNERMI.E TO AUDRINIEL NMIVTORS OR SUOSEWENr OWHERR. , aijj2lJtY'C)F: PnY1 04 Lot No. 6 Integrity Title Insurance CO 1 CERTIFIED T0; Au Home Financial Michael SePoi 6 (VIdj11 i"Mop of Property of Mrs Ciora W. Kathy PWravorIv�T ,1 : FILED MDP: Filed on December 4, ;1922 ae Map No. 212. TITLE NO.: ITA -2254 1 1 I LOCATED A7tlamlet of Mattikuck, T'awn of Southold DATE; JULY 10, 1999 County of Suffalk, State of New YorkI 1 1 I SCALE i" = zo' IF It TAX DE$IG: Disk. 1000, Sec, 140, Dlock 1, Lot 20 BY: I Joel Charles Nine 298-4094 CONSENT TO INIS PliCTION Gladys M. Nine the undersigned, Orrner(s) Name(s) do(es) hereby state: That the undersigned (is) (ace) the owner(s) of the premises in the Town of Southold located at 1155 Love Lane, Mattituck, NY mliich is shown and designated on the Suffolk County tax inap as District 1000, Section 140 , Block 1 Lot 20 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 - 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 vlo- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 7/21/99 _ ' signature) _ Deborah Doty, as attorney for Nine (print name) 705-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION '1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLDG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS-. � Y DATE 2 /C2 PlIza":9 INSPECT01 BUILDING DEFAlCfMENT TOWN OF SOUTHOLD HOUSING CODE I LOCATION: number & street SUBDIVISION NAME OF OWNER (s) (- s OCCUPANCY REPORT `(mdhicipality MAP NO, LOT (s) A Lepo ( type) /j® ( owner -t een7ant ) ADMITTED BY: �"Q" lsr(�`� ACCOMPANIED BY: J - KEY AVAILABLE SU�F . CO. TAX MAP NO. 1 SOURCE OF REQUEST„ /�`' i DATE: : 24;z6?_) . DWELLING: TYPE OF CONSTRUCTION C�dU� Z�-r,.� # STORIES # EXITS FOUNDATION 4 CELLAR CRAWL SPACE 610 TOTAL ROOMS: IST FLR. 2ND FLR. <�.''� /G 3RD LR. BATHROOM (s) 6 N "-sp - TOILET ROOM (s) . UTILITY ROOM PORCH TYPE fl, p -SIJ& DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER p TYPE HEATER C)17— 17ollam AIRCONDITIONING TYPE HEAT WARM AIR - HOTWATER X, OTHER: ' ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: .i DATE ON INSPECTION TIME START /s 540 ND /0 i i