The URL can be used to link to this page

Home My WebLink AboutZ-27607FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27607 Date: 04/03/01 THIS C~TIFIES that the building Location of Property 4300 CR 48 (HOUSE NO.) County Tax Map No. 473889 Section 141 DWELLING MATTITUCK (STREET) (HAMLET) Block 0003 Lot 022 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 CERTIFICAT~ OF OCCUPANCY NUMBER Z- 27607 dated APRIL 3, 2001 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 TWO STORY DWELLING WITH NON-CONFORMING CONTRACTORS EXCAVATING & STORAGE YARD * · ~ne certificate is issued to RAYMOND F NINE of the aforesaid building. (OWNER) SIIFFOLK COUNTY DEPARTMENTOFHF~%LTHAPPRO~L~L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~£~D *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~)CATION: 4300 CR 48 SUBDIVISION: ~ OF O~E~ (S): P~AYMOND F NINE OCC~3PANCY: SINGLE FAMILY ADMI'I-I'~U3 BY: RAYMOND NINE MATTITUCK MAP NO.: LOT (S) PJ%YMOND F NINE ACCOMPANIED BY: SAME K~"f A~AII~I~: S~3FF. CO. TAX ~ NO.: 141.-3-22 SOURCE OF P,~ST: ABIGAIL A. WICKHAM, 3/20/01 DATE: 04/03/01 DWELLING: T"fPE OF CONS~UCTION: WOOD FRAME # S~)RIES: 2.0 # ]~XITS: 3 FO~]NDATION: CONCRETE CEIJ~AR: FULL ~ SPACE: · ~)TAL RO(OS: 1ST P~R.: 3 2ND FISH.: 4 3P, D FL~.: 0 BA'r~O(O(S): 2.0 TOII~ET RO(O(S): 0.0 UTILITY RO(~(S): PORCH T"fPE: FRONT COVERED DECK ~"fPE: PATIO TYPE: BP, EEZEWAY: FIP. KPI~%CE: ONE C~%P~a_GE: DOMESTIC HOTWAT~K: XX ~YPE HEA'r~K: ELECTRIC AIRCONDITIONING: TYPE HEAT: ELECTRIC WARM AIR: HOT~ATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWI]~ING POOL: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPEt'r~U BY: DATE ON INSPECTIOn: 03/21/01 TI~ ST~T: 10:00 AM END: 11:00 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 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 ex~sting 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~.. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~.~9f.~99~ .......................... X (two stor frame dwelling and New Construction ........... Old Or Pre-existin~ Building ............ Y .... studio/shed, excavator's yard, ~quip~ent/~a~er~al§~ stor~ge/~epa~rs) NY 11~=2 Location of Property .......... ~o~ ~ ~. ~p~..~ .... D~g~Dg, ............ ~ .............. House No. Street Hamlet Onwer or Owners of Property .... ~aymond F. Nine County Tax Map No 1000, Section...lj.1 ......... Block.. ~ ............. Lot...~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ...... ~ .... ~ ~ 0 ~ ~ 7GO 7 mb~ail A. APPLICANT Wickh~, Agent 6'O0~6P