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Home My WebLink AboutZ-26460FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26460 Date: 05/19/99 THIS CERTIFIES that the building Location of Property 515 BAY AVE (HOUSE NO.) County Tax Map No. 473889 Section 143 DWELLING MATTITUCK (STREET) (HAMLET) Block 0004 Lot 002 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- 26460 dated MAY 19, 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 * The certificate is issued to HANNA O'NEILL of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ' //Budding- ~nspector Rev. 1/81 LOCATION: SUBDIVISION: 515 BAY AVE NAME OF OWNER (S) : HANNA O'NEILL OCCUPANCY: A'i RESIDENTIAL ADMITTED BY: ~ERRY PURICK BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MATTITUCK MAP NO.: __ LOT (S) HANNA O'NEILL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 143.-4-2 SOURCE OF REQUEST: HARVEY ARNOFF. ATTY 5/3/99 DATE: 05/19/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~ FOUNDATION: BRICK CELLAR: PART. CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 3 3RD FLR.: ~ BATHROOM(S): 1.0 TOILET ROOM(S): i.Q UTILITY ROOM(S): -- PORCH TYPE: ~ONT SCREEN DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LIPA GAS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: PA~IS~Y OFF KITCHEN. SMALL SHED ATTACHED TO HOUSE. ACCRSSORY STRUCTURES: C, ARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ ART. INSPECTED BY: DATE ON INSPECTION: 05/18/99 TIME START: 10:05 END: 10:20 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 plumbar 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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ......... ............ New Construction ........... Old Or Pre-existing Building ...... ~ ..... Location of Property ..... ~.~.~....~.~....~.~k..~ ..................... ~.c~....~'..M~..~ .~. ........ House No. Street H~mlet Onwer or O ers of Prop.try ...... County T~ ~p ~o 1000. Section ..... f~ ..... ~loc~...0.~ .......... Lot .... ~.~..~. ............ Subdivision .................................... Filed Map ............ Lot ...................... ~ coeJ&¥~0 Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... lID.lID ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT /Lj 3, - t{ - ~ ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DW.P. CONTRACTORS DAVID MINEO ~ ~ 5204 SOUND AVE 515 BAY AVE. ~ I RIVERHEAD, NY 11901, MATTITUCK, NY 11952 I ~ Located at 515BAYAVEMATTlTUCK,NY11952 pre.. Cl/6 {2fo4-00 ~ ~ ~ ~ Application Number: 2080966 Certificate Number: 2080966 ~ I Section: Block: Lot: Building Permit: ;)~Lf (pO :t::BDC: ns11 I ~ Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ! authority having jurisdiction, and found to be in compliance therewith on the 8th Day of February, 2007. ! ~ Name OTY Rate RatinQ: Circuit ~ ~ ~ Miscellaneous ~ ~~~~~ ~ ~ move service ~ ~ Wiring and Devices Fi!l ~ Outlet 2 0 Fixture ~ ~ Fixture 2 0 Incandescent ~ ~ Outlet 6 0 General Purpose ~ ~ Receptacle 3 0 General Purpose ~ ~ Switch 3 0 General Purpose ~ ~ Receptacle 2 0 GFCI ~ ~ Service ~ ~ I Phase 3 W Service Rating 100 Amperes ~ folJ Service Disconnect: I 100 cb folJ ~ Meters: I ~ ~ ~ ~ . seal ~ ~ ~ ~ I of I ~ ~ ~ & This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. & l!I~~~lID Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at_ ~*']~ ~(/ //~/~a ~VCI~ , which is shox~ and designated on the Suffolk County tax map as District 1000. Section /y~ , Block ~ , Lot 00~ . That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: That the unders~ned do(es) hereby give consent to the Build~g 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, ~clud~g 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 ~spections. do(es) so ~th the knowledge and understanding that an3 ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or re~lations of th~ Town of Southold. ' ' ' ~signature)~ (print (signature) (print name)