HomeMy WebLinkAboutZ-20639No Z-20639
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date APRIL 10, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 605 REEVE AVENUE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 114 Block 9 Lot 10
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-20639 dated APRIL 10. 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 VIRGINIA PARKIN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
/,,AuiliSing Inspector
Rev. 1/81
1
Loc_ -ti
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T0';,11 OF-OUT[iOLD, N. Y.
hOU-7I::G CCDE I115PECTION iZZ72CRT
605 REEVE AVE. MATTITUCK, NEW YORK
�numoer do s reeu) lViun_cipa.LLLy)
Subdivision Man No. Lots)
Narne of Owner(z) VIRGINIA PARKIN
Occupancy A -I RES.
(type)
Ad,;iitted by: VIRGINIA PARKIN
Key available Suffolk Co. Ta:c No. 114-9-10
OWNER
owner- cenanz)
Accompanied by: SAME
Source of request
D'., E'LL1NC :
VIRGINIA PARKIN Date MARCH 26, 1992
Type of construction WOOD FRAME rstories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space
Total rooms, 1st. Fl $ 2nd. F1 - - 3rd. F1 - -
Bathroom(s) ONE FULL BATH Toilet room(s) ONE
Porch, type FRONT COVERED Deck, type - - Patio, type CONCRETE
Breezeway Gara;e Utility room SIDE OF HOUSE
Type Heat LILCO GAS Warm Air Hotwater %%
Fireplace(s) ONE No. acits 4 A.irconditioning
Domestic hoYES Type heater OIL
Other
ACC-SSORY STRUCTURES:
Garage, type const.
Swim=ing pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIILE PREVENTION & BUILDING CODE
Remar!cs :
Inspected by:
Date of Insp. APRIL 9, 1992
Time start 9:30 end 10:00
C
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 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
Date . March..26 , ..1. 92 .......................
New Construction........... Old Or Pre-existing Building... X ............
Location of Property ...... 60.5..4eeYz.BVenue................. Mal.tituck.....................
House No. Street Hamlet
Onwer or Owners of Property ..... Vir.giDia..C..Adjdlir4.......................................
County Tax Map No 1000, Section ..... 1�4 .....Block .... 7 .......... Lot ... lFF.0................
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $..E v1/ .....................
, I3517 ................................................
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I CONSENT
TO
nt nil nPOT INS PI✓CTION
the undersigned,
yirninia C'_ Parkin ' �
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 605 Reeve Avenue
Matti t,irk which is shown and designated on the Suffolk
County tax map as District 1000, Section �-J.—, Block a, Lot 10
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:
• - - hii i I tj i ..
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 Sou old.
Dated: March 26, 1992
gnature)
(print name
(signature)
(print nacre)
1
T0"'471 OF SOUTHOLD, N. Y.
HOU. I::G CODE INSP-ECTION R::?0RT
Location V
k r;1:11Der be =; Lree C
Subdivision
Name of 0%•jner(s) L �.
0.iunicipaii cy )
Ian No. Lot( )
Occupancy fM��
�tYPe) owner- c:eng )
Admitted by: Accompanied by:
Key available Suffolk Co. Ta:c No.
Source of request
DT. _ELLI�,TG
Type of construction
stories__
Foundation CellarCrawl space_
Total rooms, 1st. F1 2nd. Fl 3rd. F1
Bathrooms) Toilet room(s)
Porch, type#"� 41,q.Deck, type Patio, type
Breeze ray Garage Utility room..,{
Type HeatL-4cdo � '+farm Air F.otwater
Fireplace (s) O{,L No. E;tits__4 A.ircor__dit ' ng
Domestic hotwater yf�5 Type heater
Other
ACCFSSORY STRUCTURES:
Garage, type const. Storage, type const.
SWi=ing pool Guest, type const.
0 they
V ; 0L.4TI011TS : .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks:
Inspected by: Date of Insp. � v
• Time start :30 Ad
R, TOWN OF SOUTHOLD PROPERTY 'RECORD�CARD
x OWNER
STREET (�
VILLAGE
DISTRICT
SUB. LOT
COMM.
✓ E AW I
I IND.
I CB.
I MISC.
FORMER OWNER
N" ..
E
A REAGE
,
S sG.Ad hiG Y►
W- �I _
TYPE OF BUILDING J� 6) /�•
RES.
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
I MISC.
LAND
IMP.
TOTAL
DATE
REMARKS
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G 66
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X500
Z17 !I
AGE ,
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE,/
T•
Farm
Acre
Value Per Acre
Value
Tillable 1
Tillable 2
,
Tillable 3
Woodland
Sw d qYj
IV
�•,Brushland .
House Plot
5,.
x� Toto
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