HomeMy WebLinkAboutZ-17132FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17132 Date JULY 28, 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 615 EAST LEGION AVE. MATTITUCK, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 3 Lot 30
Subdivision Filed Map No. Lot No.
conforms substantially to
the requirements for a private one -family dwelling built prior to
APRIL 23, 1957 pursuant to which
Certificate of Occupancy
xxxxxxxxxxxxxxx No. Z-17132 dated JULY 28, 1988
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 ROBERT & PATRICIA PATCHELL
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
CERTIFICATE NO. N
PLUMBERS CERTIFICATION DATED
A'e4l ;Z�
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
T01 -NI OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 615 East Legion Avenue Mattituck, New York
(number & street) (Municipality)
Subdivision Map No. Lot(s)
Name of Owner(s) ROBERT PATCHELL
Occupancy SINGLE ONE FAMILY DWELLING
type owner -tenant
Admitted by: ROBERT PATCHELL Accompanied by: SAME
Key available
No Suffolk Co. Tax No. 122-3-30
Source of request SOUTHOLD SAVINGS BANK
DWELLING:
Date 7/113/88
Type of construction WOOD FRAME #,stories 2
Foundation BLOCK (CEMENT) Cellar 1/2 Crawl space 1/2
Total rooms, 1st. F1 2nd. F1 3rd. F1
Bathroom(s) 2 Toilet room(s) I
Porch, type Deck, type 1 rear Patio, type_
Breezeway Garage Utility room
Type Heat OIL 'alarm Air Hotwater xx
Fireplace(s) 1 No. Exits 3 Airconditioning No
Domestic hotwater SEP Type heater GAS
Other
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool NONE
Other
NONE
Storage, type const
Guest, type const._
ONE
NONE
Remarks:— Home irA good condition
Inspected by: Date of Insp. 7/22/88
GARY F SH -Time start 9:35 end 9:55
ntion
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25
1. Certificate of occupancy New Dwelling $25.
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $ 5 . 00 ,
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00
00 POOLS $25.00 ALTERATION $25.00
00, Accessory,$10.00 Business $50.00
$ 50.00
over 5 years $10.00
Date .... 7.- / L. ^ . ..... .
NewConstruction...... Old or Pre-existing Building Vacant Land .............
Location of Property :�%.SrE /J) ! ZP e,- /o 7/�
House No. l / Sire Hamer
Owner or Owners of Property ���C�` ... ...r/ aT �7�� . L
County Tax Map No. 1000 Section ...0. ........ Block ..3........... Lot. `3d ......... .
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $ .. �,!�.................. . .
Construction on above described building and er it s I sand regulations.
Applicant. ......14C
...................................
Rev. 10-10-78
Ree. 3 5 � is s
Bne Co?_I)I3,�
CONSENT
TO
INSPECTION
%✓�i ��TAO/e//¢
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are)
of Southold located at AAS
=
e LL
the undersigned,
the owner(s) of the premises in the Town
G i�" EST Zee -/v Y✓
which is shown and designated on the Suffolk
County tax map as District 1000, Section /2 Z , Block 3 Lot 30
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:
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 cf 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 regulatio he Town f outhold.
Dated:
(signat rre)j
U"14-%G64c LL
(print name)
(signature)
(print name)
NOTE) I. •=MONUMENT
2.TOTAL AREA :10,887 S.F.
3. SUFFOLK COUNTY TAX MAP
DISTIOOa SECT M SL003 LOTDSO
RRANDIS A SONS. INI'.
SURVEY FOR
ROBERT PATCHELL a PATRICIA PATCHELL
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAM.
R COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL
NOT BE CONSIDERED TO BE A VALID TRUE COPY
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
MENTAL AGENCYAND LENDING INSTITUTION LISTED
HEPEON,AND TO TME ASSIGNEES OF THE LENDING
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS.
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE EPECTION OF FENCES.
DATE NOV. 99 1984
SCALE: IIt = 2d
NO. 84-1194
GUARANTEED TO:
GREENPOINT S KISS & LOAN ASSOCIATION
YOUNG a YOUNG
ALDER W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 45893
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
TOWN OF SOUTHOLD
PitdPERTY
RECORD CARD
00%
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
W -A,
7- 7-/ 7-0 q,
FORMER OWNERN
e
wwx
ACR.
390
SW
14, 6
TYPE OF BUILDING
49,
z
SEAS.
VL.
FAeW
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
4e
7 1-7 1 Q
Y 5?110 6 81,el 0,01AI 1. 11'yle
12 2 13 1 / ?,- ' -1
Y
0
3 00
/7- ZY
////7/7 2 13 0 uVA v & C, IE(1,4" le, Lz 0 f—
4"r Z) 4
v/,j
)I -
"91.)-7 k3t) qw*z - �-J�tGdwtfli*
OAGE
S S a a
UILDING COND
0 d e -
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable I
Tillable 2
Tillable 3
Woodland.
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
House Plot
DEPTH
BULKHEAD
Total
0121
NMI
DOCK
WOMEN
a
■
EMENOMMENOMMOMMENME
mom
i
mom
- - --- - .Orr, ., ..0 • .[ ,. y ...
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location(/r g" u,4,
.G -e, (number & street)
subd
Name of Owner(s)
Occupancy -"A
Admitted by:
3
0
Municipality)
Lot(s) .3 O
k owner --tenant )
Accompanied by:_ AA%,,w�
Key available_ /�/b ^~ ` Suffolk Co. Tax No.
Source of request - Date 3 IkY
DWELLING
Type of construction 4
#stories
Foundation Cellar Crawl space �y
Total rooms, 1st. Fl= 2nd. F1 _3rd. F1
Bathroom(s) Toilet room(s) /
Porch, type Deck, type__ % A tee Patio, type
Breezeway___ Garage Utility room.
Type Heat ''Tarm Air Hotwater
Fireplace(s) f No. Exits Airconditioning Q
Domestic hotwater Type heater Chi
Other
ACCESSORY STRUCTURES:
Garage, type const. ''4UStorage, type const. t9fa.e�
Swimming pool �(/i?� Guest, type const. )t/&^.A--
Other ,
VIOLATIONS• Housing Code, per Cha t 45'N Y a St t U f Prevention
— �niorm
ldina dF
ire
Location
Description
Arta
Sec.
Remarks: