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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: