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HomeMy WebLinkAboutZ-22190FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 22190 Date: 03/11/93 THIS CERTIFIES that the building ONE FAMILY DWELLING (aka 750 Reeve Avenue) Location of Property 1705 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HA~4LET) County Tax Map No. 473889 Section 114 Block 0011 Lot 030 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 OCC~3PANC"fNI~BER Z- 22190 dated PLARCH 11, 1993 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 WITH ACCESSORY GD2RAGE.* 6/25/10 UPDATED FOR ADDRESS CORRECTION ONLY. The certificate is issued to JAMES H PIM & WF (OWNER) of the aforesaid building. SUFFOLK CO~DEP~ OF }~3~THAPPRO~]%L ELEC~RIC3~L C~TIFICATE NO. PL~3%~ERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ture Rev. 1/81 (750 Reeve Avenue) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MATTITUCK NO.: LOT (S) JAMES H PIM & WF DWELLING: ~ OF C~STRUCTION: POST & BEAM WOOD FRAME STONE & BRICK ~ ~T: LILCO GAS ~AXR: HOT~%T~: XXX ~A~: *2 OPERATING/4 NOT, LARGE CLOSETS 1ST FLOOR (~: 1/2 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION AMT. SEC. ~IAT~ ON INSPECTIC~: 03/10/93 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22190 Date MARCH 11~1993 THIS CERTIFIES that the building ONE FAMILY DWFLLING Location of Property 1705 NEW S~'~LK AVE/7~0 REEVE AVEr MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 30 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-22190 dated MARCH 11, 1993 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 WITH ACCESSORY GARAGE * The certificate is issued to JAMES H. PIM & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACMRn INSPECTION REPORT. Rev. 1/81 , N/A +/i~l/ding Inspector BUILDING DEPARTHENT TOIdN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1705 ~ SUFFOLK AVE/705 REEVE AVE., MATTITUCK, NY (nUmber & street) SUBDIVISION NAME OF owIqER (s) JAMES H. PIM & WIPE MAP NO, LOT (s) OCCUFANCY A- ! RESIDENYIAL OWNER ( type ) ADMI~D BY: CONSTANCE PIM KEY AVAILt~E~ SOURCE OF REQUEST: CONST_~JqCE PIM (owner-tenant) ACCOHPANIED BY: SAME SlIFF. CO. TAX MAP NO. 1000-114-11-30 DATE: 3/5/93 DWELLING: TYPE OF CONSTRUCTIONPOS~&I~AMWD~)~ FOUNDATION STONE & BRICK TOTAL ROOMS: IST FLR. BATHROOM (s) 2 PORCH TYPE BREEZEWAY DOHESTIC HOTWATER YES TYPE HEAT LILCO GAS OTHER: 6 2NU PLR. 5 TOILET ROOM (s) DECK, TYPE FIREPLACE 2~lT~li4_l'nqG/4 NOT ~E HEATER LILCOGAS WARHAIR LARGE CLOSETS 1st FLOOR { STORIES 2 { EXITS CELLAR ~ CRAWL SPACE 3RDFLR. ! UTILITY ROOM PATIO, TYPE BRICK GARAGE AIRCONDITIONING HO~ATER xxx ACCESSORY STRUCtuRES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: WOOD FRA~ STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 3/10/93 DATE ON INSPECTION TIME START 9:55AM END 10:20 AM Fo~m No. ~ TOWN OF SOUTHOLD BUILDINC DEPARTHENT TOWN I~LL 765-1802 - 8 Igg3 APPLICATION FOR CERTIFICATE OFi.OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ali 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 C,~pliance from archiuect or engineer r~sponsible for the building. 6. Submifl 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. . ...... ' :. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altera[ion~ to dweliing $25~00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory build_in~ $2~5~0~O._ ~B~u~s~n~e_s~g_~_$~Q_~O~. ~--~p~ ~ Certificate of Occupancy - $5.00 over 5 yea~ - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occopancy - Residential $15.00, Co~ercial $15.00 ew Construction ........... Old Or Pre-existing Building.,..,,.. _~,..?m.:.~.~ .Y ................... , .... .... .......... = .... ..... ..... ocation House No, t ~N~ ~U'ff~;~O~ I'I~FTI r~l~t ' . :unty Tax Map No I000, Section ....... ~...Block ..... t ........ Lot ................... ;bd ivi sion .................................... Filed M,t,p ............ Lo r ...................... :reit No ................ Date Of Permit ................ Applicant ............................. -alth Dept. Approval ................... ; ...... Underwritars Approval ......................... arming Board Approval ........ ~ quest for: Temporary Certificate ........... Final Certicate ........... .S 8-t ~, q'~O".v/ -) , I. 3.16 0.51 CONSENT TO INSPECTION Ox~mer(s) Name(s) do(es) hereby state: , the undersigned. That the undersigned (is) (are) the owner(s) of the premises in the Toxwn of Southold located at is shown and designated on the Suffolk County tax map as District 1000, Section _[lq__, Block II . Lot 30 That the undersigned (has) (have) filed, or caused to be filed, an tion in the Southold To~ Building Inspector's Office for the following: ~ That the unders~ned do(es) hereby giue consent to the Bulldog Inspectors of the Town of Southold to enter upon the aboue described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~cluding inspections to determine that said premises comply with a!l of tb~ laws, ordinances, rutes and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so x~th the knowledge and understanding that any ~nformation obtained in the conduct of such ~nspeet[ons may be used as euidence in subsequent prosecutions for u[o- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) Iprint name) (signature) (print name)