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)