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Home My WebLink AboutZ-23059FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICAT~ OF OCCUPANCY No Z-23059 Date JUNE 24, 1994 THIS CERTIFIES that the building Location of Property 6175 SOUND AVEI~uE House No. County Tax Map No. 1000 Section 121 Subdivision ONE FAMILY D~LLING MATTITUCK, N.Y. Street Block I Lot 4.3 Filed Map No. Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23059 dated JUNE 24, 1994 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 FOUR ACCESSORY STORAGE BUILDINGS * The certificate is issued to JOSEPH & T.~ PUF~. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PT~ASE SEE ATTA~D INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTI~NT TOiilq OF SOUTflOLD HOUSING CODE INSPECTION REPORT LOCATION: 6175 SOIINDAVEITOE (number & street) SUBDIVISION HAP NO. NAI4E OF ONNER (s) JOSEPH PUFAItL & I.~K PUFAIIL NATTITUCK, HE, YORK (nunicipality) LOT(s) OCCUPANCY A-i RES. (type) ADMI'rrED BY: LEE PUFAm. KEY AVAILABLE SOURCE OF REQUEST: LEE PUFAItL (o~ner-tenant) ACCONPANIED BY: SAHE SUFF.CO. TAX HAP NO. 1000-m21-1-4.3 DATE: ~ 6, 1994 DI4ELLING: TYPE OF CONSTRUCTION FOUNDATION BRICK TOTAL ROONS: BATHRO0~ (s) PORCH T¥~E COVERED BREEZEWAY NO DOHESTIC HOT~/ATER TYPE HEAT OIL OTHER: ~OOD FRANE CELLAR I ST FLR. 6 21qD FLR. 4 2 TOILET ROOH (s) BECK, TYPE FIREPLACE 3 YES TYPE HEATER OIL I~AR~ AIR XX PANTRY OFF KITCHEN, I~ALK IN CLOSET 2ND FLOOR ~ STORIES 2-1/2 ~ EXITS PARTIAL CRAI~L SPACE 3lin FLR. OTILII~ ROOli PATIO SLATE GARAGE AIRC0NDITIONING HOTV/ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~/12~IING POOL OT~ER: STORAGE, TYPE CONST. , GUEST, TYFE CONST. 4 STORAGE BUILDINGS VIOLATIONS: CHAPTER 45 N.Y. STATE I~IFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION 6/16/94 & 7/18/94 TI~E START 10:20 AN ERD !1:05 AN Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 i. 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-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 June 6, 1994 Date ......................................... New Construction ........... Old Or Pre-existing Building .... ~ ........... Location of Property... ~qq~ .A.¥~D.~.M~$~c~ ~. ~.~... ~TM#. ~QOr2~lvl~4. O~ ..... House No. Street Hamlet Joseph Pufahl and Lee Pufahl Onwer or Owners of Property .................................................................. County Tax Map No 1000, Section. 121 .Block. 1 .Lot.. 004.003 Subdivision .................................. Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cg~ticate.../. Fee~-~~Submitted: ~/1. .0 .0...0. 0. ............... .''i...~.~,~ ~ f .~ ~ ~_~ CONSENT TO INSPECTION LEE PUFAHL , Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Sound Avenue, i~attituck · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section 121 , Block 01 , Lot 004.002~ 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: ~ Pre-existing letter 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 re 'own of Southold. Dated: 6/6/94 LEE ~ (print~me) (signature) (print name)