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Home My WebLink AboutZ-26115FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26115 Date: 11/17/98 THIS CERTIFIES that the building DWELLING Location of Property 330 EAST LEGION AVE MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 143 Block 0004 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- 26115 dated NOVEMBER 17, 1998 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 * (HAMLET) Lot 007 The certificate is issued to WILLIAM F & EVELYN RAYNOR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 *PLEASE SEE ATTACHED INSPECTION RE~ Building Inspec~r BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 330 EAST LEGION AVE MATTITUCK SUBDIVISION: MAP NO.: __ NAME OF OWNER (S): WILLIAM F & EVELYN RAYNOR LOT (S) -- OCCUPANCY: SINGLE FAMILY WILLIAM F & EVELYN RAYNOR ADMITTED BY: BILL RAYNOR ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 143.-4-7 SOURCE OF REQUEST: WM. RAYNOR - 9/18/95 DATE: 11/17/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROOMS: 1ST FLR.: _~ BATHROOM(S): 1.0 PORCH TYPE: ENCLOSED NO HEAT BREEZEWAY: DOMESTIC HOTWATER: ~X TYPE HEAT: GAS 2ND FLR.: _~ TOILET ROOM(S): DECK TYPE: NONE FIREPLACE: TYPE HEATER: ELECTRIC WARM AIR: XX HOTWATER: OTHER: ~ILCO DOOR TO PIT # STORIES: 1.0 # EXITS: ~ CELLAR: pit CRAWL SPACE: 3RD FLR.: __~ UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: ~CCESSORY STRUCTURE~ GARAGE, TYPE OF CONST.: SWI~94ING POOL: OTHER: NONE STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE LOCATION DESCRIPTION , ~T, REMARKS: BP #25333-Z-'~O Z-26114 (ACCESSORY SHED) M. BOUFIS TIME START: 10:20 A~ END: 10:40 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-[802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo 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 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 Underwritersl 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 buildi~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ ~uildings an Vpre-existing" land uses: 1. Accurate survey of property showing ail 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 . 1. Certificate of Occupancy~/~-~ dwelling $25.00, Additions to dwelling $25.0Q,~ Alterations to dwelling~$25.00~Sw~mming pool $25.00; AcCessory building Additions to accessory bui~l~g $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - , 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .............................. New Construction ........... Old Or Pre-existing Building ..... ~ ......... Location of Property... ~0....~.457...~.6.]~. ~.. A~..~..~...~?].~.~.t~..~....~... House No. Street ~ml et IOiLLIA~ ~ ~LV~ Onwer or Owners of Property ................................................................ 7 County Tax Map No 1000, Section. ~ .Block.. ~ .Lot ........... '~. Subdivision .................................... Filed Map ............ Lot ........... ff'..' ...... Permit No ................ Date Of Permit ................ Applicant ................... <.? ..... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ,S5 10 I1. 0 0 CONSENT TO INSPECTION , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at · which is shown and designated on the Suffolk County tax map as District 1000, Section [~3 , Block q , Lot ~] 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 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 regulations of the Town of Southold. Dated: . (signature) iJ31LL, I A~4 (print name) (pst~t name)