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Home My WebLink AboutZ-21123FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21123 Date OCTOBER 30, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 175 CEDAR DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 11 Lot 2 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-21123 dated OCTOBER 30, 1992 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 WOOD FRAME GARAGE The certificate is issued to NORMAN A. & DONALD C. REILLY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Build ?/1 ingpectOr Rev. 1/81 EjU- _ LrJ� .'J ^. .il TO'.,-,[ OF :=T:iOLD, N. Y. YGU I::G CC. Iiia?��TIOi1 11� C_T Locution 175 CEDAR DRIVE MATTITDCK, N.Y. Subdivision Mo. Lots) Name of Owner(4) NORMAN A. REILLY & ANO=- Occupancy 1 FAMILY DWELLING OWNER ( VACANT ) (typo) -(o:,ner-f_cnanz) Adnitted by: NORMAN A. REILLY Accompanied by: SAME Key available Suffolk Co. Tax No. 106-11-2 Source of request NORMAN A. REILLY Dete OCT. 28, 1992 DITEL L,IHG: -Type of construction FRAME ;;'stories 1 Foundation BLOCK (MASONARY) Cellar 50 Crawl spaces Total rooms , . 1st. Fl 5 2nd. Fl 3rd . Fl Bathroo-i(s)1 Toilet room(s) 1 Porch, type FLAGSTONE Deck, type Patio, type I Breezea:ay Garage- Utility rood Type Heat OIL Harm, Air Hot:•Iatar XX Fireplaces) 1 No. E::its 2 A.irconditicnirg hotwater Demes+sic ho+.ia+er XX Type heater ELECTRIC Other AC^-ccC •r STRUT&?TRFS Ga_raoe, type const. WOOD FRAME Storage, type const. Swi.:ling pool Guest, type const. Other _. V=OLA.TICHS : ClIAPTER 45--N.Y. STATE UNIFORM FIIUi PREVENTION S I;UILDING CODE Lncati on DPscrioti on Art...) Sec. BXT.GARAGE (HOLES IN ROOF A WALLS ROOFS SHALL BE MAINTAINEDI 11242.5 Time IN A WATERTIGHT CONDITION. EXTERIOR WALLS end BE MAINTAINED. I I Remar':s: In ,reefed Datc of Insp. OCT. 30, 1992 Time start 9:25 end 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY W A. 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.' B. 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, 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-existing Building - $100.00 3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..��t� G�,/ ........................ few Construction........... Old Or Pre-existing Building.. ........ K; 7V ocation of Property:.. Z.? ................. C;;��.� !?!� .. ``�� Y lam:....... f %3. �. [�. iJ" House No. �] Street Hamlet nwer or Owners of Property .... �Uvni .K1tq AJ. .�....�:..��.iv,A,�; ti,�,<, ,%�;=,I.-, l ..... ounty Tax Map No 1000, Section....,1.� �.... Block .... ..........Lot. ,.. ..... ubdiviaion.R)1477_A C V:...Filed Map ............ Lot ...................... ermit No................Date Of Permit ................ Applicant ............................. ealth Dept. Approval ...................... ..Underwriters Approval...... .................. tanning Board Approval ........................ aquest for: Temporary Certificate........... Final Certicate........... 'e Submitted:$......� : .(............. /� �� .� : . 6�4 C 0 L4 SC�Io .. .. APPLICANT .. .. .. • . CONSENT TO I,N--v)cC'riON U/('rh/�lV'1)ditj4L� � j{�C�/�y� thr, und(,rsi�nc,d, Uivncrts) Name(;;) do(es) hereby state: That the undersigned (is) (arc) -the owners) of the promisor; in the Torm Of Southold located at ;Z;� r e /) q PMATT I% L, C %<� �U j which is shown and desirrn,ated on the Sullolk County tax map as District 1000, Section . i3locic / I, at That the undersigned (has) (leave) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the follo .-ing: / >(/ST/NG` 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, includ_i_n- inspcctions to determine that said premises comply with all of the lags-, ordina^ccs, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the kr.o•.^ledge and understanding; that any info: mation 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: D 'Z 2 _ (sibnature) (print nalne) (SignatuL'e) print name) n /f%rm nn/ A C - IEW AVE BAY . N 7a5 8545' i J °° 1 cyh� s 00 i gam% .� A. ;(tN ~', -� \ h' .o i 8 ny / 9• 00 a �e 01 o° \\ Ut$i�/ R5� g0. 'ERTIFIED TO+ 41 EDWARD J. CASSIDY e DEBORAH E. CASSIDY HARTFORD FUNDING, L TD. 'A0° za 10 IREA = 32,309 sq ft. \ \ SURVEY OF L O ITS 20 thru 23 incl. MAP OF PROPERTY OF MA TnTuCK DEVEZOIPA&W COMPANY IMC FM M4 Y j9= fW MQ 7M A T MA TTI TUCK TOWN OF SOU THOLD SUFFOLK COUNTY, N. Y. 1000-106-11- 1,2&3 Scale: 1" -30' Oct. 21, 1992 Prepared in accordance with the minimum standards for title surveys as established by the L.I.A.L.S. and gpproved and adopted for such use by The New York State Land Title Association. "! 2 83Z a.9 } 7d �� )'N. .S. LIC. NO. 496/8 P P.C. (5/ r P. O. d? MAIN SOUTHOLD, N.Y. 11971 FUL _. _.1T TO',-,[ CF :ICUT:TOLD, H. Y. f:CL'.I::C CC.r,F, Iii.;F�CT I0:1 Z T Loci Lion Subdivisi Name of Owner(4) Wg4.-.*y7,j a A /4i�/�.,-- Occupancy te l -,Oype �o.mer-yen: n Ad•:�itted b ACCCMpanicd by: Key available Suffolk Co. Ta:, r1o. Source of request Dat; MTEL L IT �!G : Type of construct, on 4- 'C - Foundation „oriesCellar -�- Crawl space cid Total rooms, . 1st. Fl c3"' 2nd. Fl 3rd. Fl ,--- Bathroom(s) Toilet room(s) f Porcz,y1� � e� t Deck type, T•r Patio, type Breez ew a a "--- Y G rave �---` Utility coon Type Heat Warm Air � Ho �:•�ater Fi: eplac e (s) No. F -c 1--- Dcmestic hotwater- 1&� Type heater Other ACC=SSC=Y STRUCr,,�F J Garage, type cons;..el-I Z tors�e, type const. Scri:.r li no pool Guest, type const. 0.8- Cher V=OLATIOi`1S : CIIAPTER 45--N.Y. STATE UNIFOIM FIRI: PRLVENTION & BUILDING CODE In:,pccted by ✓ _Da�3 te of Inzp. /o v -Time start 'z(3' end'r19