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Home My WebLink AboutZ-20993TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-20993 THIS CERTIFIES that the PRE EXISTING FICATE OF OCCUPANCY Date SEPTEMBER 10, 1992 ONE FAMILY DWELLING Location of Property 1435 PARR AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 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-20993 dated SEPTEMBER 10 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 ATTACHED TWO CAR GARAGE The certificate is issued to CLARA J. SAMMIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. MM ,/ / //TO Rev. 1/81 TO'. -,-LI OF SCUT 170LD, N. Y. ECU -71::G CCD IiIJ�_CTIC;I i��?G;.T Loc --tion 1435 PARK AVENUE MATTITUCK, N.Y. �r;c,:.ocr cc � �: ee � � ��•iu:,�cipa11 �y 1 Subdivision Mau No. Lot(5) Name of owner(z) CLARA J. SAMMIS 1 FAMILY (TENANT) VACANT Occupancy (type) owner- Lenanz ) Admitted by: CLARA SM -941S Accompanied by: SAME Key available Source of request D' : ELLING : Suffolk Co. Ta:c No. 1000-123-2-30 CLARA J. SAMMIS (GARY OLSEN, ATTYbato 8/26/92 Type of construction FRAME x4stories 1-1/2 Foundation CEMENT BLOCK Cellar 957- Crawl space 5z Total rooms, lst. Fl 5 2nd. F1 2 3rd. Fl Bathroom(s) 1 Toilet rooms) Porch, type Deck, type Patio, type_BLUESTONE Breezeway xx Garage 2 CAR Utility room Type Heat OIL Warm Air II Hot:•iater Fireplaces) 1 No. Exits 2 A.ircor_diticning Domestic hotwater xx Type heater OIL Other ACC-SSORY STnTJCT nES : Garage, type const._ Swir.mino pool Other SPLIT RAIL FENCE Storage, type const. Guest, type const._ V=OLATIONS: C11APTER 45--N.Y. STATE UNIFORM FIRE PRL•'VENTION 6 BUILDING CODE Lneation Descrin':ion IArt.I Sec. PROVIDE ASH PIT (FIRE PLACE) COVER 1� I 1 � � Remar'cs : BP __#791 Inspected Z-471 Date of InSp. SEPT. 3, 1992 • Time start 9:05 end 9:25 FORM NO. 6 TOWN OF SOUTHOLD Building Department 4_. Town Hall . Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m amew am to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. h. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. S. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming users, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5 . Updated C .O. $..50.00 Date .. August .. 1992 . , . . New Construction......OldorPre-existing Building K........... Vacant Land ............. Location of Property .. ...1.4.35. Park. A I?nljl?. I ........... ....................... . House No. Strout Banda; Owner or Owners of Property ..Clara, J; , Sammi s . County Tax Map No. 1000 Section ........... Block .?............. Lot . ,30 .. . . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval .................. ....Labor Dept. Approval ........................ Underwriters Approval ..................... . .Planning Board Appr6val ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ . JW e PP.. •................... . Construction on above described building and permit me s' • I aaf I e co/des and regulations. Applicant. . . % `? ..... .......... . 6ary 1t -f riner,t31`sen, Esq: Rev. 10•10•7e P. 0. Box 706 Cutchogue, NY 11935 0,e.4L4'? Lt Ott cd zt a 0 7 9 3 St GS} - L, CONSENT TO INSPECTION Clara J. Sammis 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 1435 Park Avenue, Mattituck, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 123 Block 2 Lot 30 I That the undersigned (has) (have) filed, 'or caused to be filed. an applica- tion in -the Southold Town Buiiaing inspecw� •a orf!�� for +ho fnllowing: 1 1/2 story frame house and garage 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: August 25, 1992 ez"Vwl- ,Ly• (s' nature) -t e:o,fr SEP - I Clara J. Sammis (print name) (signature) (print name) N M. WICKHAM M PARK AVE. I - dl3 MAP OF PROPERTY SURVEYED FOR JOHN C. SAMMIS AND CLARA S. SAMMIS AT MAT—FI—FUCK SUF7FOLK CO., N.Y. n INDICATES CONCRETE MONUMENT GUAIZANTEED TO V—WEI HE_AO SAVlN65 BANK, VETEvAN$ ADcAINIST(Z.ATION, WiD GUARrN-t'EED TITLE MORTGAGE CO. , As SuevEYED tb, 19ss . OT'Co W. VAN TUYL L SON 2, v cs� T ---a LICENSED LAND S VQYEYOR-5 G R.EL'NYO�T, N. Y. s �- u - y TOWN OF SOUTHOLD r r RECORD _ D V OWNER STREET VILLAGE DISTRICT SUB. LOT ^ OWNER N S r E i ACREAGE f W TYPE OF BUILDING `ZES. 1' :';! SEAS. VL. FARM COMM. IND. I CB, I MISC. LAND IMP. TOTAL DATE REMARKS 5: 00�00;� YJ AGE BUILDING CON TION BELOW Value Per Acre " ABOVE Value NEW NORMAL Acre -- ----------- )Q o Farm billable 1 Tillable 2 `-illable 3 ^fcodland )wampland , rushlan(l House Plot M. Bldg. I , , - - - - - - - - - - - - T - Extension Extension Extension . F, Foundation Y 2, Basement q?Ext. Walls --- Fire Place Porch Porch Breezeway Patio Garage Driveway 0. B. Bath Floors Interior Finish Heat 4( Attic Rooms Ist Floor Rooms 2nd Floor L - - - - - - - ------------ - - - - - - r Foundation Y 2, Basement q?Ext. Walls --- Fire Place Porch Porch Breezeway Patio Garage Driveway 0. B. Bath Floors Interior Finish Heat 4( Attic Rooms Ist Floor Rooms 2nd Floor L BUIL_"`::.. DD? .,T:._:iT TO ,T[ OF 3CUTHOLD, H. Y. HOUSI::G CODS INSPECTION EZD OiT Location /13,C L!< s zreec) Subdivision Man No. Name of Owner(z Occupancy t'I ) Ad,:�itted by: Q� Key available Source of reques A �i•tu..�c,ipall y) Lot(3) o�:mer- uen nZ J w Accompanied by: Suffolk Co. Tax No. Date D— ELLTNG : ,Type. of construction ;,stories � Foundation Cellar Crawl space Total. rooms, lst. F1 2nd. Fl •y 3rd. F1 Bathroom(s) / Toilet room(s) Porch, type Deck 2 type Patio, type Breezeway Garage- onC Cam, Utility room Type Heat,D '�Tarm Air F-5-re-place(s) Ho viater No . E:cits Aircor_ditioni r? -D Domestic hot:water �� Type heater Otter ACCFSSO`r ST??UCTTJR_'S : Garage, type const._ Swi,;, 5 ng pool Other Storage, typeconst. Guest, type const. /�2_ V! OL.4TIOCIIAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION, BUILDING CODE DPscrirtion Remar'cs In:,pccted 1 Date of Inep. lme start d end �S