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HomeMy WebLinkAboutZ-24479FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-24479 THIS CERTIFIES that the build Date JULY 3, 1996 ONE FAMILY DWELLING Location of Property 2445 LAUREL WAY (PVT. RD. #18) MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section Subdivision 121 Block 4 Filed Map No. Lot 7.1 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-24479 dated JULY 3, 1996 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 BARBARA B. SAYRE (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. Bu' ding Inspector Rev. 1/81 111111MINC DEVAlt'1'F1EN't' TOWN OF SOUTHOLD HOUSING CODI± INSPN.CTION 1(E1,011T LOCATION: 2445 PRIVATE ROAD 1118 MATTITUCK, N.Y. (number t: rsCreel j _-- (nnnUc�pnI ICY SUHOIVI'S u)N-----------------F1nP No. l.o'T(A)------- NANE, OF OWUltlt (rs) BARBARA SAY" OCCHI'AlWY A -I RES. OWNER ------ (-ypej--------------- -------ow ner- —Ce nen_L7 J--------------..._._ AUHI7"TU) BY! BARBARA SAYRE ACCOMPANIED IIY: KEY AVAl1.Alll.i -- FIAl' NO. 1000-121-4-7.1 SOIIItCI? OF RRQIIES'T: BARBARA SAYRE DATE. JUNE 25, 1996 rfaRi- iris TYPE OF CONSITUCTION WOOD FRAME I STORIES 1-1/2 / ISX1'1'S 3 FOUNDATION CONCRETE CELLAI( POLL GRAW1. SPACE TOI'AI, t(OONS: IS'r PI.R, 2 2ND PLR. 3 310n Fill(. ONE 11'1' 1 I Il'Y ROOM WASHER h DRYER IIA I IIRO(1M (rs) 2 10 1. , 1 ROOFI e PORCH 'I'Yt'F.--_FRONT COVERED—.---------�- IIE(;K, TYPR--------, PATIO----- IIIO-,,rZ.WAY 171RETLACE GARAGE ONE CAR D(IF1R5,11C. 110TWATER YES TYPE IIEATEI( ELEC. d SOLAR At)(CONDI'TIONING TYPE IIIiA'1--_Q-_.--,---_ -- WARN Alit NOTWATEI( 01111i1t: LOWER LEVEL REC. ROOM ACCESSORY STRUCI(11(ES: GARAGE, 'TYPE Or CONST SWIHFIING P001. O'I'l lull CEMENT BLOCK 2 CAR_ 81'ORAGE, 'I'YPR cotrs'r. '---J- GUH.S1',CONS'I'- ---------------------------------------- VLOLA'TLONS: CNAI'7T.R 45 N.Y. STATE1 I1NLIt01(FI 1'111P. VREVRNTION 6 E1111,1)ING CODE. .00AIION UESCIU.1''l'lON ARI. SIiC, REHARK S : BP 14772 - CO Z-4499 - ------ -- -- -- — --- — - -- - -- — -- - --- -- - — -- 1NSPEc:rliD Rv --�// DATE or IN,PEc"rroFl JULY 1, 1996 -- ----"moi -- GARY SH I'IFIE S'I'Alt't' 10: 15 ENO --10:35 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: I. 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. C. 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 Buildine - $100 00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1.5.00, Commercial $15.00 Date New Construction........... Old O�rf�,Pre-existing Building �.F...!��............ I Location of Property...... �yI. ....... : C W.. ! :it e44 �tc�. { �d�.... /)I ...... House No. Street LL Hamlet Onwer or Owners of Property....!3gle.... ...5 .1` ..................................... County Tax Map No 1000, Section ..... !..... Block ....... i ....... Lot ........ `../.......... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final. Certicate........... Fee Submitted: $14,4. •. Q40 ............... I�R,JL< • s ►s6 ��_:?_(ygVI .......yam.. ... ...... ......... APPLICANT CON,9E NT TO INSPECTION .5kY2 6 Owner(s) n'ame(s do(es) hereby state: the undersigned, That the undersigned (is) (a/re) the owner(s) of the premises in the Town of nSouthold located attold c\att 4, Czd�[ '( IV j which is shown and designated on the Suffolk ��JJ County tax: map as District 1000, Section_, Block 4 , Lot %,/ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Toxin 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 kno:cledge 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) BARa,M.Q- a- Ekto?r (print name) (signature print name) r .TOWN OF SOUTHOLD PROPERTY RECORD CARD ,4 _ OWNER STREET _ = 1 VILLAGE DIST. SUB. LOT rpr- FORMER OWNER 1%t N E c, ACR. - S W I � ML�C�o/ei -a Hc.I TYPE OF BUILDING - - RES. 20 j LAND SEAS. IMP. VL. TOTAL FARM DATE COMM. CB. MICS. Mkt. Value REMARKS ' J i L-) beY j ,J e I _ I _ -AG E BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Viable FRONTAGE ON WATER Woodland ! FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD otI Total DOCK n 1V%. Diag. Extension Extension /s'� / n ��'� - e'� 9 I 2 I I 1 I � .3.—ic 27�n � I Extension rs-N,K� Al j7 Foundation Bath Dinette Porch i Basement Floors CCK j K. Porch r�`� i1 X y �z ; 5L !~ 'Ext. Walls az_ w s i�. Interior Finish s, �- LR. Breezeway j jFire Place Heat DR. Garage ! 5` .� i� B �.� - jType Roof 4 �r <' Rooms 1st Floor BR. Patio !Recreation Room Rooms 2nd Floor FIN. B 0. B. bormer j Driveway Total- � I ✓ I i I i ,40. SA — L 3 LJi�: Ai f�14,�'� ,._;.. `•�V'�/"moi �.iC Mt�,J il..�...w fr ,J �t. W CONGR, Pty Qj �i i' !% 6FOQY !F'Q i1LCG', d LJi�: Ai f�14,�'� ,._;.. `•�V'�/"moi �.iC Mt�,J il..�...w fr ,J �t. W i, Qj �i i' �3 ONE Dri. , C I, U) , Ir . s 1 LJi�: Ai f�14,�'� ,._;.. `•�V'�/"moi �.iC Mt�,J il..�...w fr ,J �t. W UnswilhedeeAeller— Mt to Oft survey b s sbYtlee d Section 7208 of Ifie fele lbrkay8 Education Lees. Copies of this survey map not bell the tend surveyors hoed Mal or embossed seal shall not be conddand to be a valid true copy. G.amnteos indicated hereon eha0 w ONY M1: the person for whom the survey C Fr -,.ion his behalfto dre :-matentatagancyind s: -,d hereon and ,o lending Ies14 are not transferable - ..-:.miiwls w sabNQuard W ers �J t- E t � Y ASC f1 M i' I CCU ` 7,1 _—..-- . _ __... _ TITLE J�4 ;ZH95-1139 St1t�V�.YEO�F�6 26, t MAP AMt iW[) - NCYN.9 1%5 JAN,8,0�96 GU2&ufTffP.. �'_ of P GKVq,V�GO9 wC fir Ar m o� _ SAND J� LIC LANG, :UkVf `l��C� - .: f�twf htf='Cit;.'!,�la�_ fry.-. i, �i i' UnswilhedeeAeller— Mt to Oft survey b s sbYtlee d Section 7208 of Ifie fele lbrkay8 Education Lees. Copies of this survey map not bell the tend surveyors hoed Mal or embossed seal shall not be conddand to be a valid true copy. G.amnteos indicated hereon eha0 w ONY M1: the person for whom the survey C Fr -,.ion his behalfto dre :-matentatagancyind s: -,d hereon and ,o lending Ies14 are not transferable - ..-:.miiwls w sabNQuard W ers �J t- E t � Y ASC f1 M i' I CCU ` 7,1 _—..-- . _ __... _ TITLE J�4 ;ZH95-1139 St1t�V�.YEO�F�6 26, t MAP AMt iW[) - NCYN.9 1%5 JAN,8,0�96 GU2&ufTffP.. �'_ of P GKVq,V�GO9 wC fir Ar m o� _ SAND J� LIC LANG, :UkVf `l��C� - .: f�twf htf='Cit;.'!,�la�_ fry.-. BUILDING DEPARPME-NT TOWN OF SOUTHOLD HOUSING CODE INSPIiCTION REPORT LOCATION: number h street SUBDIVISION NAME OF OWNER (s) OCCUPA HA I' NO mu�xicipality LOT NCY jv I f -lLj' type) (�` — (owner—tenant) ADMIT—FED BY: VI ACCOaPANIEI) BY: KEY AVAILABLE SIIFF. CO_ TAX MAP NO SOUr,;:,-. OF REQUEST: DWELLING: TYPE OF CONSTRUCTION /. FOUNDATION • STORIES � � 0 EMITS - CELLAR CRAI-IL SPACE TOTAL ROOMS: IST FLR. 2ND FLR_ `j 3RD FLR- BATHROOM (s) � � TOILET ROOH (s) a�w_ UTILITY ROOM PORCH TYPE �,Q � �,z DECK, TYPE PATIO, TYPE -� BREEZEWAY ------- FIREPLACE (%nom DOMESTIC HOTWATER kf TYPE BEAT GARAGE V -'Q uc, TYPE HEATER LA,4. AIRCONDITIONING_ - WARti AIR ROIT-IATER .� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWU[MING POOL GUEST, . TYPE CONST. OTHER: VIOLATIOINS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION REMARKS: IJr� INSPECTED BY: DESCRIPTION ART. I SEC. UA'I•I: ONtop IP1.`iPECI'ION TIME START