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Home My WebLink AboutZ-19080No Z-19080 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date MAY 25, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1340 BUNGALOW LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 02 Lot 17.2 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19080 dated MAY 25, 1990 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 * The certificate is issued to FRANKLIN SCHOLL, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Bu' din Ins ector Rev. 1/81 BUILDI:•;G DEPART.'•IEiiT T0JN OF SOUTHOLD, N. Y. HOUSIiG CODE INSPECTION REPORT Location 1340 BUNGALOW LANE MATTITUCK, N.Y. knumoer do street) Municipality) Subdivision clap No. Lot(s) Name of Owner(s) FRANKLIN SCROLL, Jit. Occupancy RESIDENTIAL OWNER (type) owner -tenant Admitted by: ONER Accompanied by: SAME Key available, Suffolk Co. Tax No. 123-2-17.2 Source of request OWNER Date D.TEL LING: 5/22/90 Type of construction FRAME #stories 1 Foundation CEMENT BLOCK Cellar %% Crawl space Total rooms, 1st. F1 6 2nd. F1 ` ` 3rd. F1 - - Bathroom(s) 1 Toilet room(s) 1 Porch, type - - Deck, type - Patio, type Breezeway ` ` Garage - - Utility room - - Type Heat OIL Warm AirfMCE .Hotwater - - Fireplace(s) ` - No. Exits 2 Airconditioning Domestic hotwater x Type heater ELECTRIC Other 3 ROOMS IN CELLAR CRON—HABITABLE) ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const._ Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Remarks: Inspected by�JDate of Insp. MAY 22, 1990 TaoMA J. aER Time start 4:25 end 4:45 n G-#Olr 7,2-�— 030 7 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i MAY 1 7 1990 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. 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 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 ... M.iy...4..(?..0...�.�9t?................ New Construction ........... Old Or Pre-existing Building .f - .)........... Location of Property... J._&q9......... [ - �0: ....,,G�K*........�i.,...... House No. Street t / Hamlet Onwer or Owners of Property...... poo) �-N....K'..�5..�1 ,:I i. t ... ;S[ ................... County Tax Map No 1000, Section... �': �..... Block .....cu..Z ......Lot...... : 2 :......... Subdivision....................................Filed Map ............ Lot ...................... J� Q Permit No................Date Of Permit................ Applicant.. gm .`s.Y1..J� kW C.- Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate... J:...... Fee Submitted: $.....1 /Pp .0 �. . c �'. C.. ........ APPLICANT � ev � 99cgC) -TOWN '. OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT I IND. CB. misc. Est. Mkt. Value LAND IMP. FORMER OWNER N 1 E ACREAGE L (nQ . 4rl c) -s S 1W TYPE OF BUILDING RES. SEAS. VL. FARM comm. I IND. CB. misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS EARTIAL! L (nQ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland House Plot Total -1 4 >♦ id4 �D�y `� v�-� ' •MSM 1 +K�*� � ♦ ,tee r- r A. Bldg. 3 F .. W. J �yl.. u { r < xtension Basement I Floors W4 xtension Ext. Walls FSS �h e A� Interior Finisha27 a f xtension ar. '' Fire Place * :0 _I a. Porch r ,A ' ` E Porch A. Bldg. 3 F .. Foundation C. g Bath xtension Basement !� Floors 2 xtension Ext. Walls FSS �h e A� Interior Finisha27 k xtension ar. '' Fire Place * :0 Heat Porch Roof Type I ,A ' ` E Porch Rooms 1st Floor reezeway r. Patio Rooms 2nd Floor arage c Driveway Dormer �. B. Owner(s) Namels do(es) hereby state: 5 r M CONSENT TO INSPECTION ) TO? . �.._._ O l c )T the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at p C4 C-1 C4 r �� , which is shown and designated on the Suffolk County tax map as District 1000, Section J )� Block Q -.- , Lot ID 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: 190 (signature) (print name) (signature) (print name) N/O/F w PHILIP g� SCHOOL Gf O O 2 N88•a7'""E CEN TER S TREE T C Z N/O/F WILLIAM P. SCHOLL Jrt° MW O N sroma� s?. Aqomm ?*- 30.4' i. a � MOM I STORY 4. ' n FRAME d j r 116i' 'L' COV&S S� � CW " NpUBE m l N 4 0M 26.6' .00W COR 57♦IiiW F� .n,;r l - RA�. F �.P.B'N F .Of — — — ua ?70.80' M N/O/F I II EDWARD R. i N/O/F WILLIAM LAWRENCE ANN KNUDSEN iTOa FE� 1.118 N/O/F JOHN A. & DIANA SHELL Y PRIZEMAN ��588 O. ry N/O/F JANE STUBELEK & BRIAN STUEBELEK I I SUR VE Y OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 123 - 02 - 17.2 Scale 1" = 30' May 3, 1990 .&0. CERTIFIED TO: SUFFOLK COUNTY NATIONAL BANK FRANKLIN A. SCHOLL Jr. PARK AVENUE spared in aaoordaws wkk On whafimm standrds /or me* survys as 06-0"M- br tM LJ.A.L.SL evavod and tad fir a" "I #),IW w Yank StMO and Tills AssooANOWL .S. L/C. NO. 40888 m Y. M71 9n - ion Z3 oz i� Location Subdivision BUILDI',,:G DEPARTI-LENT TO41\1 OF SOUTHOLD, N. Y. HOUSIi3G CODE INSPECTION REPORT (number & stree Munic al'ty) Name of Owner(s) .lap No. Lot(s)_ Occupancy (type) owner --tenant Adimitted by: aw/-1 Accompanied by: Key available Suffolk Co. Tax No. /2 3--a2�/Z2- Source 72Source of request !� Date LS 2•L %� DWELLING: Type of construction �/I #stories Foundation �,�,J/ Cellar Crawl space Total rooms, lst. Fl 2nd. Fl -- 3rd. Fl Bathroom(s) / Toilet room(s) / Porch, type Deck, type Patio, type_ .. Breezeway Garage �- Utility room Type Heat � darm Air otwater Fireplace (s) No. Exits Aircon itioni ng --� Domestic hotwat er Type heater 457-.1 Other .�s� .� ,.� �� , %,��_ _ 12 /%P "A d ACCESSORY STRUCTURES: Garage, type con Storage, type const. �— Swimming pool Guest, type const. �--- Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE . - Remarks: Inspected tg—'-. Date of Insp. , -- Time start ' Z6" end