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HomeMy WebLinkAboutZ-23471FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23471 Date JANUARY 25, 1995 THIS CERTIFIES that the buildin~ Location of Property 11600 SOUND AVENUE House No. Street County Tax Map No. 1000 Section 141 Block 3 Subdivision Filed Map No. OWE FAMILY DWELLING MATTITUCK, N.Y. Hamlet Lot 45.2 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-2347! dated JANUARY 25, 1995 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 MATTIE SII~4ONS (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 ATTAc~D INSPECTION REPORT. ~BuiSding fnspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOU'rHOLD HOUSING CODE INSPECTION REPORT LOCATION: 11600 SOUND AVENUE (number & street) SUBDIVISION NAME OF OWNER (s) MATTIE SII~fONS MAP NO. MATTITUCK, N.Y. (municipality) LOT(s) OCCUPANCY (t~pe) ADMll~rED BY: TENANT KEY AVAILABLE SOURCE OF REQUEST: HATTIE SII~IONS (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX MAP NO. ]OOu--I~I--~--~.~ DATE: JAN. 10, 1995 DWELLING: TYFE OF CONSTRUCTION FOUNDATION BLOCK TOTAL ROOMS: BATRROO~ (s) PORCH TYPE BREEZENAY DOHESTIC HOT~ATER YES TYPE ItEAT KEROSENE ItEATER OTItER: ~00D FRAME [ STORIES CELLAR PARTIAL CRAWL SPACE IST FLR. 4 2ND FLR. 2 3RD FLR. ONE TOILET ROOM (s) 6x14 OFF REAR OF HOUSE. BECK, TYPE FIREPLACE NO TYFE HEATER LILCO WARM AIR 2 ~ EXITS 2 UTILITY ROON PATIO GARAGE AIRCONDITIONING HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CliP. PI'ER 45 N.Y. STATE UNIFOR}iFIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BATHROOM CEILINGS· WAI~.S, FLOORS, SHALL BE MAINTAINED IN A N.Y.C.]t.R. SAFE AND SOUND CONDITION. 1242.7 (c) REMARKS: LILCO WAS CONTACTED BY PHONE JAN. 13, 1995 AND NOTIFIED OF A POSSIBLE GAS LEAK. TUEYRESOPONDEHANDFIXED 'rmi PROBI.F~fS. INSPECTED BY FISH DATE OF INSPECTION JAN. 13, 1995 TIME START 9:10 AM END 9:35 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 December 20, 1994 Date ......................................... New Construction ........... Old Or Pre-existing Building .... X. ............ Location of Property .... .1.1.6.0.0...S.o.u.n.d...Ay.e.n.u..e.,..M..a.tAi. t..u.c.k' .................................. House No. Street Hamlet Onwer or Owners of Property ..... .M.a.t..t.i.e..S.i..m.m.o.n.s. ............................................ County Tax Map No 1000, Section....~.4x-.q9 .... Block...9.3.-.q©. ....... not..O..4.5.'.O.O..2 ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ X Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ 100.00 ~ LO ~-~7~ APPLICANT Mattie Simmons soUND -?'6.1 ~7 5t ' u O'N. -~7;20 2 99.80' ,53,30- W. ~ s. ING'~ ~ NIOIF A~wAY' /' AI~EA = 19,600 Scl. ft. SUI~VEY OF PR O PER T Y A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. K 1000 - 141- 05- 45.2 Scale.. 1" = 40' Jan. 4, 1995 ~-TO'O,4 TE~,4#~ NOT ~t (:~ FI~TH TH~ LA[ P. O. 8OX 909' MAIN ROAD SOUTHOLD, N. Y. 95- 101 496/8 CONSENT TO INSPECTION Mattie Simmons · the undersigned, Ox%met(s) Name(s) do(es) hereby state: That the undersigned (is) (X~UDi the owner(s) of the pr~rnises in the To~rn of Southotd located at 11600 Sound Avenue, Mattituck, NY 11952 · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section 141.0~DBlock 03.00, Lot 045.002 That the undersigned (has) (Xh~X~ filed, or caused to be filed, :an applica- tion in the Southold Town Building Inspector's Office for the following: __ Pre-existing one-family residence (2 story frame house) 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 nece_ssary 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 cf 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: December 20, 1994 /% (signature) Mattie Simmons (print name) (signature) (print name)