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Home My WebLink AboutZ-26314FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26314 Date: 03/03/99 THIS CERTIFIES that the building DWELLING Location of Property 400 INLET DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 0003 Lot 012 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- 26314 dated MARCH 3, 1999 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 AGLAIA STALB ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Build' g Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 400 INLET DR MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): AGLAIA STALE ANO. OCCUPANCY: SINGLE FAMILY DWELLING AGL•AIA STALE ANO, ADMITTED BY: TONY PIRAINO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 106.-3-12 SOURCE OF REQUEST: AGLAIA STALE - DATE: 03/03/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: ,2. FOUNDATION: BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 2ND PLR.: 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S):0.0 UTILITY ROOM(S): _ PORCH TYPE: FRONT COVERED DECK TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: PATIO TYPE: CONCRETE DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL -HW WARM AIR: HOTWATER: OIL OTHER: GARAGE, TYPE OF CONST.: _ WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE _ LOCATION DESCRIPTION I ART ! SEC i I I i i i i I I I I I I 1 I I � � I I I I I I I 1 1 1 1 I REMARKS: INSPECTED BY: MICHAEL J. VERITY DATE ON INSPECTION: 03/03/99 TIME START: 10:30 AM END: 11:35 AM 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: 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. Accu e surve o property showing all property lines, streets, building and unusua 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 - C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction......./.... Old Or Pre-existing Building.^. .✓............. Location of Property ... 6 .Q.... ZN��T...l�.!? ..... l:�f�7'7-i T�C-/� ................ House No. Street / Hamlet Onwer or Owners of Property../. C G. Ci9 �! .:� ��L. �..Y. �'.&!� County Tax Map No 1000, Section. C .......Block .... ..........Lot. ...� ............ Subdivision bW7 ../C� .�. 5 7_!4 5 ..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: $..Y:n 04 ...................... ..S .................. C.!) an 3 i y APPLICANT Ar a IoK .3 ./� TO OF SOUTHOLD PROPERTY RECORD CARD OWNER , STREET VILLAGE DISTRICT SUB. LOT d F MER OWNER N E A REAGE 2 � - �r7 S W TYPE OF BUILDING f GUa y a 4 f3-d� RES. SEAS. VL. FARM COMM. I IND. I CB, ' MISC. Ja7iJrr'rt'. —' LAND IMP. TOTAL DATE . REMARKS -VA". (fAir --� 304 30v 64 D o bel �` 8_L�Ql3�' ns a •nes# ° o>,�� SS,-� ,4 aa �aOO y266 38do��/ boa �i0o COr 1717Y-_ ------- - - --- AGE BUILDING CONDI I N �� n f �� e �" 0 10—) ,(d -- _— ---- -- -- ------ - - NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 W odlond Swampldrd Brushland _ --- HousePIo� � --- ------------ ------------- -- Total I P Extension Extension Breeze, Garage 0. B. elo) CONSENT 1110 INSPECT10N Cl4t )� X7'4 L r Owner(s) Name(s) do(es) hereby state: A. undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 6 0 c) 7- 1 (/,e IIV- 7/ 76,7C /� , which is shown and designated on the Suffolk County tax map as District 1000, Section �6 , Block —3, Lot — /Z . '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: 6 i 7/ F/C 4 r,e o 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: D (signature) tir,14 1 d S'7'4 L /3 (print name) `N f, ___._ � • �. wire �'ef7r�� • _.___ r�' . r 1, LJ 111 ctrttcr. �}_ �� •. � i7uf=rrei- u i � x � � �i2•tk wire ,fence L3r_ — . �i2 J t -t_ 8E>"00'3c)" W. .� l.r8 . ��,IT• nombers..(Mown ref-er - . OfTicel a5 n-4:rrp . t-Z�,' t6-72 , MAS oj= AT 7-owN of u-r�4vLo, N. -Y_ Q pyos to this survey Is a violagon of :*xenon 7208 of thq New York ZUI,. W.,cation Law, Copies of Ibis survey map notbearina the rand surveyor's inked seal or a^bossed seal shell not be consWGro t . to be a valid true soppy, G, grantees lndleated herexl shag r- -i or,'y to the person for Whom the survey is ccpared, and on his behalf to the 1-4o ccrnpsny, governmental agsrcy ww L" d:og irlatl:udan listed hereoir and to the assiu:r es of Uro lending inslt- Ulon. Cc_.an:aso aronot transfcmbw to add'n:onai;. ii;uiions or subsequc.0 0 -Soevetje6 Mae, /7, �: o�� a1ov2sa>ictt Vt4u T1 .., P. MAR 2 71997 -'Li•eeresed- LafTd Scltf*fet o>^s r 6f- e { ?or -%I t4evw Yok-k S4DG. DEPT, I)ti1'AIt•ITIEN-1• TOWN OF SMITII(11.1) IIOIIS I IM CODS INSPECTION 1(91101('1' LOGAT 10 (number 6 nlrert:)—(nu:nir-,pnt:y� St1III) IVIS ION! AI' N0. 1.01100 NAME OF OWNER OCCUPANCY I —•---•-••------ - - eF(trwner�lennnl ) ADM I'1'T'9D 1)Y :ACCOMPANI RD 1(Y : _ K1tY AVAILABLE �---------- un.-.(;()- -TAX NAP 140. 06 SOURCE ON R9QU9ST a — --- ----- _.._-._.. - -- ---- - ------DA7'It: DWELLING: TYPE, 01? CONSTRUCTION I STOI(Mr, I 1?H urs lOUNDA'T'TON _ CN.I.I.AR CRAWL. SPACI!----- -- -- TOTAL ROOMS- IS'r Pl.lt. 11ATIMOOM (a) 2 1'O 11.1t'I' It(10l1 (n) -- - ll•1' 1 L'I TY ROMI 1UKC11 'l'Yll.,- C —_____ DECK, TYPE _ T— — PATIO 1 � Illtlili'L9WAY-- --�'� 1111itl PLACE GARACH -- --- -•---• ------�-----------•-•--- DOMSTIC 110TWATIM IIOTWATItl( TYt'9 119ATIM A111CONDITIONINC TYI'9 UVA'1' A] It 110TWA'1•lilt ---•....._............. ---- - - - - -- - - OT.IIItlt: ACCESSORY STRUC', ORES: CARAG9, 'I'Yt'It OF CONST.-`Y� --- S 1'ORAC9, TYPE CON ST'.` -- SWIMMING POOL(:lllt(i'I', 'I'YI'9 coms.r. ----------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------- V I OI.A'r 10N5 : CIIAP FEF 45 N.Y. ST'ATR UNIFORM V 1 119 t' IOWENT I ON 6 It11 I LD I NG CODE, LOCA'T'ION D95C1(IP'rION Ala. ---�y-��::� ---ate---- --•-- ----- - It9MARKS : I NS 11 11 CT K1) 11 I)A'I'It OF INSI'l,"GI•I()N 'I'Mit STAR l /9 ittil) //- 35 ,5,9 ;?- - 0 S -S-3