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Home My WebLink AboutZ-19905FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19905 Date MAY 15, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 955 DEEP HOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 13 Lot 9 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-19905 dated MAY 15, 1991 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 ONE CAR GARAGE * The certificate is issued to LEON H. STANDLEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDI::G DEP!,RT,-1ZNT TO:n1 OF SOUTHOLD, N. Y. HOUSI"G CODE INSPECTION REPORT Location 955 DEEP HOLE DRIVE MATTITUCK, N.Y. Cnumoer 6( street) �1,iunicipal.Lty) Subdivision riap No. Lot(z) Name of Owner(s) LEON H. STANDLEY Occupancy R-1 (type) (owner-tenanz) Adziitted by: MR- STANDLEY Accompanied by: SAME Key available Suffolk Co. Tax No. 115-13-9 Source Of request LEON H_ STANDLEY Date APRIL 19, 1991 DITELLING : Type of construction WOOD FRAMED rs-tories 2 Foundation CEMENT BLOCK Cellar PARTIAL Crawl space REST Total rooms, 1st. Fl 5 2nd. Fl 2 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type Deck, type WOOD Patio, type Breezeway Garage 1 CAR Utility room Type Heat OIL FIRED Warm Air Hotwater Rg Fireplace(s) 1 No. E:cits 2 Airconditioninc Domestic hotwater YES Type heater ELECTRIC Other TWO BIG WALK IN CLOSETS UPSTAIRS ACCESSORY STRUCTURE'S: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other + VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Lncation DeEcri7otion Art.Sec. THIS PRE CO INCLUDES BP 92586Z ISSUED 11/18/64 I FOR AN ADDITION - CO Z-2300 ISSUED. IT ALSO INCLUDES BP 1197972 ISSUED 4/22/91 FOR A DECK CO Z-19864 ISSUED.4/29/1991 1 + Remarks: Inspected by: (__� Date -of Insp. APRIL 22, 1991 cURTIs W. HORT • Time start 11:00 end 11:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY W 9 9M „f .. _,..... _.. ...... ,:: v, ...., -...:ace:,_.. '" ✓ 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 Co(.e 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 $1/5.00, Commercial $15.00 Date/.. !. �. ....G.. l .................... . ..... Pre-existing Buildi g.. Location of Property..y./. ... .%55... . ...4,oL.�r.:(/�....�•[/T.[.�`! House No. Street Hamlet Onwer or-owneer— of Property.. % .. ....................................... County Tax Map No 1000, Section... P.3 -....Bloc/ ... /j ....... 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.... AAOS Fee SubmiUtt(ed: $....�Y. a% ................ QX,' APPLICANT - : �. !.....'�" ..s .,> .;::. r�.._,+L: �... :c..ia4.+_ �.._.w .. :s��.�.a emax .:...: ::.. a..r�:,.:...,..n'.. •..6n..,i-.:::ru+e�ir i„''"�ia"'fii� `y/ � i did �X �'Y�.s� 1 i.R. •n �+.i' '' is _ �. .,. ..ir d - �L, P FO{� 4 v ~. """YYY • �" e r ` 9"7,i-� i� 7 S` } .v - � ; : � i.,..t• a ti$e"r .4� 'eed a v ,e � � r _ r. � � r � h �`j� 1 ` • � " x .S, f a. jf'y'`..' Y�� , ;� rp,: ' +Y� v;yYry., �. ��;.� 6 e � , x t . 1 x � , s,x � r'F .w •�. a 1�..� � r +4' ,a9t' �,•r �yVa fir .'. � -.1 t •@@. � +dw+ '� ; `,�C j. q�+,•�` +y a ,I.FS. r.. v> ♦ l � ! 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Aommmun: 1 Z ^r y u:',d . }I'u. .'Q_ ..•% �,�... , ^a �� s.s 4I r4 r:!'w111r5^ tr n z j ' ' t• ..' _ �- to'no Q. sof tt;e r i 1 � ar sas _ r not �N �' -- { O to , c. 4 inc.lt:Juons or su'::aaunm r ArZEA , SSG ,Q -3.F. ` � ( , �,�rr•'� e'.iF �;i:r� � TQC i ilyC 1 � ..� � �-� x .x �Pii'SAy vv VtP}J :J: _ 4 cYED y5 � i.7�t F j ` \ /y N TTa Y+N/��/ �.x `'1C'��A ;OW - I_tC f'.2� I y'J 4 1 ,'\` •_ _'"'.F � }, f;M i ,►.,. ^j -r Lj r '1 •iii „1 `• - +++•w.-..u.w.+r--.,. _._�_ �. `Sze �L•' "n"" '`...,r APR 191991 BOG TOWN OF S,(F; wner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION . the undersigned, That the undersigns(is)(are) the owner(s) of the premises in the Town Lk. County tax map as District 1000, Section /L Block / Z , Lot . 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: �4 // 57Z ZZ (signature) (print name) (signature) (print name) BUILDI:•:G DEPART.IE"' T T0,•l�i OF SOUTHOLD, N. Y. HOUSIiM CODE INSPECTION REPORT Location V knurioer do st ez ki,i✓ &- uni.cipality) Subdivision Map. No. Lot(s) Name of Owner(s) Occupancy /I (type) owner -ten z) Ad,-aitted by: l ccompanied by: Key available Suffolk Co. Tax No. J. Source of request MMLLING Type of construction Xst'ories Foundation ellar, ' Crawl space Total rooms, 1st. Fl--l-51-2nd. F1 3rd. F1 Bathrooms) Toilet room( ) Porch, type --�� Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air . Ho twat er Fireplaces) No. Exits=I-Aircondition-ing_ Domestic hotwater Type heater Other ACCESSORY STRUCT _S: Garage, type const. Storage, type const. Srri„lining pool Guest, type const. Other VIOLATIONS : .CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected by: Date -of Insp. Time start end 'k g'h7