HomeMy WebLinkAboutZ-25870FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25870
Date: 08/03/98
THIS CERTIFIES that the building DWELLING
Location of Property 9395 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 121 Block 0002
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- 25870 dated AUGUST 3, 1998
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 *
(HAMLET)
Lot 004
The certificate is issued to BERYL E STEADMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
N/A
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Ins~ctor
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 9395 SOUND AVE
SUBDIVISION:
NAME OF OWNER (S) : BERYL E STEADMAN
OCCUPANCY: SING%E FAMILy
ADMITTED BY: FRANK MURPHY
MATTITUCK
MAP NO.: -- LOT (S) --
BERYL E STEADMAN
ACCOMPANIED BY:
KEY AVAILABLE: -- SUFF. CO. TAX MAP NO.: ~21.-2-4
SOURCE OF REQUEST: BERYL E. CAFFRED - JUNE 15, 999S DATE: O$/Q3/9S
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC EOTWATER:
TYPE HEAT: OIL
OTHER: pANTRY
WOOD FP~AME
CEMENT BLOCK & BRICK
1ST FLR.: __~ 2ND FLR.: __~
1.0 TOILET ROOM(S): 1.0
FRONT & SIDE DECK TYPE:
FIREPLACE: ONE
XX TYPE MEATER: OIL
WARM AIR: XX HOTWATER:
- (THIRD FLOOR FINISNED ATTIC)
# STORIES: 2.0 # EXITS: $
CELLAR: PART CRAWL SPACE: PART
3RD FLR.: _~
UTILITY ROOM(S): ~AR
PATIO TYPE: SIDE- CONCRETE
GARAGE:
AIRCONDITIONING:
ACCESSORY STRUCT~I~ES:
GARAGE, TYPE OF CONST.:
SWI~$~ING POOL:
OTHER:
MORTON BUILDING STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ $$$CRIPTION ART.
SEC.
REMARKS: OPEN BUILD'PERMIT FOR MORTON BUILDING
INSPECTED BY:
FORM NO. 6
TOWN OF SOUTHOLD
· Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-IS-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. 'For ex~t~.g buildings {prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
~ ~.n~,~i survey of property showing all property lines, streets, buidings and unusual natural or
' top~[~i~ hic features. .
,~ .2,~w4~/11~t atement of owner or previous owner as to use, occupancy an~ condition of buildings.
~ I~l~at~.~d ~ny housing code or safety inspection of buildings or premises, or other pertinent informa-
tior~'~q,=:, ired to prepare a certificate.
-.'l~.er6~,C~ieofoccupancy $25;00 _L BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $'5.'00, over _5 yeats $10.00
4.Vacant Land C.O. $ '20.00
5.Updated C.O. $"50.00 Two and i/2Date June 18, 1998
NewCon~t;ruct, ton ...... Old or ere-existing Building X...~.r.a.m.e.h..o.u.S. evacant Land .............
Location of Property ..... .S.o.u.n.d..A.v.e.~.u.e;..~...~.~.~.t .u.c.k .......................................
House No. Street Hamlet
Beryl E. Caffrey
Owner or Owners of Property ........... . ................................... :': ............
121 2 4
County Tax Map No. 1000 Section ............... Block ............... Lot ...............
Subdivision ................................. Filed Map No ........... Lot No .............
Permit No ........... Date of Permit .......... Applicant .................................
Health Dept. Approval ........................ Labor. Dept. Approval .......................
Underwriters Approval ........................ Planning Board Approval .....................
Request for Temporary Certificate ..................... Final Certificate ......................
Fee Submitted $ L0.Q 0.0..
Construction on above described building and permit meets all applicable codes and regulations.
Rev. 10.10.711
AppLicant .............. :~'f~'¥' ~, ~;~;~ ~& '~;, ~G' .:gA ...................
P.O. BOX 70~
CUTCHOGUE, NY 11~B
CONSENT
TO
INSPECTION
Beryl E. Caffrey
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
Sound Avenue, Matt±tuck, New York
of Southold located at
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 121 , Block 2 , Lot 4
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th,~ Southold Town ~ullcling lnspeuL~.. '~ o~oo £o~- +h,~ fallowing:
Two and one/half 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 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 ~n subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations or the Town of Southold.
~ ~-6(~ ig 'na~r e,t/ I
'"" Beryl E. Caffre~
(print name)
(signature)
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