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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) tt Z t i / ° / 0 / /