HomeMy WebLinkAboutZ-19578FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19578
THIS CERTIFIES that the
Date DECEMBER 12, 1990
ONE FAMILY DWELLING
Location of Property 580 BAY AVE. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 143 Block 3 Lot 1
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-19578 dated DECEMBER 12, 1990
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 ACCESSORY ONE CAR GARAGE
The certificate is issued to CHRISTOPHER STEINHARDT
(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 ATTACHED INSPECTION REPORT
�IBuilding Inspector
Rev. 1/81
BUILDI-:G DEPART: -LENT
TOWIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 580 BAY AVENUE MATTITUCK, NEW YORK
(numoer & street) (i-iunicipality)
Subdivision clap No. Lot(;,)
Name of Owner(s) CHRISTOPHER STEINHARDT
Occupancy A-1 OWNER
(type) owner-cenanz)
Admitted by: CHRISTOPHER STEINHARDT Accompanied by: SAME
Key available
Suffolk Co. Tax No. 143-3-11
Source of request CHRISTOPHER STEINHAid)T Date Nov. 29, 1990
D?.IELLING :
Type of construction WOOD FRAME Ustories 2 STORY
Foundation CEMENT & CEMENT BLOCK Cellar 1/2 Crawl space 1/2
Total rooms, 1st. Fl 3 2nd. F1 3 3rd. Fl
Bathroom(s) 1 FULL Toilet room(s) ONE
Porch, t-ypeFRONT SCREENED INDeck, type Patio, type
Breezeway Garage Utility room
Type Heat LILCO GAS warm Air Hotwater Rg
Fireplace(s) NONE No. Exits 2 Airconditioning
Domestic hotwater LILCO GAS Type heater
Other ENCLOSED SIDE ENTRY WAY (MUD ROOM) PANTRY OFF KITCHEN
ACCESSORY STRUCTURE'S:
Garage, type const. 1 CAR WOOD FRAMEStorage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Remarks:
Inspected by:
Date of Insp. DEC. 11, 1990
Time start 9:30 end 9:45
0
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL OEC
-319% 31p�
765-1802 9%
APPLICATION FOR CERTIFICATE OF OCCUPANGY it
1. 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 arch=tect 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.
:. 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 $15.00, Commercial $15.00
Date „November 28, 1990
:ew Construction....,...... Old Or Pre-existing Building...... X ............................
.ocation of Property........ 5.q 9.PAY
.Ayenue,, Matt tuck.
House No. Street .. Hamlet
nwer or Owners of Property., Christopher Steinhardt
...................................................
ounty Tax Map No 1000, Section..t43......... Block..g3:........... Lot 0 1:
ubdivision....................................Filed Map ............ Lot ......................
ermit No................Date Of Permit ................ Applicant.,Christoeher.Steinhardt
ealth Dept. Approval..........................Underwriters Approval.. ......................
lanning Board Approval ........................
equest for: Temporary Certificate........... Final Certicate...........
ee Submitted: $.............................
......• ,5 ..........
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CONSENT
TO
INSPECTION
c7
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Christopher Steinhardt the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) f.T-M the owner(s) of the premises in the Town
of Southold located at 580 Bay Avenue, Mattituck, NY
which is shown and designated on the Suffolk
County tax map as District 1000, Section 143. , Block 03. , Lot 01 1 .
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:
Certificate of Occupancy on pre-existing building
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: November .19 , 1990
Christopher Steinhardt
(print name)
(signature)
(print name)
ENT
TO'. -F1,1 Or SOUTHOLD,�.Ij. Y.
HOUSI::G CCLE, I* SpEr''^1 T
--..IGi•; RL: GR
Location O
�nu::10er
Subdivision
Map
vine of Owner(s)
Occupancy f-
r.c�•li _wed
Mr
cepa! 1_Y)
No. Lot(s)
( I.YP e)
by •
'Ac,��mponi ed
owner-z�nar.Ll
by :�
Key available Suffolk Co , T
. ax No.
Source of request," 4��,,,1
Date4*21-0
-------------
DWELL1NG:
Type of construction
Foundation t� � ���� �
' ls'tor zeS
-� J Cellar /,, Crawl space
Total rooms, 1st. Fl ,3 2nd. Fl -�
Bathrooms) j 3rd. Fl —
Toilet room(s) ��.
Porch, type f� ,�.._ Deck, type —
Breezeway Patio, type
Garage Utility room
Type Heat .9arm Air
F?otwater �-
Fireplace(s) �, E �
No. axi �s Air Y+ ;
Domestic ho treater co__d_Lioning —
Type heater
Other
ACCESSORY STRUCTURES: / -
Garage, type const. fry /_
Storage,
pool type const.
Sui„ umi ng --
l
Other Guest, type const. _
--
.—.._
"�'-!UiVS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location
TDesc ";1)tic
Art. Sec.
Remarks:
Inspected by:
Dat e of Insp .
Time start 1F)3o end '