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Home My WebLink AboutZ-16346FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 634.6_ ....... Date ..October 28 1987 THIS CERTIFIES that the building s, , One, Family. ,dwel.l.ing,,, , , ,, , , , , , , , , , , , ,,, , Location of Property 2505 Bray Ave. & 40 Wells Rd. Mattituck, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section .126 ......... Block ... 9...........Lot .... ............ . Subdivision ...............................Filed Map No. ........Lot No. ............. Requirements for a private one -family dwelling built prior to conforms substantially to the Amt iFQ4i3I4xxcrpc�c{xttgxxp2r�x April 23, 1957 CERTIFICATE OF OCCUPANCY ............. pursuant to which M112IYffF�iI11It1V4�iil. .... N0.....Z-.16346.......... dated.....October . . . . . . .. 28 . . .. , 1987 ....... 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 ... ARTHUR & LORRAINE STELLMANN ................................................ (owner, IbKik a NX of the aforesaid building. Suffolk County Department of Health Approval ... ,NORECORD .- . PRE EXISTING ................................. NO RECORD - PRE EXISTING UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: ./. ✓��! .. ... Via/, t , . �/ �J,�� . Building Inspector Rev. 1181 BUILDING DEPART�IEIiT TO9N OF SOUTHOLD, N. Y. HOUS71G CODE INSPECTION REPORT Location 2505 Bray Ave. & 40 Wells Road Mattituck, N.Y. (number & street) (Plunicipality) Subdivision Map No. Lot(s) Name of Owner(s) ARTHUR & LORRAINE STELLMANN R Occupancy -1 OWNER type owner -tenant Admitted by: Mrs. Stellmann Accompanied by: Same Key available Suffolk Co. Tax No. 126-9-9 Source of request Lorraine J. Stellmann Date Oct. 28, 1987 DWELLING: Type of construction Wood framed ##stories 2 Foundation Cement block Cellar Crawl space Total rooms, 1st. F1 5 2nd. F1 2 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat oil fired Warm Air x Hotwater Fireplace(s) I No. Exits 2 Airconditioning Domestic hotwater yes Type heater gas Other Wood burner ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const._ wood -small VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention Location Description w� Art.1 Sec. 01 -Time B.P. 7158-Z Addition COZ-6478 end 11:15 B.P. 10860-Z - Addition CO Z-16347 B.P. 10861-Z Utility Building CO Z-16348 NO VIOLATIONS WERE FOUND. Remarks: Inspected by: CURTIs__k HORTON Date of Insp. Oct. 28, 1987 01 -Time startlO:45 end 11:15 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 a§r 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—(S-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 existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.0.0, Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 ae.'r S.Updated C.O. $ 50.00 e. NeWCOnstruction...... Old orPre-existing Building Vacant Land Location of Property p .� J� / o�..44 �'W's , House No. Street et Owner or Owners of Property y i ZX,41..20 County Tax Map No. 1000 Section .(..� .�j ....... Block ............. Lot .... 490 .......... 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 $il,v............... Construction on above described building an permit melts al/l�applicable codes and regulations. Applicant . ��,1... ......... Rev. 10-10-78 v Rix -;3509'. eu eo � i( 3y(P CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at z2x-A¢r we- !!40 4L/.zAA-o AO which is shown and designated on the Suffolk County tax map as District 1000, SectionZA,6_ , Block 9 Lot d% 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: ,L, (signat re (print name) (signature) (print name) Location BUILDING DEPARTMENT MM OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Subdivision Map No. Lots) Name of Owners) Occupancy � Itype owner -tenant) 0,21M7 V11M, Key available Suffolk Co. Tax No.�— Source of request�J��Date• DWELLING: Type of construction lie#stories_v/� Foundation Cellar Crawl space Total rooms, 1st. F1 2nd. Fl 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room Type Heat Warm Air �� Hotwater Fireplaces) / No. Exits Airconditioning Domestic hotwater__44,�6c Type heater 92^_ ^ Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other Remarks: Inspected by: - Date of Insp. X � Time start i/ end ntion