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Home My WebLink AboutZ-26313FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26313 Date: 03/02/99 THIS CERTIFIES that the building DWELLING Location of Property 16105 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0001 Lot 008 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 91 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26313 dated MARCH 2, 1999 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 JOHN M & JANET STEWART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 3/1999 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. BuildVg Inspepkor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD i• • [ibl �: � :� „:� r SUBDIVISION: MAP NO.: LOT (S) OCCUPANCY: arwr_r.R FAMILY DWELLING JOHN M & JANET STEWART ADMITTED BY: JOHN STEWART ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-1-8 SOURCE OF REQUEST: JOHN STEWART - FEB. 24. 1999 DATE: 03/02/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: BLOCK & STONE CELLAR: 3/4- CRAWL SPACE: 1/4 TOTAL ROOMS: IST FLR.: _A 2ND FLR.: _A 3RD PLR.: 0 BATHROOM(S): I TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: ENCL.FRONT & COVERED RBAR DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: __YES GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL * WARM AIR: HOTWATER: OTHER: _*RASEBOARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME(8EE BP#131712) STORAGE, TYPE CONST.: SWIMMING POOL: (SEE BP #17047-Z) GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION _ I DF"SCRTPTTON ART, I SEC. I I ] 1 i � 1 1 � � i I I i i i I i I i i i i I I I I 1 I I I I I I REMARKS: BPIF 131712 ACCP CARAGE-COZ-18420-BP # 15148-DECK-COZ-17365,BVIZ ] 7(X47Z-I/G POOL COZ-17355,OPIN BP #25573Z BATHR(M ADD, ALTERATION TO BATHROOM, 21O FL -MASTER BEDROOM ALTERATION, ALTERATION TO FRONT & REAR PORCH TO LIVING SPACE INSPECTED BY: f -r --"'7 DATE ON INSPECTION: 03/01/99 MICHAEL J. VERITY TIME START: 10:00 AM END: 10:45 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Code 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 - .25c- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date......................................... New Construction........... Old Or Pre-existing Buildiingg..............,.�A / Location of Property....I.(� ......... LSC.%..0.� 9V..,...........!'!? G7C..... House No. Street /Hamlet Onwer or Owners of Property.. ...W..iJ.�4.0 ...... ....... County Tax Map No 1000, Section.../�X....... Block. . d f. 0? 00.18..664j ........ Subdivision....................................Filed Map ............ Lotv..�.................. PermitNo................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... FeeSubmitted: $............................. ..... ........................ APPLICANT aG 313 ;Dh� J /t SZ,Fzz-)A ( T Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION U , the undersigned, That the undersigned (3e) (are) the owner(s) of//t��h/e\premises in the Town of Southold located at % D 4,q/yj V`�, , which is shown and designated on the Suffolk County tax map as District 1000, Section Block 0100, Lot OD$ O60 That the undersigned JAws) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors 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, irules 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: y 11,9 (signature) �o/IU Ite 57PLo�)A��. (print name) z i (__-'(J1._ nNL) 109.1-7 NIA I nJ `J T� 1 QOgp MAr✓ )F- PApOFf=_G?7n Jot IN N11. Jt__�r .tf == i ✓.:: , . . Iq L+ r D n Scale : ?0'= 1 a = fnoftuvier-T-1 SJy f6l4. cnwrtf.1 -rYx / ci:3+. 1000, ;'acF. I1F5, aL. 1 I .MOSIM ALIEEATI, TO THIS SURVEY IS A vH SECTION 72GO Of ME NI U / EDUCATION LAW. V COPIES OF 1, ,�:VFY CO nn LAI!U D VL n . l EAISOSS'D <EA 9. yi TO BE A rAL!'. 1 ONLY TO 1N:., M 4FRUAi.ED. A..i VILE CCLU.M. c—, TO •NE ASST ,, of IR n.'T.'= _ f+OASAE,,, A. tf AE%Alll E MEIIJUE Guaran-teed 4o 44Te owners aETd io chicayo 74le (nsurYrrl'ca corcTItxxrEy as surveyed dune 17, (981. ( 00—SP(CJC VAN_MYI., F?' Licensed Land fwf-v"vors '/'!q\98 draernr^- poh New )ork- LOCATION:_ SUBDIVISION NAME OF OWNER (s) OCCUPANCY �YP ADMITTED BY: KEY AVAILABL SOURCE OF REQUEST: BUILDING DEPARIIIENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT xL-'r.� r & street .%municipalicy In NO.T_ LOT (s) (owner -tenant) ACCOMPANIED BY:-� SUFF. CO. TAX MAP NO. OQQ – S DATE: Z DWELLING: TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION ��.ii CELLAR CRAWL SPACE A Ga TOTAL ROOMS: IST FI.R. 2ND FLR.� 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM 'PORCH TYPE DECK, TYPE _ PATIO, TYPE BREEZEWAY FIREPLACE �— GARAGE DOMESTIC HOTWATER TYPE HEATER y� AIRCONDITIONING TYPEHEAT WARM AIR •--- HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL # / %O �7 , GUEST, TYPE CONST. A OTHER: ----------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS ;aQ 41 131 �) ``� - C� 4 o�-�-t c C 6.218VA I Wim' 6 ► y&-�it.- diA i 40� 0 3f� 5 ,V -At n 0 `i I q-,-� a "A - � 17 � 6 4 INSPECTED BY: DATE ON INSPECTIONcl-I 001' TIME START lo,00 END D. 07