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Home My WebLink AboutZ-22868FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22868 Date FEBRUARY 10, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 620 MEDAY AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 10 Lot 10 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-22868 dated FEBRUARY 10, 1994 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 GARAGE WITH WOOD STORAGE SHED ATTACHED & ACCESSORY 2 ROOM COTTAGE WITH 1 BATH The certificate is issued to ESTATE OF ALBERT D. STERN (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. ) - 1"Z4 /Z Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 620 MEDAY AVENUE MATTITUCK, N.Y. number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) ALBERT D. STERN OCCUPANCY SINGLE FAMILY ESTATE OF ALBERT D. STERN type (owner -tenant) ADMITTED BY- SHEILA RICCA (BROKER) ACCOMPANIED BY: SHEILA RICCA KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-113-10-10 SOU&:;Z OF REQUEST: HOWARD R. GLADSQN, EXECUTOR DATE: JAN. 12, 1994 DWELLING: WOOD LOG TYPE OF CONSTRUCTION FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. 5 2ND FLR. # STORIES 1 # EXITS 2 CELLAR 3/4 CRAWL SPACE 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) 1 IN BASEMENTUTILITY ROOM PORCH TYPE FRONT CLOSED & DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE (1) STONE GARAGE DOMESTIC HOTWATER Xx TYPE HEATER L.P. GAS AIRCONDITIONING CE TYPE HEAT ELECTRIC PWL, WARM AIR HOTWATER OT11ER: ARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST., I CAR WOOD LOG STORAGE, TYPE CONST. WOOD STORAGE SHED SW7111 LING POOL GUEST, TYPE CONST. COTTAGE - 1 'lam OTHER: COTTAGE HAS ELECTRIC HEAT & ELECTRIC HOTWATER. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP #1541 - CO Z-1363 FOR ADDITION TO DWELLING INSPECTED BY: GARY FISH 6 JOHN BOUFIS DATE ON INSPECTION JAN. 18, 1994 TIME START 9:40 AN END 10:40 AM I 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, Lhe Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwellin $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...1/./ZI94 ............................... 'ew Construction........... Old Or Pre-existing Building .... .X........... 620 Meday .ocation of Property.„ .............................Avenue•..••.•.....••....•.•..•..••.••..•. House No. Street Hamlet Albert D. Stern )nwer or Owners of Property.................................................................. 10 10 county Tax Map No 1000, Section... 113.,... .,Block................Lot...................... 'ubdivision............... ..................Filed Map ............ Lot ...................... ermit No................Date Of Permit ................. Applicant ............................. ealth Dept. Approval..........................Underwriters Approval......................... lanning Bo274 Approval ........................ equest for: Ter,;orary Certificate........... Final Certicate.....X..... 100.00 THE EST OF ALBERT D. TERN, APPLICANT ee Submitted $............................. By: ow " d R. Gla Vxecutbr , x 300. 4=> 4=). 4o �- ( O veo, ."S ic.. 4bu c.e r�� co r �Z r s -T—,r' -14' c�,v"w foY ILq 7. I l�=T'S i( GIS" tr►T M/7 �"T�4T�-/GK Ge -,V- 45-7 d% t r C4.) i f,/Y3 L I'C. -25 G9B - 44z9 ii76� ivZDo — iii — io — C of 1 !i !j 300. 4=> 4=). 4o �- ( O veo, ."S ic.. 4bu c.e r�� co r �Z r s -T—,r' -14' c�,v"w foY ILq 7. I l�=T'S i( GIS" tr►T M/7 �"T�4T�-/GK Ge -,V- 45-7 d% t r C4.) 'C Ti f,/Y3 L I'C. -25 G9B - 44z9 ii76� ivZDo — iii — io — C of 'C Ti CUNS1-NT TO IN spGCTION Howard R. Gladston, as Executor of the Estate of Albert D. Stern, Owncr(s) Name(s) . the undcrsigned, do(es) hereby state: the Executor of the Estate That the undersigned (ist MdWe) the owner(g) of the premises in the Town of Southold located at 620 Meday Avenue which is shown and designated on the Suffolk County tax map as District 1000, Section 113 Block 10 , Lot 10 That the undersigned (has) (NXIM) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: the house, unattached garage and guest cottage located on the premises 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 witlr all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with th- 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 reb lations off he Town of outhold. The Este of Albfflrt). Stern Dated: January 12-, 1994 By: (signabdr R. Gladst (print,,iiame) (signature) print name Executor 11 LOCATION: SUBDIVISION rJ BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION ItEPORT number S"street MAP NO. i municipality LOT (s) NAME OF OWNER OCCUPANCY typ(owner-te nt) ADMITTED BY:. S ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO. SOUL CZ OF REQUEST: DATE - / /L DWELLING: TYPE OF CONSTRUCTION # STORIES # EXITS �Z-- FOUNDATION { `-4��lJ1��0�� CELLAR U✓ CRAWL SPACE -- TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) a2 TOILET ROOM (s)( ��i,;� yt�jy,�' f 6TILITY ROOM PORCH TYPEV*piyf (1af 44-194-4e.(, DECK, TYPE PATIO, TYPE BREEZEWAY -------- FIREPLACE(/-) GARAGE DOMESTIC HOWATER TYPE HEATER AIRCONDITIONING �2iy 7�i2 � TYPE HEAT �oC��,/� o R H0TWATER WARM AI OTHER;��i�i� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.I �OAdai STORAGE, TYPE CONST. .SWIMMING POOL GUEST, . TYPE CONST. eolfif5 r- /� ,dG�s ' OTHER: [ �lyi� S► �-- 9L.G� DIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE i ART. I SEC. Elm 41 ff-lra INN rrf)wo I I ISPECTED BY: % OK �i��/ ter_ 1 •INSPECTION TIME START 1 i ART. I SEC. Elm