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Home My WebLink AboutZ-20197FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20197 Date SEPTEMBER 9, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1005 CAPTAIN KIDD DRIVE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 5 Lot 11 Subdivision iled 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-20197 dated SEPTEMBER 9. 1991 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 GRACE J. STIFTER (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. //7 Bu' ding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1005 CAETAIN. KIDD DRIVE MAITITDCK N.Y. (number & street Municipa ity Subdivision Map No. Lots) Name of Owner(s) GRACE J. STIFTER Occupancy A-1 Res. OWNER -_�- (type) downer -tenant Admitted by: GRACE STIFTER Accompanied by: SAME Key available Suffolk Co. Tax No. 106-5-11 Source of request _ GRACE J. STIFTER DWELLING: Date SEPT. 3, 1991 Type of construction WOOD FRAME #stories I STORY Found .tion CEMENT BLOCK Cellar PARTIAL Crawl space PARTIAL Total rooms, 1st. Fl 6 2nd. F1 - - 3rd. F1 - - Bathroom(s) I FULL BATH Toilet room(s) Porch, type Deck, type Patio, type CEMENT Breezeway Garage Utility room Type Heat OIL Warm Air 11X Hotwater Fireplace(s) No. Exits 2 Airconditi.oning Domestic hotwater YES Type heater OIL Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. METAL SHED Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: BP #3445 CO Z-2796 Inspected by: Date of Insp. SEPT. 3, 1991 FISH Time start 9:30 end 9:50 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 OF, 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. 1 B.J 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 proper lines, streets, building and unusual natural or topographic features. -- --- --- 2. A prat _operly_completed applicion--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. Cry Certif=icate of Occupancy on Pre-existing Building - $10.0.00____ 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 Sept9pber.3:.1.991 NT Construction........... Old Or Pre-existing Building...XXX ... .......... Location of Property.1,$5,.Captain, KiQO. D ive,,, Mattituck... House No. Street Hamlet Onwer or Owners of Property .... grace .J:. Stif ter .. County Tax Map No 1000, Section..,1,Q�........ Block ... ............Lot...1.1................. Subdivision ... �d.Pt&iP.Aid ..�StdtA4 .........Filed Map. I�7.Z...... Lot ... 1.1 ................. Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporjary Certificate........... Final Certicate..XX....... Fee Submitted: $..1.�..'...................... - a st, .---(: ................ � APPLICANT;` ®,�c.o�aoi 97 CONSENT TO INSPECTION Grace J. Stifter the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 185 Captain Kidd Drive Mattituck, N. Y. 11952, which is shown and designated on the Suffolk County tax map as District 1000, Section 106 , Block 5 , Lot 11 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 cf 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: September 3, 1991 (signfure print name) (signature) (print name) M A -P o pLe l..OT 185, C AST A 1 M K IDD X; 4.v 47F" e M ATT IT LICK TOWN OF A U FFOLK C A -PTA I M X LOCK 15 STAT Irf3 s/ IN I.. F�T AOLJT H OL3) CO., M.Y. i/eJAap ,8: a ° 00'30 ",E: /6 yw, zoo rvf-Ye� ead v Lir/r/`yy,�� ,clalelY C:oJfif�N 77� J TOIi�LfT/ON l /• lv-7�12 185 /00.0'IN .1136 -jv Oa r1; %� o tr � o 4et� cT' v V.A-10 ifleG d/4 74 C, 7/1GfN�e/=(.ol/lf�t� /Tif�iG BUILDI11C DEPART" -Lr --'11T T0,•hT OF SOUTHOLD, N. Y. / Q 0S' HOUSIiM CODE Ii1 CTION REPORT Location '4��& numo 6c stre Subdivision Name of Owner(s ) 1-4unicipaiity) Nat) No. Lot(s) Occupancy �} -I /,a It Pe owner -ten ) . Ad,-�itted by: Accompanied by: Key available S Source of request folk Co. Tax No. Date _ 3 D�.IEL LIP1G Type of construction rrstories Foundation l.. Cellar Crawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage —^ Utility room Type Heat % ldarm Air �� Hotwater Fireplace(s) n No. E:tits_ Aircon itioning Domestic hotwater-Y4 ype heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. D Scvi.-aming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Remarks: �� 3�� 0-7 7,0/, .+4 Inspected by: Z Date of Insp. Time start =01 3 n