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Home My WebLink AboutZ-19350FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19350 Date SEPTEMBER 12~ 1990 THIS CERTIFIES that the buildin~ 2 ONE FAMILY DWR. T~INGS Location of Property 2000 PARK AVE. MATTITUCK~ N.Y. House No. Street County Tax Map No. 1000 Section 123 Block 8 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for Private One Family dwelling built prior to: APRIL 9~ 1957 Hamlet pursuant to which CERTIFICATE OF OCC. Z-19350 dated SEPTEMBER 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 2 ONE FAMILY DWELLINGS WITH ACCESSORY GARAGE * The certificate is issued to VERNON STRUB (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD-PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD-PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD-PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORTS. '~~~' B i~l~diig Inspector Rev. 1/81 Location Subdivision BUILDI?~G DEPJd~T:.~NT -. T0';~ OF SOUTHOLD, N. Y. HOUSI~ CODE IMSPECTION REPORT 2000 PARK AVENUE MATTITUCK, NEW YORK ~numoer ~ s~ree~) (~4unzcipa±£~y) Map No. Lot(s) Ne~me of Owner(s) VERNON STRUB Occupancy A~mitted by: A-I (type] VERNON STRUB OWNER (owner-senan~) Accompanied by: VERNON STRUB Key ~vailable Suffolk Co. Tax No. 123-8-7 Source of request VERNON STRUB Date 8131/90 D~,.PEW~L IMG: Type of construction #GOD FRAME Foundation CEMENT BLOCK Cellar F~LL Total rooms, 1st. F1 5 2nd. FI 2 #sTories 1-1/2 Crawl space 3rd. F1 -- Bathroom(s) 2rUin Porch, type Breezeway Type Heat OIL Fireplace(s) o~ Domestic hotwater OFF BOILER Other ~EA~Sm~ooM Toilet room(s) Deck, type. Garage. ! f~R 'Warm Air No. ~cits Utility room Patio, typq__ Hotwater xx Airconditioning Type heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIOMS: .C~APTER 45--N.Y. STATE UNIFOEMFIREPKEVENTION & BUILDING CODE Description Sec. Location Art. ,, Remarks: Date of Insp. Sept. 5, 199o · Time start 9:30 end 10:15 Location Subdivision BUILDI~,~ DEP~RT~.~NT T0';~ OF SOUTHOLD, N. Y. HOUSI~ CODE I~PECTION REPORT 2000 PARK A~E MATTITUCK, NL~ YORK ~numoer ~ s~ree~) (i'iun~c£pal£~y) Map No. Lot(s)_ N~me of Owner(s) VERNON Occupancy Ad,mitt ed by: A-I ~;ERNON STRUB Key ~vailabl e O~NER (own er- ~ enanr) Accompanie~ by: ~ERNON STRU~ Suffolk Co. Tax No. 123-8-'/ Source of request ~EP, NON STRDB Date 8/31/90 D~,,fi~L!~IG: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 4 Bathroom(s) ONE ~ULL BATH Porch, type. Breezeway. Type Heat OIL Fireplace(s) NONE Domestic hotwater ELECTRIC Other Deck, Garag% 'Waz~u Air xx No. F~its ~ WOOD FRAME #stories 1 Cellar FULL Crawl space. 2nd. F1 - - 3rd. F1 - - Toilet room(s)... type Patio, typ~__ Utility room .Hotwater Airconditioning ~ype heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other ! CAR Storage, type const. Guest, type const. VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE .' Remarks: BP ~i439170 Z-14451 for a, dditio, n . , . G~J./Fish ' Time start 9:30 9/5/1990 end ,. !0: 1.5 BLDG, DEPT. TOWN OF SOUTHOLD ! Form No. 6 TOI~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . ~?PLICATION FOR.CERTIFICATE OF OCCUPANCY 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 %lectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contn~ms less than 2/10 of 1Z 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. For existing buildings (prior to April 9, 19~2) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building mud unusual natural or topographic features. 2. A properly completed application and a consent"to inspect signed by the applicant. If a Certificate o£ 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 co 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 C%r~ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..0,0, Commercial $15.00 Date ' ' ?"-~t~'~° .... ::aw Construction ........... Old Or Pre-existing Building ...... .~ .......... Location of Property.. ~l.~0 ~.~.g~ ~.d.~t3~ '~z~,~dCbf ~-~. House No. Street Ha~et Onwer or Owners of Property ~.,~9~. ~, ~O~ County Tax M~p No 1000, Section... ~ .?;'..~. · ..Block. ~ ..Lot. S bdi~ision ' Filed Map Lot Permit No ........... Date Of Permit ................ Applicant ~,2 llealth Dept. Approval .......................... Underwriters Approval ........................ '~ Planning Board Approval ........................ Request for: .Temporary Certificate ........... Final Certicate.. ~ CONSENT TO INSPECTION ~V,P.. %)~t~o ~ &. %T~_oC% ' , the undersigned. O%~er(s) Name(s) do(es) hereby state: That the unders~ned (is) (are) the owner(s) of the premises ~ the To~ of Southotd located a~ ~ooo F~e~ ~ ~ ~~t3~-~. ~.~. l Iq.cz . which is sho%~ and designated on the Suffolk County tax map as District 1000, Section ~%Z . Block ~ , Lot 7 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspect0r's Office for the follow.g: __ 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 tn 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: F/3//go ~J_uv,-.,,~-- _33. ~'co-¢ (signature) (print name) (signature) (print name)