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Home My WebLink AboutZ-25848FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25848 Date: 07/27/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3505 BREAKWATER RD MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 106 Block 0005 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- 25848 dated JULY 27, 1998 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* (HAMLET) Lot 001 The certificate is issued to STEVEN & ATHENA TENEDIOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ilding inspector Rev. 1/81 BUILDING DEP~ TOm OF SO,HOLD HOUSING CODE INSPECTION ~PORT LO~TION: ~ RD MA~ITUCK SUBDIVISION: NAP NO.: -- LOT (S) -- ~E OF O~ER (S) : ST~EN & ATHENA TE~DIOS OCCUP~CY: A-1 RESIDE~IAL ST~EN & ATHENA TENEDIOS ADMI~ED BY: TEN~ ACCOMPANIED BY: KEY AVAIL~LE: SUFF. CO. T~ NAP NO.: 106. ]i-~ SOURCE OF REQUEST: ~_C,~ ESO. -- DATE: 07/27/~ TYPE OF CONSTRUCTION: WOOD F~E FOUNDATION: CEME~ BLOCK TOTAL ROOMS: 1ST FLR.: --3 2ND FLR.: _~ BATHROOM(S): Q 0 TOILET ROOM(S): PORCH TYPE: ENCLOSED DECK TYPE: B~EZ~WAY: FIREPLACE: NONE DOMESTIC HO~ATER: TYPE H~TER: ~PE HEAT: OIL ----- W~ AIR: ~ OTHER: # STORIES: 1.0 # EXITS: ~ CELL~: P~T. C~ SPACE: P~T. 3RD FLR.: _~ ~.0 ~ILI~ ROOM(S): -- PATIO TYPE: ~GE: AIRCONDITIONING: HO~ATER: ACCESSORY STRUCTURES: G~GE, ~PE OF CONST.: NONE SWIPING POOL: ~0~ OTHER: STOOGE, ~PE CONST.: NONE GUEST, TYPE CONST.: NONE VIOLATIONS: CHA~ER 45 N,Y. S~%TE UNIFO~ FIRE PR~E~ION & BUILDING CODE LO~TION DESCRIPTION MT. SEC. R~KS: INSPECTED BY: DATE ON INSPECTION: 07/17/98 TIF~ ST~T: 10:00 END: Form No. 6 TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory bu~.~ ~5~o~ ~ [~UUi Additions to accessory building $25.00. Businesses $50.00..~ 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 I:~ 3. Copy of Certificate of Occupancy - ~ .25~. 0UN ~ 3~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercia. $1[~ D~ New Construction ........... Old Or Pre-existing Building ..... ~ ........... Location of Property .... ~PPP. P~~.~.~~.~.Y~.~ ...................... House No. Street Hamlet Onwer or Owners of Property..P~Y~.~.~P~.~DP.~D~P~ .............................. County Tax Map No 1000, Section...~PP ........ Block ..... ~ .......... Lot .... ~ ................. Subdivision.~gP.9~.~gP~P.~.~P~P ........ Filed Map..~bT~ ...... Lot...)~J .... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....x ....... $100.00 Fee Submitted: ............................ CONSENT TO INSPECTION Steve and Athena Tenedios by Abigail A. Wickham, Esq. , 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 3505 Breakwater Road, Mattituck · which is shown and designated on the Suffolk County tax map as District 1000, Section 106 , Block 5 , Lot 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 o.f 0..99upan..cy oq~ 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, 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. June 11, 1998 Dated: Ste~ s~n~ture) / and Athena Tenedios by (print name) Abigail A. Wickham, Esq.