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Home My WebLink AboutZ-23344FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-23344 Date NOVEMBER 10, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1015 SIGSBEE ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 2 Lot 17 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-23344 dated NOVEMBER 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 The certificate is issued to ESTATE OF EDNA W. TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #5972 - OCTOBER 24, 1994 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTrnN RRRnRT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1015 SIGSBEE ROAD LAUREL, NEW YORK number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) EDNA TUTHILL OCCUPANCY SINGLE FAMILY DWELLING type owner -tenant ADMITTED BY: SUSAN SUTTON ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 100U -::'M-2-17 SOURCE OF REQUEST: RENEE J. CHESHIRE, EXECUTRIX DATE: OCT. 6, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) ONE PORCH TYPE COVERED REAR BREEZEWAY NONE DOMESTIC HOTWATER YES TYPE HEAT OIL OTHER: Arrrgq 1RV STRurmTRRS. # STORIES - 1 $ EXITS 3 CELLAR PART. CRAWL SPACE CRAWL 4 2ND FLR. 3RD FLR. TOILET ROOM (s) ONE UTILITY ROOM NONE DECK, TYPE NONE PATIO NONE FIREPLACE ONE GARAGE NONE TYPE HEATER OFF BOILER AIRCONDITIONING WARM AIR HOTWATER YES GARAGE, TYPE OF CONST. NONE SWIMMING POOL OTHER: STORAGE, TYPE CONST. NONE GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY DATE OF INSPECTION OCTOBER 12, 1994 TIME START 9:35 END 10:00 TOWN OF SOUTHOLD L BUILDING DEPARTMENT UL� — V MTOWN HALT. 765-1502 BLDG. DEPT. TOWN OFSOUTFIOLD 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 or 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. 3. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-exiscing" 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 Insper or shall scare the reasons therefor in writing to the applicant. e. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $2-5.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessor7 bu.ldins $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exiscing Building - $100.00 3. Copy of Certificate o= Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000, Commercial $15.00 Date ... f4P/ 7� g ............................ New Construction........... Old Or Pre-existing Building .... $............ Location of Property.... 1015..5igAt�ee. RQad............ . ........... Mt. itu.Qk. _ ........... House No. Street Hamlet Onwer or Owners of Froperty...Estate of Edna W. Tuthill . County Tax Map No 2000, Section 143 .......Block...?............Lot..... 17 .............. Subdivision....................................riled Map .... 89L -...Lot .... 87, and .86....,.. Permit No................Date Of Permit... .. .......Applicant............................... Health Dept. Approval..........................Underwriters Approval.......................... Planning Board Approval ........... •............. Request for: Temporary Certificate........... Final Cercicate........... Fee Submitted: $............................. a of Edna Welworth Tuthill by: C3�pc, yf(?..5�3 afCF°L?Ct �.0 ..... 1`i Renee J. Cheshire, Executrix TIII - 1 -'�-. II 1 1 = -= G 01 ' 00000000000000000000000000 ececece (516) 286-6642 ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 5972 _ Date Octahar 74t1994 APPLICATION No. ON FILE ADD RESS:--iojr, S�__ �RT}ep Roams VILLAGE: xAttjtnr% ` TOWN: SOUthnIA ISSUED TO: Ratate_ of Rdna Tuthill _ INTRODUCED BY Henry fSaxtejn Attorney +�'Y r. w _ LIC. NO«_ was.ezamined on 10/17/94 and found to be in compliance with the National Electrical Code. LOCATION 1st. 2nd 3rd Attic Pool DET. GARAGE HOT TUB FIXTURE RECEPTACLES SWITCHES G. F. C. I. DIMMERS FANS AIR. COND. DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OV4N SMK. DET. - FURNACE OIL GAS Cl R. MOTORS BELL TRAN. SERVICE DISCONNECT metersIa e 1 100 OH t► Service Change Oil Burner t► a J 1� �Doceoeoeoeosoeoeoeoeoee !n President 0 0 This certificate must not be altered in any. manner. o Inspectors may be Identified by their credentials. 0 0 0 eoeoeoeoeoeoeoe00000eoo - _ �- -- --- -~'t CONSENT BLDG. lEP7. -'oV1?h4 OF SOUTHOL.D m. TO INSPECTION ESTATE OF EDNA WELWORTH TUTHILL the undersigned, �� Owner(s) Nameis) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1015 Sigsbee Road, Mattituck which is shown and designated on the Suffolk County tax map as District 1000, Section 143 Block 2 Lot 17 That the undersigned (has) (have) filrid. or caused to be filed, an applica- tion in the Southold Town Building fnspector's Office for the following: letter of pre-existing use 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 sll 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 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. Estate of Edna Welworth Tuthill Dated: (p / 9 9� by: (sign re) Renee J. Cheshire, Executrix __.._. (print name) sisnature) -- (print name) JUL- 1-93 THU 15:14 i;'It p . 03 SURVEYED FOR:- Q.44V/,1D LOCATED AT 414TTIT" - LOTS 8c0 <e B MAP OF MATT/TUc,C I AAek�- ,/�.PCPEjenE5 /"C. !JNlE� � MAP SCALE 1 •• = 3o SUFFOLK CO. TAX MAP DATA: - DIST. /OOCD , SEC. BLK. LOT 0/ 2, boo OFFSETS FROM STRuctom TO RELATIVE BOUNDRY UNITS, ON SURVEY, ARE FOR A SPECIRC USE ONLY, AND SHOULD NOT BE USED FOR COMTRUCTION OF F OR OT"m STRUCTURES. Gv<[ Pyr c/T 0 TD DAVID _/. 4' SCA -5.4 � E Ci-/AaoT T,7" �F DRAWN BY� 0 � �DCJR25) , TOWN OFSGL'1TF-/oCC) 0 o _ woav s $ weec /clL a0 41-3 s.9 C3 i t ,4.0 J Ji /4o•oo Imm ON D,Rr _� wdoc� Ki„eE�E w NYS LIC. 34408 / <:D 40 SUFFOLK COUNTY N.Y. , CO. CLK. NO. FILE NO. /2, 99� FILED,//,c/ /,i SURVEYED SE/oT 2B, 19 % 4 -BY RAMPART SURVEYING P.C. P/O BOX 377 JAMESPORT, L.I., N.Y. 11947 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOL[SING CODE I)ISPECTION REPORT LOCATION: /D 1,-r -S" l SUBDIVISION NAME OF OWNER (s) OCCUPANCY er & st et municipality ADMITTED BY: ��" ACCOMPANIED BY KEY AVAILABLE ,SUI CO. TAX MAP N0. V-0 / 3 — 2 —f7/ SOURCE OF REQUEST: �� tel. / DATE: /11 WJ DWELLING:� TYPE OF CONSTRUCTION �(�s-� STORIES E%ITS FOUNDATION 4�—f 11 r CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. -- BATHROOM (s) Nip— TOILET ROOM (s) UTILITY ROOM PORCH TYPE C U1/P.��,¢� DECK, TYPE PATIO di✓�Q' BREEZEWAY X11/ p'1�-� FIREPLACE% GARAGES DOMESTIC HOTWATER �/GJs TYPE HEATER AIRCONDITIONING TYPE HEAT ml/ WARM 'AIR HOTWATER / lle& — OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. if,/��2a STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 1 REMARKS: INSPECTED BY DATE OF INSPECTION TIME START 4r l—J. ED