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Home My WebLink AboutZ-25080FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25080 Date JUNE 13, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 505 MIRIAM ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 1 Lot 35.1 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-25080 dated JUNE 13, 1997 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 ELIZABETH TWOMEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Builfding Insp for Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 505 MIRIAM ROAD MATTITUCK, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ELIZABETH TWOMEY OCCUPANCY SINGLE FAMILY type owner -tenant ADMITTED BY: ELIZABETH TWOMEY ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-99-1-35.1 SOURCE OF REQUEST: ELIZABETH TWOMEY DATE:MAY 15, 1997 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # E%ITS 3 FOUNDATION BLOCK CELLAR 3/4 FULL CRAWL SPACE 1/4 CRAWL TOTAL ROOMS: IST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) I TOILET ROOM (s) UTILITY ROOM PORCH TYPE WOOD COVERED DECK, TYPE WOOD PATIO BREEZEWAY YES FIREPLACE GAS GARAGE 1 CAR DOMESTIC HOTWATER OIL TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL BASEBOARD WARM AIR OTHER: Arrvccnvv c run `Tnmuc . I LAUNDRY ROOM GARAGE, TYPE OF CONST._ SWIMMING POOL 16' x 32` OTHER: HOTWATER OIL STORAGE, TYPE CONST. WOOD SHED GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS. BP #15711Z-COZ-16072-I/G Swimming Pool) BP 121489Z-COZ-22699 (Addition 6 Garage Addition) BP #214897jrCOZ-25081 (Deck) BP #24184-Z-COZ-25082-(Acct Shed) INSPECTED BY MICHAEL 1d. VERITY DATE OF INSPECTION MAY 20, 1997 TIME START 10:30 AM END 11:25 AM Form No. 6 TOWN OF SOUTHOLD �N �� `'1 I 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 17 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 c6mpleted 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, 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, Accessary building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25e. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .5: 5=97 ............................... New Construction........... Old Or Pre-existing Building.............. Location of Property. 505,M.IRIA M.ROA D ..................................... M A!TITAQ K..... House No. Street Hamlet Onwer or Owners of Property..ELIZABETH.TWOMEY _. . ..,__._ County Tax Map No 1000, Section.... 09900..Block. 9100 .,Lot. 033, 034; 035 Subdivision.. CAPTAIN KIDD ESTATES ......Filed Map. .1672.....Lot.25, 26, 27. . Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate.. X........ Fee Submitted: 3, 100 :00 z' �22�1Lc'G (3'Qec-.5341 I� BEYH... APPLIC3*a hlEY................. 6�'V cowso�a o� Z' 0 11 \ ., ooh � hof < sp'k� a s �o 0 l A0 � O M c o / �• X/ ° J Q �, a. 4 iiY ° a° O o \ .o oo' 4r: SURVEY FOR w: THOMAS TWOMEY LOTS 25926, 81 27 CAPTAIN KIDD ESTATES MATTITUCK TOWN OF SOUTHOLD SUFF CO. N.Y. Nor E: • _MONUMENT SCALE: I°= 40' DEC. 4, 1968 r SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY PROFESSIO'RA�ENGi AND ON JAN. 19,1949 AS MAP N0. 1672. LAND SURVEYOR,N.Y. IC.NO.12845 RIVERHEAD, N.Y. CONSENT TO INSPECTION ELIZABETH TWOMEY 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 505 MIRIAM ROAD MATTITUCK, NEW YORK , which is shown and designated on the Suffolk County tax map as District 1000, Section 09900, Block 0100 Lot 033, 34, 35 That the undersigned (has) (M*05Y filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: CERTIFICATE OF OCCUPANCY FOR PRE-EXISTING STRUCTURE 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 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: 5-5-97 2 9 vw flaG -- (signa ure) _ELIZABETH TWOMEY (print name) signature (print name) LOCATION: `5-o (number SUBDIVISION NAME OF OWNER (s) OCCUPANCY BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT .e . -7 __12 street MAP NO. LOT(s) �� L ty (type) ® (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE 9ffF.CO. TAX MAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCT;PN ,'` ��. �# STORIES__ EXITS 3 FOUNDATION CELLAR / CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) "1 UTILITY ROOM PORCH TYPE LU LLe DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE 1 r DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT &W,,61o4z WARM AIR y�� HOTWATER OTHER: ACCESSORY STRUCTURES: `--- GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOLI&X 3z. , GUEST, TYPE CONST. OTHER VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY Ali � 1