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Home My WebLink AboutZ-24923 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24923 Date MARCH &; 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1455 PIKE STREET MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 41 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-24923 dated MARCH 7, 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 BERNICE TYLER (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. ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1455 PIKE STREET MATTITUCK, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) BERNICE TYLER OCCUPANCY SINGLE FAMILY type owner -tenant) ADMITTED BY• CHARLIE TYLER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-140-2-44 SOURCE OF REQUEST: PATRICIA C. MOORE, ATTY DATE: FEB. 25, 1997 UWL'LLINU: TYPE OF CONSTRUCTION FOUNDATION BLOCK TOTAL ROOMS: IST FLR. BATHROOM (s) 1 PORCH TYPE WOOD FRAMING I CELLAR FULL 2ND FLR. 2 3RD FLR. # STORIES 1-1/2 # E%ITS 2 CRAWL SPACE TOILET ROOM (s) 1 UTILITY ROOM DECK, TYPE WOOD FRAME PATIO BREEZEWAY FIREPLACE DOMESTIC HOTWATER ELECTRIC TYPE HEATER TYPE HEAT LILCO GAS WARM AIR OTHER: Arrvccnvv crVTvr"TVvc. GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: LILCO GAS GARAGE UNDER HOUSE AIRCONDITIONING HOTWATER ELECTRIC STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE REMARKS: BP #23964-Z-COZ-24922 (DECK ADD) INSPECTED BY DATE OF INSPECTION MARCH 3, 1997 TIME START 10:15 AM END 10:45 AM 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 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. 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, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date......./ .................................. New Construction......./.... Old Or Pre-existing Building..l1.............. Location of Property.. / 55 /��. P..:Sj? -e.1..........MG[ i K/ L ................ . House No. Street Hamlet Onwer or Owners of Property..... 15e -0 /1(C�... J./er�....................................... County Tax Map No 1000, Section...�.?.�...... Block ... C.9 ........... Lot. ..11 ................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... PlanningBoard Approval ........................ Request for: Temporary Certificate........... Final Certicate....l` ..... Fee Submitted: $............................. :.`:•:.`./� QDS� Sot 10 APPLICANT 0 IA Q Wi lceriski 2'70.45` to Mary's Rd.--� PIKE ST FZEET MAP OF L-A"o SupwvYEO FOR BERNICE A. 5CHOTT AT MATT ITUC K TOWN OF Sou-rvAc -DI N.Y. A = V%AQ" Lk T" <E! t • = 1r -OH �,iPe C UU Y -U h k E eCA 2 SBC UrI�I,, 1+1e CA nd Gu CAYCA gty ComQQarAy C-1 'ro }fie NOYk-i, C=ork, B(DkV �C Ei TYUS* Co. os suYveLj&ZCA I.SuW�,e. 2, 1D60. W VCAVITuyt e SoN 1_.ice"sed 1..-nrd Surve��ors GYccr�por�. New OeYh/C Owner(s) Names do(es) hereby state: CONSENT TO INSPEC'T'ION e✓ , , the undersigned, That the undersignedis) are) the�o/w/ner(s) of the premises in the Town of Southold located at %�%S 5 /�i,ce S7Y-," 70- M a MQ /-/i �Ucje , which is shown and designated on the Suffolk County tax map as District 1000, Section �O , Block Lot _. That the under signe (ha (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 00 FA Lt C%C%L 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 iuiformation 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: (signature) 1-T/2iC14 0- X00/0 (print name) signature (print name) BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: /T_;>� number & street municipality SUBDIVISION MAP NO. LOT(s) r NAME OF OWNER (s) OCCUPANCY �. ty�fe) O (owner -tenant) ADMITTED BY: ACCOMPANIED BY: ✓/��'�e�c KEY AVAILABLE v nn SUFF . CO . TAX MAP NO O0 0 - [,,r'0 - z - SOURCE OF REQUEST : % DATE: Z a ,S' i DWELLING:�� f% TYPE OF CONSTRU TION G ,STORIESY EXITS FOUNDATION 2 CELLAR_ CRAWL SPACE TOTAL ROOMS: IST FLR. J 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY 00M PORCH TYPE — DECK, TYPE G(��.�' PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTW TER _ TYPE HEATER ,C✓- AIRCONDITIONING TYPE HEAT WARM AIR ----- HOTWATER OTHER: Arr:_ggnRV GTRTT(TTTRRG GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY O r� DATE OF INSPECTION 3 TIME START �D,'�5 END