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HomeMy WebLinkAboutZ-26149FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26149 Date: 11/08/98 THIS CERTIFIES that the building DWELLING Location of Property 2000 OREGON RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET} County Tax Map No. 473889 Section 100 Block 0004 Lot 003 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- 26149 dated NOVEMBER 8, 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 WITH ATTACHED GARAGE & ACCESSORY STRUCTURES* The certificate is issued to ALLYN R TUTHILL & ORS. (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 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: ~0OO OREGON RD SUBDIVISION: NAME OF OWNER (S): ALLYN R TUTHILL & ORS. OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY: DAVID TUTHILL MATTITUCK MAP NO.: __LOT (S) __ ALLYN R TUTHILL & ORS, ACCOMPANIED BY: SAME KEY AVAILABLE: __ SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: ABIGAIL A WIQK~M ESO. DATE: 11/08/95 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: BRICK TOTAL ROOMS: 1ST FLR.: _~ 2ND FLR.: ._~ BATHROOM(S): 1.0 TOILET ROOM(S): Q,Q PORCH TYPE: FT.WRAp ROUND. REAR ENC. DECK TYPE: BREEZEWAY: FIREPLACE: NONE DOMESTIC HOTWATER: yES TYPE HEATER: OFF BOILER TYPE HEAT: OIL WARM AIR: HOTWATER: OTHER: # STORIES: 2.0 # EXITS: $ CELLAR: 1/2 CRAWL SPACE: 1/2 3RD FLR.: _~ UTILITY ROOM(S): __ PATIO TYPE: Cd%RAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 3 CA~, WQOD FRAME STOP, AGE, TYPE CONST.: 2 WOOD FRAME STORAGE SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: 2 BARNS VIOLATIONS: LOCATION ONE BARN one shed CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE D~RIPTION ART. ROOFS SHALL BE MAINTAINED IN A WATERTIGHT COND. VOL 9B s~. 1242.5 INSPECTED BY: DATE ON INSPECTION: 12/03/98 TIME START: 11:00 END: 11:30 SURVF'r' OF ~ITUATE, HATTITUOK TOIMN OF SOUTHOLD 5UI=FOLK GOUNTT', NY Or~'~_n ........ RbKd · SURVIE'T'E D 11-5-q8 E~FFOLK C. OUNT~ TAX I000- I00- 4- CERTIFIED OAVIP PA~E OONNON~ALTH LAND TITLE INSU~NOE Del:oil of: S~u¢~uc~s S¢O1~: I" = 60' \ X\ Edge o} Oul~i, Y'NO. 50202 ~URYE¥OR HAIN STREET RIVERHEAD, N,Y, llgoJ 3691B28B Fax 36g-8287 G~APHIG ~©AI_E II': lc)rD' REFERENCE # 98-270 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OE OCCUPA~YCY 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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - . .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... ~v. emke. r..L7.~ .L9.9.& ................. New Construction ........... Old Or Pre-existing Buildin~ ................ Location of Property ..... 40.0.0 ............... Q~e. go~a~ .............. 2wa%~i~uak .............. House No. Street Hamlet Onwer or Owners of Property..jl~v~ ~...%~tJlilL.~Jla~Ha~g .%.. ~at.b~ ........................ County Tax Map No 1000, Section...~QQ ........ Block ...... Q~ ........ Lot..QQ~ ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ......... ~e-existing use CO ~ 2-story dw,lli~. 2 frame barns 3 zrame ou~uz±~ngs Fee Submitted: $. 100.00 . .. /~ ~ ~ . ~_ .~g~/~ '%bigail A. Wickham, Attorney for Owners CONSENT TO INSPECTION Abigail A. Wickham, Attorney for David A. Tuthill and Barbara T. Mathews , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned ~ (are) the owner(s) of the premises in the Town of Southold located at 2000 0rezon Road. Mattituck. New York 11952 Which is shown and designated on the Suffolk County tax map as District 1000, Section 100 , Block 04 , Lot 003 That the undersigned ~av~ (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre-existing Use for 2-story frame house, 2 frame barns and 3 frame outbuildings 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 inspec- tions 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: November 17, 1998 S'z gm'alU r e / '~O Abi 1 A. Wickham, Attorney Print name Signature