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Home My WebLink AboutZ-25075FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25075 Date June 6, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3060 PARK AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Subdivision Block 8 Filed Map No. Lot 19 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 91 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25075 dated JUNE 6. 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 TWO ONE FAMILY DWELLINGS & ACCESSORY GARAGE WITH THREE ATTACHED SHEDS * The certificate is issued to KATHLEEN TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 2, 1997 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARR AVE. MATTITO R number.& street)municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) KATHLEEN B. TUTHILL OCCUPANCY type OWME%wner-tenant) ADMITTED BY: KATHLEEN B. TUTHILL ACCOMPANIED BY: KATRLEFN B_TR771TT.T. KEY AVAILABLE SUFF.CO. TAX MAP NO. 123-08-19 SOURCE OF REQUEST: KATHLEEN TUTHILL DATE: MAY 13tb. 1997 DWELLING: TYPE aF CONSTRUCTION WOOD FRAME FOUNDATION POSTS CELLAR NO TOTAL ROOMS: IST FLR. 3 2ND FLR._1) 3RD PLR. BATHROOM (s) ONE TOILET ROOM (s) PORCH TYPE DECK, TYPE BREEZEWAY FIREPLACE DOMESTIC HOTWATER TYPE HEATER TYPE HEAT OIL WARM AIR FLOOR HEATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: # STORIES 2 CRAWL SPACE UTILITY ROOM PATIO GARAGE AIRCONDITIONING HOTWATER (S'-- HOUSING REPORT FOR DWELLING #1 STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE # E%ITS ONE REMARKS: INSPECTED BY DATE OF INSPECTION MAY 22, 1997 TIME START 11:00 AM END 11:20 AM BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARK AVE. MATTITUCK N.Y. numUer h street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) KATHLEEN B. TUTHILL OCCUPANCY A–I RES. OWNER type Z owner–tenan t ADMITTED BY: KATHLEEN TUTHILL ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. 'PAX MAP NO. 1000-123-08-19 SOURCE OF REQUEST: KATHLEEN TUTHILL DATE:MAY 13, 1997 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 2 / EXITS 2 FOUNDATION CEMENT BLOCK TOTAL. ROOMS: IST FI.R. BATHROOM (s) ONE PORCH TYPE ENCLOSED BREEZEWAY DOMESTIC LIOTWATER YES TYPE HEAT nn OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST SWIMMING POOL. OTHER: --------------------- --------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUll.UING CODE CELLAR 3/4 CRAWL. SPACE 2ND FLR. 4 3RD FI.R. TOILET ROOM (s) ONE UTILITY ROOM DECK, TYPE PATIO _ FIREPLACE ONE GARAGE TYPE HEATER ELECTRIC AIRCONDITIONING WARM AIR—_FLQOR-11EATF.R ____ UOTWATER WOOD FRAME 29'x17' STORAGE, TYPE CONST. 3 SHEDS ATTACHED TO GARAGE , GUEST, TYPE CONST. REMARKS: INSPECTED DATE OF INSPECTION_ TIME START 11:00 MAY 22, 1997 END 11:20 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. �G C. New 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 completed site plan requirements. 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 s reets, building a d t� ines, unusual natural or topographic features. /""'°�� 5` G / 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 < 5. Temporary Certificate of Occupancy - Residential/$15-.00, Commercial $15.00 Date . �� It I. r? ............................ Construction..., Old Or Pre-existing juildin / .. l Locationof Property .............. �........... . . .. .. ............... House No. �o,- �Street Hamlet Onwer or Owners of Property..?L�Z�� *��l.....n.R.i... (.................. County Tax Map No 1000, Section//.2 ..........Block.%. ........... Lot.t l .................. �/� Subdivision ........... j41 QA!r.................Filed Map ............ Lot ...................... k9 LC Permit No................Date Of Permit................ Applicant.441� Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate..�...... Fee Submitted: $'`�............................ APPLICANT Qom, s(:2 -5 l��mz On ca 0 is ��/�f ti' CONSENT TO INSPECTION s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) '(a0e) tthe� ownerQR of the premises in the Town of Southold located at 5S '""b�`-��`C (�� which is shown and designated on the Suffolk County tax map as District 1000, Section Block 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: 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: � � (signature) (print name) (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 11.351.37 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NY 10038 Date JUNE 05 , 1'99 7 Application No. on file 1.4021097/97" 11 42.1810 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of KATI- mEN TUTHILL , 3060 1'lARK AVENUE , I iA TT.T_TUCI{ , N.Y. in the following location; -j Basement ® Ist Fl. ❑k 2nd Fl. UPR/OUT Section Block Lot was examined on -` 30 , 199 % and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT I. FLUORESCENT I OTHER AMT. I K. W. I AMT. I K. W. AMT. K.W. AMT. I K. W. AMT. H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS 'RELL UNIT TRANS. HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO.OF S E R V. 1 C E AMT. AMP, TYPE METER EQUIP. L �, 4W a 3W 9 ,B' 3W 3,B- �W NO. OF CC. COND. PER ,e A. W. G. OF CC. COND. NO. OF HIAEG A. W G. OF HI -LEG NO. OF NEUTRALS A. W. G. OF NEUTRAL OTHER APPARATUS: DEFECTS RFHOVDID AS PER 05-23--97- 1. L JAIC'S 1,0PPAY 'X.43-53 I P. 0. BOX 305 LT kUREL , R Y , 11948 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. LOCATION: SUBDIVISION NAME OF OWNER (s ) IIIIILDIIJG DEPART-ILNT TOWN OF SOUTTIOLD HOUSING CODE INSPECTION REPORT ;number ti street munic il,al i.ty MAI' NO. LOT (::) OCCUPANCY � z� (type) . (owner—tenaal) ADi1ITTt;D BY:. ��._ ACCO:Ii'nNIED I1Y: ✓ KEY AVAILABLE SUFE•. CO_ TAX MAP NO__1,,23 _ e Sour,;;,; OF REQUEST:-1� DATE: DWELLING: TYPE OF CONSTRUCTION % AA -t44 p STORIES 2 # EXITS (�/� FOUNDATION �Fi�Jl! CELLAR 3�� _ CRA14L SPACE TOTAL R00:iS: IST FLR. 2ND FLR_ 3RD F—L`R7_`-- BATTIROOH (s) TOILET ROOki (s) UTILITY ROOM PORCH TYPE �,r/up I',t DECK, TYPE PATIO, TYPE BREEZEWAY DOMESTIC HOTWATER TYPE BEAT OTHER: ACCESSORY STRUCTURES: FIREPLACE (�� GARAGE TYPE HEATER, AIRCONDITIONING_ WARM AIR ROT14ATER GARAGE, TYPE OF CONST. (�-AA-vljL P9 C/jSTORAGE, TYPE' CONST_3s/i�<-/S5 A-MAQ-JES SWIMMING POOL GUEST, -TYPE CONST. C5'� OTILER: VIOLATIONS: CHAPTER 45 N.X. STA'L'E UNIFORM FIRE PREVENTION & BUILDING CODE HENARKS: INSI'ECTE'D BY: C ti' DA'I'i; ON INS1'I:C'i'ION TINE START LOCATION: SUBDIVISION NAtIE OF OWNER (, ) IIUILDTIIG DEPAWrI;Nj' TOWN OF SOUTTIOLD .HOUSING CODE TNSPECTION REPORT number 6 street) �mun�cihal.ity• MAP NO. LOT (;;) OCCUPANCY (type) ` (Owner—Cenant) ADMITTED BY:. ��-j-}FLf�L.) flcl � // , , !� Ll �"I ACCO. II nNIED IIX:— &W,- i - �� / KEY AVAILABLE SUFF. CO_ TAX MAP NO.��{g SOUR;;: .OF REQUEST: DATE:/ DUELLING: TYPE OF CONSTRUCTION �J(i tY(� �,�i� o STORIES # EXITS�,,// FOUNDATION CELLARQ CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. p2 31ZU FLR_ BATUROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIItCONDITIONING_ I0 IERl1EAT ttJ/L WARM AIR � �� TIOTIaATER --- ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S'T'ORAGE, TYPE CONST. S1111111ING POOL. GiJES"T, CONST. OTlLER: VIOLATIONS: CHAPTER 45 N.X. STA'L'E UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE' ON INSP`F/C'TION TIMI. START