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Home My WebLink AboutZ-21144FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21144 Date NOVEMBER 16f 1992 THIS CERTIFIES that the building. Location of Property 4600 OLE JULE LANE House No. County Tax Map No. 1000 Section 122 Subdivision ONE FAMILY DWE-LLING MATTITUCK~ N.Y. Street Hamlet Block 4 Lot 33 Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-21144 dated NOVEMBER 16t 1992 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 DWR. TJ,ING * The certificate is issued to MARIA L. ULMET (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~SE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Location Subdivision N~,~e of C~-mer(~_):.. MARIA L. ULMET Occupancy A-I (type) Ad, mitred by: MARIA L. UL~T OWNER . . Accompanied by: SAME Key avai!ahle Suf£olk Co. Talc ~,to. ]22-4-33 Source of reques~ D%~LLIMG: ,Type of construction Foundation u~TBLOCK Total roomS, 1st. F1 MAEIA ULMET Date OCT. 30, 1992 WOOD FRA~ ', ~ · Cellar FULL Crawl space . 2nd. F1 3rd. F1 _ Bathroom(s) Porsh, tfpe, Breezeway_ Type Heat OIL Fireplace(s) 2 Dcmestic hotwater Other ! F,3L~ BATH. Toilet room(s) ! Deck, ~cype, ... Patio, type__ Garage i CAR Utility ro~m · ';farm. Air Hotwat ar xx .Type heate? OFF WHITE WALK IN ~LOSET OFF MASTER BEDROO~I - Garage, type const. S%~L.~.u_no pool Other...~ , VrOr _~ncation Storage, t]rpe Const. TOOL S~ED (TRUCK BODY) Guest, type const. .CIIAPTER 45--N.Y. STATE UNIFOI~I FIIU{ PKEVENTION & BUILDING CODE De_qcriDtion ~rt,. } Sec. Date of Insp. ~ov. 12, 1992 · Time start9:30 am end 10:00 am Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: I. 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 f~om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder ~sed in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial b~ilding, multiple residenc6s an~ 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 Vpre-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 an~'~ 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 Building - $100.00 3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $10.00 4. .Updated Certificate of Occupancy - $50.00 5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO Date ..... r. ................. Construction ........... Old Or Pre-existing Building...~ ............ ~cation of Property:...A~gP. PJ.~.P~J.~.~gP~,,~9~g~.'..~.Y~.~...,., ...... : .......... .... House No. Street Hamlet Owners of Property Maria [ ~llmet · wet or ' unty Tax Map No I000, Section..~ ........ Block .... ~ ........... Lot..,~ ...... ~divia~on ' ; Filed Map Lot mit No Dat~ Of Permit Applicant ~lth Dept. Approval .......................... Underwriters Approval ......... .nnlng Board Approval ........................ uest for: Temporary Certificate ........... Final Certicate..~ ...... Submitted- $ 100.00 CO~SIC.,,T TO ~ IN~ F~ Fi..C'F I ON Maria L. Ulmet do(es) hc~'eby state: That the undersigned (is) (al-c) the owner(s) of thc prcmLsc,q [n thc Tov,-n of Southold located 4600 Ole gule Lane, Mattituck, New York 11952 · which is shown and design.n/ed on thc Suffolk County ta,x map as District 100(], Section !aZ , Block 4 , Lot That tile undersigned (}las) (have) filed, or causcd to be filed, an applica- tion in the Southcld To~vn Euildin.~ Inspector's Of£ice for the followin.~:__ Certificate of Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town o£Southold to enter upon ihe above described property, including any and ali buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, ~c!udLng inspections to de~er~ine that s~id premises comply with all of the laws% ordinmnces, .rules and regulations of the Town cf Southold. The undersigned, in consenting to such ~spections. do(es) so ~ith the knowledge and understanding that any ~formation obtnincd In the conduc[ of such inspections may be used ms evidence in subsequent prosecutions for legions of thc laws, ordinances, rules or repletions of ihe Town of Souihold. (signature) Maria [. U]me% (prin~ nan]c)