HomeMy WebLinkAboutZ-26906 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF .00CUPANCY
No: Z- 26906 Date: 02/01/00
THIS CERTIFIES that the building SEASONAL DWELLING & GARAGE
Location of Property 1750 MILLER RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 0012 Lot 003.003
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- 26906 dated FEBRUARY 1, 2000
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 SEASONAL DWELLING WITH WOOD DECK AND ACCESSORY ONE CAR
GARAGE.*
The certificate is issued to KIM ALAN YOUNG
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION. DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
A ho ' zed Si-nature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1750 MILLER RD MATTITUCK
SUBDIVISION: MAP NO. : LOT (S)
NAME OF OWNER (S) : KIM ATAN YOUNG
OCCUPANCY: SINGLE FAMILY KIM ALAN YOUNG
ADMITTED BY: JEAN YOUNG ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 106 -12-3 3
SOURCE OF REQUEST: GARY OLSEN ATTY. DATE: 02/01/00
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK PIER CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR. : I 2ND FLR.: 0 3RD FLR. : 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: PROPANE AIRCONDITIONING:
TYPE HEAT: NO HEAT WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST. : ONE CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION i DESCRIPTION ' ART. SEC.
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REMARKS: REINSPECTED 1/31 /00
INSPECTED BY: DATE ON INSPECTION: 01/24/00
GARY SH TIME START: 9:50 AM END: 10:10 AM
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildir.
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property lineE
,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 buildi
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 a
!'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets ding and
unusual natural or topographic features. r�, - b�
2. A properly completed application and a consent `Yn 4pe t hi d-d b-r tin;'l applicar.
If a Certificate of Occupancy is denied, the Bu l rcgnspector shale;';'sitate the
JA
reasons therefor-An writing to the applicant. 4 �} n
6
N $ 2000
C. Fees
ddo ts'Fd'w'eTling $ 5.00,
1. Certificate of Occupancy - New dwelling $25.00, n .•. 25.00,
Alterations to dwelling $25.00, Swimming pool $2 .00,_Accpssoryi,;_bui�c�,�.ng $
Additions to accessory building $25.00. Busine - `560:��
2. Certificate 'of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15:00, Commercial $15.00
1/J4/00 , , , . . . . . . . .
Date . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . .. . . . . . . . . . .
1750 NLLER,ROAD, T4ATTITUCK", NY 11952 . . . . . . . . . . • , • , , , . . . . .
Location of Property. . . .. . . . . . . . • . . . •
Hamlet
House No. Street
KIM ALAN YOUNG . . . . .
Onwer or Owners of Property.. . . . . • • • - • • • • • • • • • •.
.Block. . 12 .Lot. .3,3,
County Tax Map No 1000, Section. 106 . . . • - • • - • • • • • •
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.Filed Hap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . ,•. . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . ... . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Cert ate. .
100.00
�ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . /. . . . � . . . . . . . . . .
v �('09C)('0
13 APPLICANT
`1 KIK ALAN YOUNG BY GARY FLANNER OLSEN,
ATTORNEY
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CONSENT
INSPECTION
KIM ALAN YOUNG
the undersigned,
Uwncr(�;) Narnc(:�)
do(es) hereby sLall::
That the undersigned (is) (are) the owners) of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax male as District 1000, Section Block Lot
ThaL the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in"tho Southold Town Luildinl; inspecL�.L or.r1.'—> r�W. +hn fnllf)win(,*:
ONE FAMILY RESIDENCE AND DETACHED FRAME GARAGE
That the undersigned do(es) hereby live 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 tlae laws, ordinances, rules
and rer;ulationz 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 pr se utions for vio-
lationR of the laws, ardi.nancc��, rules or regulations of the 7� wn of Southold.
Dated: 1/14/00
sQ,6
GARY FLANNER OLSEN AS ATTORNEY
(print name)
FOR KIM ALAN YOUNG
(signature)
(print name)
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REVISIONS YOUNG & YOU S TE OF NptV
OCT.30,1979 400 OSTRANDER AVENUE, RIVER �� 'ot
ALDEN W.YOUNG )O H W,IRD�.YO G
PROFESSIONAL ENGINEER AND `• If RVE>�i'p
LAND SURVEYOR.N.Y.S.LIC.NO,12.45
SURVEY FOR:
VNAUTM,WIirn d0Eg4I10N ON 40UIfI0N TO K/M YOUNG
I MIS S:JR,E1 I!:A•VIOLATION OF SECTION
' RE ),)PX STATE rPICATION e, �+. 3
NOTE III MONUMENT ;Y 4569
LOT NUMBERS REFER TO MAP.OF G;,P-E•:.:I 11us SOR.Ff MAP NOT REARING isfc 14ND SUB�E�g�
I. VIEW PARK ,FILED IN THE OFFICE 11E LAN.^1:1-1—S INKEc sc AI oR
OF THE CLERK OF .SUFFOLK COUNTY ON C11R.`SS5P ^!.4L SNAIL NOT 81.
Ic'IE A YA'._1. IALP,COvr AT GUARANTEED TO:
MAY 18, 1910 AS FILE NO.576 MATTITUCK AMERICAN TITLE INSURANCE C0.►
ti I 1-7E:0 MLREON SIIA•,L RUN
,•N.r �F{r •..r. „, R r-M TOWN OF
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