The URL can be used to link to this page

Home My WebLink AboutZ-31707 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- 31707 Date: 07/27/06 THIS CERTIFIES that the building DWELLING Location of Property 1200 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0012 Lot 016 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- 31707 dated JULY 27, 2006 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 KEVIN & CYNTHIA LYNCH (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. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1200 DEEP HOLE DR MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : KEVIN & CYNTHIA LYNCH OCCUPANCY: SINGLE FAMILY DWELLING KEVIN & CYNTHIA LYNCH ADMITTED BY: JOHN NICHOLAS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-12-16 SOURCE OF REQUEST: KEVIN LYNCH 7/20/06 DATE: 07 27 06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: CEMENT DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: OIL HOT WATER RADIANT HEAT, CELLAR ENTRANCE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: NONE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. RIO ARKS: INSPECTED BY: DATE ON INSPECTION: 07 25 06 17 GEORGE GILLEN TIME START: 9:45 AM END: 10:15 AM Form No.6L... . 101� TOWN OF SOUTHOLD I BUILDING DEPARTMENT ( '' TOWN HALL 1�_�' JUL `+2 ® ._�`.'.i i 765-1802 (11A•..�'-cam_�-_l_'�'�':��._n_�.,�APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 cerlificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "p re-existing"pre-existing land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 Building- $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. : 0� New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section �, t( Block Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one Fee Submitted: $ Applicant Si ature CONSENT TO INSPECTION .i the undersigned, do(es)hereby state: Owner(s)Name( That the undersigned(is) (are) the owner(s) of the premises in the Town of Southold, located at ;i- ' '/ :`. on,A2��jw1b 4M1 rtUaD which is shown and designated on the Suffolk County Tax Map as Districi1000, Section ,� ,Block � 2,0 , Lot 0 , That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: o• ' d u�OdlillC 9 C One c ja 1 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 in-subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: f�(Signature) /1 (Print N e) C� L t�(i4 (Sig _ / (v /�l(/ (Print Nam 0 0 0 _ ��,__ J TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 2_(Dr,, VILLAGE DIST. --Sb'g " LOT . k'eln f C FORMEA OWNER N a E ACR. i45" 0 tns S W TYPE OF BUILDING a. RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Vaye LAND IMP. TOTAL DATE REMARKS S oDs o � .30,a lJ 00 dU �DG .3-ry G f73 5 D� ► o 'n5 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Z y Swampland FRONTAGE ON WATER (� GJ• s Brushland FRONTAGE ON ROAD Jr� House Plot DEPTH BULKHEAD Total DOCK r*� 7 ■■■■■■ ■■■■■■■■■■■■■■■■■■■ 1 yam•• 'Ky whZC ' 'JSlih 1S / ■■■■■ ■■■■■■��■■■■ MINE IMMOMMM ■■■■■■■ F ��'JIIC . \ Y1 f7 5+ delft ■■■■■■ ■■■■■_■lWill _�7_■■■■■■■■■■■ K ;17�� ;y � ''^• v- sod r. r `nl r3, _ EMERIMMEMINMEMEMEMME EMEN MEMMIMME EMEMEME SOMEONE ■MM11MEMECEM■■■■■■■M ME■■MM■ O�r�i�E�:■E■■■SEE■■■M■ NONE WcadAM■NE■■■■N OON■ Foundation Basement of o Interior Finish Fire Place. t Driveway III LC rvu. I1\ C29U` r O�iRJ +(] � a �c�+.+, 5 y •0 O `0 0 V ' 'n L IN I�I� m•3'1+ nn 25 0.00 �g I `II y /�( C'i7' G(/ �sm•_+oE�� 5 tJ d` 1 r Q .SoFc e,� co�•vr7" 279 MAP O/3Ti2./Ooo SEC.//S' .eL� /Z -7'1Ce MEASUREMENT IN U.S.STANDARD .DATE -' THE DIMENSIONS SHOWN HEREON,FROM THE STRUCTURES TO THE PROPERTY LINE.ARE FOR A SPECIFIC PURPOSE ONLY.THEY ARE SECTION BLOCK �p�•� ,7,, PLAN S-e4-zomS K�,JLj-yA!•r EM iX P1�A NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES,STRUCTURES OR ANY OTHER IMPROVEMENT. GUARANTEED TO Marc/r�� LAND SURVEY• EXISTENCE OF RIGHT OF WAYS ANDIOFI EASEMENTS OF RECORD,IF ANY,NOT SHOWN ARE NOT GUARANTEED- THE �yw/,Fa.y [G /NsuegN� �2Pm4A17mN GUARANTEES INDICATED HEREON SHALL RUN ONLY AOV.aNTA� T/TEE A��y "�• S'UFF-o[.� UNAUTHORIZED ALTERATION ONLY COPIES FROM THE ORIGI- TO THE PERSON FOR WHOM THE SURVEY IS PRE• COUNTY MAILING ADDRESS OR ADDITION TO A SURVEY MAP NAL OF THIS SURVEY MARKED PARED,AND ON MS BEHALF TO THE TITLE COMPANY, (516)431.9356 P.O.BOXI7B BEARING A LICENSED LAND WITH AN ORIGIN AL OF THE USTEO HEp.N.ANO TOT E AGENCY AND ASSIGNEES OF ITTHE JOB NO. (914)76"3D4 73 WESTCHESTER AVE. SURVEYOR'S SEAL IS A VIOLA• LAND SURVEYORS EMBOSSED BEING INSTTTUTION. (718)341-3533 POUND RIDGE,NY.18576 TION OF SECTION 7209,SUB. SEAL SHALL BE CONSIDERED GUARANTEES ARE NOT TRANSFERABLE TO AUDI- TELEPHONE:BOD-54t-5�2A DIVISION 2,OF THE NEW YORK TO BE VALID TRUE COPIES. TIONAL INSTITUTIONS OR SUBSECUENT OWNERS. OS—lo 5t7E6 FAX:800-242-4955 STATE EDUCATION LAW. E-MAIL:-kplsp.@—is.-- • LOCATION: , 1140 (number& street) (municipality) SUBDIVISION: MAP NO.: �— LOT(S): NAME OF OWNER(S): OCCUPANCY: / tk7 r (type) (owner-tenant) ADMITTED BY: ACCOMPANIED:BY: KEY AVAILABLE: — SUFF. CO. TAX MAP NO. 1000- — /a — SOURCE OF REQUEST: ,11.,,,;�.i DATE: 7--�--a DWELLING: TYPE OF CONSTRUCTION: # STORIES: #EXITS: FOUNDATION: CELLAR: _CRAWL SPACE: �'— TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: e BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM: �— PORCH TYPE: — DECK,TYPE: Woo PATIO, TYPE- BREEZEWAY: FIREPLACE: D GARAGE: DOMESTIC HOTWATER: yt- S TYPE HEATER: AIRCONDITIONING: TYPE HEAT: ® 1L WARM AIR: HOTWATER: OTHER: fn/A 7'& ACCESSORY STIWCTURES: GARAGE,TYPE OF CONST.: STORAGE,TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFOPM FIRE PREVENTION&BUILDING CODE LOCATION DESCRIPTION' ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: �'� TIME START: �� END: /� ��