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Home My WebLink AboutZ-31716 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- 31716 Date: 08/01/06 THIS CERTIFIES that the building DWELLING Location of Property 935 JOHNS RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 0003 Lot 018 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- 31716 dated AUGUST 1, 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 HELEN LUCAS IRR. MGMT. TRUST (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: 935 JOHNS RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : HELEN LUCAS IRR. MGMT. TRUST OCCUPANCY: SINGLE FAMILY HELEN LUCAS IRR. MGMT. TRUST ADMITTED BY: JOYCE STEVENS ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 122.-3-18 SOURCE OF REQUEST: JOYCE STEVENS DATE: 08/01 06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL BURNER AIRCONDITIONING: TYPE BEAT: OIL HW WARM AIR: NO HOTWATER: YES OTHER: OIL HOT WATER BASEBOARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 4 X 6 SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP 1302 ADDITION CO Z-1018 t INSPECTED BY: DATE ON INSPECTION: 08/01 06 GEORGE GILLEN TIME START: END: '&ir,' L%j UU u'c;Durv' :,vuii;'OLD kJU1LA1JTo t;�.L (b=, '�:LL Form No.6 TOWN OF SOUTHOLD BUM DING DEPARTMENT TOWN HALL 765-1802 A L 2 5 kPPIACM ION FOR CEWMICKM OF OCCUPANCY r G Tili Sj'qP1lA1('--K"-.o- flila"j-n by t-mewliter or h1k and submitted to the Hiiiiding Dcpartmont with the following' A. For aew building or now use; l- Fina.1 avirvey of propwy with af=rate location of all buildings, property lines,streets, and unusual natural of toposmphicfmtures. 2. Fiziokl ApprovkU from lierdth Dept. of water.3upply and seweragedispoafil(8-9 forth). 3. Approval of alecirical installation from Boin.:-d of Fire Underwriters. 4. Sword stoternent front plumbef collifIving that the solder used in system contains less than 2/10 of 1% lead, il building,industrial building,n-whiple residences and similar buildings and installations,a certificate of Code Compliance from c)rchitact or engirliccr responsible fol the building. 6. Submit Planning Boari,l Approval of cornplAed Fite phin requirements. B. For existing buildings(prior to April 9, 19ST,�non-conforming uses,or buildings and "pre-existing" land uses: I. A"umte suivey of property showing all property lines, stroots,building and unusual natural or topographic fee turns. 2 A property c,.).Wleted application and cons,.;nt to inspwtsigned by the applicant. If a Ccrtificate of Occupancy is denied, 04-c-Building [iispecto."shu],'ATAO 1b,"'MUMS therefor in writing to the Applicant, C. Fees 1. Certit'Jeate of'Oeoupfincy- Nc.iv dwelling$25.00,.Additions to dwelling$25,00, Alterations to dwelling $25.00, Swimming purl.$25,001._Accessory buildiii-$23.00..Additimm to atxoisory building$25.00,Businesses$50.00. $100.00 3. Copy of Cordificatc of ocoupwicy-S-2.3 4. 'Updated Certilloaw of0ccupsacy- $50.0G 5. Temporary Certificaie,.)EOccupancy -Rcsidential $15.00, Commercial$15.00 New 010 or Pre.-existing Building: (&beck one) -4- Location of Property. House No Street Hamlet 1p ropelly: T Block S�Uffrj ax, P!N 0 006. six(ion Xcly, ManM�00 Subdivision Filed --- pa rnit No. Late al'Permit. fica- It'li.Dept. Underwriters Approval: Planiung Duard.%- pproval; Req.-iest fcv Temporaly Ccrtifwatc.. Final Certificate; Pl,"" (--hook out) Feo Submitted: .1; /00 T�P1 igun4fure z' TOWN OF SOUTHOLDPERT C CARD a(� OWNER STREET �.L: ~-. VILLAGE DISTRICT LOT FORMER OW R N E 01 W ACREAGE S HIf W TYPE OF BUILDING ES. 1 II SEAS. I VL. I FARM comm. I IND. I CB. MISC. . LAND IMP. TOTAL DATE REMARKS p Ps ` e 7 cas I rro V- s -f, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE 4po Farm Acre Value Per Acre Value liable 1 liable 2 liable, 3 --odland ampland ishland )use Plot tal ,�,�, err�. r �. ^_ �. � � ,- . .- . ■■■■■■■■■■■■■■■■■■■■ �=-1 ■■■■■■■■■■■■■■■■■■■■ 00 • -_ • L InteriorI MAR 08 '06 02:56PM SOUtHOLD BUILDING 631 765 9502 P.2 CONSENT TO INSPECTION — the undersigned, da(es)hereby state; owner{s)Name(s) . That the undersigned(is) �)the o rter s)of'the premises in the Town of Soufriold, located at _C12 S' , ._ _ _ _-- , which is shown and designated the Su#fol County l'ax Map as District 1000, 5ectiou_ / Biock Lot,�� That the undersigned(:has)(have) filed, or cause to be filed, an application in the Southold T wn Building Inspector's Office for the foliawing: --_ �-- — That the undersigned do(es)hereby give consent to the Building uispectom 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,includinS inspections to determine that said premises comply with all of'the.iews, ordinances, rules and regulations of the Town of Southold, The widersisaed, 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. {Si shoe . -o e-e. IeJc�S 01rint Name) (Signature) (Print Name) MAP OF ✓RopForr • _ SURVEYED BUR ' IP ,uLHHELEN /AL iLuc,�s': AT MATTITUCK TOWN GF SowrtiOLO j NEWYOIZV- i $OUTCHEZ ESTATE 1 5.57 5140"E. 150.0 O in u! 3 f lil I h SCALE- 30'=!" _ x El = M0NUMENT 1 h ' N.57'5140'W. - 146.39 \ , BOuTCNE2 � Or -gyp / Guaranteed to The Title 6L)ar4rttee Cv. /N.S?•O4'gp`W, __. 154.9q f ' as sunAe4od Augast 10,1970, VAN TuYA SON IV JQ 0 9 h of Way !I Licensed !..arid 50eli lots t_..- - ---- . .. - -- ► Groonpor+ -- Nevi York N.56'50.40"W. - 157.Ob i LOCATION: �J G' [ (number&street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: - . (type) (owner-tenant) ADMITTED BY: .-- A�Q_ ACCOMPANIED:BY: KEY AVAILABLE: x M SUFF. CO.TAX MAP NO. 1000- —3 — 17 SOURCE OF REQUEST: DATE: 7--v` p DWELLING: TYPE OF CONSTRUCTION: '-VO°P FOME # STORIES: ' #EXITS: FOUNDATION: C CELLAR: l°�lC'r CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: r— DECK,TYPE: PATIO,TYPE: --- BREEZEWAY: FIREPLACE: N®/yE GARAGE: DOMESTIC HOTWATE TYPE HEATER: 0 uf/✓45< AIRCONDITIONING: TYPE HEAT: 0/L WARM AIR; d HOTWATER: OTHER: L y ACCESSORY STIWCTURES: GARAGE, TYPE OF CONST.: STORAGE,TYPE CONST.: T� s/f SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFOFM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION,` ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: -7-51—a b TIME START: END: