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HomeMy WebLinkAboutZ-22928 I t' 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-22928 Date MARCH 30, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property . 2205 SIGSBEE RD. MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 2 Lot 21 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-22928 dated MARCH 30, 1994 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 WITH ACCESSORY ONE CAR GARAGE The certificate is issued to CATHERINE KUHLMANN, DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-306310 — MARCH 7, 1994 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDING DEPARTMENT y' TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2205 SIGSBEE RD. MATTITUCK, NEW YORK number & street) (municipality) SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) CATHERINE KUHLMANN, DECEASED OCCUPANCY SINGLE FAMILY type owner-tenant) ADMITTED BY: NORA M. FINNICAN ACCOMPANIED BY: NORA FINNICAN KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-144-2-21 SOURCE OF REQUEST: EILEEN GALLAGHER-CASTRO DATE: FEB. 14, 1.994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 E%ITS 2 FOUNDATION CEMENT BLOCK CELLAR FULL 1/2 CRAWL SPACE 1/2 TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM PORCH TYPE REAR ENTRY WAY DECK, TYPE PATIO CONCRETE BLOCK BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER XX TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT LILCO GAS , WARM AIR HOTWATER Kg OTHER: ATTACHED ROOFLESS SHOWER STALL & FENCE ENCLOSURE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. SWIMMING POOL ,_ GUEST, TYPE CONST. OTHER: ----------- ---------- ---------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #21908-Z-Co Z-22927 FOR CELLAR, ALTERATIONS & ADDITION INSPECTED BY DATE OF INSPECTION MARCH 8, 1994 JOHN M. BOUFIS 10:30 AM g� 10:50 AM TIME START Form No. 6 TOWN OF SOUTHOLD c% BUILDING DEPARTMENTTOW Z S F8 2 2`?4 765N1 O2L 1 CLOG. L�. r 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. 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 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 and "pre-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 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. C. Feesr---_- 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 �9,LLQ 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. Temporary Certificate of Occupancy - Residential��$15/.00, Commercial $15.00 Date . . . J!.�{r.g . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . Si C.. .Z. . / .. . . . . . . . . . . . . }�.�?`.-(�_. . . . . . . . . . . . . . . House No. Street Hamlet 1. Onwer or Owners of Property. . . . . ,G'Lc-,IC . . . .. . . . . . . . .0 11 .. . . .. .� ��. . . . _ . . . . . . . . County Tax Map No 1000, Section. .�7. .. . . . . . .Block. . .,l. . . . . . . . . . . .Lot. . .� : �.1. . . . . . . . . . . . . Subdivision. . . . . . ._. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . .. . . . . . . . . . . . . Permit No. .J_ . . . . . . . .Date Of Permit-.. . .. . . . . . .Applicant. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .. Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate.. . . . . . . . Final Certicate. . L-. . . . Fee Submitted: $. , , . ;. . . .. . . . . .. . . . . . �G , 2 APPLICANT q/V CaZ, rja9a `� • s CONSENT TO INSPECTION (�P`116-4t-l! uiE ki I M 67V A6 )/e the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at S/3Z ' A A+ +7 l Tof-L , which is shown and designated on the Suffolk- County tax map as District 1000, Section JLlq.p(.> Block 0,a-00 , Lot ()a1.()00 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) Btzo0 ov oali.L 14 WV -POST �1. bq'22'DO"6:. =- 140-i 0 post.Fg a&Vwh _ \1(/A. C A y5!Oy suE u N y 62 ow I�OT 9 m AP OF �. i J D J ►A ' N. SURV6Y6U PSUQ11I�r�• +� W o -- �. +o`?°22'00' E.� 14.0.0 v p o �- -U S �.. U Qd o a {o to :N --- !l�D f-1 H - --1 Nco LU s I STo�Y 60 N lA .&T.T:llUCV, , W . Y. IJ //v 4 tin¢ GUdP_-A_WT6aD TO Tub TITLE. 6Ud2fal.tj�f� L D_E. cEz TO," ANlr-WD1rD �uQV6,�(Et: pEfttel6j 31 ; 1�6? MAP OF P,1ATTlTUE !i p4L?t-' put)t'�. KJ COU07-y e_L61ZV_`, OFF tC 6 AS M&P us 801 .. V A U TU.Y L 8c �)'J : I L&UD` r,UQY6YOR'.1 a.0 U PI PL 1 ��4228' BUILDING DEPARPMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: (number i} street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) ��j f=� OCCUPANCY t ( ype) (owner-tenant) • e ADMITTED BY: . �� N/U I(!VAI Kv. ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX-MAPlNO. sour.::.: or REQUEST: /e y ell—I �r--f—5> DATE: DWELLING: / TYPE OF CONSTRUCTION ��� 11 ¢ STORIES f EXITS FOUNDATION t. OO1e 0 CELLAR l 'yJ/ CRAWL- SPACE TOTAL ROOMS: 18T FLR. �p 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE .e�P��� �3�bc�� "• BREEZEWAY t q FIREPLACE- GARAGE DOMESTIC HOTWATER TYPE HEATE (�j .- S' AIRCONDITIONING TYPE BEAT ®r4��-4 S WARM AIR HOTZ7ATER OTHER: ACCESSORY' STRUCTURES: GARAGE, TYPE OF CONST.JC-, _STORAGE, TYPE CONST. SWI11MING POOL GUEST,. TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. /,/vV Pep REMARKS: INSPECTiiD BY: DATE ON INSPECTION TIME START � 10 END