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Home My WebLink AboutZ-19694 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-19694 Date JANUARY 29, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4690 BERGEN AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 2.5 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957' pursuant to which CERTIFICATE OF OCC. #Z-19694 dated JANUARY 29, 1991 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 TWO CAR WOOD FRAME GARAGE AND TWO STORAGE BARNS AND -TWO SHEDS The certificate is issued to WILLIAM A. LINDSAY, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-020156 - JANUARY 23, 1991 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 BUILDI�-IG DEPART'•L:iT TO.•T'1 OF SOUTHOLD, N. Y. HOUSIi:G CODE INSPECTION REPORT Location 4690 BERGEN AVE. MATTITUCK, N.Y_ knumoer & street) (Nunicipaiity) Subdivision clap No. Lot(s) Name of Owner(s) WILLIAM LINDSAY JR. Occupancy A-1 OWNER (type) owner-t-enanz) Admitted by: WILLIAM LINDSAY Accompanied by: SAME Key available Suffolk Co. Tax No. 113-7-2.5 Source of request WILLIAM LINDSAY Date 11/10/90 D1,TELLING Type of construction WOOD FRAME A Irstories 2 Foundation BRICK Cellar 1/2 Crawl space 2 Total rooms , 1st. F1 3 2nd. F1 4 3rd. Fl Bathrooms) ONE Toilet room(s) ONE Porch, type Deck, type REAR DECK Patio type Breezeway Garage Utility room Type Heat OIL 'alarm Air Hotwater Fireplace(s) No. E:cits 2 Airconditioning Domestic hotwater OFF BOILER Type heater Other REAR ENTRYWAY ACCESSORY STRUCTURES: Garage, type const. 2 CAR WOOD FStorage, type const. 2 BA)2Ns 2 SHEDS Swimmming pool Guest, type const. Other VIOLATIONS: _CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Lncati-on Descrintion � Art. Sec. I Remarks: BP #11402/C Z-13672, BP #12819 /CO Z-17873, BP #19580Z/CO Z-19693 Inspected by: Date of Insp. DEC. 13, 1990 G7f. FISH Time start 9:30 amend 9:50 am 1 Form No. 6 aq9-'ih03 TOWN OF SOUTHOLD BUILDING DEPARTMENT O �, TOWN HALL 765-1802 NW 29 M APPLICATION FOR.CERTIFICATE OF OCCUPANCY gLpG.DEPT. TOWN OF S0gflSkR 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. ' _, 3. 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. 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. Temporary Certificate of Occupancy - Residential $ 5.00, Commercial $15.00 /(/o v /0 Sv Date . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . ;ew Construction. . . . . . . . . . ./Old Or Pre-existing Building. . ./jQ qAc . . „n ocation of Property. . . . . 7. lP. .90 . . . ... . . . . . . .Y3:?t; �;►�. . . .A,V�. . . . . . . . . . . .':Jl��;�;�u�l;�. . House No. Greet Hamlet )nwer or Owners of Property. . . . . . . �, r�. . . , , , , , ,�-,l YV C�S t4�. . . . .Z(n. . . ... . . . . . . . . . a;ounty Tax Map No 1000, Section. . . .. . . . . . . . .Block. . ...`. �, . . . . . . .Lot. . ! . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . ... . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . iealth Dept. Approval. . . . . . . . . . . . . . . . . . ... . . . . . .Underwriters .Approval. . . ... . . . . . . . . . . . . . . . . . . . . 'lannin&,'Boar;d•Approval. . . . . . . . . . . . . . . . . . . . . . . . r tequest'for:' Temporary Certificate. . . . . . . . . . Final Certicate. . , r. 'ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . p^ 1J pr AP P L - lu CIO G) Ip�� l CONSENT TO INSPECTION l ! 1k YK L- Wd'-6A 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 ` 9jlj (r 1641 V C_ which is shown and designated on the Suffolk- County tax map as District 1000, SectiorY/-3 Block Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspe_ctor's Office for the following: ' a- c QzC Az 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: �d (signa re) Wdsa �Z (print name) (signature) (print name) THE NEW YORK- BOARD OF FIRE UNDERWRITERS PAGE is 8021809 =" BUREAU'OF ELECTRICITY 85 JOHN STREET; NEW YORK. NEW YORK 10038 t;h Date JANUARY 23,1991 gpp/ication No.on file 71910090/90 H 020156 .- THIS CERTIFIES THAT only the electrical equipment as described below,and introduced by the applicant named on the above application number in the premises.,of , WILLIAM A. LINDSAY, BERGEN AVE. , MATTITUCK, N.Y. ' in the following location. Basement IN l.ct Ft. O 2nd Fl. OUT Section 113 Block _.;' Lot .2 5 , I ' '— icas examined on JANUARY 171991 acid found to 6e in cornplianee with the reyuirernentx of this Board. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS - OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL, UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. ,GAS H.P. AMT. NO. A.W.G. AM1. AMP. AMT, AMPS. TRANS. AMT. H.P. NO.OF FEET SYSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER rN 1 3W 3 B JW 3.0 IW NO.OF CC.COND. A.W.G. NO.OF HIA G A.W G. NO.OF NEUTRALS A.W.G.. EQUIP• '0 'e PER Ar OF CC.COND. OF HI LEG OF NEUTRAL OTHER APPARATUS: RESEDENTIAL SURVEY ONLY-1 WILLIAM LINDSAY COX NECK ROAD MATTITUCK, .NY, 11952 ~_ - :"GEN13M MANGER L . Per11 This certificate must not be altered'in any manner; return'to;the office of the Board if incorrect. Inspectors may be identified by their credentials:. D �cc DEC z a ice: 111 BLDG. DEPT. TOWN OF SOUTHOLD ; , O 6�0 0 �O � P 05 Z` s 6 °" o�O °, °i O� °^ d+�^i �9 a'0 ar 0 O Q � n C` r03 i h O 0 R o. 63 ,� 2 N '30� CPO ° 053 p• y N63 0 �. .L ^(01 10 `P /O fP D /Q Lo 2� N „4 o O C,s� fP• n 70 'Pd Gf P O o^� �. .P o2A 02 4\0oc� S t o� �o �o SURVEY FOR WILLIAM LINDSAY, JR. AT MATTITUCK DATE 1 FEB. 23, 1990 TOWN OF SOUTHOLD SCALE I"= 100' SUFFOLK COUNTY , NEW YORK NO 90-0132 0 UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY IS • VIOLATION OF SECTION LAW WILL' OF THE WILLIAM l $1AYa6RNF ME r YORK STATE EDUCATION LA * COPIES OF TINS SURVEY NOT �EARwG THE LAND NORTH F 1(S T PANY SURVEYOR 5 INKED SEAL OR EMBOSSED SEAL SHALL V NOT %E CONSIDERED TO SE A VALID TRUE COPY ,E1P`�O w• ` �+ti K GUARANTEES INDICATED HEREON SMALL RUN ONLY TO O HEALT}1 DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR wHOM tHE SURVEY IS ORLPAREO �' G AND OH HIS BEHALF TO THE TITLE COMPANY; GOVERN- 0 ■ NEAREST WATUI GIAIN_MI ' *SOURCE OF WATER PRIIATE _PUBI IC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED * SUFF CO. TAX MAP DI%T 100_SECTION �_*LOCK I LOT z.i sB Pb2•S HEREON, AND TO THE ASSIGNEES OF THE LENDING 0TMEK ARE NO DWELLING! WITHIN 100 FEET OF THI! PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT * THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RClIOENCL OWNERS WILL CONFORM TO iN►RO% Of THE SUFTOLK COUNTY DEPARTMENT *10EXISTING STRUCTURES ARE FOR ♦ SPECIFIC DISTANCES SHOWN HEREON FROM PROPERTY LINES, H( lTANO Of WEALTH %O TO I y PURPOSE AND R APPLICANT. PROPERTY INESORNOFORT E THEERECOTION OF TO FENCESD D SURV��O ADOR E u TIE` OSTRANDER YOUNG a YOUNG RRIIVOERHEAD, NEW YORKE NOTES = MONUMENT RE: LOT I , MINOR SUBDIVISION "CATHERINE LINDSAY ALDEN W YOUNG,PROFESSIONAL ENGINEER HINTERLITER aWILLIAM LINDSAY, JR." AND LAND SURVEYOR N Y.S.LICENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR y R THE LOCATION OF WEL L(W),SEPTIC TANK(ST)IS CE SSPOOL S(CP)%MOWN HEREON N Y.S. LICENSE NO 45893 ARC "MIN FIELD OlDMRfATIOMS AND OR DATA OBTANNED FROM OTHERS BRANUIS A SONS INC. j Y BUILDI T0.•17,1 OF SGUT::OLD, 'N. Y. E INSPECTION RL:OROU�Ii:G Cc�� IiS��C^ T I Locati-on Subdivision �r.LZ oer szreez) ("Iun_cipal Map No . Lot( ) sr Nam e of Owner(s) Occupancy k Hype) o�.vner_ Lenar.�j Ac�.iiLtad by-: W. -Ace-dmpa.nied by : � Key available Suffolk Co. Tax No. // - 7- Source of request GJ, C% ' Date 4 7p DVELLING. Type of construction G✓ F 1s-tories ,.Z Foundation a�c-�..�� Cellar ---- Total rooms, 1st. F1 i Crawl space 13 -3 2nd. F1 �{ 3rd. Fl Bathrooms) SK.e Toilet rooms) �_ Porch, type Deck, type BreezewayPatio, type Garage Utility room Type Heat Warm Air Fireplace Hotwaters) No. E;cits Aircor_di n tionig Domestic hot-water Type heater Other -a.�.L ACC7SSORY STRUCTL?RFS. Garage, type const. 0,2ca kj forage, type const. v? SWim-ming DOO1 Guest, type const. ----------------------- Other VIOL ATIO7,\jS CHAPTER 45--N.Y. STATE UNIFORt1 FIRE PREOENTION & BUILDING .CODE Lncati on Desc.., , n �icn I Art. Sec. I ` I I _ I � I I I I I • 1� Remarks: � Cp /j 7 ,Z ,B co 73 Inspected by: -------------- .�.� Dste of Insp. /.Z / Time star 49 end