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Home My WebLink AboutZ-24234 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-24234 Date MARCH 25, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4235 CAMP MINEOLA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 5 Lot 25 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-24234 dated MARCH 25, 1996 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 GARAGE The certificate is issued to JOHN & JUDITH LYNCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. T Building In ector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD UOUSI:NG CODE INSPECTION REPORT LOCATION; 4235 CAMP MINEOLA RD. MATTITUCK, N.Y. number d street (niunic.ipali.ty SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) JUDITH-LYNCH OCCUPANCY A-1 RES. OWNER type owner-tenant ADMITTED BY: JUDITH LYNCH ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-123-5-25 SOURCE OF REOUEST:- JOHN LYNCH -__--_--__-_ DATE: MARCH 21, 1996 — DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 2 1 EXITS 2 FOUNDATION CEMENT BLOCK CELLAR NONE CRAWL SPACE TOTAL. ROOMS: IST FI.R. 3 2ND FLR. 3 3111) FLR_ IIATIIROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH 'TYPE ENCLOSED PORCH DECK, TYPE 2 WOOD PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC IIOTWATER YES TYPE HEATER ELECTRIC AIRCONDITLONING _ TYPE UEA'l' ELECTRIC_& PROPANE WARM AIR X% 110TWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME .WITH STORAGE, TYPE CONS'T. SWIMMING POOL S GI1IiS1', TYPE CONS'1'. oTUER: --- ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLA'TIONS: CHAPTER 45 N_Y_ STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPT10N ART. SEC. REMARKS: BP #11342-Z - CO Z-10929 (Addition to Accy Bldg.) BP #12148-Z-CO Z-13954 (2nd Story addition & Alteration) INSPECTED IIY ,' _ - - DATE OF INSPECTION March 22, 1996 Gar J. F's TIME START 9:50 'AM END 10: 15 AM y�'tM.t,tp J Q 3 � Form No. 6 F----� I ...� 5 F.•.„., i TOWN OF SOUTIIOLD ��°��"- o BUILDING DEPARTMENT 2 f TOWN HALL J MAR O 765-1802 C [�tPT....o�k . TOWN OF U1M0 O APPLICATION FOR.CERTIFICATE OF OCCUPANCY�_=__-�� SO -_ _mmj N. 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. r 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 fines, 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 $15.000, Commercial $15.00 - Date . . . . / /. �,G. . . . . . . . . . . .. . . . . . . . . 'ew Construction. . . . . . Old Or Pre-existing Building. . . �� 3 C i.ocation of Property. . , „ c� . . . . . . . . . . House No. Street Hamlet )nwer or Owners of Property. .�� ';. , , ;;1,r!; °. . , , , �lL!�.tj. . . . . . . . . . . . . .. .. . . . . . . . ,ounty Tax Map No 1000, Section. . . . . . .. . . . . . .Block. . .e.� . . . . . . . .Lot. . . ... . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . ... . .Lot. . . . . . . . . . . . . . . . . . . . . . 'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . ... . . . . . . . fealth Dept. Approval. . . . . . . . .. . . . .. . . . . . . . . . . .Underwriters Approval. . .-,.. . . . . . . . . . . .. . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . 'equest for: Temporary Certificate. .. . . . . .. . . Final Certicate. . . . . . . . ... . ee Submitted: $. . . . . . . . . . . . C- �uc .S�q� S . . . . . . . . . . . .. . . ... .. APPLICANT.. _ . .� 'MAR 21 '96 02:14PM 5162486445 P.2i2 i ' ' Bo#tores of dies f door t` ul. G O ' bream 'at a14+4: o f li 4t. St {O l k. Gour;i#y IF, . 0. P. W, oar �' p, R • - . . ®lair, p 0 . .r G&5 C 3 4hmzlhwrmA efteraiion or admom to this turner Is a vFobdon of S+omon 7200 of the Now YOM Szft the land swveyor ivied"a[a ornbop seal shall n x bo cone 6 Y r m ba•vam am ooyy, IL QwPantseakidkiwitimm2:nirt • a d Vk to"pmm for whom the surrey. la oreporat WA an his behalf to the a'. a I®nA w�n 119 Overn nAoreo®n and y Q to the t=Wem of the landing lnstl- ' . �! union.GLwomess are not tranalerobls Z� 6AaA6iE r� b addldonal insdw aa dOna or bWAU&p E� i (al, ww,us. • .MAP OF. PR. OPl�RTY �? Ad Air o At - � �•�• � •; SURYEYEa �GtiZ . 4 s, or (zY, 1 Cot4a2.SErE M'OWUWleWr ' - �1O VF NEZ'd y 5�+fctiY�drF' Yi 5%K Very 0,9 NEbY;T?�e:,.iCDk'�Y;$OH' - '� ,on �G Ci'�. rly VA .LfC@CNS>!D LAND• SajzVWvOIL'$' ; S.C.YAX MAP No:l�C]-123.5.25 6RQ6NPoR.7, N. Y.. CONSENT. TO 1Im;1'I;'C'TtON the undersigned, do(es) hereby state: That the undersigned (is) (:u•e) the olvner(s) Of the premises in the Town Of Southold located -it Which i;; shown and designated on tl►e SuffOlk County tax rnap as District 100f1, Section _�0��, Bloc,( (� Lot Oo� That the undersigned (has) (have) filed, or caused to he filed, an applica- tion in the Southold Towvn Building Inspector's Office for the follolving 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 §aid premises corllpl)- with all-of the laws, ordinances, rules and regulations of tale 'Town Of Southold. The undersigned, iu eonsentirli; to such inspections, do(es) so with the krlmvIedge and undLerstandi►►g that any i.nforinati011 obtained In the eondlict of such inspections inlay be used as evidence in sulasequenl hrosecutI011S for v10- lations of the laws, ordinances, rules or rei;ulations of the 'Town of Southol(L 1)ate(.I: (sign- Ar (print dame) (Signature) ,, --- - (print name) i p iI rJ'G.DEPT T -- 7Y7UlPN CIE fl`ewr`%.�(Tnw .... BUILDING DE PAR'TMENA' TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I.00A'TTON: 7 y� C1,hM1,l number ry street Zniunic.ipal.i.ty SUBDIVISION MAP NO. LOT(s) NAME Or OWNER (s)-74 OCCUPANCY type) owner-tenant ADMITTED BY: ��f Z�C W/^/Ci� ACCOMPANIED BY: KEY AVAILAIILE SUFF.CO. TAX MAP NO. SOURCE OF REOUEST:_ DWELLING: - --- TYPE Or CONSTRUCTION G1�Q-�(� �i�a...�r f STORIES-- / EXITS FOUNDATION _ CELLAR CT VI CL.2AWI. SPACE TOTAL ROOMS: IST FL.R. J 2ND FLR._& - 3111) FI.R. . BA'PDROOM (s) TOLLL''T ROOM (s) LITY ROOM PORCH 'TYPE J ,cIU �� DECK, TYPE , - wa4PATIO �--` ------ BREE7.EWAY -�- FIREPLACE GARAGE DOMESTIC IIOTWATER TYPE HEATER — - AIRCONDITLON:ING TYPE HEAT �G 4� WARM AIR IIOTWATER OTHER: ACCESSORY STRUCTURES: ,� GARAGE, TYPE' Or CONST. (� �d-w-�•� � STORAGE, 'TYPE CONST. SWIMMING POOL. GUEST, TYPE. CONST- -OTHER: -----------------------=------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BU,1 .DING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: y/v T 3 INSPECTED BY / DATii,. OF INSPECTION '. GG` __--- - TNSI LG[ION TIME START i J29 END