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Home My WebLink AboutZ-24546 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-24546 Date AUGUST 5, 1996 THIS CERTIFIES'that the building ONE FAMILY DWELLING Location of Property 13250 MAIN ROAD MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 8 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-24546 dated AUGUST 5, 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 AGNES LYONS (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. D ng Inspector Rev. 1/81 ' BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 13250 MAIN RD. MATTITUCK (number & street) municipality) SUBDIVISION MAP NO. LOT(s)_ — NAME OF OWNER (s) AGNES LYONS —_— OCCUPANCY A-1 RES. OWNER —"type owner—tersant) ADMITTED BY: AGNES LYONS ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO_ 114-11-8 SOURCE OF REQUEST: AGNES LYONS _DATE:—JUNE__12-,J99.6_ DWELLING: - ----- — ---- -- ------------ -- TYPE OF CONSTRUCTION WOOD FRAME $ STORIES 1-1/2 U EXITS 2 _— FOUNDATION STONE CEI.LAR PARTIAL CRAWI. SPACE TOTAL ROOMS: 1ST FI.R. 4 2ND FLR. 3 3RD FLR_ BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM — PORCH TYPE_ FRONT COVERED DECK, TYPE PATIO RALBEpBT _ BREEZEWAY FIREPLACE 2 NOT IN USE GARAGE DOMESTIC- 110TWA'TER YES 'TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT OIL WARM AIR 110TWATER XX OTHER: PANTRY OFF KITCHEN:.. ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. --_—_ SWIMMING POOL GUEST, 'TYPE CONST. _ OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLA'TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION _---_ DESCRIPTION _ _-- _ ART. � SEC_ REMARKS: ----_----- INSPECTED BY DATE OF INSPECTION JUNE 19, 1996_ GARY H TIME START 10:00 END 10: 15 },t' Form No. 6 � F- z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 4 ' 765-1802 AUG 19% APPLICATION FOR.CERTIFICATE OF OCCUPANCY BLDG.DEPT. hr o 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. 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 - .251�,: 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . ,/.3. . . . .&dr.,• n1. .R.(1 A .P. . . . . . . . . . . . . /Z !7`.7.-.4:./7.Q.4./% . . . . . House No. / Street Hamlet Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . ... ... . . . . . .Block. . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . .":'. . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . '.... . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . O .A.C.- &N Cb CONSENT TO I:C'I'IO1\1 s L. y041 the Lill c.ler Sig nc:(l, do(ea) llerel).y stale; That the undersif;ned (is) (are) the olvner(s) of the premises in the Town Of Southold located at ^ 1 3 /Gl/- T%/ /u c� /�/i //� ��Ilir lr i:; sllc.�wn arlcl clr;sif(nited on (110 Suffo�ll: County tax map as District 1000, Section �/�fpQ I31c,c:lc / o Lot - 0 Q a3'.p CFO That the undersigned (has) (have) filed, or caused to be filet.!, all applica- HOP in the Southol(.1 '1'owjl Puildirlf; Inspector's Office for the followhifr; That the undersigned do(es) her•el.)y give consent to the 131111ding Inspector's of the Town of Southold to enter• upon the above described property, iuclucllrlg ally rind all bulldings locate(i. thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises cornp13- \%,ith all.•of the la\\•s, or rules and i•ef;rrlations of the `.l'owrl of Soulhold. The undersigned, ill consenitrlff to sllch hispections, do(es) so with Tile hllc. wledgo. alid uuclurstandiuf; that any b1forrrlatl0rl obtained In lire conduct Of such inspections inay be Used as evidence in srlbseciueut prosecutions for vio- "'Bolls' of the laws, or(lillauce:s, rules oi• regulations of the 'Town of Southold. 1)alc(l; signature) nalne) ^A (S1�(nalllC'L') �(print name) .. . .. . . . . . _ .. . ... ELECTRICAL INSPECTION SER VICE INC. ......... . . .... .. 375 DUNTONAVENUE.. . EAST PATCHOGUE,NEW YORK 1.1772 _. (516)286-6642 H1288 DATE: 7/10/96 . .... APPLICATION No.ON FILE vILLAGE: MATHTUCK TOWN: SOUTHOLD ADDRESS: 1766 RO 11TF 7 5 ISSUED TO: AGNRS LYONS INTRODUCEDBY: FIOA/IE OWNER LICNo: was examined on 7-10-96 and found to be in compliance with the National Electrical Code LOCATION: Base.. 1st �)x 2nd 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND. 3 17 3 2 . DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKE DETECTOR FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERI17CEDISCOAWECT METER AMPS RUME OTHER . ..... . ..... ... EQUIPMENT t `-CT f1" R . _._. E'S t, .� F f _ ! � rlCr�'.S!Jf{`JET EQLfPfT`IET.T 4,1 THE PP�1iii�ES i,�. - VISUAL pE.FE�TS FORM HUGO S. SURDI PRESIDENT ... ......... BUILDING PERMIT No. This certificate must not be alteredui any manner InspeGors may be identified by their credentials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE J. j f ry } . • — - i ! OF S�J i c�{ i: � ; :Y t[) F NE, , P�CAAv�� i 1� n, 1i 4 %:•� -..J is wt •.-•vQ-a. . ` I r :�a ars• }�-r.R� �V`h CS 266 oCf=r•.,-1C�9IriK9 .a'2:O•.�n;•-.d, \ i flS C:>C18i:._- �+ ; -IF w U u! ,SECT Z I�, �9 LOCX 11 ,LO.'-B. i 1 .TyE.-SELLJ.tilr" -AS-SURVEYED" ' } -�~ bT6A �ii„:G�`ti , .'. �.r`.�Z..d .Su1C1';l: 1�Q3�"� .._.:'..i VtL1 \.T. _ - } '• BUILDING DEPARTMENT TOWN OF SOUTIIOLD .ROUSING CODE INSPECTION REPORT LOCATION: 1-3)- number 6 street municipality SUBDIVISION MAI' NO. LOT (;) NAME OF OWNER (s) -rY/ OCCUPANCY (type) (owner-tenant) ADMITTED BY: . ��Y f ACCOMPANIED BY: KEY AVAILABLE SUFF. CO_ TAX MAP NO_ SOURZZ OF REQUEST: w � �p DATE: d/,)- DWELLING: TYPE OF CONSTRUCTION /+// ��c`�®. STORIES /G- # EXITS p� FOUNDATION .S/� � CELLAR CRAFT, SPACE 7— TOTAL ROOMS: IST FLR. 2ND FLR. 3 3RD FLR_ BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE /Zr13✓j' y S DECK,- TYPE PATIO, TYPE BREEZEWAY FIREPLACE itAy; /J ys�GARAGE �® DOMESTIC HOTWATER (�/�/ TYPE HEATER /� .`j AIRCONDITIONING TYPE HEAT ®/�' —7 WARM AIR HOTIdATER (/"" OTHER: .i�u� c3l=� ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. �� /f��..�.. STORAGE, TYPE CONST. SWD24ING POOL GUEST,. TYPE CONST_ OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Ll LP .r_a R(:MARKS: INSPECTED BY: DATE ON INSPECTION TIME START AC? P 60 END io TOWN OF SOUTHOLD PROPERTY RECORD CAR OWNER u STREET VILLAGE DIST. SU4 �,L 1 i /y RD AtL-le-4, F RMER OWNER E ACR. S W TYPE OF BUILDING0. f 19 9- #�-Zo SEAS. VL. FARM COMM.. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Sao CX�6i ,44 /1( f Id JO010 060 /Id60e. Tu O"S �P S� . i • I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 1 �� r� Meadowland DEPTH /s House Plot BULKHEAD Toto4-e •• :�i DOCK -oa ,m . SA ;:., *��®ham.*� .. k �r r ■■■ ■■■ ■■■■■■■■■■■■■ ■■ ■ rn ■ ■■NONE NONE MOEN ■■■■■■■■■■■■■■■■ NOON■■ .J , ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ r _ , - ■■■■NONE NNONE T■■■Ono ■■■■■■ ■ No ONE ■RiN■io ■■ME MEN VINEM ONE N ■■■■■■■ ■ MEN No —mom ROOM■■■■■■■■■■■MENEM ... .■..■■■■■■■■■■L�fl■■■■■■■ . ... ■■■■■■ ■■■■■■■■ENE ....... : .. ■..MEN..■..■■.■.■■■.mom ..... ■■■■■■■■■■MEN■■QR1�7■■■■■....■■ ■■■■■■■■■■o■Elf■■■■■■■ NOON■■ • ■■■■■■mom■mom ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - PlaceExt. Walls Fire .•