HomeMy WebLinkAboutZ-20814 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-20814 Date JUNE 19, 1992.
THIS CERTIFIES that the building ONK FAMILY DWELLING
Location of Property 1160 TOWN HARBOR LANE. ' SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1.000 Section 64 Block 5 Lot 9
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-20814 dated JUNE 1.9, 1992
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 SCREENED. PORCH& ATTACHED. GARAGE
The certificate is issued to MATTHEW 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.
ilding Inspector
Rev. 1/81
BUILDI:•;G DEP.,,IT:LZI T
T041\1 OF SOUTHOLD, N. Y.
FiOUSIi G CODE INSPECTION REPORT
Location 1 160 TOWN HARBOR LANE SOUTHOLD, N.Y.
(numoer do street) (Viunicipaiity)
Subdivision i�1ap No . Lots )
Name of Owner(s ) MATTHEW J. LYONS, JR.
Occupancy ONE FAMILY TENANT
�tYPe Owner-zenan-t)
Admitted by: BILL COOPER Accompanied by: SAME
Key available Suffolk Co. Tax No. 64-5-9
Source of request WILLIAM J .- PRICE, JR..ATTY Date JUNE 12, 1992
M.,,LLING:
Tyne of construction FRAME JLstories 1
Foundation CEMENT BLOCK Cellar 252 Crawl space 75Z
Total rooms , lst. Fl 3 2nd. Fl 3rd. Fl
Bathrooms) 1 Toilet room(s) 1
Porch, type SCREENED Deck, type Patio, type
Breezeway Garage xx Utility room
Type Heat NATURAL GAS 'rlarm Air Hotwater Kg
Fireplace(s) 1' No. Exits 2 Airconditioning
Domestic ho twater %% Type heater NATURAL GAS
Other
ACCESSORY STRUCTURE'S:
Garage, type const. Storage, type const.
Stvim�-zing pool Guest, type const.
Other ARBOR
k
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description Art. ) Sec.
I
Remarks:
Inspected ? Date of Insp.
T� V FISHER Time start 10:00 end 10:20
Form No. b -)Cgs - _)ag7
D TOWN OF SOUTHOL
BUILDING DEPARTMENT
TOWN MALL
765-1802
BLDG.DEPT. �
TOWN OF SOUTHOLD
..: " a'LICATION 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. 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 $15.00, Commercial. $15.00
June 12 , 1992
Date . . . . .. . . . . . . . . . . . . . . . . .. . . . . . .. ...... . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. .x. . . . . . . . . . . . . .
Location of Property. .(no .#)� Town. Harbor Lane, Southold. NY 11971. .
. . . . . . ........ . . .
House No. Street Hamlet
Matthew Lyons
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . ....... . . . . .
05
County Tax Map No 1000, section. , 064te . 0 . . . .Block. . . . . . . . . . . . . . .Lot. . . . .. .9 . . . . ...... . . . ..
Subdivision.. .. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. .. .... . . . . . . ..:.... . . . .
Permit No. . .. . . . . . . . . . , .Date Of Permit. . . . . . . . . . . .. . . .Applicant. . . . .. . . . . . ... . . . . . .4..... . . . .
f{ealth Dept. Approval. . . . . . . . . . . .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .... . . . . .i. ;'
Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . 4 . . . . . . ,
Fee Submitted: $, 610 0. 00 .. . .... .. .. . . .... . ..
WILLIAM H4?JAVM JR.
JllN L15 i992 '
SL®G.®EPI CONSENT
TOWN OF SOUTHOL® w, TO.
INSPL'CTION
William H. Price, .Jr. , attorney for owner,
w►ier O (s) Names) the undersigned,
do(es) hereby state;
That the undersignedhe torne
o
(is) RR tath e ow r s of the premises in the Town
Of Southold located at (no #) _ Town Harbor
• Lane, Southold,
New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 064� Block 05 09
Lot
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;
pre-existing certificate of occupancy from 1 story frame house with
attached -garage and detached arbor -
That the undersigned do(es) hereby give consent to the BuildingInspectors
p ctors
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; June 12, 1992
(signature)
William H. Price, Jr.
(print name)
(signature)
(print name)
From PECONIC SURVEYORS, P C. C5167765 1.797 P02'
SLUG.DEFT.
TOWN OF SOUTHOLD :mot•
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CERrIFIE•a'To+
sCURTY TASSOCIAr S .
ITLE�BI GUARANTY-CO,
N,,, / �•"�Q Cj � PERRY T, CRISCITELLI
JILL B. CRISCIT£LLI
oo S92-00746
UIL
SURVEY FOR .
AREA =25,367 sq.ft PERR Y T CRISCI TELLI & AL 'B. CRISCITELL
AT SOUTHOLD ,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 64 - 05- 09
Scale:. I",X.30'
June 11, 1992
w�v.AND
ii �:.'��
`. LI 498i8 Preparad In accordance with the minlnwm
PEC , R ,�, bla lherL.LA.L�Seand a®�yc as ry ed andlladop�od
(S16) 2 Q. l0,,•such yri by Tho Now York S/ola Land
P.O. 0, 4 y0 TUIn Assoclvllo2
htAW
R ST 17�
BUIL DI:.G DEP: RTA L
T0.7N OF SOUTHOLD, N. Y.
HOUSII,G CODE INSPECTION REPORT
Location
number & street iiunicipaiity)
Subdivision IMap No . Lot(s)
Name of Owner(s) r
Occupancy
�tY r owner-zenanz
Admitted by: . 114 � Accompanied by:
Key available Suffolk Co. Tax No. ��-- --�
Source of request'g � ffr
Date 4�_ /zA?10,
D?,ELLING
Type of construction JL
rstories
Foundation Cellar Crawl space-
Total rooms, lst. F1 � 2nd. F1 3rd. F1
Bathroom(s) / Toilet room(s)
Porch, tape ,� Deck, type Patio, type_
Breezeway ----- Garage Utility room
Type Heat ' 'alarm Air Ho twat er 4/
Fireplace(s) / No-. E:cits �2_ Aircor_ditioni ng �
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other1�
VIOLATIONS : CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ^
Location Description lArt. ++1 Sec.
I
Remarks
Inspected b..: Date of Insp.
Time start 0:oaend /1 ; >0.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST.1 SUB. LOT
FORMER OWNER . N E ! ACR e
tom.
Sr' �� , W TYPE OF BUILDING
RES.) /6 SEAS. VL. FARM C MM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
}
DD 10
AGE BUILDING CONDITION
NEW;; -NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
"_7illabie FRONTAGE ON WATER
=Woodiand. FRONTAGE ON ROAD
:'Meodowland DEPTH p
9-House Plot BULKHEAD
;Total:'- DOCK
Bey • / •
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