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Home My WebLink AboutZ-17565 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy No. . ,Z 1 756.5 . Date , , DECEMBER 2 , 1988 . THIS CERTIFIES that the building . Qrj e f jm i 1 y. dw e 11 i n g . . . . . . Location of Property 4040 DEEP HOLE DR. MATTITUCK House lVo. Street � � �Hamlef County Tax Map No. 1000 Section . . . I.15 . . . . .Block . . . 1 7. . . . . . . . . .Lot . . .04 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. REQUIREMENTS FOR A PRIVATE . ONE-FAMILY DWELLING �BUILT PRIOR TO conforms substantially to the A1I�iXiXflliltaiib ' ri$ �f� 1l � i �t1td APRIL 9 , 1957 CERTIFICATE OF OCCUPANCY NO • Z17565 . . . . . . . . . . . . . . . . . . . . . . pursuant to which M=8MgP&T&K U. . . . . . . . . . . . . . . . . . . . . . dated ,DECEMBER '2 , 1988 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . WILLIAM & JUDITH MACOMBER . .(owner,/ �� X. . . . . . . . . . . . . . . .. . . . . of the aforesaid building. Suffolk County Department of Health Approval . . , . N./A . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . N/A . PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT ALSO B .P . # 17607Z -- CO Z17564 for accessory building . Building Inspector Rev.1/81 BUILDIi,;G DEP.ART1,1E T TO�R'T OF SOUTHOLD, N. Y. ' HOUSING CODE IN1")PECTION REPORT Location 4040 DEEP HOLE DR. MATTITUCK (number & street) (Municipaiity) Subdivision Map No . Lot(s) Name of Owner(s) WILLIAM A. & JUDITH H . MACOMBER Occupancy RESIDENTIAL type owner-tenant Admitted by: WILLIAM Accompanied by: Key available Suffolk Co. Tax No. 115- 17-4 Source Of request WILLIAM A. MACOMBER Date . 11 / 1 /88 DIt ELLING: Type of construction WOOD FRAME rJL stories 1 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, lst. F1 4 2nd. F1 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type -- Deck, type -- Patio, type_ -- Breezeway -- Garage -- Utility room -- Type Heat -- 'alarm Air OIL Hotwater Fireplace(s) -- No. axits 2 Airconditioni ng Domestic hotwater -- Type heater OIL Other ENTRY WAY ON SOUTH SIDE ACCESSORY STRUCTURES: Garage, type const. -- Storage, type const. -- Swimming pool -- Guest, type const. -- Other -- VIOLATIONS: Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention & Building Code Location Description Art. Sec. I - I - Remarks: Inspected by: Date of Insp. GARY ISH ' Time start 3 : 00 end 4 : 00 I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ®� . �.�!. �. NEW CONSTRUCTION . . . . . . .OLD .OR PRE-EXISTING BUILDING.Lf.-��. .VACANT LAND. .. . : . - - . Location of P-roperty. . . Yp �. . . . . . . �� Q��. . _ . . . . . . . 1 . . . HOUSE N,0.. STREET HAMLET Owner or Owners of Property.Y'� �r, 1! , ` I g.m . . ! n.Lj e,�l 6-er: _ . . . . . . . County TaxMap 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 Certificate . . . . . . . . . . . . . . . . $ . l 001 DO Fee Submitted: . . . . . . . . . . . . . . . . . APPLICANT.`. .. . . . . . N. - - �✓':�i. . . . . . . - - - . . rev. 10/ 14/88 FORM NO: 6 �ENOV TOWN OF SOUTHOLDBUILDING DEPARTMENT 11988 TOWN HALT 765 - 1802 BLDG. DEFT. TOWN OF SOiJTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS { A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of 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 solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall - . show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $10.00 Addition to Accessory buildings, $10.00. - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.00 1 . 36 d V? �� coZ rev. r S .CR V ar''' r`S rLi P .yam VICTOR LESSARD EXECUTIVE ADMINISTRATOR 53095 Main Road � `��4�; Town Hall, P.O. Box 1179 (516)765-1802 Southold,New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 6 , 1988 TO WHOM IT MAY CONCERN The property with the Tax # 1000- 115- 17-04 has had a house number.-correction 3810 to 4040 Deep Hole Drive , Mattituck . CONSENT TO INSPECTION Wr d fn�S, (�J t 1 i t ct,v,1 Q��} rn �r 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 410 YD Zi)e-Q,,° 40le" hr" rO Q`41 ¢ A C k which is shown and designated on the Suffolk- County tax map as District 1000, Section f/ - , Block 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: ' r 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: I7ov, � , 12 00 (signature) (print name) (signature) (print name) •t s,f.-�r�-!'.•�E�� •. fir. .. •j <. N/f /MRoffi'�frl�C/E /,/awls Nlav�t� ;:. ovolpa or-®S • L�� ;` `K rr •,1 y e�nay : •+a` �7y. t v _r ,t aif G i• it as r��- + � '�.��. lu fspp of :. Mew.fib. V.A. Ae..►adA Ong c�xjo. PCo, K/r///FM A. M �� rt� t EE/tr 0AFWAA VA10 4206 dko a= ".0 4P G�� fiic :�h.9f: •Abed"Okm of AWNWOMPIS wrwwr/�b t a/rtr1�1TLrOt AoA' 7 177Z./CX %AA ` 7t*W QW jA5;ZVoOrAvIOLO LAND r; t' !!a �INM1C•fA1M.aV Adwo K .,V^/-na,t Arm a•do" � #r' DAM 047V 42o%7! M a~ar Jw/"A& a �,'�� .•l L .3'.W�w b .�<„! `�.pp,�F �' rk'yf�,�,1lF.cv - SNiA�"�i NY,'A .. ;.< - +t l• C ra }�s fi.�k,,"(�� Yl� t p , � �1ne• 4W:rf"�Y`rXal,�'ad�we.i�kp;F�K,,c�„ ,,y .'�eg x �, �4 .. - � rx r�. '4.�p4 �'�.p�%4��`°'�� +„y'y;}}�^�''��;•�, �'�36�y��drb jNf?e.A�[i�',f, � a,�l �,• '••w+r a•. X•;�?'i'•Ay.�.Fi+ Xrr�d,��rm �.� =�. BUILDING DEPARTMENT TMM OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location number & s eet Municipality Subdivision clap No. Lot(s) . , Name of Owners)._ WAd,eooi cymAj/z -t�,( 4 ko,4c, , Az'e- Occupancy type owner-tenant Admitted by: Accompanied by: Key available Suffolk Co. Tax No. //I- �7= Source of request �✓ ADate DUELLING Type of construction (,(' #stories Foundation Cellar Crawl space Total rooms, lst. F1 2nd. F1 3rd. Fl Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type_ Breezeway Garage Utility room — Type Heat Warm Air Hotwater Fireplace(s) - No. Faits ?/ Airconditioning Domestic hotwa er _ Type heat'er�� Other &A t"him ACCESSORY STRU URES: Garage, type const. Storage, type const. Swimming pool Guest, type const. -------- Other VIOLATIONS: Housing Code, Chapter 45� N.Y. State Uniform Fire Prevention Buildina Code Location Description Art. , Sec. Remarks: Inspected by: Date of Insp. Time start .3•'� e d