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Z-24235
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-24235 Date MARCH 25, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2100 BAY AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 3 Lot 38 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-24235 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 * The certificate is issued to FLORENCE MAHONEY (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. i caili Fru/ ilding Inspec or Rev. 1/81 1111ILD1NG DEPARTMENT TOWN OF SOUTIIOLD IIOUSI:NG CODE INSPECTION REPORT LOCATION: 2100 BAY AVENUE MATTITLICK, NEW YORK number A st-r—e—e-t-Y municipality) SUBDIVISION MAP No. LOT(s) NAME OF OWNER (s) FLORENCE MAHONEY OCCUPARCY A-1 RES. OWNER tyke owner.-tenant ADMITTED BY: JOHN deREEDER ACCOMPANIED BY: SAME KEY AVAILAIILE SUFF.CO. TAX MAP NO. 1000-144-03-38 SOURCE OF REQUEST:- MAUREEEN L. SMITH __- DATE: MARCH 12, 1996 - DWELLING: ---- TYPE OF CONSTRUCTION WOOD FRAME I STORIES 2 1 EXITS 2 FOUNDATION POURED CEMENT CELLAR PARTIAL CRAWL SPACE PARTIAL '.TOTAL. ROOMS: IS1' FI.R. 4 2ND FLR. 3 3111) FLR. 11A'I'IIROOM (s) ONE TOILET ROOM (s) NO UTILITY ROOM PORCII 'TYPE SIDE ENCLOSED/FRONT COVERED DECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE DOMESTIC UOTWATER YES TYPE 11EATER LILCO AIRCONDITIONING TYPE 11EAT OIL WARM Alit %% IIOTWATER OTIIER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CON$T._ o'Tl1ER.- ------------------------------------------------------------------------------------------- --------------------------------------=---------------------------------------------------- VIOLATIONS: CLIAPTER 45 N.Y. SPATE UNIFORM FIRE PREVENTION 6 IlUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED 11 - - DATEI OF INSPECTION MARCH 20, 1996 G J. ISH TIME START 9:40 END 10:00 FROM Panasonic FAX SYSTEM PHONE NO. Jan. 24 1996 03:37PM I Form No. 6 TOWN OF SOUTHOL D BUILDING^ DEPARTMENT TOWN rLLLi 763-1802 A FLICATION FOR CERTIaICATc 0. OCCUPANCY A. This app-1 cation must be filled in by typewriter OP, 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 11 lead. 5: • Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Campliaace from architect or engineer responsible for the building, 6. Submit .Planning Board Approval of completed site plan requirements. I For existing buildings (prior to April 9, 1957) non-conorming uses, or buildings and land uses: / 1: Accurate survey of p-ope-tv showing all property lines_, streets, building and unusual natural or topographic features. 2. A properly completed avnlication and a consent to ' sga signed by the applicant. I_ a Certificate of Occupancy is denied, the Building inspector sha31 state the reasons therefor is .7ri.ing to the applicant. Fees 1.• Certificate of Occupancy - New dwelling 425.00, Addizions to dwelling $25.00, Alterations to dwelling $25.00, Sw*mmin& pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2: Certificate of Occupancy on ?re-existi.ax Buildina - $100.00 3.: Copy of Certificate of Occupancy - O_ 4:- Updated Certificate of Occupancy - '$50.00 5. Temporary Centifleate of Occupancy - Residential $15.00) commercialaa$1//.00 QQ�� Date .........,! ll.l.�.... New Construction........ Old Or Pre-existing�Bu/ilding...... . Location of Property...... .... /.,.,���i��,y.��1J.J., .......... House No. Street f Hamlet Duwer or Owners of Property..........ff......o ra ✓, ),�� F... ................ Caemty:Tax Map No 1000, Section..../. ......Block....0,�........Lot.. Subdivision.....,,,,, ... .....................Filed *Sap......... ..Lot...................... ?ermit,No................Date Of permit................Applicant...........I................. 3ealth Dept. Approval..........................Underwriters Approval......... ....... ...... ?=caning Board Annzov I ......................... Reauesr for: Temporary Certificate........... Final Car=iceze....?�...... ee Submitted: $..... ...... .... ........ t �... ... ........ . ................. ....... 13?LIC�uti"T � � A,a3-5 FROM Panasonic FAX SYSTEM PHONE NO. Jan. 24 1996 03:37PM I . CONSENT TO iivsP Lc,rION �V ®(� /L) the undersigned, Omier(s) Name(s) do(es) hereby state: . That the underslgned (is) ((:tee.) the ownerW) of the premises in Lite Town or Southold located at cf�0® /* V ch—, . which Is BhUwr1 and drsigmted on ilia Suffoll. County tax map as District I000, Section ( Block ©3 , 1,ot 0 t . That Lite undersigned (leas) (ka-ve) filed, or Caused to be filed. art applica- tion in the Southold Town Building Inspector's Office for the following; Ce4cifi� =lam ��Cur� wed A That the undersigned, do(es) hereby give consent to the Building Inspectors of ilia Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they tnay deem necessary with respect to the aforesaid application, including inspections to determine that 'said premises comply w1th all,of Lite laws, ordinances, rules and regulations of the 'Town of Southold. A The ►inderstgiied, in comienth g to such ills pebLioils. do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections inay be used as evidence in subsequent. prosecutions for vto- latioris of the laws, ordinances, rules ov'regulations of the Town of Southold. Dated: 31?-426 (sigltature) (print name (signalure) (print n:une) " i' k ?+.. `�'°! � � F � yam`' � �� �t i t""" �.. � �? � �'' "�•f F �.-.� t ., '�-' Y. M_. a •+✓ f A 1 1 �... �.An.. 5 p 1 --�.,i k..f iwn / � E EN U MIt k" UY _. ♦_sue, __-�—_�_...__._.---..._ {_s ss.`. _ -E,t � � _. ry1. ../ - '� "_' _ 'i�i,nF. �:J ;`�,• � '�d�f"T t.�� 'tl k.�� : RF 3�CI E r NC IP- G'HT., .P't= "wr' F ►v �--F.a'ArPPLLn CE. Ate, 17 d" ! .j1= o t� z ST.'Y.' !! i POOL GOV.E;27 ClG• . '' .. t rn eh I b t Jf - (L=a rw11 r o. �.. \Ar 1 19,537- �Ma 11,.E LE N�0, L2134 JE -S_ Unauthoriind alteration oradditle to this survey is a violation of Section 7208 of the New York State - ( ^ �' \1 ,^. f^,� •.. fr r^ Education Law. t 1 T ; P` r. ..�. � t + r�. :�!?,+.r..,� �W � - - �tf a4.� "��: E TO'SCt�� tills 1L4: Li t'1� Copies of this survey map not bearing E/�j r7 rt f -- —< - the land surveyors inked seal or �� 6C V embossed seal shall not be considered O _ - tobeavalidtruaCopY. O . Guarantees indu sled hereon shall n, only to the person for whom the survey L 1 I j lam, t i.� .� f. Is prepared,and on his behalf to the tote company,governmental agency and O� 20 2rO >O M L S 256 Py+v lending institution listed he and ySFp J to tho rssignees of the lending instil- LANDS fallen.Guarantees are not transferable co l'o to additional institutions or subsequent - + e+y _ ovners. .r' �`�s Ot t ' Lit f n = i}:f Y i v m1� t -y� - --� BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2-/00 ,�/,7 _ number 6 st et municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPAVCY A typte/ owner—tenant ADMITTED BY: ��%te r 4- ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. 'TAX MAP NO_/f— SOURCE Or REQUEST:— / t�t��- - �}�t DATE: DWELLING: �� TYPE OF CONSTRUCTION G�'ou`G� ✓tc Z� # STORIES_ EXITS FOUNDATION CELI..AR_ CRAWL SPACE TOTAL. ROOMS: IST FLR. 2NU CLR_ 3RD FLR. BA'TIIROOM (s) ( Q>, TOIL,ET ROOM (s) /00 UTILITY ROOM PORCH TYPE .21,E DECK, TYPE PATIO_ " BREEZEWAY FIREPLACE '�' GARAGE �--- DOMESTIC 110TWATER Ef TYPE HEATER1�� AIRCONDITIONING TYPE HEAT 0y_/ WARM AIR 110'.fWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY Qc� f .city DATE OF INSPECTION TIME START 9i � END��r e •• .d ■■■■■■■■■■■■■■■■■■■■■■■ No ■■■■■■■■■■■■■■■■■ ME ME IN No NOONfiFTLI, ■ NO ■■ NOON■ ■■■■■■■■■■■■■■■�■■■■■ O■■■■ ■■■■■■■■■■■■■■■_�■�■®NOON■■ ■■■■■■mom ME ENO ■■■ ■■■■■rsa��■■■■■■■■ ■■■ NOON ■■■■N�iOO�`ii■■■■■■■■■ ■■■■■■■■■■■■■Nan 7E■EOE■ NOON■ : .. ' • . ����!' ■■0■■■■■■■■■■■�4A nna , ■■■■■■■■■■■■1�:' : I N[marm NOON■■ W■■■EONW■■■■■■■■NONE■■■ I TOWN OF SOU THOLD PROPERTY RECORD CARD �_ � OWNER STREETi; O VILLAGE DIST. SUB. LOT I ' k E ACR, FORMER OWNER AtiWA4i S w TYPE OF BUILDING f ES. SEAS. VL. ARM COMM. CB. MICS. 'Mkt. Value. . LAND IMP. TOTAL DATE REMARKS f /S5 0O 6 fJ O O o Shoo y a a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per U Value Acre '+f Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH 9a House Plot BULKHEAD Total DOCK