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HomeMy WebLinkAboutZ-20355 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING y CERTIFICATE OF OCCUPANCY No Z-20355 Date NOVEMBER 19, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING` Location of Property . 1415 FOURTH STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 7' Lot 3 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-20355 dated NOVEMBER 19, 1991 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 TWO CAR GARAGE The certificate is issued to RICHARD F. MATHEWS (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. Building Inspector Rev. 1/81 BUITDI:•;G DEP:�RT:•I";1T TO;11\1 OF SOUT110LD, N. Y. HOUSIi.G CODE INSPECTION REPORT Location 1415 Fourth. Street New Suffolk, N.Y. knt;mber & street � iunicipalizy) Subdivision 'Map No . Lots)_. Name of Owner(s ) RICHARD F. MATHEWS Occupancy A-1 Residential OWNER (type) owner-zenanz Admitted by: BARBARA MATHEWS Accompanied by: SAME Key available Suffolk Co. Tax No. 117-7-3 Source of request RICHARD F. MATHEWS Date NOV. 5, 1991 DWELLING: Type of construction WOOD FRAME 2 ,;stories Foundation BRICK Cellar PART Crawl space PART Total rooms, 1st. Fl 4 2nd. F1 4 3rd. Fl Bathrooms) 2 FULL BATHS Toilet room(s) Porch, tape FRONT ENCLOSED Deck, type Patio, type_ Breezeway Garage: Utility room Type Heat OIL Warm Air Hotwater Kg Fireplace(s) NONE No . E:cits 2 Aircor_ditioni ng Domestic hotwater YES Type .heater OFF BOILER Other REAR ENTRY WAY (MUD ROOM) ACCESSORY STRUCTURES Garage, type const. 2 �� Storage, type const. Swimming pool . Guest, type const. Other VIOLATIONS:- -CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description JArt. l Sec. I , Remarks: Inspected by: ,ur/v Date of Insp. Nov. 12, 1991 J FISH Time start 9:35 end 9:50 r 4 Form No. 6 ' A 1• �_ \fir/ M t `� 'ALP TOWN OF SOUTHOLD t; BUILDING DEPARTMENT 1� 1W� © 1 -k NOV e 71991 TOWN HALL765-1802 ccra;aam..:..,xs.w+.:...•,..;.wP t,::.f_�_". `".4 _._:.J F. - < _ _,_, APPLICATION FOR CERTIFICATE OF OCCUPANCY +. 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 JL and installations, a certificate of Code Compliance from architect or engineer -_A 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, 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. Certificate of Occupancy on Pre-existing Building 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 Date . . . . /� . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . 1J. . . . . . . . . . . . Location of Property. . . .s�}�S . . . . . . . . . . . . ..?`�oU2TH - .5T2 4E1F7 House No. Street Hamlet . . • . . . . Onwer or Owners of Property. . . . /KiCf/1-3/-3/Z10 . . .F, MATHaws . . . . , • . . . . . . . . , . . County Tax Map No 1000, Section. . . .44 7. . . . . . .Block. . . . . 1. . . . . . . . . .Lot. .3. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . .Applicant. . .. . . . . . . . . . . . . . . . . . . . . . . . . . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . :request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .K. . . . . . . Fee Submitted: $,.. . .APPLICANT . . . . . . . . . . . . . . - iJ, CONSENT `'`r, N0V ` 71991 TO a t t INSPECTION 04. �i c�_IG1fC F M n�-hp���S• , the undersigned, Owner(s) Namc(s) do(es) hereby state: That the undersigned (is) (a-F-e) the owner( of the premises in the Town Of Southold located at which is shown and designated on the Suffolk County tax map as District loo0, Section / Block , Lot _, That the undersigned (has) (} aAr-ey filed, or caused to be filed, an applica- tion in the Southold Town Building Inspe.ctor's Office for the following: no 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 lags; 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: (signature) i C�1(l ff� I A CL heW S (print name) (signature) (print name) .,ir+�ir�/"l('S,.ii �...,� / /�6•._L. /.�'� � r t ,> f •. Y> r _z r.. t f i �i �. . '.,, �. � f, � •ate :�� 8 � > F '� � Y } > �, a �'fir. A r"�Js+ � a'4i •%,•. 'b.. l - '... � r.> •t'. f 4 a,z. i �§ -f•. s n r�'t�+rt9�-'dP. .� 77 fa •k J lY'k ✓ J �R •�CAfjACC a•A P z�4,.�+k ;r �. '� ,, -7i�},oSi1 !:'�` �,l-•,�'�' �24s`�.y •l YY' ���, #j _ y 'l:.if + w. C R• rnx -r„ 'C{r..Yi _ to D'� iyd` �K. YY t :r�� • �~ .:"F �jT ,'1'�E. ,y �sx/y :' k �a t r i� r�°' s. r��1 f�: �A,r. 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