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Home My WebLink AboutZ-22155 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-22155 Date FEBRUARY 24, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of. Property, 400 LEGION AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 2 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-22155 dated FEBRUARY 24, 1993. 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 ONE CAR WOOD FRAME GARAGE. * The certificate is issued to WILMA G. MATTHEWS (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 BUILDING DEPART14ENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 400 LEGION AVENUE MATTITUCK N.Y (number & street) .(municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) WILMA G. MATTHEWS OCCUPANCY A-1 RES. (type) (owner-tenant) ADMITTED BY: PEGGY KILLIAN,CELIC REALTY ACCOMPANIED BY:SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 142-2-8 SOURCE OF REQUEST: WILMA G. MATTHEWS DATE: JAN. 22, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EXITS FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM .PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE NONE GARAGE DOMESTIC HOTWATER XX TYPE HEATER ELECTRIC AIRCONDITIONING TYPE HEAT, OIL WARM AIR XX HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME . 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: DATE ON INSPECTION FEB. 23, 1993 - Ga F'sh. TIME. START 9:25 END 9.45 • i^J'e�� 14�.,��.,�'fit'+,,W�i:'f.: -. FORM NO. G FEB 1 619M TOWN OF SOUTHOLD Building Dopartment Town Hall +t:`. Southold, N.Y. 11971 - 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions : A. This application must be filled in typewriter OR ink, and submitted an aw--Pr r to the Building Inspec- torwith 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 or equal). 3. Approval of electrical installation from Board of Fire Underwriters. h. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of complated site plan requirements where applicable. B. -For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $-25 :00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 *years $ 1 0 .0 0 4 .Vacant Land C.O. $.'20 . 00 5.Undated C.O. $' 5 0 . 0 0 Date February, 11.,,, 1993. , . . . . . . r NewCons true tion , , , , , ,.Old or Pre-existing Building X . . . . . . . . . . Vacant Land . . . . . . . . . . . . .. Location of Property ,400 ,Legi.on ,Avenue'. Mattituck House No. . . . . . . . . Sneer. . . . . . . . . . . . .. . . . . . . . . . . . -Namlur Owner or Owners of Property . . . . . . . . . . .Wi 1 ma G. Matthews.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . County Tax Map No, 1000 Section . JA2 . . , , , , , , , . Block . . . . . . . . . . . . .. Lot . 8 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . Health Dept. Approval . . .p Pp . . . . . . . . . . . . . . . . . . . .Labor.Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . Fee Submitted $ ,1.O.Q..O.O , , , , Construction on above described building and permit meets all applicable codes and regulations. Applicant . GARY. FLANNER.U5$ 1\1, .�$Qi . . . . . . . . . . . . . . . . . . . . . . . . . . . now.lo•10•70 P.O. BOX 706 , Cutchogue, NY 11935 C ist4563 � comma Is5 •. . Fg . - CONSENT 6 TO {1 :' FEB 1 INSPECTION Wilma G. Matthews , the undersigned, Owner(s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 400 Legion Avenue, Matti tuck, NY which is shown and designated on the Suffolk County tax map as District 1000, Section 142, Block 2 Lot 8 t _ That the undersigned (has).(have) filed, 'or caused to be filed, an applica- tion in-Ve.Southold Town Building lnspc:cw� •o or.�t�4 cor +hA f'nilnwinLre One family dwelling 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 and all buildings located thereon, to conduct :;uch inspect ions as they nnay 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 :: 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 lTown of Southold. . D ate d: 02c A?-3 (sign ure) Wilma G. Matthews (prir_t namia) (signature) (print name) � Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 Fa WE II1t1tY� 516-727-2303 � goung N O ` 11 CVl Alden W. Young, Professional Engineer & Land Surveyor g Howard W. Young, Land Surveyor Thomas C. Wolpert, Professional Engineer ° �lanatay �, Kenneth F. Abruzzo, Land Surveyor 3 , 9 r g �1t�iUtYtift9 NOGG inn�o x$31n 36 � X �� `G 10• � ,�Z g84Z °� 0 29 ��\ �'9 Aso ° s� L � X. r3� 0 1 i% ` �OPJ et, 0 �c a o ° � z cp o. C` \ Q SURVEY FOR: JOSEPH LAZZARO a BARBARA LAZZARO F� hha/ PV?- oy Qo� r At: MATTITUCK Town of: SOUTHOLD ° �� ,rJ Suffolk County, New York P� �� o� s q a =-s (0�0 `��r�e�< Suff. Co. Tax Mop: 11000 1 142 2 8 0, 5Q\C \,�� t O t� District Section Block Lot >< P G a •� Q CERTIFI =_ 5' DTITLE INSURANCE COMPANY 0 C-D3^ n w r Pl v, NOTE I. 0 = MONUMENT FOUND } $� FEB.23 1993 .� DATE FEB. 1, '"�•• � •� 1993 < i 4�8�r,J N SCALE :1 = 30� � �, = ,r�i� ,i` JOB N0. :93— 0051 HAN 0 FDLANDS SHEET NO. :1 OF 1 O =s 'To' 'T 0: �C:1;.:�LD, ;I. TY. FOUCI::G CCS� c-- Lorat; , �. Su'- iVi sion lulu:=c1ca -•, raD rro . ------------------ iv�1e of 0:•iner(s ) G( e M� r-rN ws Occuaanc- Z;Yp e) Admitted by: GG F/1v l o'.�ner-yen- L -AG.CUf1�c2T116Ci by Key available Suffolk Co . Tam No. Source of request Date T LTarC Type of consLruc pion / .Foundation C A✓� �'Locrcw�d :'stories CellarE Total roo ms, lst. Fl Cra:rl space -- Bat-hroo.;�(s) 2nd. Fl -- 3rd. Fl �� Toilet room(s) Breezeway Deck, type ty- pe , Garao� �e Heat OIL - Utility room Fireplace(s) o,v� ,T�r^1 AirNo. ^ �Hotda .er Dor.,estic hotwater Sircor_c�i Lion,-, ., Other T;Toe heater -ACCESSORY STDTT('`mLTRt`S Garage, type cons-.fy� �/c9ol� � SI•riu^y^,IinC D .2sy,�St0rabe, ool -YPe cons-. Other Gues-1-Sher � --------- type cons-. VZOL''T'TONrs: CHAPTER 45--N-Y. STATE UNIFOIt1.1 FI Location Ri; pREVI':NTION &. BUILDING CODE icn I I Art. I Sec. I I � Remarks: Inspected by: Date of Insp• 023 3 ••Time start :laS'.4M end ►Avg, TON OF SOUTHOL® OPERTY ` RECORD CARD :. OWNER STREET VILLAGE DISTRICT SUB.' LOT FORMER OWNER- N �^ E ACREAGE 1 S W TYPE OF BUILDING Iwo akc)�l �&Jt 11,4, 1 RES. � SEAS. VL. FARM COMM. IND. I CB. I MISC. I Est. Mkt: Value ^� LAND IMP. TOTAL DATE REMARKS Srr/o� f�h2cccS G AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ' Farm Acre Value. Per Acre Value FRONTAGE ON ROAD Tillable 1 - BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland House Plot Total �• r i I i 12 i I -'M. Bldg. v ry( ��I �,.� poi �ndotion C13 Both Extension Basement �O� Floors ' Extension Ext. Walls Interior Interior Finish Extension Fire Place Heat j Porch Roof Type Porch Rooms 1 st Floor i 'Breezeway. Patio Rooms 2nd Floor Ctiorage I ( Y y'r O Driveway Dormer O. B. j