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Home My WebLink AboutZ-29000 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector u Town Hall Southold, N.Y. Y PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29000 Date: 10/21/02 THIS CERTIFIES that the building DWELLING Location of Property 1160 BUNGALOW LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 0002 Lot 016 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- 29000 dated OCTOBER 21, 2002 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 ENCLOSED BREEZEWAY AND ATTACHED ONE CAR GARAGE.* The certificate is issued to DESIRE LE CREN & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 1 X/1 n d Si nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1160 BUNGALOW LA MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : DESIRE LE CREN & WF OCCUPANCY: A-1 RESIDENTIAL DESIRE LE CREN & WF ADMITTED BY: DESIRE LE CREN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 123.-2-16 SOURCE OF REQUEST: GARY FLANNER OLSEN DATE: 10 21 02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK C K61JU : 3 4 CRAWL SPACE: 1 4 TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: ENCLOSED FIREPLACE: GARAGE: ONE CAR DOMESTIC HOTWATER: YES TYPE BEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X 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 I DESCRIPTION I ART.' I SEC. RE24ARKS: RE-INSPECTED 10/17/02 INSPECTED BY: DATE ON INSPECTION: 10 04 02 GARY J FI TIME START: 9:50AM END: 10:10AM U 11�11JJLri V` LLY H.[\Ll'1L.1�1 TOWN HALL APPLICATION FOR CERTIFICATE OF OCL.nr EP 25 2��2 > J A. Thi's application must be filled in by typewriter OR inkt` edE;to the. b ildir.inspector with the following: for new building or newVN FS0li OLD 1. Final survey of .proper'ty 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 buildi 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 "pre-existing" land uses: I. 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 applicar. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . $ jr=obr_r. 20.. 2002. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .. . . . . . . . . . . . . . . . Location of Property. . . . �.1�0.$ g��4Y.lee, Mattituck,, NY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. .1DeS1ZC.I.e .Cteu . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .123 . . . . . . . . .Block. 2 . . . . . . . . . . . . .Lot. .16. . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . . . . . :. . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . ... . . . . . . . . .Underwriters A oval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . Request for: Temporary. Certificate. . . . . . . . . . . Final C rt to . . . . . . . . . . 100.00 Fee Submitted: $. . . . . . . . . . . aC�o� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a�o APPLICANT. GARY FIANNER OLSE Main Rd, PO Box 706 Cutchogue, NY 11935 0 0 0 - -�� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT A4161w- -614, FORMOR OWNER ACR. 3 p S W TYPE OF BUILDING h( do rl RES,.p/Q SEAS. VL. FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable . FRONTAGE ON WATER Woodland FRONTAGE ON ROAD �; � :Meadowland DEPTH �' r House`rlot BULKHEAD Total DOCK e�-- -�—_._.- \ _l rr��±_.j--'��_�._. _ s;. "r..�„' ;off ,�4 Y tp Y+� ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ MCI EEO■■■■■■IE m■a■■■®m■■■■■■■ ■■■ f "�° ��'sN�s � ..Q.'yyyk,�j�`.�Yi r{)�{S ' t .. ®■■■■■■■�l�■■■■■�I��>,��■■■■■®■■■■ air . f No ■■■■{■M■iT�■■!!!��6'�i■ii■■■■■■MEMO ®■■■■■■■■■s�:e■■■■■■■■®■■■■■o■■ Recreatidn.Room • r/ CONSENT TO SEP 2 5 2002 '1 INSPECTION ----� RLDG. PEP T. F :,OUT'iM[ Q Desire Le Cren and Lucienne Le Cren 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 1160 Bungalow Lane, Mattituck, NY which is shown and designated on the Suffolk. County tax map as District 1000, Section 123 .Block 2 Lot 16 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-the Southold Town 13uilcting lnspecLwL +hA fnllnwinLj: One story. frame house with attached garage 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. 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TAX MAP NO. 1000- y — SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: C✓ _ # STORIES: #EXITS: FOUNDATION: CELLAR: J CRAWL SPACE: / TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOMS): TOILET ROOM(S): UTILITY ROOM: ' PORCH TYPE:J 00 VECK, TYPE: PATIO, TYPE: BREEZEWAY: - REPLACE: GARAGE: /C__0v,-'— DOMESTIC HOT ATER:. 1 TYPE HEATER: AIRCONDITIONING: TYPE HEAT:, WARM AIR: HOTWATER: f� OTHER: ACCESSORY STRUCTURES: ��s✓� GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE P NTION&BUILDING CODE LOCATION DESCRIPTIO ART. SEC. 01 C L . REMARKS: INSPECTED BY: DATE ON INSPECTION: 10 TIME START: END:. ®:!®