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Home My WebLink AboutZ-21123 J 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=21123 Date OCTOBER 30, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 175 CEDAR DRIVE MATTITUCK, N.Y.. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 11 Lot 2 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 Zti-21123 dated OCTOBER 30, 1992 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 WOOD FRAME GARAGE The certificate is issued to NORMAN A. & DONALD C. REILLY (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. Build' In pector Rev. 1/81 TO",-,[ OF -CUT:.--OLD, i1. Y. HG[;:I::G CCGC Iii:,?-ECTION iZ 7C:kT Location 175 CEDAR DRIVE MATTITUCK, N.Y. lr:a::.our a L;z.reec: ) l�iu:.�c:�PsllG]fl Subdivision M-au No . Lots) V a„I e of O w n e r(4-) NORMAN A. REILLY & ANO .- Occupancy 1 FAMILY DWELLING OWNER ( VACANT ) (type) �01:Jrier- Gen`riz) Adn; -ted by: NORMAN A. REILLY Accompanied by: SAME Key available Suffolk Co. Ta:c No. 106-11-2 Source of request NORMAN A. REILLY Date OCT. 28, 1992 D1;r'L L!T-TG: Type of coristructi0n FRAME ;'stories 1 Foundation BLOCK (MASONARY) Cellar 50 Cra:Il spice50 Total. rooms , . 1st. Fl 5 2nd. Fl 3rd. Fl��„_ Bathrooms) 1 Toilet roori(s) 1 Porch, type FLAGSTONE Deck, type' Patio, type Breeze::ray Garam� ty o- Uti__ rornn Type Heat OIL Warm• Air Ho t.,wa t er 1�x -- i N 1-- 2 F__- -place(s) 1 o . F-:i Aircor_diticIn r.� Domestic hotwater Xx Type heater ELECTRIC C Other AC%=SSC�,`r g^ LTC^, v5. Gzra oe, type const. WOOD FRAME Storage, type corst. ' Scli=ino pool Guest, type const. Other V T OL aTTOiTS : .01APTER 45--N.Y. STATE U;IIFOhM FIRIi PIZLVENTION & 13UILDING CODE - nr2t_i On T,P�CT•1 TJ� q O,t. _ _ Art.:• I Sec. EXT.GARAGE ( HOLES IN ROOF & WALLS ROOFS SHALL BE MAINTAI I 11242.5 IN A WATERTIGHT CONDITION. EXTERIOR W BE MAINTAINED. I .. ' I I I P.cctzd by. _Date of Insp, OCT. 30, 1992 TH F. SHE • Time start 9:25 end 9:50 Form No. . 6 .E. , = ' • TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 " 2 8 f ? TOWN HALL 765-.1802 APPLICATION FOR-CERTIFICATE OF OCCUPANCY A.. 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 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 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. 2. . Certificate of Occupancy on Pre_existing Building - $100.00 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 . . �4,��. ./. .�-:. . . . . few Construction. .. . . . . . . Old 'Or Pre-existing Building. , , , , , , .ocition of Property: . .*. . . . .,.. C� • . .D�!�.. . � F.... . . . . . . . . AI A. House No. Street Hamlet IX ,nwer or Owners of Property. . . ./ ?AA. ounty Tax Map No 1000, Section. . . .. , , , . , , ,Lot. , , ,oZ, , ;= ubdivision. 6M.A .•.Ae v:. .(.�S?.f '. . : . . . . . . . .Filed Map. . . . . . . . . . . .Lot . . . . . . . . . . .'. . . . . . . . . . . ermit No. . . . . . . . . . . . . . . .Date' Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . ... . . . . . . . . .. . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . 2quest for:. Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 'e Submitted: $. .. . .'.�Q.Q. : O G. . . . . . . . . . .. �d . . . . , . .. . . . . . . . . . . . . . . . . . . . ... ® �q APPLICANT C:0N Sr;,T TO 1N'S PECTION Uwncr(s) Namc: �—' `i Ehct_ uncic'rsit;ncd, do(es) hereby state: That the undersigned (is) (arc)- the owncr(s) of the remise;; ' p to the To%,•n Or Southold located at � sv T TOc� is :;ho%.,n and desir-nated on t}ie Suf;01, County tat map as District 1000, Sectio D - L'Iock n Lot f — 2 That the undersigned (has) (leave) filed, or caused to be filed an applica- tion in the Southold To1vn Building Inspector's Office for the follo�c-in.7: 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 an", and all buildings located thereon, to conduct such inspections as 'hey may deem necessary with respee't to the aforesaid application, including in spCc__o.- :s to determine that said premises comply with all of the la«s, ordinances,, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so With h the knc' •ledge 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: D 2� 2 • (sibnaturc) (print narnc) ..` ; 0 C71 2;8 11992 (signature) (print name) E T0:,-,1 Cr OLD, it. Y. HGt; I::G CCL.± Iii.�?�CTIO'1 iZC_C T • / Location l ,c.:.o: r A Free c ) Subdivisio '•Ian No . Lots) Name of Occupancy L.�4 C-M l eype) lo�:�ner- cenanz Ad.:�ittcd b : ,�► Accompanied by: Key available Suffolk Co. Tarc No. Source of request Date D?;EL LING: Type of construe Lion -7stories f Foundation Cellar (fib Crawl space Total. rco„is , . 1st. Fl_ L'S� 2nd. Fl 3rd ,--- Toilet room(s) Z Porch, ty'p sree Deck type' -=�--- Patio, type Breezeway Garage Utility; ty roam Type Heat Warm Air I�ot:rat�r � P F__ i1 "ep1aC (S)�� I`TO. E::l VJ_ 2� Ali r"1C�1 ; - ' �.Ja. :.lCn i Dc:jestic hot;�ater_ �� Type hea.zere/—� G� Other ACC ST UCTTJRFS Gzraoe, type const. ' . inl��Z"forage, type cons t. S%ti=i no p°ol Guest, type const. Other V_OLATTOi!S : C11AFTER 45--N.Y. STATE UNIFOI:M FIIU' PRLVENTION & BUILDING CODE • ncation � DPscrintion } I � � Art, Sec. Ila 10, I . I I • I I Remsr'cs r In:,pected by. ✓ Date of Insp. /013a • Time start fSe end ',24 NOKI-oAlu A, VIEW.BAY . .45r E• �---� N. 745 g5' ~ o . / 006 SU R VEY OF Cz�0 .�� -- �g �� L O TS 20 thru 23 ind MAP OF PROPERTY OF MA TT/TUCK DEVELOPMENT COMPANY INC. FLED MAY 91923 FYEMO. M A T MA T TI TUCK ti19TOWN OF SOU THOLD ��5 0. •z.\ I0 '=' P SUFFOLK COUNTY, N. Y. 1000 — 106 — 11— 1, 2 ,i 3 O �,0 01 p 59 N� Scale: 1" =30' � .° q Oct. 21, 1992 s� _ .• � ` O` J t / N Q �a f, R ,.5 o a s OCT 2 S i9,92 I ;n \450• y t 0 ; BLDG. DEFIT. IT— 01 CERTIFIED TO: DEBORAH E.CCASSIDY HARTFORD FUNDING, L TD. Q /{ �, •// °� '` '�z ,p'( �� Prepared in accordance with the minimum WN, �L- .S..LIC. NO. 49618 �b ° 2 V standards for title surveys as established o�. S. by the L.I.A.L.S and approved and adopted PE P.C. for such use by The New York Slate Land (516 Tile Association. P. 0. AREA = 32,309 sq.ft. \ MAIN SOUTHOLD, N.Y. 11971 92-240