HomeMy WebLinkAboutZ-24700FORM NO. 4
TOWN OF SOUTMOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
P~{E EXISTING
CERTIFICATE OF OCCUPANCY
No Z--24700
Date OCTOBER 28, 1996
THIS CERTIFIES that the building
Location of Property 1325 FACTORY AVENUE
House No. Street
County Tax Map No. 1000 Section 122 Block 2
Subdivision Filed Map No.
ONE FAMILY DWELLING
MATTITUCA, N.Y.
Hamlet
Lot 17
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 ~-24700 dated O~TOBE~ 28, 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 DW~T.LING WITH ACCESSORY SHED *
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
MARK SCOTT & AUDREY WATSON WIGLEY
N/A
N/A
N/A
//~lding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTIIOI.D
HOUSING CODE INSPECTION REPORT
I.OCATION: 1325 FACTORY AVE. MATTITUCK, N.Y.
(number & streetY ~munlclpallty)
SUBDIVISION MAP NO. LOT(n)
NAHE OF OWNER (~) AUDREY &* MARK WIGLEY
OCCUPANCY A-I lIES. OWNER
..... (type) ~owner-tenant)
ADMITTED BY: AUDREY WATSON WIGLEY ACCOMPANIEO BY: SAME
KEY AVA]LABI,E ................................ SIIFF.CO. TAX MAP NO._.__J~yJ~J~
SOURCE OF REQDEST:
AUDREY WATSON WIGLEY
DATE: OCT. 8~, J_9_96_ ..........
UWELLING:
TYPE OF CONSTRUCTION WOOD FRAME ! STORIES 2 I EXITS 2
FOUNI)ATION BRICK CE1.LAR PARTIAl., CRAWl, SPACE
TOTAl, ROOMS: JST FLR. /+ 2NI) FLR. 3 3RI) FI,R.
BATI1ROOH (s) ONE TOILE'F ROOH (s) UTILITY ROOM
PORCII TYPE COVERED WRAP AROUND (FRONT) BECK, TYPE PATIO
BREEZEWAY FIREPI,ACE NO GARAGE
DOMESTIC IIOTWATER YES
TYPE IIEAT __~I~L .................
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTIIER: *ACCESSORY SHED IN NEED OF REPAIR.
*I'YPE IIEATER LILCO GAS
WARM AIR
A t RCONU !T l ON ]NG
_ ItOTWATE R~.~XX_ ......
FRAME
VIOLATIONS: CllAPTER 65 N.Y. STATE DNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
SHED IN 'ROOFS SHALL BE MAINTAINED IN A WATERTIGHT CONDITION.
~AK_.YARO
EXTERIOR SURFACES SHALL BE MAINTAINED IH GOOD CONDITION.
SURFACES NOT INHERNETLY RESISTANT TO DETERIORATION SHALL BE
TREATED WITH A PROTECTIVE COATING OF PAINT OR OTHER SUITABLE
PRESERVATIVE.
REMARKS: BP #19976-C0 Z-20265 (ADDITION)
NYCRR VOL 9B
PART. 12/,2.5 (d)
T NSPEC'FEI) BY
DATE OF INSPF. CTIO~O_C_T~OB~R 17,_.?_96 _
'rIME START 10:35 END I I :OO
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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
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.
Bo
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - .~ o25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date October 8, 1996
X
New Construction ........... Old Or Pre-existing Building.. .............. .
Location of Property. 1325 Factory Avenue Mattituck
House No. Street Hamlet
~ Audrey Watson Wigley and Mark Scott Wigley
Onwer or Owners of ~roperty ..................................................................
County Tax Map No 1000, Section.. 122 .Block ..... ~ .......... Lot. 17
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.. X
$ 100
Fee Submitted: .............................
APi~LiCANT v ~
~f~ ~ ~ T0 0 Audrey Watson Wigley
CONSI~NT
TO
INS1 b,(..l )N
Audrey Watson Wigley and Mark Scott Wigley
the undersigned,
Owner(s) Name(s)
do(es) tmt"el)y state:
That the under'signed (is) (are) the owner(s) of the pt'emiaes in tim Town
of Souiho]d located at 1325 Factory Avenue, Mattituck
which i~ shown and designated on the Suffolk
t;oenly tax map as District 100ti, 5~.ctmn 122 Block 2 , [,o1: .... ~___.
Tha~ the under'signed (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the followhlg: .....
Certificate of Occupancy on Pre-existing building
That the undersigned do(cs) hereby give consent to the Building lnspec£or~;
o[' Ihe Town of Southold to enter upon the above described property, iacluding
any and all buildings located Ihepeoo, to conduct such inspections as they may
deem necessary with respect to the afopesaid application, including inspections
to dctepmine that said premises comply with all of the laws, ordinances, rules
ired regulations of the Town (~f Southold.
The undex~signed, in consenting to such hmpections, do(es) so with the
knowledge and undepstanding that any information obtained in the conduct
such ini~pec:tions may be used aa evidence in subsequent prosecutioes fer
lati(ms of the laws, ordinances, rules or regalations of the 'Pown of Southold.
I)atcd: Oct. 8, 1996
(sf4~n at ur e)
Audrey Watson Wigley (ppint name)
(sif~mtt 'e)
(print name)