HomeMy WebLinkAboutZ-27979FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27979
Date: 09/27/01
T~IS CERTIFIES that the building DWELLING
~cation of Property 1695 MEn, DOW BEACH I~. MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 116 Block 0004 I~Dt 031
S%~bdivision 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- 27979 dated SEPTEMBER 27, 2001
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 ATTACHED GARAGE & 2 ACCESSORY STORAGE
SHEDS *
The certificate is issued to THOMAS H & AUDREY B.WITSCHI
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~fDEPARTMENTOF~EALT~tA~PROVAL
HLBt-rKICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D;~'~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~u~ori~re
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIf~: 1695 MEADOW BEACR LA. MATTITUCK
S~DMSION: MAP NO.: LOT (S)
~ OF O~ (S): THOMAS N & AUDREY B.WITSCHI
OCCUPANCY: ONE FAMILY THOMAS R & AUDREY B.WITSCHI
SO,CE OF NEQ~/EST: SHEPHARD SCHEINBERG, ATTY 8/29/01 DA~: 09/27/01
DWELLING:
T~fPE OF CONS'URUCTION: WOOD FR3%ME
FOUNDATION: CEMENT BLOCK
ACCESSORY STRUCTURES:
GAP~E, TY~E OF CONST.:
SWIPING POOL: INGROUND S.POOL
TWO SHEDS
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
1~: BP l1605-Z-COZ 11972 (SWIM.POOL) BP#27735Z COZ27978 (RENOVATION)
INSPEcr~u BY:
DATE ON INSPECTION: 09/11/01
TINE ST~/~T: 10:00 AM ~D: 10:45 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 Complianee from architect or engineer
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
,~'~Vpre-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 - ~ .2530
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. ..~. . !.~..~...[...~?..[ .................... . .
Ne Construction ....... O_~ld Or Pre-existin BuiLding...~.
Lora~nn of ~ .... rt~, (~ ~ecaa~tad i~c~ ~'~' ~'l~O~l'J~c/-(21(~'
House No. Street,~ ~ Hamlet~ ~-/ ~
'-r%, ............. .'/'j....:'.
Onwer or Owners of Property ..... ~'. ......... ~. .............. ~ --~ ~ '''~. .f. .
Subdivision ......... Filed Map Lot ..............
Permit No .. Date Of Permit Applicant ..
Health Dept. Approval..........................Underwriters Approval.... .................. . .o
Planning Board Approval .....................
Request for: Temporary Certificate ......
Fee Submitted: Sj.Q..~..~3...~. .......... i i.i..
.. Final Certicate..~. ......
APPLICANT
State of New York}
County of Suffolk }
SS:
Thomas H. Witschi and Audrey B. Witschi, being duly jointly and severally sworn,
depose and say:
They are the owners of property located at 1695 Meadow Beach Lane, Mattituck,
New York 11952 (SCTM #1000-116.00-04.00-031.000) and have been so since
acquiring same on August 30, 1972.
That there exists a small accessory building (shed) on the northerly end of the
westerly boundary line of the subject property which sits partially on the property
of your deponents and partially on the land of Martin and Alma Suter.
That your deponents were advised by their predecessor in title that the said shed
had been constructed on or about the year 19~2 to house a windmill to pump
water. That said shed was constructed prior to the date which the Town of
Southold required a building permit or certificate of occupancy.
4. That since your deponents' ownership of the property, they have painted the shed,
reshingled its roof and had the sole use and dominion of said shed.
5. That no other person has utilized said shed, nor has made any claim for use or
ownership of said shed.
That your deponents make this affidavit knowing it shall be relied upon by
Eastern Real Estate Services, Inc. in connection with the issuance of title
insurance under title # 3801-87511 and by the Town of Southold in connection
with the issuance of a Certificate of Preexisting Use.
Thomas H. Witschi
Sworn to before me
This 26th day of September, 2001
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
, the undersigned,
of Southold located at
That the undersigned (t~) (are) the owner(s) of the premises tn the Town
· which is shown and designated on the Suffolk
County ta× map as District ~000, Section ] \G · Block 0~/ , ~.ot O3 I
That the underslgned'~(have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
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 regulatio~ of the Town of Southold.
//
Dated:
(si~naTdre)
r
CERTIFIED ~0:
MARK A. ANSELSON
MARIL YN F. ANGELSON
CHICAO0 TITLE INSURANCE COMPANY
EASTERN REAL EOTATESERVICES. INC.
IN ACCORDANCE WITH THE MINIMUM STANDARDS
FOR LAND SURVEYS OF THE NEW YORK STATE
ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
SURVEYED: ~U£ Y 3~,
£~' WIDE
N
S 70'37'50'W t80.38'
GREAT PECONIC BAY
TIE-IN
NOT TO
NAP OF SURVEY
PREPARED FOR
MARK A.
MAAILYN
SZTUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY,
ANGELSON E,
F, ANGELSON
rOE NEFERENCE DEED FOR THZ$ SURFEY SCALE: 1" = 50 '
~ITH TO THOMAS H. #IT$OHI AND AREA = 3,986 ACRES
AU~Y B. WITBCHI, FILED IN T~
OFFICE ~ r~ SUFF~K COUNTY ( TO DEED TIE LZNE)
N,Y,
· JOHN d. RAYNOR, P.E, & L,S., P,C.
OIVIL ENSINEERB
AREA 3,609 ACRES
Survey Map - S[O, t4]PF: 236101 511 23-Aug-Ot 05:30 PM / 2361-1