HomeMy WebLinkAboutZ-24296 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-24296 Date APRIL 19,' 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1825 SIGSBEE ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block 2 Lot 14
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-24296 dated APRIL 19, 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 DWELLING
The certificate is issued to YASUDA BANK & TRUST COMPANY (USA)
(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.
wilding Inspector
Rev. 1/81
' y IIl1ILU1NG DrPA11'I'MENT
TOWN OP SOUT'IIOLD
11011S l NG COUr INSPECTION REPORT'
LOCATION: 1825 SIGSBEE RD. LAUREL, N.Y.
number & streetZniunicipal fty
Sl10DIV1SION MAP NO. I.O'r(s)
NAME OF OWNER (s) YASUDA BANK & TRUST COMPANY (USA)
OCC(1PA14t;Y A-1 RES. OWNER
t pe - owner.-tenant
ADMIT'T'ED BY: BARBARA CONDON ACCOMPANIED BY: SANE
KEY AV.AILAIII.E SIJPP.CO.. TAX MAP NO. 1000-144-02-14
,9011110E
00 - - -
SOU110E OF ItEOIJEST:- DONALD M. McGAYHEY __--_ -`- DATr: MARCH 29, 1996
DWELLING: ----
TYPE OF CONS'T'RUCTION WOOD FRAME I STORIES ONE I EXrrs Two
FOl1NDATION CEMENT BLOCK CELLAR FULL CRAWL. SPACE
TOT'AT, ROOMS: IST FLR. 5 2ND PLR. 3RD PLIC.
BA'1'111tO0M (s) ONE • o ll.E•I' ROOM (s) UTILITY ROOM
PORCII 'TYPE ENCLOSED, FRONT DECK, TYPE PATIO CEMENT, REAR OF HOUSE
BREr7.EWAY FIItEPI.ACIi NO GAIIAGE
DOMESTIC 110T•WATP.R YES TYPE THEATER AIRCONDITIONING _
TYPE llEAT LILCO GAS WARM Ali( X% _ 110T'WATER
O'HIER: TOILET IN BASEMENT WITH SHOWER/SHED ATTACHED TO REAR OF HOUSE
ACCESSORY S'T'RUCTURES:
GARAGE, 'TYPE OF CONST. S•TOItAGE, 'TYPE CONST.
SWIMMING P001, Gl1rSI', TYPE. CONST'_
OT'l1EIl: — --
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V101.AT10NS: CRAPTER 45 N.Y. S'PA'TE UNIX011M FIRE PItrVENT.lON & 111J11.1)ING CODE
LOCATION DESCRIP•T1011 ART. SEC.
ROOF ROOFS SHALL BE MAINTAINED IN WATER TIGHT CONDITION NYCRR 9B
PART. 1242.5
REMAIIKS: BP 023353-Z - CO z-24295 (SHED ADDITION)
INSPECTED BY 1,W =/ -- DA'Z'E OF INSPEC'T'ION APRIL 2, 1996 & APRIL 16, 1996
GARY/ ISHV
TIME START ENI)
Form No. 6 ,
TO
t 9 leC�� TOWN OF SOUTHOLD
1 : 2 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 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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. ;Temporary Certificate of Occupancy - Residential $15.000, Commercial $15.00
Date . . March :?,? : .1996. . . . . . . . . . . ... . .. . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . X. . . . . . . . . . . . .
Sgsbee Road
vocation of Property. . .. . . .. . . . .. . . . . .. . . . .•. . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . .. Mattituck . . . . . .
House No. Street Hamlet
Jnwer or Owners of Property.. Yasuda_ Bank and. Trust. Company (USA). . . . . . . . . . . . . . . . . . . .... . . . . . . .
County Tax Map No 1000, Section. . . . . . . . . . .Block. . 2. . . . . ... . . . . . .Lot. . . .. 14
144 . . . . . . . . . . . . . . .
Mattituck Park Properties Inc. 68
Subdivision. . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . .801. . . . . . . .Lot. . . . . . . . . _. . . . . . . ... . . .
?ermit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . ... . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Manning Board Approval. . . . . . . . . . . . . . . . . . . . . . .
I
equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .X. . . . . . .
100-00
lee Submitted: $. . . . . .. . . . . . . . . . . . . . . . _ . .
a*��7777_77'i . . . . . . . . . . . . . . . . . .
PLICANT
6-,9-
If 0 W N
APR - 9 i996 ! 'i
1 0
BLDG.DEPT.
TOWN OF SOU i M01.1
STATE OF NEW YORK)
) ss:
COUNTY OF SUFFOLK)
Thomas Noone, being duly sworn, deposes and says:
1. That I reside at Sigsbee Road, Mattituck, New York
and have resided at said premises for � a years.
2. That I am personally familiar with premises located at
1825 Sigsbee Road, Mattituck, New York.
3 . That the improvements made to the basement of the subject
premises resulting in a finished basement were completed
around 1975 or 1976.
4 . That I make this affidavit knowing that the Southold
Building Department will rely on the statements made
herein.
Thomas Noone-
Sworn to before me this
?,d""-day of April, 1996.
SALLY A.HEITEL
Notary Public,State of Now York
No.39-4640970
Liqotar Public Qualified in New York County
Commiar ion Expires February 28,191?
".� U
APR - 919
DEPT-BL0F SOl9TH0�n
STATE OF NEW YORK) TOwN ""
ss:
COUNTY OF SUFFOLK)
Shirley Murphy, being duly sworn, deposes and- says:
1. That I reside at 13®5 Sigsbee Road, Mattituck, New York
and have resided at said premises for .1-,S- years.
2. That I am personally familiar with premises located at
1825 Sigsbee Road, Mattituck, New York.
3 . That the improvements made to the basement of the subject
premises resulting in a finished basement were completed
around 1975 or 1976.
4. That I make this affidavit knowing that the Southold
Building Department will rely on the statements made
herein.
Sh' ley M p
hr—
Sworn to before me this
,Kw day of April, 1996.
SA11.YA. L
Notary F'uPz.ac,State of of New York
otar Public
No.31-4640970
Y Qualified in New York County c�
Cormmis,ion Expires February 23, 1�1�
CONSENT
TO
IN\i 'l_;CT10N
Donald M. McGayhey, Esq. the undersigned,
Agent of U\;gier(s) Namek)
do(es) hereby state: _
agent of
That the um—fersigned (is) ( a the owners) of the premises in flit: Town
Of Southold located at 1825 Sigsbee Road, Mattituck, New York
-which is shown and designated on the Suffolk
County tax map as District 1000, Section 144 , Blocl( 2 Lot 14
That the undersigned (has) IMiKe) filed, or caused to be filed, an applica-
tion in the Southold Tow-n Building Inspector's Office for the following;
Pre-C.0 for house, attached shed and fence '
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 laNvs, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knmvledge and understanding that any information obtained In the conduct of
such inspections inlay be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regua(0
of the "own of Southold.
Dated: March �� 1996
bt ire)
_-Donald M. McGayhey
(print name)
(sif!naturc)
ym
1, �_ . (print name)
W
LOT
Co
'e \
riX �C-IC
O1 �aA
,22' 0 a `sib 302 �� O � � f
19
1,40.0
CERTIFIED TO,
JOHN LONDON
BARBARA CONDON ,,
T O .5.4xoP! NA TIONAL moF i G'AGE r3.,,1KERS, L TD.
!-® COMMONWEALTH LA^D TITLE INSURANCE COMPANY
73
o \'1 j 22 0 ' SURVEY OF
0
0 o.y/
s• 6g LOT 68
AMENDED MAP OF PROPER Y OF
MA TTITUCK PARK PARC PROPERTIES, INC.
FILED JAN 12, 1926 MAP NO. 801 ����Of
A T A TTI TUCK s Alk T.mo
TOWN OF SOUT OLD - '° -.5or -
SUFFOLK COUNTY, N. Y °;` a
ANY ALTERATION OR AQG1T(ON TO THIS SURVEY /S A VIOLATION ' • �"`' �
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LA:y, ' � ,��? jl11
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CEiTIFICATIONS 1000 - '44 - 02 - '4 �. +i� d.Y.St L, NO. 49618
HE5EON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY !F o� � c. �'
S4ID MAP OR COPIES B=AR THE IMPRESSED SEAL OF THE SURVEYOR Scale. 1 = 20PECON
WHOSE SIGNATURE APPEARS HEREON. Mar. 18, 1996 151 FJ 7
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' P. O. BO t�
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1230 TRA V L", l REG T
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' ANDSOUTHOLD, N.Y. 11971
'BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW AREA = 7,0®O sq.ft