HomeMy WebLinkAboutZ-29295 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- 29295 Date: 03/06/03
THIS CHRTIFIHS that the building DWELLING
Location of Property 3170 WICKHAM AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 0009 Lot 026.006
S11bd1V1SlOn 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 NUMBHR Z- 29295 dated MARCH 6, 2003
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 BREEZEWAY, ATTACHED ONE CAR GARAGE, ATTACHED
ONE CAR CARPORT AND BRICK PATIO.*
The certificate is issued to MARY FLANAGAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DHPARTMSN'P OF HHALTH APPROVAL N/A
HLHCTRICAL CHRTIFICATH NO. N/A
PLUMBHRS CERTIFICATION DATHD N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Auth ized S' nature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOH: 3170 WICKHAM AVE MATTITUCK
SUBDMSIOW: MAP MO.: LOT (S)
WAlB OF OWWHR (S): MARY FLANAGAN
OCCOPAMCY: SINGLE FAMILY MARY FLANAGAN
ADMITTHD HY: BEVERLY BENDER ACCOMPAWI® BY: SAME
RHY AVAILABLH: SOPP. CO. TAR MAP MO.: 107.-9-26.6
SODRCH OP RHQUHST: ABIGAIL WICKHAM, ATTY DATE: 03 06 03
DWELLING:
TYPH OF COMSTRUCTIOW: WOOD FRAME # STORIES: 1.5 # BRITS: 3
FOORDATIOM: CEMENT CHLLAA: 3 4 CRAWL SPACH:
TOTAL ROOMS: 1ST PLR.: 5 2HD FLR.: 1 3BD FLR.: 0
BATHROOM(S): 1.0 TOILHT ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPH: DHCR TYPH: PATIO TYPH: BRICK
HRHHZHWAY: 3 X 5 FIRHPLACH: 1 GARAGH: 1 CAR & 1 CAR CARPORT
DOMHSTIC HOTWATHR: YES TYPH HBATHR: ELECTRIC AIRCOHDITIOMIWG:
TYPH HHAT: OIL WARM AIR: HOTWATHR: X
OTHHR:
ACCESSORY STRUCTURES:
GARAGH, TYPH OP COWST.: NONE STORAGH, TYPH COWST.: NONE
SMIMMIWG POOL: NONE GUHS'P, TYPB COHST.: NONE
OTHHR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIPORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ~ ART. ~ SEC.
CARPORT ROOF THE ROOF AND FLASHING SHALL BE SOUND TIGHT AND
NOT HAVE DEFECTS THAT ADMIT RAIN. ROOF DRAINAGE
SHALL BE ADEQUATE TO PREVENT DAMPNESS OR
DETERIORATION IN THE WALLS OR INTERIOR PORTION
OF THE STRUCTURE.
RHMARRS: HP#29279 SUN ROOM ADO COZ20932
IRSPHCTSD HY: DATH OR IWSPHCTIOR: 03 OS 03
GAR PIS TIlB START: 10:00AM HMD: 10:30AM
_ 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 Department with the following:
A. 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 consent to inspect signed by [he applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state [he 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00
Date. .Z--/o2'j~Q3
New Construction: Old or Pre-existing Building. ~ (check one)
Location of Property: ~ 3 / 7~ ~Fr.~e ,
House No. ' QStreet Hamlet
Owner or Owners of Property: /~CVLy y'/Gt~KLp~~
Suffolk County Tax Map No 1000, Section 1 Block ~ Lot ,~,L,
Subdivision o5U USTpI/ Filed Map. ~9a Lot: ~3'f nl/W a5'
S~ 39 ~ 5~0
Permit No. ~ Date of Permit. - Applicant:
Health Dept. Approval: ~ Underwriters Approval: -
Planning Board Approval: o ~ ~9~95'
Q~. c (o3yl~ ~
Request for: Temporary Certificate Final Certificate: l~ (check one)
Fee Submitted: $
Co ~zo93~, r3~~aoa79-Z a '
Cam(' / Applicant Signature
Z98'- 5S'9S' Far 4-~~ ~z4
-s sa ~ i. " / ~/"~Q"`~°~xo,..
CONSENT TO INSPECTION
~YJq jl y A, NA GA 1? ,the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the~~~~??remises in the Town of
Southold, located at 3 /'7o F,ry+itn~,q ye.•, /f/a-~i-fuc.~ /V Y //yam
Z
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section /O'~, Block Lot o? (o, ~
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
fie. ~D
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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: o2/a7~GZ3
(~i~gnature `J1A.2y `G4N/~6~Aa
(Print Name)
(Signature)
(Print Name)
I
30 `0 3a so „,so
GRAPHIC. SCALE - FEET MAP OF PROPE,RTV
~ SITUATED ~AT
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SCALE 1"=30'
SURVEYED BY:
LAND DESIGN ASSOCIATES, P.C.
91 GREEN ST.
~ HUNTINGTON, N.Y.
d ~ PHONE (631) 549-4744
Q' ^oo / Ar Assn FEBRUARY 24, 2003
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SIIEFOLI< COUNTY TAX MAP _ '
DISTRICT 1000
NOTE; LOCATIONS AND EXISTENCE OF ANY SECTION 107 ,
SUBSURFACE UTILITIES AND/OR STRUCTURES, BLOCK 09
NOT READILY VISIBLE, ARE NOT CERTIFIED. LOT 26.6
LOT AREA = 0.5165 AC.