HomeMy WebLinkAboutZ-40820 gUfFUI� Town of Southold 10/30/2019
-rorn 53095 Main Rd
: Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40820 Date: 10/30/2019
THIS CERTIFIES that the structure(s)located at: 185 Maiden Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 140.4-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40820
dated 10/30/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with covered porch and accessory frame shed.*
Note:BP 31271 additions/alterations COZ-31096
The certificate is issued to Swanson, Gary& Ors.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ed ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 185 Maiden Ln,Mattituck
SUFF.CO.TAX MAP NO.: 140.-1-9 SUBDIVISION:
NAME OF OWNER(S): Swanson,Gary&Ors.
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Swanson, Gary DATE: 10/30/2019
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 22'x 15'wood
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/30/2019
TIME START: 10:04am END: 10:20am
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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. 10/4/2019
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 185 Maiden Lane Mattituck
House No. Street Hamlet
Owner or Owners of Property: Gary Swanson, Michael &Lynn Wiebe
Suffolk County Tax Map No 1000, Section 140 Block 1 Lot 9
Subdivision Filed Map. Lot:
Permit No. Date of Permit. ApplicantMcCarthy Management, Inc.
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check o te
Fee Submitted: $ o b®. y
1'�G� icant Signature
CONSENT TO INSPECTION
Gary Swanson ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s)of the ppr� emises in the Town of
Southold, located at 185 Maiden Lane, Mattituck, Y 119b2
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 140Block 1 ,Lot 9
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
For a pre-CO for an existing house and shed
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: October 4, 2019
ignature)
Gary Swanson
(Print Name)
(Signature)
(Print Name)
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Breezeway Fire Place Heat r�S DR.
Garage i Type Roof ,Rooms 1st Floor E3R.
Patio Recreation Room Rooms 2nd Floor FIN. B
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O. B. Dormer 'Driveway
Total
SURVEY OF PROPERTY
• S 47.25.10• E + rSITUATED AT
aSD.DD, j MATTITUCK
4,° �� ,�� TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-140-01-09
4k SCALE 1"=20'
NOVEMBER 26, 2002
41-1 / '. / / ->0 AREA = 12,240.95 sq. ft.
p 0.281 ac.
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s _ ` - °I 00 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LIALS AND APPR000 S
\, f / , � 15�,D' FO SUCH USE BY THE NEWO VED YORK STAND ATE PTED
1 LAND
MILE ASSOCIATION.
0�� _ A N.Y.S. Lic. No. 49668
Joseph A In a no
M THORRED EY ISS ALTERATION OR ADDITION
TD THIS SURVEY ISA 1flOLA710N OF
SECTION NIGH OF THE NEW YORK STATE A.
'��y;, _ A EDUCATOR LAW.
O COPIES OF THIS SURVEY LAP NOT BFMING Land Surveyor
- THE LAND�--�w SEAL OR
EMBOSSED SL SHALL INKED
IANOT BE CONSIDERED
TO
BE A VALID TRUE COPY.
CERTIFIGTONS MOIGTID HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY Title Surveys —Subdivisions — Site Plans — Construction Layout
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND
LENDING INSIRUITON LISTED HEREON,AND PHONE (631)727-2090 Fax (631)727-1727
TO THE ASSIGNEES OF THE LENDING INSTI—
NTION.CERTIFICATIONS ARE NOT TRANSFERABLE OFFICES LOGGED AT hWUNG ADDRESS
THE EXISTENCE OF RIGHTS OF WAY 1380 ROANOKE AVENUE P.O. Box 1931
AND/OOT SHOWN ARE NOT GUARANTEED.R EASEMENTS OF RECORD, IF RNERHEAD, New York 11901 Rwerhead, New York 11901-0965
ANY, N
22-472
McCARMY MANAGE NOff, INC.
46520 COUNTY ROAD 48 -
SOUTHOLD, NY 11971
• - • 4-5816.
DATE/�(631) 765-5815 FAX (631)•76 • ATTENTIONTO" " 'V3, RE. Nno
�.
156
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WE-ARE SENDING YOU ❑ Attached El Under separate cover via the following items:
❑ Shop drawings = El Prints ;F ElPlans ❑ Samples ❑ Specifications
El.Cdpy`ofJetter , ' ❑ Change order ❑
OPe • e i oESVI PT0
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THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted,kindly notify us at once.
OF Sol/lh°�
# TOWN OF SOUTHOLD BUILDING DEPT.
°`�couHty 0 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] INAL Qm O
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN PECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR qa0z
• LOCATION:
(number & street) (municipality)
. i
SUBDIVISION: MAP,N•O.: LOTS): .,
NAME OF OWNER(S)':
OCCUPANCY: 144 1 ylo
(type) (owner-tenant)•
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUPT. 'CO. TAX MAP);Q 100000-
SOURCE OF REQUEST; DATE;
DWELLING
TYPE OF CONSTRUCTION: STO'RI'ES: # EXITS:
FOUNDATION: _ MA �IO�f� .. ; tAStMENT: 'CRAWL SPACE:
# OF BEDROOMS: IST FLR: '— 2ND FLR: , 3RD FLA: . N�
BATHRO•&M(S): Q�Q/ TOILET Iti00M(S): UTILITY ROOrM:
PORCH.TYPE:W00�! DECK, TYPE: PATIO;TYPE:
t%`
BREEZEWAY:' . F PLACE: _ . . IJQ QARAGE:
DOMESTIC HOTWATER TYPE HEATER: AIRCONDITIONING: _
\' V
TYPE HEAT: ��//�•. WARM AIR: _ HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.: � X l
,\ U)(40
SWIMMING P'O'OL: _ GUEST,'TYPE CONST: .
OTHER:
VIOLATIONS:. CHAPTER]44 &N•Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE
LOCATION DF�SC PTION ART. SEC,
REMARKS:
INSPECTED BY: wn 11 JAY641 DATE OF INSPECTION: 74Mg
TIME START: io: oq END: 10 �10 kol