HomeMy WebLinkAboutZ-41966 g�1 F941( Town of Southold 4/17/2021
oZO� c°Gyp 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41966 Date: 4/17/2021
TRIS CERTIFIES that the structure(s)located at: 1605 Meday Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-9-7
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- 41966
dated 4/17/2021 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 sunroom and concrete patio.*
Notes: BP 15848 additions(inc. deck)and alterations COZ-16575;BP 45989"as built"mini-split systems
COZ-41965.
The certificate is issued to Tallywood SP Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. 1UN%R6
A o 'z ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1605 Meday Ave,Mattituck
SUFF.CO.TAX MAP NO.: 113.-9-7 SUBDIVISION:
NAME OF OWNER(S): Tallywood SP Inc
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Tallywood SP Inc DATE: 4/17/2021
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/11/2021
TIME START: 10:06am END: 10:32am
�O�SpFfO(,r�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
® Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-095 t� =
YA N 1 3 2021
Telephone (631) 765-1802 Fax (631) 765-9502 lis://www.southoldtowm.fzov
1
APPLICATION-FOR PRE=EXISTING CERTIFICATE OF OCCUPANCY.
,OWNER(S)OF PROPERTY:
Name: M1///(/
Date:
W9102:4f � r
Physical Addressjz6,5- ��i L�_. 4v,;- SCTM#1000- --
Phone#: �6 7 e.3a�� p- Email: �1W61;VL/���`_3�l�i .�li Z_
f��ailingAddress_�� ��,4_v Ave 4-Y
CONTACT PERSON:
Name: !/
Mailing Address: Q D�Y�
Phone#: - Email:�U„A/gs9'LL/6 A-. _.S3 l�li3/G . �iRd-
w
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following:
• Accurate Survey .s O
Floor Plan
• $100 Fee
CONSENT TO INSPECTION
That the undersigned does hereby give consent to the Building Inspector 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.
Owner' Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at the above address, do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
Owner's Signature ll p, Date
0
6,lz_,,G T'-y'
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TO
WN 4F SOUTHOLD P tOP b*"-mR Y IRMUKLO %.ARD ;
OWNER /a�(</Lvoor� S � � STREET I VILLAGE DISTRICT SUB. LOT 1 +f 3
_7CA
r�JFORM R (OWN E �j N E y ACREAGE
oal S J. C�G{II ! �(,�� s# J S W TYPE OF BUILDING
Over,
RES ��A S VL. FARM comm. IND. j CB. I MISC.
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LAND IMP: I TOTAL DATE RKS
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w &I
a4 3
,--NEW— ..J��� N1OVE --- ,/rQO�� 1'v�' � �°,
Farm Acre Value Per Acre i Value
Tillable 1
Tillable 2 '
Tillable 3
Wcod Iand
i
Swampland 1
Brushland
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House Plot j
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113.9-7 2/2014 ` �1
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M./61d K Foundation T Both , .
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Extens' n j X 2-3 = 3 8 /RAZ 3 Jr'j Basement -?Cr-' Floors k r
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Exten ' S.X _ Ext. Walls I Interior Finish " ,
--
-- _ —
Extension GX /7 : IL-1 Fire Place ' Heat 61�
o , Porch Attic
-1:)e c b C t 'L 7 Z _ 1 - Porch ---— Rooms 1st Floor
Breezeway; Patio i Rooms 2nd Floor
i Garage
Driveway � i i — _-------------
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APPROVED Ai NOT�W.'y
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NOTItxY BUILptta,? lw_'ol►pTMw.N1' aT �
7!¢1804 B 44 hs s PM KIN THE ',- SUM
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--•- SURVEY OF -
L.OTS 42843
s�°F ti!Q C4- MAP OF LOTS
�! ODe AFS �, FILED MAY 10, 1921 NO. 745
44 F '9FF AT MATTITUCK
TOWN OF
o `"� c�FF�r SUFFOLK COUNTY,-N.Y.
uN 1000 - 113 - 09 - 07
Scale 1' -30'
\ Sept. 37 1987
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Prepared in accordance with the minimum k� ,/D
standards for title surveys as established by V_ - 7- S. LIC. NO. 49668
the L.I.A.L.S. and a r
pproved and edoptoJ W-4 ENGINEERS, P.C.for such use by The New York Stofe Land Title Association.
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Lic<etis.ed Lc vici
Of SO(/1�0 -
# # TOWN,OF OUTHOL"D BUILDING,DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] -INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ' -
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O
REMARKS:
iv
DATE INSPECTOR
. LOCATION: (97 P/ j
(number & stre t) (municipality)
SUBDIVISION: MAP.N'O.: LOT(S): ..
NAME OF OWNER(S)':
OCCUPANCY:
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILA13LE: SUPT. 'C0. TAX MAP NO. 1000-11
SOURCE OF REQUEST: DATE:
DWELLING
TYKE OF CONSTRUCTION:, STO-RIES: # EXITS:
FOUNDATION; ; EAS I4I NT: 'CRAW
h L SPACE.
# OF BEDROOMS; IST FLR: _ 2ND FLR: 31�D P'LR:
,BATHRO"OM(S'): TOILET �OOM(S); LIT OO-M-. _
PORCH,TYPE: D'E'CK, n E; �6PATIO;TYPE:
BREEZEWAY:' FIREPLACE; W*L
\14 Ivy
A
DOMESTI( HOTWATER: TYPE NEATER: L �A7 0 ' DSS IONTNG. iKa s
TYPE,HEAT: I FARM AYR: HOTWATER: f"✓
s
HOF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER: ,
,kCCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.:
SWIMMING P'O-OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS:. CHAPTER]4.4 &N.Y, STATE:UNIFORM PIR.E PREVENTION & BUILDING CODE
LOCATIOI�—., DIaSCFJ TIO ART. SEC,
l
(h' ITT '
REMARKS;
INSPECTED BY: ^ u DATE OF INSPE•CTIOM-EAN y 07�
TIME START: :