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HomeMy WebLinkAboutZ-42064 & 42065 FO c0 Town of Southold 6/6/2021 moo oy� 53095 Main Rd co x Southold,New York 11971 "oy�ol F 1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42064 Date: 6/6/2021 THIS CERTIFIES that the structure(s) located at: 2655 Wickham Ave,Mattituck SCTM#: 473889 See/Block/Lot: 139.-2-5 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- 42064 dated 6/6/2021 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 finished loft, enclosed porch and wood rear entr yam* The certificate is issued to Agarabi Ali Revoc Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED'INSPECTION REPORT. Au o ze ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2655 Wickham Ave,Mattituck SUFF.CO.TAX MAP NO.: 139.-2-5 SUBDIVISION: NAME OF OWNER(S): Agarabi Ali Revoc Trt OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Agarabi Ali Revoc Trt DATE: 6/6/2021 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed DECK TYPE: rear entry PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off furnace AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished 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: 11/7/2019 TIME START: 10:08am END: 10:30am �o�oSTFpTown of Southold 6/6/2021 K T Gy 53095 Main Rd CO x Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42065 Date: 6/6/2021 THIS CERTIFIES that the structure(s) located at: 2655 Wickham Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-2-5 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- 42065 dated 6/6/2021 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 second floor covered porch.* The certificate is issued to Agarabi Ali Revoc Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. th rize ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2655 Wickham Ave,Mattituck SUFF.CO.TAX MAP NO.: 139.-2-5 SUBDIVISION: NAME OF OWNER(S): Agarabi Ali Revoc Trt OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Agarabi Ali Revoc Trt DATE: 6/6/2021 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2nd fl.covered porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 3 #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: 11/7/2019 TIME START: 10:35am END: 11:30am Form No.6 '� y 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: CP-(a W t House No. Street Hamlet Owner or Owners of Property: fit,I 7 Suffolk County Tax Map No 1000, Section —j_ Block ?I-- Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: �� (check one) Fee Submitted: $ �©d �� Cf A licant Signature 5 LIDS 0-�,, o Oil 1-7 r7 O Q 7-el'J4 US. CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is)(are) the owner(s)of the premises in the Town of Southold, located at ���,d GtJr r tel? rYl�-�T!�� �•y !l A- 3 Z which is shown and designated on the Suffolk County Tax Map as District 100, Section 100 o Block Lot Z-- That That the undersigned(has)(have)Bled,or cause to be filed,an application in the ' Southold Town Building Inspector's Office for the following: e-6411 In e47C dGL'u � 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 die 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: r (Print Name) (Signature) (Print Name) 4 # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 `ryt,-- Il INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [: ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAF 'INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE R STANTIPENETRATION [ ] ELECTRICAL (ROUGH) [ ] E CTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: DATE INSPECTO IAA� Ave,- m OF Soly # TOWN OF SOUTHOLD BUILDING DEPT. `yco 765-1802 - : INSPECTION [ ] FOUNDATION 1 ST ' [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [` ] FIREPLACE & CHIMNEY [ f FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] KICTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REM KS: a 1(,y�11� Vt 6vc t� vi . K3 H 40 v cl [A c�t1 -�-- ova f7 v�/v1 k+4DATE ! -INSPECTOR- G. AGARAM AS-B LT DECK 0 PROJECT SCOPE PAGE KEY _ a 6-00100 PRDNET.T IIICN"ON&SCOPE c LEGALIZE AS-&JILT WOOD DECK ATTACHED TO EXISTING SINSLE SITEPUW&ZOMNG DATA FAMILY RESIDENCE I6-00200 GENUMNOTFS N30.4q'26'E GMATTITIKK CREEK7 ENERGTTABIE s� O -- ------_THE LINE �_ / F�=GT/ZcwN6 vATA - _ _ STROCTUMDEMGN CHARTS ?Ay m i /O ALON6 N�6lI YVA- IG-00300 1 HOLDOWN,ANCHOR BOLT, •�1 qg h /m TER MARK 32395' -"� '� I SRt GG.&NARWG DETAILS i /� ,O -ItaPwt oN J.4N0 FASTENWG SCNEDUIE NAf� eI m oero�,n, G-G04 00 FRAMING GRAPHICS ti g b BEAM CONNECDON PATTERNS I FRIEBLOCKING DETAIL S K f rc� i LeTcwEPAce A-10100 I LTI0NS DE nEVASIGNDETAILS j ioow.�,w rrosPwxn _ _ Ir i�-- r i �Ot 3•HONO0?IrRETE WALL cw. _ a S1 Q I maac Bu6nta noPnO. 000 O � 1 100'TRJ5iTe5 / I II 2HD A-5-BUILT II LI HOOD DECK ----~ �__�.� REOARFD S[lOA(.IC9-M/JN DJILDIN9 _ i STY an i Reaeam Nw>r i PORCH 1 i 2 sroRY tI 8.051NOLE I / FAMILY I RESIDENCE a I rrho s� !s n e 4750' E o�f Lt+3�•ao_io�--------- � D �g PROJECT• r DIRT DRIVEWAY i AGARABI \� i AS-BUILT DECK 2655 WICKHAM AVENUE '\ ISTORY J MATTRUCK.N Y.11952 \ NOT PAR'15 NOT AR�OF - �.,,'- ;*•'�'yTF r - ;= _. •,• �t+- kl s% DRAWING TRIS 7115 PILINS i , - � Lr 4'I. '" PROIEOTLOCAVON&SCOPE `\ P •.r iN} -� JI •�,y S.` q p g..,�'J,a�1r% :y' SRE PLAN&ZONING DATA V,j•` �1�;t t:�� ,6;•^'Yyt .�.•� J,. _'P\<Y•`!f';.T PAGE -001.00 \l "�Y'^47'- '•"�,At r L"•" ::,,��1T `Ir•,`a'Ma'��J. OATE.1O/f9/2O 1OF6 \ % i%•. '64 f''ii��M'•'[`.'iW,�Y�Ma�� >S'-jS"�3�Z;s13:� 1'i,�.' `! },.}•,.`�I::s4;r�f'->''�F.�'•°fI.��t�c, �'y ,,ulY, ��fyp��`•„L' •\ �,o""r aw'oamruve le'*' :Lti`-u".F,,..:a.��++^-11'� // :�74er,�c", *i'•'',;,:-"3,. t�ii'.•ii')`:j, et0` 4 A o �� :��.,�;%��•�!•/_'� rte, Is', _ vsr�'.�'v'' ',fy'>^�° � y��' \ °y '.ig' `a aA ,r'"---rr52j` ;�`+56`,,�"`` K• } "` 4'G'+[.'" r �r - D3.v y� 11 VAI ARCHITECTURAL SITE PLANLOCATION MAP FOF NONI scraE.I-o•°mo• Nwu vse��� - ...a Nn -'., r,cess - iy,-�• O"% it sC',ryG _ �,. A T Mit. �� sem• � �` TOWN __, - SUFFOLK CClCJlV ; r = 139 - 1000 ,. : Scale 1„ r 4G1` Q� ��` 1410a Jan. 3, 1991, _ (VCV July 30,1993 E 1 ' , �� % Aug. 30 1993 re visioh � 25, /99G (r�vis cat, otot•k .5epf 2, /q97 / / AdON 4 i 1 .rte o / +y� i � �� i � v ` \\ fib' // ,-✓004i,� � i 0 q •, Owls � .�,ovC �� ° 4 1N . i G 4t OF NE`y y NT•M j fM �a 21yo3jolt too. Prepared in atccordancs wits► the minimum ;' --> S LIC. NO. j ® tJ►p`� sods for title surveys as estabiobod F �a e by the UAL S, and approved and adopted pE YORS, P.C. for such use by The New York State Land (516) 76 - .0 Title Association P. 0. BOX 909 MAIN ROAD 11/5191 SOUTHOLD M Y. 11971 91 - 100 7/2/ IS TOWN OF SOUTHOL® PROPERTY REC®R® CAR® �. . OWNER STREET Jj �� VILLAGE DIST. SUB. LOT Aanx FORMER OWNER N E ACR-� / _ _Cj b DS W TYPE OF BUILDING RES. / I SEAS. i VL. FARM I COMM. CB. MICS. Mkt. Value I c e, a LAND IMP. TOTAL jDATE REMARKS e-5 el> �t f� �it. � >rf � f �ts 1�✓ ' /, r��� yea'- �' u�` C1 ' cS d 24 je) 776 J 46 �f t'V�) � ;7 C/`"Z� / � �cv �,�`�• ,���'� "" � W ���i 1(a f.c�.f � Ns , —i ---------------- ! l� loo SIG? � t � la5"' 3-- �a e�.� na 1•r'1°bb� -� ���� �;�� AGE BUILDING CONDITION NEW NORMAL, BELOW ABOVE FA2lvt Acre Value Per Value Acre ' Tillable ` FRONTAGE ON W_-_ O Woodland � FRONTAGE � N ROAD Meadowland DEPTH House Plot I BULKHEAD _ 1 OCK Total b j rr MEMO F - ■■ ■ ® ■■■■■®■■■■ 4 4.. •.� J a: Ir ■ �n ME IEEE T ■■■®■■■■■■■■ lCf■ ■■■ MENEM ---moi ■■■■.f„ ■ dOEM■■■■■e■■■■ . . . . : . �- � - iii �■■��®■■■■■■n■■■■■ ■ENEM■■■■■■■ ■■Q■■■n(®iiu■■s■■ NINE■■■©■S : .. ■■��■�.■■■■■■■■■■■m■■■■■■■ ■■■■■ ■■■■■■■ sea- .- •.. Xcoms Ist Floor :• r p. MO. .�� ■�■ ■■■■ �erl. tztac^etlm..i rra+.n-iiwf. ■■■ ■■■■■■e■■■■ ■■ni f,. 11 rior Finish TOWN OF SOUTHOLD PROPERTY RECORD CAR® acx�-` 39•-2 -5 - _ OWNER ISTREET I VILLAGE DIST. SUB. LOT - .�/it'Gf l/_/"!«t- � '`�t�i'`C�tr{£--l��C !h'/!-U.�t.�f����`�f r--r s�C✓Ff�r�tt : __ / tr'L'-�" FI2MERf�SWNER r N E ACR. S W TYPE OF BUILDING 'RES- SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS . 1 AGE _ BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value- Per Vclue Acre Tillable ` FRONTAGE ON WATER Woodland i i i FRONTAGE ON ROADIt T 1 Meadowland - DEPTH House Plot 1 i i � BULKHEAD , s i Total � � � � DOCK ; ' v LOCATION; oir" (number & street) ,; (municipal SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S)': OCCUPANCY: (type) Lj po (owner-tenant)- ADMITTED BY: _ACCOMPANIED BY: � �D KEY AVAILA13LE: SUPT. 'CO. TAX MAP' 0. 1000^ SOURCE OF REQUEST; DATE: 4WO K DWELLING TYPE OF CONSTRUCTION; WUAI # STO'RIES: #EXITS: FOUNDATION: : BASVMENT: 'CRAWL SPACE: ___1 1 "Lo- r # OF BEDROOMS: 18T FLR: 2ND FLA: 3AD PLR: "BATHROOM(S):, TOILET ROOM(S): UTILITY ROOM �7- hbP Lf5v%_ PORCH.TYPE; DECK, TYPE: Ly� �/� ® � PATIO;TYPE: � r , BREEZEWAY:' . FIREPLAC ; 0 \ QARAGE: DOMESTIC HOTWATER: TYP9 HEATER: � AIRCON'DITIONING: TYPEHEATbb -K. WARM AIR: . HOTWATER: D6 # OF KITCHE'NS:��4.. _ FINISHED BASEMENT:' YES -,NO .4SP_-2r (-Vc4 e b vi OTI�IE: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: _ . STORAGE, TYPE CONST.: - SWIMMING POOL; GUEST,'TYPE CONST: OTHER: hot DwtAlab rO 45 �P19 VIOLATIONS: CHAPTER]44 &N.Y, STATE:UNIFORM F;RE PREVENTION & BUILDING CODE LOCATION DF�SCRIPTION ART. SEC, EMARK, c 1 JL . N(7jov*_, INSPECTED BY: 1 J- Y 1 DATE OF INSPECTION: . i wl�I TIME START:, �� END: A LOCATION; IMM MA&d (number & street) (municipality) SUBDIVISION: _MAP-N'0.: LOT(S): .. NAME OF OWNER(S)': OCCUPANCY: S1 ti. �. w.t4 i� ? (type w4,40 (owner-tenant)- ADMITTED BY: _ACCOMPANIED BY: KEY AVAILABLE: SUET. 'CO. TAX MAP-VO. 1000. SOURCE OF REQUEST: DATE: 4WAwVt DWELLING TYPE OF CONSTRUCTION: W # STORIES: � # EXITS: FOUNDATION: AW1A1000 : tAS9MENT: 'CRAWL SPACE: # OF BEDROOMS: IST FLR: Y 2ND FLR: 3RD PLR: ,BATHROOM(S): TOILET AOOM(S): UTILITY ROOM: PORCH.TYPE D'E-CK, TYPE: ., . PATIO;TYPE: r BREEZEWAY:' FIRtPLACE� QAPAGE: DOMESTIC HOTWATER: TYPP, HEATERoff VI AIRCO' DITIONING: TYPE.HEAT AA-i� CIO � ARM AI� HOTWATER: V � J S # OF KITCHENS: n FINISHED BASEMENT:- YES NO OTHER: W ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.: SWIMMING P0-OL: GUEST,*TYPE CONST: OTHER: VIOLATIONS; CHAPTER]44 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. YON-4 VINVU UK, YINVIlu NY v ro�-, �. "- REMARKS: zvid4j� vim- r INSPECTED BY: S DATE OF INSPECTION: TIME START; !��' END: 0.�