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HomeMy WebLinkAboutZ-42098 fanLt Y Town of Southold 6/16/2021 � }^ oy 53095 Main Rd y z Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42098 Date: 6/16/2021 THIS CERTIFIES that the structure(s)located at: 1365 Bay Ave,Mattituck SCTM#: 473889 See/Block/Lot: 143.-5-3 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- 42098 dated 6/16/2021 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 single family dwelling with accessory wood framegarage.* The certificate is issued to Regan,Mary&Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. U07Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1365 Bay Ave,Mattituck SUFF.CO.TAX MAP NO.: 143.-5-3 SUBDIVISION: NAME OF OWNER(S): Regan,Mary&Ors. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Browne,Eileen DATE: 6/16/2021 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: X DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/29/2020 TIME START: 9:40am END: 10:05am 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 I%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. 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. A/ Q GV New Construction: Old or Pre-existing Building: t, (check one) Location of Property: 1 147 lqtle_ �G House No. / Street Hamlet Owner or Owners of Property: �/��'7 �� � �'�,��✓� i�/�/�e �}�/� CL t��' T Suffolk County Tax Map No 1000, Section 4 7 3 Block /ZI-T, S—3 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: $ /®M, L9.9 Qs� c.,C►vt�� n Ap scant Slifiature CONSENT TO INSPECTION �1�/Z ������✓ , the undersigned, do(es)hereby stk Owner(s)Name(s) That the undersigned(is) (are) the owner(s) of the premises in the Town of ` Southold, located at /34g q/ q le— , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 1#3, —, Block -- . , Lot That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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: G I3/­-�?D 2-- ��gna tur y�GL� V+ (Print"Name) v 4- f .(Signature) s (Print Name) JUN 2 3 2020 ,T,-,,-: - ,7 4' M r gni OCT - 9 2020 tiu GENERAL AFFIDAVIT State of New York County of Suffolk Personally came and appeared before me, the undersigned Notary, the within Named: ;\%f\l LQY7-)-P-J4Ai;who is a resident of So oi State of New York, makes this his/her statement and General Affidavit upon oath and affirmation of belief and personal knowledge that the following matters, facts and things set forth are true and correct to best of his/her knowledge. My name is Mary Lovett Regan and I am 76 years old. I have been a resident of Southold since 1972. 1 attest that the little cottage in the back of my mothers' house at 1365 Bay Avenue has always been used for family. It was never used for a garage simply because neither my mother or father ever drove. Both structures were on the property when my parents bought the house. We used it first for storage and then for family members who came to visit. It never had a kitchen, just a place for guests to sleep. Dated this the c,-?'-1 day 2020 Signature of Affiant: � - ^- Sworn to subscribed before me, this day. .,L2020 NOTARY PUBLIC MELANIE V BROWN Notary Public,State of New York No.01 BR4908712 Qualified in Suffolk County �� I Commission Expires October 19,o�V -: ifs ' ar n t 5 . - GENERAL AFFIDAVIT; IL _ a ' � OCT 9 2020 State of New York ' ` County of SuffolkT� � k r , 'r TT Y Y-i"111) Personally came and appear d before me, the undersigned Notary, the within Named:�A�►�'� L A°��3vho is a resident of State of New York, makes this his/her statement and General Affidavit upon oath and affirmation of belief and personal knowledge that the and, matters, facts and things set forth are true and correct to best of his/her knowledge. ZoV -T �1 Vg's Mole 3/�.J iq) Fr �f� z '�i16 �'�� G®/ f 7� Dated this the qday 2020 Signature of Affiant: �— SWORN to subscribed before me, this day C!a 2020 ROBERT A MAZZAFERRO NOTARY PUBL)C—STATE OF NEW YORK NOTARY PUBLIC NO.01 MA6207376 QUALIFIED IN SUFFOLK COUNTY i COMMISSION EXPIRES JUNE 15,20.0 i ? tri t Ann P. Lovett LICSW ACSW r' 581 Boylston Street 202D Boston, Massachusetts 02116 781979 2365 1<11• � V b sy w4 ��-vk�,•.-'pss�-�i OCT - 9 2020 73- SADEKIEm K.SMITH Notary Public,Commonwealth of Massachq 9tts My Commission Expires December 26,2025 r . s GENERAL AFFIDAVIT OCT 9 2020 Ti :31T'.0To State of New York . • County of Suffolk Personally came and appeared before me, the undersigned N tary, the within Name; , who is a resident of State of New York, makes this his/her statement and General Affidavit upon oath and affirmation of belief and personal knowledge that the foliowing matters, facts and things set forth are true and.correct to best of his/her knowledge. N Joe Z-V- Dated this the JgLday 2020 -- Signature of Affia t' otJ /'v SWORN to subscribed before me, this_0. day &Q CkS�- 2020 ZaA2��- NOTARY PUBLIC DARLENE K BRUSH Notary Public-State of New York NO.0113116318051 Qualified in Suffolk County My Commission Expires Jan 20, 2023 lr I V 4=:Y .t C( yj =e GENERAL AFFIDAVIT OCT - 9 2020 1 State of New York County of Tcj-fc�� Personally came and appeared before me, the undersigned Notary, the within is a resident of �v,- el5 C-) Ale' o--e State of New York, makes this his/her statement and General Affidavit upon oath and l a� affirmation of belief and personal knowledge that the following matters, facts and things set forth are true and correct to best of his/her knowledge. ol�lX C� (76)17L6(_ , 0)1- 0U r fo-I Dated this the day 9 2020 Signature of Affiant: X � �o SWORN' to subscribed before me, this day � 2020 DIPTI SHAH NOTARY PtIgLIC-STATE OF NEIN YORK q 44 No.0 1 SH6391079 NOTARY PUBLIC A ouafified in Dutchess County �j �p f;z N��►"e�S MY Commission Expires 04-29-2023 PCS 1' x 615— T , Town of Southold aft: Buildings Department Main Road Southold, NY Dear Sir/Madam Re: 1365 BAY AVENUE, MATTITUCK, NY I hereby declare I am a daughter of Michael and Hanna Lovett, who drove with my parents to closing on subject residence in Spring 1964. 1 attest that the outbuilding on subject . property was NEVER a garage, either at that time or later. A sister lived there for a while (cannot remember dates) and, after she left, it was used for overflow houseguests, and/or children's playroom in rainy weather. Sincerely, Eileen Browne, age 79, residing at: 610 Horizons East#208, Boynton Beach, FL 33435 (561.509.7818) Aad 2s� `' OCT - 9 2020 �Ra� �o�a� UTyo{o # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourmN�' 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 ` RE RKS: �dkvkdbv4q. X?JINY1 ,C z �iuwi A{L nu a h ark h'rb ipNl S SOS l � ����1 ��� W�►�lv� w Kt J e4, w I to" 01 �, J�.✓�� cd;Jv, L�m ofto &Avlv� COAVLaIM, WORD SQKf W* MMDV�.V/Apmt DATE INSPECTOR of snaryo `2,[u� Avy- TOWN OF OUTHOLD BUILDING DEPT. • ao � • � �y�nurm� 765-1802 i 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) [ ] LECTRICAL"(FINAL) [ ] CODE VIOLATION [ PRE C/O R A KS: Cl_ lyl 4,1Gr\um orb 4� L-A --ry DATE VINSPECTOR OCT z,(VA L -1-141S-75- 1-t ke pz I�E L A/I �9� /d� 0 7L &- y mow. TOWN OF SOUTHOLD PROPERTY RECORD CARD -OWNER STREET VILLAGE DIST. SUB. LOT FORS ER O N R Lp vim- N E ACR. r ov S W TYPE OF BUILDING r RES f SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 11/3&1 r A-13 6-0 o �3 v a t i a3- �` �.vv� "f++ r5• " rl c. �J a� ✓��� E y 0s1tg -1, 1-z419 . ACE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD .,f House Plot DEPTH BULKHEAD Total DOCK • S ONE ■O■■■■■■■■■■■■■■■■■ �■■■■■MOMMIN ■■■■■■■■■■■■■■ ■■■■■■■ IIOVIU■M■■■■■■■■■■■F5 III ■■ .. dation ; Basem Ext. Walls • s __ •- ••• ! Rooms I st Floori• �1 'y S mom■■■ ■MMM■■■■■■■■■■OMME MOOMME a.._._ �. ■M/l40 'MONO�■■■■■■■■■■■■■■ At ■� ■ ■ MONO ■M■ ■ n- -S i MMMMMMMMMM R ■■w �r�. ■■ ■ i ■■■■■■ M!� Cir■11 ■■®■MEMO■■ ■EO,UEC:I ■■■�ii■■■■■■■M■■■■■ME■■OEM ■ ■■s■►o ■■■■■■E■■RIMMOMMENSMEMEMIMM ■ ON ME : .. oundationFBosement lz?;QR7e Floors :. 3- • WallsInterior Fire Place • • � . 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SUM►s PREPARED,AND ON Ns ObiQF TO THE Tile COMPAHY,,COVER WORAL: SITUATED"AT MATT1TUCK ADEWY AND L00W kSTR MON'USTED HEREON.AND To THE ASSWEES,OF THE L m manm s;sa�xrm ARE NOT�TO Arm wsmunoNs TOWN OF,SOUTHOLD, SUFFOLK,.COUNTY, N.Y. OR Fxf oY1NM' COPTS OF nes SURVEY MAP'HOT BEARING THE-Lqo sU s MKED SEAL,OR SCALE 1"'_ ,30' DATE' 10=1=2020' UWOSSED SM SHALL SNOT BE CONSVERm TO B£A VALID TRUE COPY; ' ' RUED; MAP' No. DATE ' CERTIFIED ONLY TO:" TAX"MAP No. 1000-143-5-3 - DISK 2020 '- I A4* HAROLD F.�T-RANCHON JR. P.C. ' 'LAND SURVEYOR Pre u r P:O. BOX 616" (• , " . ` -1866.WADING,RNER—MANOR RD.,WADING RIVER,. = NEW-YORK, 117.92 048C,Sj1S'. V o. 048992 631—,92974695 f HAROLD.F. TRANCH Ra�eP.{ptJ��� No."2115=E t i LOCATION: �0 (number street) (municipality) SUBDIVISION: MAP,N'O.: LOT(S): .. NAME OF OWNER(S)': O-CCUPANCY: 1k/ Int, r�,6 y l o (type) (owner-tenant), ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUEF. 'CO. TAX MAP'NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: �� . S OI�TES: # EXITS; FOUNDATION: : EASvl ENT; A l 'CRAWL SPACE: # OF BEDROOMS: IST FLR: 2k FLR: 3AD FLA: ,BATHRO'OM(S): TOILET AOOM(S); UTILITY ROOM: , PORCH,TYP )A0D-9-CK, TYPE: PATIO;TYPE: _. BREEZEWAY:' FIRLPLACE; QAMRAGE; _ DOMESTIC HOTWATER: TYPE HEATER: ., AIRCONDITIONING TYPE,HEAT: WARM AIR: HOTWATER: J # OF KITCHENS: j FINISHED BASEMENT; YES, , NO OTHER: ACCESSORY STRUCTURES, ' GARAGE; TYPE OF CONST.; STORAGE TYPE CONST.: SWIMMING P0-OL: _ GUEST,'TYPE CONST: OTHER: , 9 VIOLATIONS: CHAPTER]44 &N,Y, STATE:UNIFORM F;RE PREVENTION & BUILDING CODE LOCATION. D iSCRIPTION ART. SEC, Q I►V 4wo. Al 1 nP SCC u/l141 22 1 } REMARKS: INSPECTED BY: � vV. "J• J �1 DATP, OF INSPECTION. �L4 TIME START:.T.4D AfA END: