HomeMy WebLinkAboutZ-29823FORM NO. 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29823
Date: 11/07/03
T~IS CERTIFIES that the building
DWELLING & ACCESSORY
Location of Property 11535 MAIN RD
(HOUSE NO.)
Coumty Tax ~ap No. 473889 Section 142
MATTITUCK
(STREET) (HAMLET)
Block 0002 Lot 016
Subdivision Filed Map No. __ LOt No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to wb~ich CERTIFICATE OF
OCCUPANCYNUMBER Z- 29823 dated NOVEMBER 7, 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 FRONT AND SIDE COVERED PORCHES AND BRICK
PATIO ~ NON-HABITABLE ACCESSORY STORAGE BUILDING.*
The certificate is issued to MARYELLEN REINHARDT
( OWNER )
of the aforesaid building,
SUFFOLK COUB~TYDEPARTI~E~TOF~ALTEi%PPRO~L~J~
ELECTRICAL c~TIFICATE NO.
PL~q~BERS CERTIFICATION DA'£~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
'~~t h~gnat ur e
Rev, 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 11535 MAIN RD
N~ OF O~ (S): MARYELLEN REINBARDT
OCCUPANCY: SINGLE F~34ILY
AI)MI'A-r~ BY: RICHARD REINHARDT
MATTITUCK
MAP NO.: LOT (S)
MARYELLEN REINHARDT
WOOD FRAME
CEMENT BLOCK
1ST FIAt.: _66 2ND FAR.: --4
2.0 TOILET RO~ (S): 2.0
PORC~ ~PE: FRONT & SIDE COVERED DECK T"fPE:
D(~STIC HOTWAT~: YES TYPE HEATER: KEYSPA~
(~r~: REAR ENTRY WAY, PANTRY OFF KITCBEN
ACCESSORY STRUCTURES:
GAP~N, TYPE OF CONST.: S~P~AGB, ~PB CONST.: ACCESSORY STORAGE BLDG**
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
~t~-~,s: BP#29827 Add/Alt COZ29812; BP#29848 Alter COZ29822
DATE ON INSPECTION: 11/06/03
0¢T-21-2~
1~:40 FROM:WICKHAM & 8RESSLER ~31 298 8565 T0:6~174~2424
~0~I O~ SOUTItO~D
BUILDING DEPARTHENT
TOWN
76~-1802
P.~/003
APPLICATION ~3~ CEKTZFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink an~ submitted to the buildin~
inspector with the folloving: for new buildin~ or ney use:
1. Final survey o£ ~roperty with accurate locatioo of all buildings, property lines.
s~ects,, and unusual natural or ~opo~rephic features.
2. Final ipproYsl ~rom ~aith Dept, of water supply a~d severa~e-disposal(S~9 form).
3. Approval of electrical installetion from Board of Fire Un~ex~xiter~.
less than Z/10 of iZ leed.
resp~stble for ~he bu~dink.
?or e~'istt.~ but_td~s (prior to April 9, 1957) ngn-~onfo~mi~ useS, or ~ild~s ~d
1. ~curat~ sudsy of property sh~ a~ pr~er~ l~es, streets. ~d~g and
uuusual ~ur~ or to~raphic features.
2. A pr~e~ly c~letedappllcation~4 a coopt to ~sp~t sl~ by the a~it~t.
reas~a thezefo~ in eitiht :o ~e a~ltcant.
C. Fees
~=~=a~i~ to d~l~S $~S.~ ~i~ pool $~5.00,
~d~ionS Zo acc~so~ bulld~ $25.00. B~es~es ~SO.O0.
Copy of Cert~i~te of Oacupancy- i '~:
Up.ted Ce~t~ic~te of Occu~ucy - ~.~
S. T~orau Certificate of Occupancy - iatident~l $15.~, C~ercial $15.O0
I Da~e .... O ~' .. ....................
,,~ ,~ ~p ,. ,o00, s.~.io. ..... ....~.....sl.~ ................ ~o~ ..................
sul
division .................................... Filed Map ............ Lot .................... . .
mit ~o n~ Of Appli
H~lth Dapt, ~a
~pr 1 ~udc~ri=ers Appz~al .....
·.
Pl~nl~ g
oard Appr~al .......
/
~ues Or: T~pora~ Ce~tificate ........ ~tnal Certica~e,
CONSENT TO INSPECTION
O~v6er(k) Name(s)
,the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat t¥.,t~"~.C /~bodk~ /4t'9,4/). /a4,~F/~-tJt4~.
which is shown and des'ignatb~l on the Suffolk County~Tax Map as District 1000,
Section ]q/~- , Block tgi-' , Lot ~9{'6,~g~0
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, roles 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, roles or
regulations of the Town of Southold.
Dated:
(Signamrj~ ,
(Print Name)
, ~
'I0 5 0
SURVEY OF
DESCRIBED PROPERTY
SITUATE A T
MA TTI TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
& C. T M DIST. fO00 SEC 142 BLK. 02LOT16
~0 20 30 40 50 60 70 80
SCALE. 1" = 20' DATE SEPTEMBER 24, 2003
LOT AREA' 22,406 SQ. FT. = 0,506 ACRE
CERTIFIED TO: FRANCIS A. KESSLER
COUNTRY WIDE HOME LOAN
HOME BUYER ABSTRACT SERVICES, LLC
JOB NO. 2003-397
MAP NO.
FILED:
REVISIONS:
WOOD
H, NOS ON SURVEWNG TI
'11946 "
TEL' (63~)-723~954- FAX.(65~)-723-~32g ~"
MARTIN D. HAND L.S