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Home My WebLink AboutZ-30810 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30810 Date: 03/08/05 THIS CERTIFIES that the building DWELLING Location of Property 50 SUNSET AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0003 Lot 008 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 30810 dated MARCH 6, 2005 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* The certificate is issued to HUB REALTY COMPANY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BBALTH APPROVAL N/A ELECTRICAL CERTIPICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aut}orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT IACATIOH: 50 SUNSET AVE MATTITUCK SUBDIVISION: NAP NO.: LOT (S) HAMB OP ONHER (S): HUB REALTY COMPANY OCCUPANCY: SINGLE FAMILY DWELLING HUH REALTY COMPANY ADNITTHD BY: ROBERT CELIC ACCOMPANIED BY: SAME RBY AVAILABLE: SUFF. CO. TAR MAP HO.: 115.-3-8 SOURCH OP RHOUEST: ABIGAIL A. WICKHAM, ATTY 1/7/04 DATE: 03/08 OS DWELLING: TYPH OP CONSTRUCTION: WOOD FRAME Ik STORIBS: 1.0 # 6%ITS: 1 POUHDATION: CEMENT BLOCK CELLAR: FULL CRANL SPACE: TOTAL ROOMS: 1ST PLR.: 4 2ND PLR.: 0 3RD PLR.: 0 BATHROOM (SI: 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): POACH TYPH: DECK TYPE: PATIO TYPH: BREHZEMAY: PIRHPLACH: GARAGE: DOMHSTIC HOTMATBIt: YES TYPE HEATER: ELECTRIC AIRCONDITIOHIHG: TYPE HHAT: GAS NARK AIR: XX HOTNATER: OTHHR: ACCESSORY STRUCTURES: GARAGE, TYPE OP COHST.: STORAGH, TYPE COHST.: SWIMMING POOL: GUEST, TYPB COHST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ ?ESCRZPTION ART. ~ SEC. Rrdawrs: Bpg3002HZ-CZ3006 (ELEC.ALT)BPlk30141Z-GD7.-30383 (DECK ADDITION) IHSPHCTHD HY: DATE ON INSPECTION: 01/13/04 GARY PI TIME START: 9:45 AM END: 10:15 AM • ~ Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 17 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/5.00, Commercial $15.00 Date J g New Construction........... Old Or PrCe-exi^sti~ng Building-.-~~y. 1 ~ S?rro~ j,~na~yv Location of Property........~~.. S~.V.r7~4~,......:.. ~~!(!Y~ House No. ~f ~[S/t,~Qreet(~~, Hamlet Onwer or Owners of Property..... C S~:"/c : ~~~:°:::e:~~-..+~r!~: . County Tax Map No 1000, Section....l.~....(((~~~..Block ................Lot..~ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: TempoJrta~ry Certificate........... Final Certicate.. v Fee Submitted: $./S-:p~,P~,,,,,,,,,,,,,,,,, APPLICANT ~Cc 23~~1a 3 ao~~-~ - co-~ 3oo~G 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE ~ ? O INSPECTOR - C_~tir1~~~ ~JC~ PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-7652954 • FAX 631-6143516 a-mail: Joseph@fischetti.com Date: February 23, 2005 Reference: 16600 Main Road/Jacobs Southold Building Department Main Road Southold, NY 11971 Dear Sir, I have inspected the replacement of the existing transite flue with a new 6 inch Class B metal vent pipe connected to the new gas fired furnace and gas fired hot water heater at 16600 Main Road in Mattituck. I certify that the new vent piping for the furnace and heater has been installed in accordance with New York State Codes. Cf NEW y . ti ~~8~ O t i ~ ti ^'o. 0526~~ v~.4 0FE3S~O~ Joseph Fischetti, P.E. c t5~-"----~ y1 j~'~;, MAR - 4 ~ ' ~ . - _ t M .NL_' ~-Q'-__- nremFOwn.m~ CONSENT TO INSPECTION ~,lj~ ~ ~ the undersigned, Own r ) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at j('~ ~h~ GL which is shown and designated on the Suffolk County tax map as District 1000, Section Block ~ Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: s~o ~d i z ~°-e~ . 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. oP 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations oP the Town of Southold. A Dated: Q~ ~~~~=(~taiiv~~ ~7t~~_ print name) (signs ure) (print name) \ ti~o~ off' - - P .0 1`/l.C~~ l tiJ (Qo.l t ~'GGYi~i~L7 LY7" ~,o E - 1`i1,~TT t Tt,JG1L Aga ~°j T2~W.....1 oC ~oa~ ~ 8~° i s' ~ i a , .moo J D ; ~ ~ ~ G 1 COO - 1 1 S - O'!S I - d J S.+C2~/~-ACC: .8J?~eo3 k°~ ~ a I.I UI a9.r ~.,e O 0 ~ R ~ 0 N r ~e-. N 1 ~ N 0 N ~ ~ ? L-IuB QE.~~--T Co . T ~ T~S~. ~ ,J ~ . Ga . 8Co° 5 ~ ~ ~o 158.5-7 r~J°. 232 G"3o ~pF NE~q,y ~Q'~~PEL K. 4~, p~ ~---i I ~ P EvtZO vj p I~il t G ~-..d ~~L. tL . ~J ~ C1G~. _,~+~i U3 ~ - 8Z4 - o ~ u+ ~ 1-15'"1