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Home My WebLink AboutZ-31412FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31412 THIS CERTIFIES that the building DWELLING AND ACCESSORY Date: 01/24/06 Location of Property 955 BAYER RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 0009 Lot 023.001 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- 31412 dated JANUARY 24, 2006 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 ACCESSORY GARAGE.* The certificate is issued to HELEN E SAWICKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A EL13CTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTInw aFnnuT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 955 BAYER RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) MMM OF OWNER (S): HELEN E SAWICKI OCCUPANCY: SINGLE FAMILY HELEN E SAWICKI ADMITTED BY: BARBARA DIACHUN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAY NNP NO.: 107.-9-23.1 SOURCE OF REQUEST: THOMAS J. SAWICKI, EXECUTOR DATE: 01/24/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 6 EXITS: 2 FOUNDATION: CEMENT BLOCK CEIZLR: X CRAWL SPACE: NO TOTAL ROOMS: 1ST FLR.: 8 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): NO PORCH TYPE: NO DECK TYPE: PATIO TYPE: N BREEZEWAY: NO FIREPLACE: 1 GARAGE: NO DOMESTIC EDTIATER: X TYPE HEATER: OIL AIRCONDITIONING: NO TYPE HEAT: OIL BURNER MARK AIR: NO HOTHATER: YES OTHER: STEAM RADIATORS ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: NO SWIMMING POOL: NONE GUEST, TYPE COMET.: NO OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE ON INSPECTION: 12/21/0 GEORGE GI U TIME START: END: _ Tbi-&-? LO -AX 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. Swom 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 "pr istbigi' land uses ��_ 1. Accurate survey of property showing all property lines, streets, building and unusual na at topographic features. �;;:. - DEC 5�r 'j? � 2. A properly completed application and a consent to inspect signed by the applicant. If a Ce ficAte of Occupanc is denied, the Building Inspector shall state the reasons therefor in writing to the applican L -_.. C. Fees Li 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 Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Date. December 14 , 2005 Old or Pre-existing Building: X (check one) Location of Property: 955 Bayer Road Mattituck House No. Street Hamlet Owner or Owners of Property: Estate of Helen E. Sawicki Suffolk County Tax Map No 1000, Section 107.00 Block 09.00 Lot 023.001 Subdivision _ Permit No. Health Dept. Approval: Filed Map. Date of Permit. Applicant: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 C o -; 3 1 td 1t ., Ver- 40g(019 Underwriters Approval: Final Certificate: X Thomas J Lot: one) E.$AWICKI Wtmatture('��AV/4 ki, Executor W Ln m N W r - Cl) m A m Ln co 0 m 0 v N C M ti 1f —107 --9-x'3.1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNERS STREET ' r VILLAGE _ DST. SUB. LOT L} 7j-4 Q �}G-Z S-tgLot, C.K_I' T3tq'/ZR (iaAi) A ;- 7-1 TOC. 71 jt E/" ljfc FORMER OW ER j + C,v N E ACR. O 5R6 i S W TYPE OF BUILDING ?ES-f/d SEAS. VL. FARM COMM. CB, MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Of S&L^ " w 2 X5`00 r�9 O &&o D ' 1 /1 /: ' f ,` a W —. Roe o c o C r t 5 ^ 10 . 4k9 - L 'we 294 7 p 54Z t�V-aw, 5-n W I cit r ----- a =,�i•1--`i1T er5►oS�+Sy-Co„a;�st-yi�ckr _- a;.t—�-- "' :::MAL BUILDING CONDITION BELOW ABOVE NEW i FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable .3 vVoodland Swampland FRONTAGE ON WATER 3rushlond _ FRONTAGE ON ROAD-) i29-- _ ,o C2 P House Plot DEPTH BULKHEAD TotoI DOCK _fes. OvHc�Lu �RVPERT7 RECORD CARD t • ■■■■■■E■r�■min lr■■■1�■■■■■■■■■■I ■■■■■■■■11OiIMMi■■It■■■■■■0■■MI son ■■■■EII■Rlfii'®6J1■■■■■■■OMNI mom ■■ ■■■■ M '011 ■iiiil■■■■■■■■ NMI 1 ■■■■.■■ ■No! ••...■1��±1■■■■■.■■I MEMO ■E■■■E■■■.IO■■E■MOMM■■EMOEMI ■■MOO■O ■■■■■EE MMMEOEM■mI.■■■■■■E■■E■■■■M■E1 ■■■■■ms ■■■■■■■ .■M■■.ii■■■■■1�■■■■■■O■EI mom 7►.....■Els!■■■■■■E1 ■IEM■■■■eEMf%■■■■■■= OLEII■■■■■M■■■■■E■OE■� iii■■MMS■iaM■■M Basement'Ext. .. Extension Walls Interior i. is Extension Fire Place Roof Porch�Type M M0' Gaia kn Patio. ■i■■ iTotal _fes. OvHc�Lu �RVPERT7 RECORD CARD t CONSENT TO INSPECTION THOMAS J. SAWICKI, as Executor of the Estate of HELEN E. SAWICKI the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is){ara) the owner(s) of the premises in the Town of Southold, located at 955 Bayer Road, Mattituck, New York which is shown and designated on the Suffolk County Tax Map as District 1000, Section 107 Block 9 Lot 23.1 That the undersigned (has) (Uv*) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on Pre—existing Building and Certificate of Occupancy for "as built" deck. 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: December 14 , 2005 (Signature) (Print Name) rc D A ftU11dN 01 AI[ RAR bVrJt= LAM ON AMY PVXk4 MM 'AC" MM 111E d967tlM OF UCERMM MMLYON 70 ALJR FM . um .MVR row= TO IR WM.PoR TIRE R N ft OU AND R SULW TO gI W0 A ift C AK= M%3W M WY KVIAL. � . U910 mid Ibaw Ao ORIV11awAft commmm MAT mmi M iIIhMCA4 o MRVOh1w W VEfOY MRL NOT ME UARE ' FIOFEaR,' ,C'OINQ YOMMIRRJ kM MOT MAGM A$ PART OF VW MIRM. AAMft. kW WAD A TOFDOWWAL W►•SPEdFRN Oft VAC1 KM. YARD LOT .10 1 LOT 9 '. LOT' 8 LOT 7 5 31'04'30, W . 160,00E F0 F_6NCE, . MONUMENT, Oy,R si U.e s .Olt G.5 WOAD FENCE. 0.8;k EN 1JN F �S 6 h� J * �It LOT'42 LOT 43' I 1° LOT 44 -w0 FENCE MONUMENT 0.2 S FOUND Y A'R D WOOD BECK - A • A; . Ile M$ Q. YA R'D'•• y " No. 955 T C. o rty IA z FRAYS. o ry ry4;( a •, 0- - r 15 :.N 31404'300. E. 5�. .•. !p� (� 98.4St P:O:B. F BAYER (50' WIDE) d P� CERTIFIED TO: — CAROL ANN CALVIN ATE,. COMMONWEALTH LAND TITLE INSURANCE COMPANY!. SHOWN CN MAP' ENTM D, MATITTUCK HEIGHTS WEIDIVISION ' COURT STREET ABSTRACT, INC. BROWN .TO S4WICKI AO C0MISKEY,TO SAWICIG. FTI.EO' UNDER USER 2947 PP' 542 2/25/1949 AND USER 51 ]6. PP 50 72/22/1991, AND FILE 'No. 1194 ABS.-No. 1265.7/24/1935. . Map of 5urveW of PropNorw 'at : 7 MATTITUCK ,P.;L ,.. Town Of 5a+F d Gamty Of 5LlF O4K PItOF68atO1711L L1kiD S11$1!E1.Or State Of New'.'T'ork 172-89 '..' ' Scale i"=30':`.'q<':;.. lamalca klk 11h32., ti. :::; .„„' :•.l, ji :•:',.,;•..;", .':' + Secuon:107:00 Block: 09.00: 'Lot: 0'23.001 • ' 1~41,.C:, lifi2,;65$ 7R'. GERALD T: A'BUCt(t�l :'t'L9 bat,: NOV. 28, 2005 Title. No: CSA05-02798—SS .� C7f$i�5�a NEN YORK::;i.>;CSN` .G99B34 LOCATION: cl �_ �.�- h13y-e. r' P e (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): �5i; %h -e df- ke l -el e- . Si.)w z 4 OCCUPANCY: 61 „i -e 6 n1; 4 r �c N i +` ►� ! V A c A., �- (fie) (owner -tenant) ADMITTED BY: rtr. �+ a c 11 u I-) ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- / c-7 - SOURCE OF REQUEST: 41 � a I; c -a t ; o ,:� f e, f- c e DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: �_ # EXITS: FOUNDATION: CL CELLAR: t/ CRAWL SPACE: - TOTAL ROOMS: 1ST FLR: 2ND FLR: 0 3RD FLR: 0 BATHROOM(S): ! TOILET ROOM(S): PJ UTILITY ROOM: N p PORCH TYPE: N v DECK, TYPE: PATIO, TYPE: �! BREEZEWAY !y jL) FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: ell— AIRCONDITIONING: TYPE HEAT: o/L QLIk'/✓ WARM AIR: HOTWATER: es OTHER: l"�1 ,� r� S��', Al ACCESSORY STIWCTURES: GARAGE, TYPE -OF CONST.: (A)c g llll -v STORAGE, TYPE CONST.: Il SWIMMING POOL: A/ GUEST, TYPE CONST:, OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION- ART. SEC. REMARKS: INSPECTED BY: � DATE OF INSPECTION: !-I I a / 0 I` TIME START: / G -�9j J END: