HomeMy WebLinkAboutZ-31865
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-
31865
Date: 09/26/06
THIS CERTIFIES that the building
DWELLING
Location of Property
850
(HOUSE NO.)
County Tax Map No. 473889 Section 115
MARRATOOKA LA
(STREET)
Block 0003
MATTITUCK
(HAMLET)
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 which CERTIFICATE OF
OCCUPANCY NUMBER Z-
31865
dated SEPTEMBER 26, 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 ATTACHED GARAGE"
The certificate is issued to OLGA D WYDRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
"PLEASE SEE ATTACHED INSPECTION REPORT.
~~--
Au orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOH:
850 MARRATOOKA LA
MATTITUCK
SDBDIVISIOIf :
MAP RO. ,
un (S)
IIl\MB OF 0IIIIIlR (S), OLGA D WYDRO
OCCUP.AlICY: ONE FAMILY DWELLING
OLGA D WYDRO
ADMI"l'TKD BY: KEN WYDRO
ACCaIPARIBD BY: SAME
KEY AVAILABLE:
SOPF. CO. TAXIlAPBO.: 115.-3-16
SOURCK OF RllQOIlST, KEN WYDRa
9/19/06
DATE, 09/26/06
DWELLING:
TYPB OF COlfSTRUCTIOlI:
WOOD FRAME
I sroRIES: ~ . EXITS: ----1
FOURDATIOR :
CEMENT BLOCK
CELLAR: FULL
CRAWL SPACK,
TOTAL RCX>>IS: 1ST FLa. : --2 2BD FLa.: -2
IlATIIllOOM (S) , .-.1..:..Q TOILET ROaI(S) , .-.1..:..Q
PORCH TYPE: ROOFED OVER DBCX. TYPE:
BREEZEWAY: YES FIREPLACE : ONE
DOMBSTIC BOTIIATBR: YES TYPE BEATER: OIL BURNER
3RD P'LR.: ....Q
UTILITY llOC>>I (S) :
PATIO TYPE: CEMENT
GARAGE: 2 CAR
AIRCOIIDITIOBIBG :
TYPB BEAT:
OIL
1IARM AIR:
YES
BOTIIATBR :
YES
OTIIKR,
ACCESSORY STRUCTURES:
GARAGE. TYPE OF COIIS'l'.:
SllDDlDIG POOL:
sroRAGE. TYPE COIIS'l'.:
GUEST. TYPB COBST.:
OTIIKR ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
RBIIARXS ,
~ ~ DATE 011 IBSPBCTIOII,
GEORGE GILLEN TIMB START:
09/22/06
Bill"
IBSPBCTED BY:
:i~!iO!",-_.~__J
0JJ (PCfG-3JO-70")/
Form No.6 _ L "I
TOWNOFSOUTHOLD UU'f<. d 1;)-.,..(5-0- )OLfS
BUlLD~O~E:~TMENT"'i~:?)~ _ Je 0- SOc:l>. ~
765-1802
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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:
I. 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:
I. 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.
.
New Construction:
C. Fees
I. 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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. Sl::V'
(check one)
MA:r\lWt.\<-.
Hamlet
I q ,2oo{,
1s"t:;()
Old or Pre-existing Building:
Location of Property:
House No.
.-
6~
~3, 00
Lotb(6,DoO
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Block
Subdivision
Date of Pennit.
Filed Map.
Applicant:
Lot:
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Underwriters Approval:
Final Certificate: (check one)
V ~,,~~~:tW
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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(/(J 0 -!/,j'- .
-
OWNER STREET c;( C::T) VILLAGE DIST. SUB. LOT
U/Ydr-o JIIflf<f{ ATOoKA /Ju, "L y-
O, /"/it-lJ: P~.t -. lJES()f(II3~P
... . .---/'-
FO~ER fWNER l<t f!EEV€" E - 1. ACR.
e flFRYL /1'
c:;;, "i f "' '" n ' -'~ c" , < . .-. 1.095
. '
7h C {'(jJ/" m S . ~ I !& :- t I?J. TYPE OF BUILDING
EARl- Wo~:V /...17) UJ,.. . v<"!"~;4. f<. t
~/f) SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
i a-n-;'"I i!(,t>O /=)[,00 .f/;; It / ,5>,,- .i f;, .u ~ ))}('~/1.;'7 / 1- ~ ~6,/
r. ,.5",,;<.4
10'00 .~::;,.,,...,, fa 700" '/.:t/t /7..~ ~3,.ft- s....." ~If, '".0 /.J'''icJ i"f. ) Ii t<!qlro qah" L 91."
;; '-i'.J
=j.~, -L IA"/-~~12{-1<6'lr',....Il-kl \;',..l"'/-' IN. .. "fA:;; /)rv'} (,~+:
. / I I
.
AGE . BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER ,?() I
----
Woodland FRONT AGE ON ROAD /" 0 I B I.s-a D - /:'-00
-
Meadowland DEPTH
House Plot I BULKHEAD
I
Total DOCK
y\
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M. Bldg. .:1-f_ Y:J"l ~ / () n/
Extension " ,; 0<-
9;(J. </',- :) / /.
Extension /,.2~O 'IYO.s
,j SO
Extension "
Foundation cg Bath I ":z.. Dinette
Porch , .; (A Basement /"<1 J.,.. v . Floors K.
/ z- " 1&"--/6'(> <L5'-' >-0 1">)41<'
Porch 6)( 9 .- 1><1 Ext. Walls 4100JJ 5H//Y Interior Finish - ,~" liD LR.
Breezeway 12.)(/a.~ / y' <L' ~"'O ,) PI Fire Place V~~ Heat lfE';. DR.
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Garage -'1.2lt.2<1-:. {)tJ.? /00 .s-,H' Type Roof Rooms 1 st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
Total .sI 17 7 .I
COLOR G 1: /:J i
TRIM \.A./H I T r:
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CONSENT TO INSPECTION
l J ~A- [)\lu..,\ ~m......
I~/J N\K\..l--\',~r19 ~ - E~ of , the undersigned, doe es) hereby state:
Owner(s) Name(s)
That the undersilID-~(is) (are) th~ pwner(s) of the premises in the Town of
Southold, located at ~S0 r~x..J.:- (A
which is ~rS and designated on the Suffolk County Tax Map as District 1000,
Section L , Block O~-OO, Lot t)1i, ./)o .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town uilding Inspector's Office for the following:
(lAf({ '--keN'
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 South old.
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:
ll~\66
~~WI~
1/ _ . (Signature)
f-k:N ~ l21It 1>>-1,1) '2.
(Print Name)
(Signature)
(print Name)
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