HomeMy WebLinkAboutZ-32030
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-
32030
Date: 11/28/06
THIS CERTIFIES that the building
DWELLING
Location of Property 400 CENTER
(HOUSE NO.)
County Tax Map No. 473889 Section 123
ST
(STREET)
Block 0002
MATTITUCK
(HAMLET)
Lot 020
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-
32030
dated NOVEMBER 28, 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*
The certificate is issued to ALFRED & SHIRLEY BARIATTI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
N/A
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
4~ho:::~::ure
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
400 CENTER ST
MATTITUCK
SUBDIVISION:
MAP NO. :
LOT (S)
NAME OF OWNER (S): ALFRED & SHIRLEY BARIATTI
OCCUPANCY: SINGLE FAMILY DWELLING
ALFRED & SHIRLEY BARIATTI
ADMITTED BY: LORAINE STARSIAK
ACCOMPANIED BY: KEN MCKILLOP
KEY AVAILABLE:
SUFF. CO. TAX MAP NO.: 123.-2-20
SOURCE OF REQUEST: OLSEN & OLSEN LLP, 11/16/06
DATE: 11/28/06
DWELLING;
TYPE OF CONSTRUcrION: WOOD FRAME
# STORIES: ~ # EXITS: 3
FOUNDATION: CEMENT BLOCK
CELLAR: FULL
CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: -2
2ND FLR.: 0
3RD FLR.: ~
BATHROOM(S): 1.0
TOILET ROOM (S): ----2....:..Q
UTILITY ROOM(S) :
PORCH TYPE: CEMENT & BRICK
DECK TYPE:
PATIO TYPE: CEMENT
BREEZEWAY:
FIREPLACE: YES
GARAGE: 1-1/2 CAR
DOMESTIC HOTWATBR: YES
TYPE HEATER: HOT AIR
AIRCONDITIONING:
HOTWATBR:
YES
TYPE HEAT: 0 I L BURNER WARM AIR: YES
OTHER: REAR CELLAR ENTRANCE & WOOD STOVE, SEPARATE HW HEATER
ACCESSORY STRUCTURES;
GARAGE. TYPE OF CONST. :
STORAGE, TYPE CONST.:
SWIMMING POOL:
GUEST. TYPE CONST. :
OTHER :
VIOLATIONS; CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: SP #7912Z-COZ-6753 (GARAGE & BREEZEWAY ADDITION)
~~~
DATE ON INSPEcrION: 11/27/06
INSPECTED BY:
GEORGE GILLEN
TIME START:
END,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802....
APPLICATION FOR CERTIFICATE OF OCCU~ANeY
,-------:.
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This application mnsl be filled in by typewriter or ink and submitted to th,,:Building Department with the followmg:
A. For new building or new use:
I. Final survey ofpropel1y 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 fonn).
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 2/1 0 of I % lead.
5. C0!111nercial building, industrial building, multiple residences and similar buildings and instal13tiol1s, ([ ceJ1ificlte
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 mspect signed by the applicant. If a Certi!lcate of Occupancy is
denied, the Building Inspcctor shall state the reasons therefor in writing to the applicant.
c. Fees
I, Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25.00, AlteratIons to dwellmg S25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building 525.00, Businesses S50.00.
2. Certificate of Occupancy on Pre-existing Building - $100,00
3. Copy of Certificate of Occupancy - $.25
4. Updated Cel1ificate of Occupancy - $50.00
5. Temporary.'Certificate of Occupancy - Residential 515.00, Conunercial SI5 00
Date. ~.ovembe.r__} 4, 2006
New ConstructIOn: Old or Pre-existing Building: X
(check one)
Location of Property: 400 Center St., Ma_tt1.to'"ck, NY 11952
House No, Street
H2tmlet
Owner or Owners of Property:
400 Center St.,._M.1!ttituck
Suffolk County Tax Map No 1000, Section _123__________.__ Block
2
Lot
20
Subdivision
Filed Map.
Lot:
Permit No.
Date of Per mIl. _________ Applicant:__._____.
Health Depl. Approval:
'__ Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Cel1ificate:
(check one)
Fee Submitted: $
100 00
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e/lJ ( 0 -2. Jj.O ?;O
OLSEN & OLSEN LLP
32495 MAIN ROAD
PO BOX 706
CUTCHOGUE, NY 11935
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y . - .
Appl1cant Slgnature
CONSENT
TO
INSPECTION
David Worthington Olsen as Attorney for Alfred Bariatti
Owner(s) Name(s)
doles) hereby state:
, the undersigned.
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
400 Center St., Mattituck, NY
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 123
, Block 2
Lot 20
,
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'the Southold Town llUllc1ing lnsp""'""',,, C'r.rl~~ r~~ th.. rnllnwin[!:
one story frame dwelling with attached porch
That the undersigned doles) 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 inspactions, doles) 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 of the Town of Southold.
Dated: November 14, 2006
~
(signature) .
.f"'.
David Worthington Olsen
(print name)
(sil!nalure)
(print name)
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