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Home My WebLink AboutZ-32522FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32522 Date: 08/08/07 THIS CERTIFIES that the building DWELLING Location of Property 14335 WAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 140 Block 0003 Lot 026.001 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- 32522 dated AUGUST 8, 2007 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 LOIS A & DOUGLAS A PIKE (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. '1 20thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 14335 MAIN RD MATTITUCK SUBDIVISION: MAP NO.: IAT (S) MAME OF OWNER (S): LOIS A & DOUGLAS A PIKE OCCUPANCY: SINGLE FAMILY DWELLING LOIS A & DOUGLAS A PIKE ADMITTED BY: REAL ESTATE AGENT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 140.-3-26.1 SOURCE OF REQUEST: DOUGLAS PIKE JULY 9, 2007 DATE: 06/08/07 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # E%ITS: 3 FOUNDATION: BRICK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: DOMESTIC HOTHATER: YES TYPE HEATER: HOT WATER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPHCTED BY: U '� DATE ON INSPECTION: 07/18/0 GEORGE GILLEN TIME START: END: 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. Sworn 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 "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 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 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 New Construction: Location of Property: /_I � r House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, S Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date. 7/1 Old or Pre-existing Building: _ (check one) rl, i,t �, Z: aj H4,4',4 / Date of Permit. /1-10 Block 0 Filed Map. Applicant: Underwriters Approval: Lot O I.g, 60 Lot: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ jt7d®OB � Applic4nt Signature Pike residence 14335 Main Road Mattituck, New York i----�__� SCTM 1000 140 03 026.001 L M��ofti 1s rHo. Smoke and CO detector installation, August 2, 2007 Left: CO detector first floor, east side of LR Below left: Smoke detector first floor, west side of dining room, adjacent door to kitchen Below right: Smoke detector second floor, north side of main hallway p �lI '! '- �� i;"r'�ri"' �i^ "� _".P,A '_�"+' ' `1.�• " � f r ``r i 4 _ ow ni / I . r s �. ^ 4 ^ »n,°x�°eiM„n '- LKAt(•.t _ ,2b�,7.{.;,{ .. � jj II} 11 I w' s n yy n mq h i C1iAT'! 7f ( i y1 i5 SUFFOLK COUNTY I,' MENT OF HEALTH SERVICES r Hauppauge, New York • n� I This is to certify that tite tpposed arran ements far water supplJ f ` `—o; and tli pos„�1,(or Lf T• �ItLF '^r ;"a�mm�„w �°nw,^�m� fL-a7 HtXR i '}C,C•b1 _,•F. �I'+ In tlw �() rTu with air atof — — J” ^wv; ;thuya �, ^rxr LOAn! ! warca roved on thea ,late. These facilities miw! c�nlorm I._�tu+ 'I coi+stn:ctwn standerus r ffect at the lime of cor :ruction. This "°`9ie^' • •�';S �% r �ynn•r. - I ` ""Ip'ovat sfiatt be valiO in the event said •.,bdikrisinil devel. S1Ll"r' 0 11;.Pr plan is '^tr ffe th the County CI- .within lin...a•ne of / ' •: •" ! !_ ,j, }' I • tcv\w, i I Rs date. Contenr ,_ .. ' w^ ' 'k Nling of this map on , •�'.-- 'J%:!�7itr41i ,rhichthlsendorsement earoRitheOfflceoftheCaunfyCicrkin -`-! J'- �''='=' _= I 'I•'i•i! I Ir) r = accordance with ll wisfo f the Public Neaith law and Ax- Suffolk •_iii.=,! ---,; c. - .!y;.' County Sanitary Code.000, - _ Ida Director, fvisi of Environmental Quality !>uec r;l µt>�! S 6P 1 (st(( � RSR-si> — 1f r• Petr grri. LF—k taLecrTo+' T_ GINJ •. ." -� �F� 1 '.. it . . , - ., t � r . i J7 ti iJ _` M 5 IHd�iA' 1 r • 'Wv1r e"6 M" +d3@4F{ ��1..%I' i,MY:.; �i^ ZQ�•.1 O� � I —� Ai itri �"t-fel-�% .�u�.'i Z�at�"�•':t� iiil �.-.tih! t_ -.J a.' ::Fjp 1AfJ.7 PL£AS£`N Minimum distance between well Y MAS E is o be 150 feet -% . d1'i1�, 4 and cesspool .._..._...._ _.....-. - r ;20 �'»�•,-, �. a* �'. '"' ._— • t°TA.7'A 1, - -.'" 'ui "- t • < j �';j„i.- CONSENT TO INSPECTION -S "I t�2 the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner of the premise n" -.,Town of Southold, located at ftl 5 n�+r� ®� I-7 4�1c. which is shown and designated on the Suffolk County ax Map as District 1000, Section 1 ' f O ' Block 0 % , Lot 076.66 t . That the undersigned (has) (have) filed, or cause to be filed, an applicati in the Southold Town Building Inspector's Office for the following �, ' (0ejr 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: 7 S B (Signature) (Print Name) LOCATION: ' LF 33 5 SUBDIVISION: (number & street) NAME OF OWNER(S): OCCUPANCY: j type) MAP NO.: (municipality) LOT(S): (owner -tenant) ADMITTED BY: /� �✓ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE:7-59-67 DWELLING: TYPE OF CONSTRUCTION: �%0-0-� # STORIES: oZ # EXITS: -'Z5 FOUNDATION: CELLAR: _Pr—__Z6E CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3 3RD FLR: BATHROOM(S): A TOILET ROOM(S): UTILITY ROOM: ---' PORCH TYPE: EG1 DECK, TYPE: — PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yf 5 TYPE HEATER: f IRCONDITIONING: r• ---- TYPE HEAT: L- WARM AIR: HOTWATER: 1�— OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: "---' STORAGE, TYPE CONST.: -4ve p. GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: P / DATE OF INSPECTION: 7-17 o 7 - TIME START: END: