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HomeMy WebLinkAboutZ-32957FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 32957 Date: 04/01/08
THIS CERTIFIES that the building DWELLING
Location of Property 2555 MARYS RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 0009 Lot 019
Subdivision
Filed Nap 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- 32957 dated APRIL 1, 2008
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 & ACCESSORY GARAGE*
The certificate is issued to MARGARET MUNCH & MARY RAFFEL
(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.
horized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2555 MARYS RD MATTITUCK
SUBDIVISION- NAP NO.: IAT (S)
NAME OF 0I1MER (S): MARGARET MUNCH & MARY RAPPEL
OCCUPANCY: SINGLE FAMILY DWELLING MARGARET MUNCH & MARY RAFFEL
AU14ITTED BY: ACCOMPANIED BY:
KEY AVAIIJU3UR: BUFF- CO- TAX MAP ND.: 107.-9-19
SOURCE OF REQUEST: MARGARET MUNCH - 3/26/08 DATE: 04/01/08
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAML SPACE:
TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0
BATNROOM(S)- 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: ENCLOSED DBC& TYPE: PATIO TYPE:
BREEZEWAY- FIREPLACE: NO
DOMESTIC 1R)T ATER: YES TYPE BEATER: GAS AIRCONDITICMING:
TYPE HEAT- RADIATOR WABM AIR- HDTNATER-
OTSER- HOT WATER HEAT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COMET.: WOOD FRAME STORAGE, TYPE COKST-:
SMINKING POOL- GUEST, TYPE CCKST--
OTHER- CELLAR ENTRANCE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY: / �+ .. DATE ON INSPECTION: 03/31/08
GEORGE GILLEN TINE START: END:
Form, No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
26 n$
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applioation must be filled in by typewriter or ink and submitted to the Buildjpg.Dea artmt rE#r{h in
g
A.
1, 01 uew building or new use:
L Fival sun'ey of property with accurate location of all buildings, property lines, streets, and unusual natural or
opographic features.
2 Final Approval from Health Deptof water supply and sewerage -disposal (S-9 form).
3al of electrical installation from Board of FireUndenvriters.
d. Seorr 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
I. Ceilificate 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.
Cerci Gcate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
4 Updated Certificate of Occupancy - $50.00
I cnipormry Ccrtificate of Occupancy - Residential $15 00, Commercial $15.00
New Cunstniction: Old or Pre-existing Building: - (check one)
Locafi��o ofl'rnpcuv:�� ��f�� — -- 11 g
House No. 52
Street Hamlet
Chemo or Owner a of -f_ Y qY14_. _nQq�e j
s'ar��rGt�. Cl'lu
Suft��ll: ounh"las 10ap No 1000, Section 101-9- 19 Block 09. QQ - --lot Q t q, o Q o
Suhdi. i•., n-mA}+I _�"CVCj4el945_ Idled 0fn1). ---i_ol. - H5
Permit i:��.
lii�alih I )cpL Apprc�s�.,I.
Date of 1'e1111ii. Applicant:
Planninl, hoard Appro,a1:
1?equ� t lir 1'emp�irar�Certificafe
OU_._...
1cc uhmitled: $' joQ Pa- — -
740145
; c6 `7
Undemliters \pproval
Final('ertifcate (chmkoie
0.0, on Pre --1 Xu. Mj" L rtg birl9
Y� � uzjC
CA)_ YY
Appli � t Signature --
CONSENT TO INSPECTION
Poaqarcl A, h E, a , , the undersigned, do(es) hereby state:
Owners' Names
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 5 6,S M 'Ai-jjI., -I N 1 I // G2
which is shown and designated on the uffolk County Tax Map as District 1000,
Section pli, Oq BlockEkij, aM Lot 019, p p p
09,00
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
YI C Li n 7 ktjiLn �
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: MC4 I n& Q oo c"
0 (Signature)
(Print Name)
�� �Siguature
�l
(Print Name)
1 o cc, -/,q
7_ - 5�
TOWN
OF SOUTHOLD PROPERTY RECORD CARD Al - /bI
OWNER
STREETZ
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VILLAGE
DIST.
SUB. LOT
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9
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FORMER
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TYPE OF BUILDING
RES %/a
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SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
IMP.
TOTAL
DATE
REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD v b a o 41 O
House Plot DEPTH
BULKHEAD
Total DOCK
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n
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Garage
SURVEY OF LOT 45
AMENDED MAP OF MATTITUGK
FILED `11LY 24, KOS, FILE No. 1184
SITUATE: MATTITUGK
TOWN: 5OUTHOLD
SUFFOLK COUNTY, NY
SURVEYED 03-07-2008
SUFFOLK COUNTY TAX #
1000-107-9-19
CERTWM TO:
TOWN OF SOLTTHOLD
ALPHA ABSTRACT ILC
TL4HA WATROBB
HEIGHTS"
N
W E
S
N
O
o O
O
oc Q
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m
A N q 1
orp 305
u
(��• raH�. oR1�WP
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1
226 69'
w ' JD PSpNPI 0 O 4, 5.
OR
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If thl$
Garage
V
NOTES: .,4,�., b� ,�„ w�
MONUMENT FOUND
t- F b -
Area = 10,388 5. F. a.ro F— ."„ ..�-,-
Area = 0.2385 Acres JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
GRAPHIG 5GALE I"= 30' RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Compagserver\pros\08\08-126.pro
LOCATION: �`—� /P/aA , f
(number & street) (municipality)
SUBDIVISION: MAP NO.. y--- LOT(S):
NAME OF OWNER(S):
OCCUPANCY: _
(type) (owner -tenant)
ADMITTED BY: ACCOMPANIED BY: q_�
KEY AVAILABLE: SUFF. CO. TAX MAP NO. loon- 70
-
SOURCE OF REQUEST: /�'j �:,.DATE: .3
DWELLING:
TYPE OF CONSTRUCTION: �� �L�.,, # STORIES: I # EXITS:
FOUNDATION: CELLAR: ;C7",e_. CRAWL SPACE: --
TOTAL ROOMS: 1ST FLR: 2ND FLR: - A 3RD FLR: �--
BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM:
CC
PORCH TYPE: Lp 5 E D DECK, TYPE: PATIO, TYPE: �--T
BREEZEWAY: FIREPLACE: GARAGE: F ---
DOMESTIC HO ATER: E-5 TYPE HEATER: GAS AIRCONDITIONING: --
TYPE HEAT-.-- 11�-_ WARM AIR: A HOTWATER: —
OTHER: J P,07' UVTC-P�_L3,W-T-
ACCESSORY STRUCTURES: /�,�
GARAGE, TYPE OF CONST.: �^� - �+C� e-11—STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: 'L
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. I SEC.
REMARKS:
INSPECTED BY: ./ DATE OF INSPECTION: -3 "-3 / — 0 er
TIME START: END: