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Home My WebLink AboutZ-33055FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33055 Date: 05/28/08 THIS CERTIFIES that the building DWELLING Location of Property 367 RILEY AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 143 Block 0004 Lot 020 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- 33055 dated MAY 28, 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.* The certificate is issued to JOHN J SCHWETJE & ORS (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. thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 367 RILEY AVE MATTITUCK SUBDIVISION• MAP MC.: LOT (S) MUM OF OWNER (S): JOHN J SCHWETJE & ORS OCCUPANCY: WOOD FRAME JOHN J SCHWETJE & ORS ADMITTED BY: JOHN SCHWETJE ACCOMPANIED BY: KEY AVAEWkBLE: SUFF. CO. TAX MAP MO.: 143.-4-20 SOURCE OF REQUEST: JOHN SCHWETJE DATE: OS 28 OB DWELLING: TYPE OF C@73TRUCTIOi: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAML SPACE: TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROCM(S): 1.0 TOILET ROOK(S): 0.0 OTILITY ROOM (S); PORCH TYPE: DECK TYPE: PATIO TYPE: BREE2301AY: FIREPLACE:GARAGE- DOMESTIC ITER: YES TYPE SEATER: BASEBOARD AIRCOMDTEIONING: TYPE SEAT: ELECTRIC MARK AIR: NO EUIVATER- YES OTHER: 2 CELLAR ENTRANCES, HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: SKIMNIBG POOL: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP4508 ADD COZ3746, BP6539 ADD COZ5715 INSPECTED BY: -BATS ON INSPBMOM• 05/28/0 TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 9 TOWN HALL 765-1802 i 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 uew building or new use: 1. Final surve}' 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. Cotrunercial building, industrial building, multiple residences and similar buildings and installations, of Code Compliance from architect or engineer responsible for the building. a certificate 6. Submit Planning Board Approval of completed site plan requirements. C. 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. C. Fees I . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 $ I5.00, Cormnercial $15.00 New Consuilction: Location of Property. ate 4610 Ilouse No. Hamlet Owner or Owners of Property: L. e,,r IP -5 �)c(ti,,j] Suflolk Crnmty Tax Map No 1000, Section �OObloek - Lot Subdi%isi ou _ FiledMa --- p ----- LSC Permit No Date ofPeimit- _ _ Applicant_ Health Dcp(. Approval: Undenvriters Approval- Plaium)L; Board Approval. Request for Temporary Certificate Final Certificate (check one) Fee Suhiniaed: $ OC) • O O �Q c- pIle nt,'tgnature CONSENT TO INSPECTION S� , the undersigned, do(es) hereby state: Ow r(s) Narne(s) That the u Southold, located s) of the premises in the Town of which is shown and designated on'thJ Suffolk County Tax Map as District 1000, SectionO{ 0 Ci Block I/ Lot Lj _ ay That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: P-tL — , p 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 thercon, 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: 's Iq ( O (Signature) (Print Name) TO OF SOUTHOUD 'CARD OWNER STREET13 , `" VILLAGE .> , D ' u cl FORMER OWNER N - t E _ /# W. sd +J�_ s J W ^ TYPE OF BUILDINGf f, ri a �4'6K`i 'mss �4'ti RES. /!J SEAS. VL FARM COMM. � IND. ( CB. I Mlsc. Est Mkt, Aim LAND IMP. TOTAL DATE REMARKS > tai' r fir' iti 5 - s ba 6 p ,fLr -70 0 � � 3, ."is' A . t -t- d n-+ A, -k— (ray. --G .te� � �i-� Lr Z�ov AGE BUILDING CONDITION Sf 3 13� F �g69 3 A'D.D C %.',04 LC vvv a. NEW NORMAL BELOW ABOVE FRONTAGE ON WATER z Farm Acre Value Per Acre Value FRONTAGE ON MW c Tillable I I r BULKHEAD c Tillable 2 DOCK Tillable 3 k 1 � � !� %3. LII iC. ®� s2 O ` ° _ .S' -- - .S Lr .7r woodland q! ar- t 5 e Swampland 8 /L �L V Q `5 • m Bmshiand 1 V W L LC SQ , r i t Z 7m m keezeway -ratcge D. 13. j 1! B(3th Driveway Foundation Bldg. Floors at. 41v,� v interior Finish Z. L R Bosen-went 7-xtension I Heat �)ctension Porch �ry Nei I Ext. Wolls 7Z Fire Noce �KtenSiOn L) 4 v keezeway -ratcge D. 13. j 1! R"- 37 I Patio B(3th Driveway Donner .20 Floors 41v,� v interior Finish Z. L R 0 Heat Porch Roof Type S ist Floor rz W R"- 37 I Patio pooms 2nd Floor Driveway Donner .20 I Landl formerly O MAP OF' -LAND of DAMES }--�. YO;UNG ESTATE A'T MAT -TA -TUCK. N.Y. LOCATION: �^'�- % lilt t (number & SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (type) (municipality) NO.: LOT(S): downer -tenant) p^— ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- J 3 - A?L SOURCE OF REQUEST: DATE: -S-=/ 0 DWELLING: TYPE OF CONSTRUCTION: \A% # STORIES: # EXITS: _ FOUNDATION: CELLAR: _Pa-v),t CRAWL SPACE TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: Aro PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: / 6 ✓ TYPE HEATER: AIRCONDITIONING: _ TYPE HEAT. WARM AIR: 0 HOTWATER: yt . OTHER: -- ro .4 _ A -----]E , _ .,,-4-.o9 -4 ACCESSORY STRUCTURES: 1"AlE� GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: F] VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIONI ART. SEC. W-4 INSPECTED BY: -/,�� f DATE OF INSPECTION: K-' x3 - o y - TIME START: END: