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Home My WebLink AboutZ-33590FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 33590 Date: 03/12/09 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 770 PIKE ST MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 140 Block 0003 Lot 006 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- 33590 dated MARCH 12, 2009 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 PORCH AND ACCESSORY GARAGE.* The certificate is issued to DAVID A SCHAAFF (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. Aut#brized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 770 PIKE ST MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWER (S): DAVID A SCHAAFF OCCUPANCY: 1 FAMILY DWELLING DAVID A SCHAAFF ADMITTED BY: GEORGE CULLEN ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO_: 140.-3-6 SOURCE OF REQUEST: DAVID OLSEN, ATTY DATE: 03/12/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT CELLAR: PART CRAWL SPACE: TOTAL ROOMS: ISI' PLR.: 4 2ND FIR.: 4 30D FIR.: 0 BATHROOM (S) 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: YES DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMRSTIC HOTWATER: YES TYPE HEATER: RADIATORS AIRCONDTTIONING: TYPE BEAT: OIL WARM AIR: NO HOTWATER: YES ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 22.2' X 20.2' STORAGE, TYPE CONST.. SWD imG POOL: GUEST, TYPE CONST.: OTHER. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE SEC. REMARKS: BP17815 ACCY SHED COZ17815 INSPECTED BY: ✓ A"+-'+ DATE ON INSPECTION: 03/12/09 GEORGE GILLEN TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN 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: 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. 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: Date. z) z71 "5 Old or Pre-existing Building: X (check one) Location ofProperty: 770 Pik, ctrje�t MArtjtj,,k, NY 11952 — House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section -140.00 Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit Block 03.00 Lot 006.000 Filed Map, Applicant - Underwriters Approval: Lot: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 100 OLSEN & OLSEN LLP 32495 MAIN ROAD PO BOX 706 Applicant Signature CUTCHOGUE,NY 11935 CONSENT TO INSPECTION Janet Costenbader as Executrix of the , the undersigned, dotes) hereby state: Owner(s) Name(s) Estate, of David A. Schaaff by David Worthington Olsen That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 770 Pike Street, Mattituck, NY 11952 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 140.00 Block 03.00 Lot 006.000 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 2 story frame house 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: _ 2, 2.-)) eel A � ignature) David Worthington Olsen, as Attorney (Print Name) (Signature) OLSEN & OLSEN LLP (Print Name) 32495 MAIN ROAD PO KX 706 CUTCHOGUE, IVY 11935 /con _/z/a 3-6 TOWN OF SOUTHOLD PROPERTY RECORD . CARD OWNER STREET770 VILLAGE DIST. SUB. LOT �}— p� ORMER OWNER N C�� c.r E ACR./ Sy��_ _ / r"v►ifGll 1 1l W�y Nat- , J TYPE OF BUILDING RES,..2/0 SEAS. VL! FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �/i /' 7 zs �s- J GoG _ L 5 �) L —U8vc�i v4> rf(`io_c ec_-) q 71 ra - ham- arc AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH 7� ' House Plot BULKHEAD Total ^ �-a DOCK CERTIFIED T0, MATTITUCK FIRE DISTMCT PECOAVC ABSTRACT Alb No., FNP -01552 AREA= 17,166 sq. ft 0 IP 0 �i 0 RP c0 Mot, ROpO 561 goY 13235 muff R \ P 75. 30 4� n "k lZL 6 N63 a oo . rLt1 \1. Z ? C Z m NNS A S. '\ a � o N� A n� N o+. SURVEY OF PROPERTY FOR MATTITUCK FIRE DISTRICT AT MATTITUCK TOWN OF-SOUfHOLD SUFFOLK COUNTY, N. Y. 1000 - 140 - 03 - 06 Scale, 1"= 30' Feb. 6, 2009 �s ,' N.Y.S. LIC, NO. 99618 ANY ALTERAT OR ADO/ TO TNS SLRVEY AT A VpLAliw/ -"� '" l SECTAXH lEOD Of TIE HER YOGR STATE Fytc�TpN LAM. \C+ _ ;S MRPEEET� EXCEPT AS PER SECTpNTY09 - sLegvl.9gw 2 aLG �eTIFJiEON ARE VALD FOR THE YAP AM COPES THEREOF LVLYF �. K"Off.criRU TU's� S� WW La TW �Y� I VE SOUTHOLD, N.Y. 11971 09-104 LOCATION: 770 Pize- (number & street) SUBDIVISION: MAP O: NAME OF OWNER(S): OCCUPANCY: A ICS (municipality) LOT(S): (type) V (owner -tenant) ADMITTED BY: Cr` -M,(- i ACCOMPANIED BY: 0 KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- Q 3 SOURCE OF REQUEST: C DATE: 3-3-02 .DWELLING: TYPE OF CONSTRUCTION: W" -k- 0\0-. -# STORIES: # EXITS: FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR:_ 3RD FLR: ' BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: — PATIO, TYPE: --- BREEZEWAY: rJ t FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: , Y D AIRCONDITIONING: TYPE HEAT: e I L- WARM AIR: HOTWATER:— OTHER: ACCESSORY STRU, GARAGE, TYPE OF SWIMMING POOL: OTHER: % iC_� ., � l 7 / S' STORAGE, TYPE CONST. GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION ART. T SEC. REMARKS: INSPECTED BY: '/gid'• ' DATE OF INSPECTION: 3-11-,o TIME START: END: