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Home My WebLink AboutZ-33810FORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33810 ~te: 07/01/09 THIS CERTIFIES that the building SEA~SONAL DWELLING Location of Property 450 SOUND BEACH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 099 Block 0001 Lot 038.002 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 C~TIFICATE OF OCcuPANCY NUMBER Z- 33810 dated JULY 1, 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 SEASONAL DWELLING WITH REAR WOOD DECK AND ENCLOSED PORCH.* The certificate is issued to MADELINE C WEIMANN FMLY TRST ( OWN E R ) of the aforesaid building. N/A N/A N/A Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~TI(~: 450 SOL~ BEACH DR MATTITUCK ~ OF O~ [S): MADELINE C WEIMARN FMLY TRST (~: SEASONAL ONE FRAMILY DWELLING MADELINE C WEIMANN FMLY TRST 1.0 # EXITS: __2 ii'AWL SPACe: YES UTILITY ItO(]~(S): YES PATIO TY~E: ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. GEORGE GILLEN ~DA~ (~ INS~I(~: 06/29/09 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. j~ ~ubmit Plann~ing Board Approval of completed site plan requirements. ~ For ~iarino~h,tildino~ torior to April 9, 1957) non-confo~.ing uses, or buildings and "pre-gxisting' land uses:~ '"-"-"--~--. Accurate survey of property showing all property lines, streets, building and unusual natural or topog'"~ic ' features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa 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 $15.00 L.! _ I Date. New Construction: ld~or Pre-exist~ , ,{~ (check one) House No. Street ~0 ~ Hamlet OwnerorOwnersofProperty: ~J~o~x~_x~ ~___~'A.~:~k~'2- ~"~r-°-$-~..,,O,_ '~J~X ~ ..~x_,~,~.,~x Suffolk County Tax Map No l000, Section /~"7 '~,~> ~ t ~, ~ i- Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date ofPermit. Block Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ [check one) ~ F._., ~ ~,~'~\'~ Applicant Signature CONSENT TO INSPECTION c~_ , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersign_ed (is) (are) the owner(s) of the premises in the Town of Southold, locatedat ~ ~O ~>~o,~ ~:D~c._~x '~X~V~ which is shown and designated on the Suffolk CounW Tax Map as District 1000, Section Block Lot That the undersigned (has) (have) filed, or cause to be filed, ~ application in the Southold Town Build~g Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Iown of Southold to enter upon the above described prope~, including ~y and all buildings located thereon, to conduct such inspections as they may deem necessa~ with respect to the aforesaid application, including inspections to detemine that said premises comply with all of the laws, ordinances, roles ~d 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: (Signature) _ ~ ~ __ (Print Name) (Signature) (Print Name) ~s'~J'OWN oF SOUTHOLD PROPERTY RECORD CARD ~WNER -~-1 STREET ,L/',~'C]~) VILLAGE 'DIST.' SUB. LOT ,. . ,mR ¢ ', ,. ~ ,ER OWNER ' - N]~CR .<.-"g b/Jo~ell'~ ,.? 0_. W6,{roqn O,'~'V~i ~ W TYPE OF BUILDING ~' .~-%Ow s~,,s. VL. F~RM J CO~. C~. ~CS. ~kt. V~.. ~NO ~ TOTAL ~ R~RKS 5]~. Co~ ~' ~1~ FRONTAGE ON ROAD ~ P~ BULKH~D TOWN OFSOUTHOLD N S ~OPERTY VILLAGE RECORD CARD DISTRICT SUB. LOT W TYPE OF BUILDING //~'~_-_~ LAND IMP. TOTAL DATE REMARKS NEW Farm Tillab. le 1 Tillable · 2 Tillable 3 Woodland Swampland /?~RMAL Ac re Value Per Acre Value Brushland House Plot Total Extension Basement t/V/~i Floors ~-~/ /~ Extension Fire Place ~ ~ 0 Heot ~'4 ~ ~ ~ ~ ~"'~'~ '~ ?'{'~'~" ~/~ ]S~ Porch Rooms 1st Flor ~ewo' ~O ~ ~O : ~O~ .~ /oO Patio Rooms2nd Floor Garage Driveway O.B. 2_0 ~0 ~,/~l -LOOD ZONE FROM FIRM 5610,~C0159 G lAY 4, 1998. ~OASTAL EROSION HAZARD LINE FROM !OASTAL EROSION MAP PHOTO 59-533-83. OT NUMBERS REFER TO BLOCK 2 "MAP OF CAPTAIN ?OD ESTATES" FILED IN THE SUFFOLK COUNTY ~ERK'S OFFICE ON JANUARY 19, 1949 AS FILE NO. 1672. ' om familiar with the STANDARDS FOR APPROVAL 4ND CONSTRUC770N OF SUBSURFACE SEWAGE 21SPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES 7nd will abide by the conditions set forth therein and on the ~errnit to construct. Elevations referenced to N.G.V.D. the location of wells and cesspools shown hereon ore Yom field observations and or from data obtained from ethers, ~,REA=25A96 SO. FT. \ SURVP, Y Ol~ PROPERTY A T ]dA TTITUCK INLffT TOPiN Ole $OUTHOLD SUPI~OLK COUNTY, N.Y. 1000--99-01-38.2 SCAL~: 1'--40' APRIL 7, 2009 TEST HOLE DA TA S, .Y.S. LIC. NO. 49618 P.C . X ~6~1.) 765-1797 N Certified to: dames Meskouris Chris Meskouris Lawrence J. Silberman, Esq. Lawyers Title Insurance Corporation FLOOD ZONE FROM FIRM JSlOJCOIJ9 G MAY 4, 1998. COASTAL EROSION HAZARD LINE FROM COASTAL EROSION MAP PHOTO 59-5JJ-BJ. LOT NUMBERS REFER TO BLOCK 2 "MAP OF CAPTAIN KIDD ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JANUARY 19, 1949 AS FILE NO. 1672. I om fomilior with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will obide by the conditions set forth therein Grid on the permit to construct. Elevotions referenced to N,G. V.D. The Iocqtion of wells ond cesspools shown hereon ore from field observotion$ ond or from doto obtqined from others. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCAllON LArK EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTiFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE S(GNA TURE APPEARS HEREON. AREA=16,540 SO. FT. TO TIE LINE / / / SURVEY Olm PROPERTY A T MA TTITUCK INLET TO[YN O? SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-99-01-1~.1 SCALE: 1'--40' APRIL 7, 2009 TEST HOLE DA TA McDONALD GEOSCIENCE ,~/tJ/o9 EL* 6' 2' MIXED SAND AND LOAM PALE BROI~N FINE TO COAR..~ SAND ~ ~ FAX (631) 765-1797 P.O. ~ 12J0 TRAVELER STREET