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Home My WebLink AboutZ-36899 * Town of Southold Annex 5/12/2014 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36899 Date: 5/12/2014 THIS CERTIFIES that the structure(s) located at: 1455 Factory Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-16 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36899 dated 5/12/2014 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling with front and rear enclosed porches, and covered front entry and accessory garage/storage building.* Note:BP 38796 accy. shed/garage 20.4 X 18.2 COZ-36896;BP 38837 "as built"alterations to dwelling COZ-36898 and"as built" foundation roof repairs to existing accessory shed/garage COZ-36897. The certificate is issued to Williams, Shawn& Williams, Dawn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 122-2-16 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 9 A ed ignatu e BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1455 Factory Ave,Mattituck SUFF.CO.TAX MAP NO.: 122.-2-16 SUBDIVISION: NAME OF OWNER(S): Williams, Shawn&Williams,Dawn OCCUPANCY: ADMITTED BY: Shawn Williams SOURCE OF REQUEST: Williams, Shawn&Williams, Dawn DATE: 5/12/2014 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block CELLAR: 1/2 CRAWL SPACE: 1/2 BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: Natl.Grid Gas AIR CONDITIONING: TYPE HEAT: Natl.Grid WARM AIR: X HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 3/28/2014 TIME START: END: 4416.6� P-4 Town of Southold Annex 5/8/2014 54375 Main Road Southold,New York 11971 rw PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36899 Date: 6/23/2011 THIS CERTIFIES that the structure(s) located at: 1455 Factory Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-16 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36899 dated 6/23/2011 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling with front and rear enclosed porches, and covered front entry and accessorygarage/storage building.* Note: BP 38796 accy. shed/garage 20.4 X 18.2 COZ-36896; BP 38837 "as built"alterations to dwelling COZ-36898 and"as built"foundation roof repairs to existing accessory shed/garage COZ-36897. The certificate is issued to Williams, Shawn&Williams, Dawn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 122-2-16 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A o ed ignat e BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1455 Factory Ave,Mattituck SUFF.CO.TAX MAP NO.: 122.-2-16 SUBDIVISION: NAME OF OWNER(S): Williams, Shawn&Williams, Dawn OCCUPANCY: ADMITTED BY: Shawn Williams SOURCE OF REQUEST: Williams, Shawn&Williams, Dawn DATE: 6/23/2011 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block CELLAR: 1/2 CRAWL SPACE: 1/2 BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: Natl. Grid Gas AIR CONDITIONING: TYPE HEAT: Natl.Grid WARM AIR: X HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 3/28/2014 /-� 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 withh 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 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. f ccurate 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00, Accessory building$50.00,Additions to accessory building$50.00,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 '. Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: Y G'< House No.1- Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 100.0, Section [ ,�,� Block_��L�. Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C:) T) (A �J` Applicant Signature CONSENT TO INSPECTION undersi eddo(es) � , hereby state: Owner(s)Name(s) . That the undersigned(is) (are) a owner(s)of the premises in the Town of Southold, located at which is.shown and designated on the Suffolk County Tax Map as District 1000; Section t as , Block C>-&,, Lot Thatthe.un&rsigned(has) (have)'filed,or cause to be filed, an application in the Southold Town Building Inspector's Office for-the following: 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 andregulations-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: _ �L_a3 Qb_u�-W-Ld. (Signature) rint Name) -(Signature) (Print Name) 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET I VILLAGE DISTRICT SUB. LOT h ae ts, FORMER OWN !' 1n Q 651,N E ACREAGE /� t � t33 til S W TYPE OF BUILDING / h"04 \Aj A-r`*So ii RES. SEAS. VL. FARM COMM. I IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS b 3 '7 d 0 , '` "�-?17� Cit E G' 13Lff D 7', v E. Se Di-ye i AGE BUILDING CONDITION F NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I 17-6 3'Zo q'10 6ko Tillable 2 ��"".� �oJr Tillable, 3 Woodland Swampland Brushland House Piot Total * i i i t j M. Bldg. 'J�S'Q 1 �? Sr' d Foundation Bath Extension f 3G Basement Floors � - Extension '7 X G ` Al 4* t) 2 7 Jr' Ext. Walls nterior Finish . Extension X Fire Place Heat Porch Attic G e 4. u5Et.) Porch Rooms Ist Floor Breezewa 3 Patio Rooms 2nd Floor Garage j /V C— 2-7 a J Driveway O. B. ZoX l8 — ,ata Sv �9 ' " V, A pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 G -4r Southold,NY 11971-0959 OUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD January 31, 2014 Dawn & Shawn Williams 405 South Dr Mattituck, NY 11952 Re: Pre C/O for 1455 Factory Ave. To Whom It May Concern: We received the application in the mail today for a Pre C/O on 1455 Factory Avenue, however you already paid for one in 2011. Gary Fish went out and did an inspection on 06/29/2011 of which I have enclosed a copy of the inspection ticket. These are the items that need to be addressed before a Certificate of Occupancy can be issued. If you have any questions, please contact our office @ 765-1802. Southold Town Building Department gONO) SURVEY OF PROPERTY kp SITUATE I.1p MATTITUCK 0,10,00, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK R S.C. TAX No. 1000- 122-02- 16 N/oERERCIEB SCALE 1 "=30' TSA BAS 15A �� JUNE 14,201 1 j. AREA = 27,552 sq. ft. 0.633 ac. O .. NOTE: 'o �G DEED REFERENCES ARE TO DEED LIBER 7588 PAGE 167. o' F p v o. $d p S�pEzo�SF c J G) ,S cpa 0 NEY f O�p`r0, apoOOL 30�N CY NI �y ° Z \ 0" N ao�Q 66 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FORTITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATI �pF NFW od <� 65°Q6 \ oma" p°s, Co�P� Sgd87 i v` S7o \ NGE c, lJ� apF� VvYVs N.Y.S. Lic. No. 50467 y C1 s. S, v+o LLI oyvFO�� NC O�� \C °'p A>J�A L I UNAUTHORIZED ALTERATION OR ADDITION • 9� �t �/1tI A PRL TO THIS SURVEY IS A VIOLATION OF Nathan Taft Corwin III 9��C+ 'C' O �p -7G, / / A13 SECTION 7209 OF THE NEW YORK STATE ocP f�,f of Q, EDUCATION LAW. ° CO COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor P I��1 THE LAND SURVEYOR'S INKED SEAL OR 20° �1 �, ++ OLp�DpI� EMBOSSED SEAL SHALL NOT BE CONSIDERED 1 & TO BE A VALID TRUE COPY. 0 �� 2 CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. G CSC t^ o? C IS PREPARED, AND ON HIS BEHALF TO THE o'! �Q snF TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout ! LENDING INSTITUTION LISTED HEREON, AND pv� TO THE ASSIGNEES OF THE LENDING INSTI- PHONE 631 727-2090 Fax BOG TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. ) (631)727-1727 ti THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 of soa Aue-e lye " TOWN O ;;ON G DEPT. 180 IN;; _:(2es?c, [ ] FOUNDATION IST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL a [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECT L (ROUGH) [ ] ELECTRICAL (FINAL) �- REMAR r < 3 r � w DATE ANSPECTOR ��ot-J� "C} a✓D � 2— 6e f4f so N is TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: A4aCA r /70;z . N, t �� G`��-a�L�T�-r/sem• �` DATE a INSPECTOR LOCATION: (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) JJ (owner-tenant) ADMITTED BY: ��; r .l t' W�1�4 ,.t ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: -- # EXITS: �— FOUNDATION: <f-" BASEMENT: t- CRAWL SPACE: �� # OF BEDROOMS: 1ST FLR: 2ND FLR: L- 3RD FLR: BATHROOM�(-S)_:,� `Y TOILET ROOM(S): UTILITY ROOM: — PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: N AIRCONDITIONING: TYPE HEAT: AIR: HOTWATER: # OF KITCHENS: Q)- — -- FINISHED BASEMENT: YES NO OTHER: N ACCESSORY STRUCTURES f GARAGE, TYPE OF CONST.: �- �G STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. -,.ZI .c r--- r REMARKS: O � 7 INSPECTED BY: DATE OF INSPECTION: TIME START: END: