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Home My WebLink AboutZ-27634FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27634 Date: 04/18/01 T~IS CERTIFIES that the building DWELLING Location of Property 595 BAYER RD (HOUSE NO.) County Tax Map No. 473889 Section 139 Subdivision MATTITUCK (STREET) (HAMLET) Block 0003 Lot 015 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- 27634 dated APRIL 18, 2001 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 ACCESSORY TWO CAR WOOD FRAME GARAGE * ~e certificate is issued to WALTER ARMBRUST (OWNER) of the aforesaid building. S~-FFOLK CO[~TYDEPAR~NT OF ELEC~RICAL CERTIFICATE NO. PLI~BERS CERTIFICATION D~I'~U3 *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ~/~nat ure BUILDING DEPARTMENT TOWN OF S0UTHOLD HOUSING CODE INSPECTION REPORT I~)CATION: 595 BAYER RD SDBDIVISION: N3~ OF OW~ (S): WALTER ARMBRUST OCCUPANCY: RESIDENTIAL MATTITUCK MAP NO.: LOT (S) WALTER ARMBRUST SOURC~ OF P~QUEST: JOHN R. MCNULTY, 3/5/01 DATE: ~04/18/01 DWELLING ACCESSORY STRUCTURES: VIOLATIOWS: CEAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P-~: BP #27250-Z COZ-27633 (NEW ELECTRICAL SYSTEM) DA~ ON INSPECTION: 03/16/01 Form N~. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FORCERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 Comptianee from architect or engineer responsible forthe building. 6. Submit Planning Board Approval of completed site plan requirements. For eximting 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 a 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 $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.O0. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of OcCupancy - 4. Updated Certificafe of OcCupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........................ New Construction ...... [_~_.... Ql_~d Or P~-,-existing Bull-al%rig ....... House ~o. ' 'f '''''--''~' ~treet Hamlet Onwer of Property.. .C. '.i V . County Tax Map ~o ~000, Section ..... L~...~...Block~...~....g.. ' -o . !.~.... ............... Pile '. ot ~o...~,¢,~. o ~1~.5-/~,~ ~-- ......................... Permit No ................ Date Of Permit ................ Applicant .................... , ........ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $... ~ . .~'..,~ ............ ,~ · .................. CONSENT TO INSPECTION Owner~ Name(,~ do(es) hereby state: the undersigned, That the undersigned (is) (~r~) the owneri~ of the premises in the Town ' ' ' designated the Suffolk County tax map as District 1000, Section ( ~ %~ Block '~ , Lot ) ~-- That the undersigned (has) (~e) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building ~nspectors of the Town of Southoldto 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 as evidence in subsequent prosecutions for rio- lations of the laws, ordinances, rules or regulatio~ of the Town of Southold. (sigdature) --"~' (prin~ name) (siena/ute) (print name) Map of L~ts 37 and 38 '~Map of Mattituck Heights, Subdivision Map of Property of Gustav Bayer" Filed: March 25, 1927, Map Number 192 Situated at Mattituck Town of Southold, Suffolk County, New York District 1000 Section 139 Block 3 Lot 15 Ce/ti fled 1'o: William C. Cooper Eileen G. Cooper Colnmonwealth Land Title Insurance Compa~'~y HSBC Bank ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR 1700 Hortons Lane Southold, New York 11971 (63 l)-765-6242 SURVEYED: February 1, 2001 Scale: 1" = File N