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Home My WebLink AboutZ-37707No: 37707 Town of Southold 53095 Main Rd Southold, New York 11971 8/11/2015 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 8/11/2015 THIS CERTIFIES that the structure(s) located at: 935 Bay Ave, Mattituck SCTM #: 473889 See/Block/Lot: 143.4-27 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- 37707 dated 8/11/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with attic, covered front porch, side enclosed porch and brick patio.* NOTE: BP 14784 chimney with wood stove COZ-17690; BP 15348 accessory garage COZ-17691; BP 18820 accessory storage shed COZ-18970. The certificate is issued to Jackson, Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 935 Bay Ave, Mattituck SUFF. CO. TAX MAP NO.: 143.-4-27 NAME OF OWNER(S): Jackson, Barbara OCCUPANCY: ADMITTED BY: Barbara Jackson SOURCE OF REQUEST: Jackson, Barbara DWELLING: # STORIES: 1 # EXITS: 2 FOUNDATION: Cement Block BATHROOM(S): 1 TOILET ROOM(S): PORCH TYPE: cov front/side enc DECK TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: Oil # BEDROOMS: 2 OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: FIREPLACE: Yes TYPE HEATER: WARM AIR: # KITCHENS: 1 INSPECTED BY: GARYF SUBDIVISION: DATE: 8/11/2015 CELLAR: 3/4 CRAWL SPACE: UTILITY ROOM(S): PATIO TYPE: Brick GARAGE: Nat. Grid Gas AIR CONDITIONING: HOT WATER: X BASEMENT TYPE: Unfinished STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: DATE OF INSPECTION: 8/10/2015 TIME START: END: I is When Pre -C/0 available, please call Deborah Doty 734-6648 Form No. G TOWN DF SOUTIIOLD fis— BUILDING DEPARTMENT �� / TOWN FALL 765-1.802 APPLICA'T'ION FOR CER'T'IFICA'T'E 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: accurate location of all buildings, property lines, streets, and unusual naturalor I Final survey of Property with 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 slead. 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 As denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I . 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. 7/31/2015 New Construction. Old or Pre-existing Building: X Location of Property: 935 Bay Avenue House No. Street p Owner or Owners of Property: Barbara Lu Jackson Suffolk County Tax Map No 1000, Section 143 Subdivision Permit No. Health Dept. Approval: Date of Permit. Planning Board Approval: Request for: Temporary Certificate Fee Submitted. $ 100.00 Block 4 Filed Map Applicant: Underwriters Approval: (check one) Mattituck Hamlet Lot 27 Lot. Final Certificate- X (check one) App scan�Signa�ture Deborah Doty as attorney for owner CONSENT TO INSPECTION Barbara Lu Jackson by Deborah Doty as attmrhey the undersigned, do(es) hereby state* Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 934 Bay Avenue Mattituck which is shown and designated on the Suffolk County Tax Map as District 1000, Section 143 , Block 4 , Lot 27 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pr -Ex' Certificate occupancy ing That the undersigned do(es) above described property, iherey give consent to the ncluding g anyeand all f the Town of Southold to enter upon 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, riles 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: 7/31/2015 (Signature) Deborah Doty as attorney for owner (Print Name) (Signature) (Print Name) Z/ - ��- ,� � D PCO PER1`Y RECORD CARD BELOW ABOVE FRONTAGE ON WATER FRONTAGE ON ROAD - fir, 'a BULKHEAD Form Acre Tillable I Value Per Acre /�1- �6 OWNER STREET' c �i-� DOCK VILLAGE DISTRICT SUB. LOT house Plot `F R O NER r� U, i S:)),7 i"otaf N E • P .1 4=13EP �ir� 5� �✓ s W TYPE OF BUILDING ,. RES, a SEAS. i VL, FARM f COMM. ! INFO. � CB. MISC. � Est. Mkt. Value f IMP. TOTAL DATE REMARKS )LAND f� v a l} 4•tIf 91,y f �� f r, / g $"q bqh, 2 `C4 5 0 �� 3-1 F/Y 57Dav AGE BUILDING CONDITION .&7„ NEW NORNLAL BELOW ABOVE FRONTAGE ON WATER FRONTAGE ON ROAD - fir, 'a BULKHEAD Form Acre Tillable I Value Per Acre Value Tillable 27T DOCK Tillable 3 Woodland Swampland Brushland house Plot i"otaf O.MIT �Nl WW IN 0 40� foundation Path fen6 on 4r 7 rig hoors tension I i Walls Interior Finish tension e� 'ire Place Heat Porch oof Type foundation Path fen6 on 4r 7 rig hoors tension I i Walls Interior Finish tension e� 'ire Place Heat Porch oof Type I cc) I Porch Rooms I st FICIDr -eezeway ratio Rooms 2nd Floor 3 md� 0 �rjveway Pormer 60 LOT2 ASAP OF PROPERTY OF GEORGE N., WILD IAM T. IMCA IOPPO LMMG rnusr, PAru A CACWPO 6 D. T. RLLEY N AND MAURSEN r"JOFPO, TRUSTEM F8m2rAw.. Mo AS MAP Na lea ALLMAYASSWCT,Ur. LOCATED AT MAT 7TUCK, THE'SECUR[ Y IM GUARANTEE CORPpRAMV OFBALTWORE. TOWN OF SOUTHOLD, CO. OF SUFFOLK, STATE OF N.Y. SURV6YM* 23JULY2W5 2-4OM yonumm TWML :, �F=dry LAND 5 Y� O.50869 P.O. BOX NY 11961 631.848.4750 SM IM -143.100 - 27 0.0 t N 1 � jos t apo �r'TT,� �� a9 �L per. ti 1 N a_ . wdp0 SLAW, 1"-W' nM DFMEM OROMale" MMM IpMVF MMM PMM-O T LM TO 7H2 eTAUCTWieiAAfiFOR A ef�HD pWlPOOE di ISE. w-Tlm pmWoyme mumawr OR FOGM f&MAOV=ML5MWr MORAW 0VM9MfMVWMir daCAOAt L8sEe'o1p7OR!Wr ::GsRTTY"aAtGlA9c ae GYcSAN SQ OFWNA*W VOW MW OF TAe MY&Y ANA NOT N&MW TOM LINO 6iAAYEY S !AREA SEAL OR U4 MDWALSMLLMrag.0119mgMTOAEAYAL®TFMOOPY. DEHOiJo9TClLe rAttOtTsoi�50N BiMu. RLmonrrD n�v�asutraR++rrov vmmmvv,s 5m=A400mTmmmmLoya7mr7/RECOAD'AMY,QOW ERlNEMTA99YCYAtmmmNV FE f7AA1b=Lt3MREON.CB TOVAIN+B AAENOr TRANSFFRA51d um ORRMSEMENT"QWNE S. lYIO AEEPONSBROYISABE7�11®BY8=4U EAA AVY.W�FAOE S7N 8iNa7�oUT�BLYf/FAt3�F�.9ORiVVMMEB�AfuYaR LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): . NAME OF OWNER(S)': OCCUPANCY: (type) (owner -tenant) - ADMITTED BY: 6 �y ACCOMPANIED BY: r p KEY AVAILABLE: SUFE. CO. TAX MAP 'NO.1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: �. # EXITS: FOUNDATION: q,47 -BASEMENT: CRAWL SPACE: # OF BEDROOMS: IST FLR: 7/' 2ND FLR:3RD FLR:.. BATHROOM(S):TOILET ROOM(S). UTILITY ROOM: ° PORCH,,TYPE: DECK, TYPE: _. PATIO, TYPE: RAJ BREEZEWAY: FIREPLACE: _ GARAGE: DOMESTIC HOTWATER: -9 TYPE HEATER: R ONDITI NI 1% O NG: TYPE HEAT: WARM AJR: HOTWATER: # OF KITCHENS: . FINISHED BASEMENT:- YES NO OTHER: (J :a uz 1q, 7 Co"I 700 ACCESSORY STRUCTURES GARAGE; TYPE OF CON le STORAGE, TYPE CONST.: 1� SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIONI ART. SEC. REMARKS: INSPECTED BY:Cs DATE OF INSPECTION: TIME START: ]�;