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Home My WebLink AboutZ-27193FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27193 Date: 07/18/00 THIS CERTIFIES that the building DWELLING Location of Property 455 BAYER RD MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 139 Block 0003 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- 27193 dated JULY 18, 2000 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 * (HAMLET) Lot 012 The certificate is issued to AUGUSTA LANTIERI (O~R) 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. >/~ut~ i/z~ S gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT LOCATION: {~5 BAYER RD SUBDIVISION: NAM~ OF OWNER (S): AUGUSTA LANTIERI OCCUPANCY: RESIDENTIAL ADMITTED BY: T~OMAS J. U~LINGER MATTITUCK MAP NO.: -- LOT (S) -- AUGUSTA LANTIERI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 139.-3-12 SOURCE OF REQUEST: GARY OLSEN. ATTY 7/10/00 DATE: 07/18/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~ FOUNDATION: ~EMENTBLOCK CELLAR: FULL CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR.= _~ 2ND FLR.: _~_ 3RD FLR.: __~ BATHROOM(S): 2.0 TOILET ROOM(S): Q,Q UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY~ FIREPLACE: GARAGE: DOMESTIC NOTWATER: YES TYPE HEATER: LILCOGAS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: XX HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ A~T, INSPECTED BY= GARY J. FIS// / TIME START: 9:50 AM END: 10:10 AM BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo Thi's application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of all buildings, property linea 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 buildJ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildinss ~ Ppre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buLlding and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicar 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, Sw~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildinm - $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 July 10, 2000 New Construction ........... Old Or Pre-existing Building.. ~ .............. Location of Property...~.~Z~ .~ ~t~ ......................................... House No. Street Hamlet Onwer or Owmers of Property...4qgq~.~q~ ........................................... County Tax Map No 10OO, Section.~5~.Q~ ....... Block. O~,OO .......... Lot..QL%..~0 ......... Subdivision .................................... Filed Map ............ Lot ................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final/ zCe/~ ~7~ .......... Fee Submi. tted: $..lOOphOle. Main Rd, PO Box 706 Cutchogue, NY 11935 CONSENT TO " INSPECTION Gary Flanner Olsen as attorney fom Augusta Lantieri , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 455 Bayer Road, Mattituck, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 139.00 Block 03.00 Lot 012.000 That the undersigned (has) (have) filed· 'or caused lobe filed, an applica- tion in'th. Southold Town 15u~l~ling lnsp~u~u~ .~ or. fi.. fo.. +h. fnllnxvin~: Two 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, cludzng~lnspect~ons to determine that said premises comply with all of the laws. ordinances, rules and re~ulatlons of the Town of Southold. The undersigned· in consenting to such inspections, do(es) so with the knowledge and understanding that any ~forma[ion obtained In the conduct of such inspections may'be used as evidence in subsequen ~roJecutions for lations o[ the la,vs, ordinances, rules or re~lations~>/~f~own of Southold. Dated: July 10, 2000 / As/~ignature) Gary Flanner 01sen, as .attorney (print name) (siEnature) (print name) 07/07/2000 17:27 5317347702 DEBORAH DOTY ESQ PaGE 02 Itl