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Home My WebLink AboutZ-20159FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20159 Date AUGUST 23, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING 455 SUNSET AVE. & Location of Property 420 MARRATOOKA RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-20159 dated AUGUST 22, 1991 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 ATTACHED ONE CAR GARAGE & ACCESSORY FENCED IN DOG PEN. * The certificate is issued to ANNA M. LOCKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 455 SUNSET AVENUE 6 420 MARRATOOKA ROAD MATTITUCK, N.Y. number & street (Municipality) Subdivision Map No. Name of Owner(s) ANNA M. LOCKER Lot(s) Occupancy A-1 RES. OWNER type (owner -tenant) Admitted. by: MARGERY M. WALKER Accompanied by: SAME Key available. Suffolk Co. Tax No. 115-3-13 Source of request ANNA M. LOCKER Date AUG. 12, 1991 DWELLING: Type of construction WOOD FRAME #stories ONE Foundation CEMENT BLOCK Cellar FALL Crawl space Total rooms, lst. Fl 5 2nd. Fl - - 3rd. Fl -- Bathroom(s) 1 FULL Toilet room(s) 1 Porch, type Deck, type Patio, type Breezeway Garage 1 CAR Utility room Type Heat OIL Warm Air Hotwater Kg Fireplace(s) ONS No. Exits 2 Airconditioning Domestic hotwater YES Type heater OFF BOILER Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other DOG PEN (FENCED IN) VIOLATIONS: Housing Code, Chapter 52 Remarks: BUILDING PERMIT #19073/CO Z-19375 ISSUED FOR ADDITION Inspected by:.� Date of Insp. AUGUST 16, 1991 IV(J. ISH Time start 9:30 end 9:55 Form No. fi TOWN OF SOUTHOLD Ir BUILDING DEPARTMENT 3 i�I TOWN HALL AUG 11 765-1802 �]U®� TOE^JFa 0'r 1. _ __4PLICATION FOR CERTIFICATE Or 'OCCUPANCY """" OCCUP:INCY �• This application must be filled in by typewriter OR inic 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 C(mpliance from archi-_ect or engineer responsible for the building. 6• Submit Planning Board Approval of completed site plan requirements. For existing bu'ldi or A ril 9 "pre-existin " 1957) non -conforming uses, or buildings and g 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Additions to accessory building $25.00. pool $25.00, Accessory building $25.00, _(2 Certificate of Occupancy on Pre-exist00ng Bui.ldinsses $50.00. 3. COPY of Certificate of Occu anc - $100.00 4. Updated Certificate of Occupancy _- $5.00 over 5 years - $10.00 $5 5. Temporary Certificate of Occupancy Residential $15.00, Commercial $15.00 Date August 12, 1991 ew Construction....... Old Or p .................................. re -existing Building.. X _ ocation of Property,,, 455. Sunset Ave House No ............ .................... Mattituck: ,.... NY, Street ......•••• Hamlet ewer or Owners of Property..,_. Anna M. Locker ,unty Tax Map No 1000, Section... 115 • .......Block..... .......Lot. ..13, :bdivision........ ............... ......................Filed Mctp............ Lot .... .emit No ................ Date Of Permit ................Applicant..... alth Dept. Approval..... .••••,... •••.�--��•�• •••••••••••••••..Underwriters Approval........ .�nning Board Approval ........................ .. . quest for: Temporary Certificate..... Final Ccrticate..X, Submitted:$, /d e), .C, v - .............. ,2 `5 Ci t .. �,/, :.�p c . . C0 �?UI5q APPLICANT - .. AUG 131991 CONSENT TOTOWN or sot,ra,0�D INSPECTION Anna M. Locker the undersigned, Uwner(s) Names) do(es) hereby state: That the undersigned (is) (xa*r� the owner(t) of the premises in the Town Of Southold located at 455 Sunset Ave., Mattituck, NY 11952 which is shown and desi,c�nated on the Suffolk County tax map as District 1000, Section 115 , Block 3 Lot 13 That the undersigned (has) # filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Pre -Existing Use 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 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: August 12, 1991 ANNAsi) ( print name (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 f1.35(141? BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 5EP'1'RMBk:R 11,'f'tBll Fa�i4e 1.10/90 Date Application No. on file THIS CERTIFIES THAT COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. RC)BERT N. THOMAS, 4SR SUNSET AVF1NIIE, 1,11, #4, MATTIVICK, WY_ in thefollouing location; LI �ry � Basement lxt Fl. El 2nd Fl. .Section Block Let ACIrIJST 23,1.99f1 was examined on ondfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS FLUORESCENT I OTHER MIT. K. W. AMT, 1 K. W. AMT. K . AMT. K. W, AMT. H, P. OUTLETS ECEPTACLES SWITCHES INCANDESCENT. n 1.4 11 Li - FDRYERS 0 IRS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS YLL UNIT TRANS. HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W. On H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT, H. P. pMT. WAITS i SERVICE DISCONNECT NO.OF S E R V 1 C E WT. AMP. TYPE METER EQUIP. 1.e 3W 1%3W 3%3W 30 AW NO. OF CC. COND. PER A. W. G. Of CCGOND. NO. OF HI.LEG . w. G. CA Nb,& NO. OF NEUTRALS _ A. W. G. — OF NEUTRAL OTHER APPARATUS: SERV.CHARGE & WIRING FOR ADD. -1 — G,F.C.T:,.1 TRUMAN H. CUOK I,TC.#?43—F. RR#a 1590 CHAMPLIN PI,Ar'F; GRFENPORT, NY, 11944 OENWL MANAGER 77 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. W W a 0 0 M MAIN ROAD (N.Y.S. Rte.25) now or formerly Nicholas Papadopoulos Q Mary Papadopoulos S.88*3740HE. _ I `PAWII N[DOC I I 1 41 1 �I ul I �I ADDITION G a 40 tl4. ' . 200.001 Area = 26100 s.f. -'iHAIN IINN itNC[ N now or formerly Edward B. Sawicki 8t Beatrice A. Sawicki m m P 3 M I♦ 0. O M (Y 0 0 C4 F- N Q D if wool 041 1 2 UJ ]] XN ANNA LOCKER 0 TOTE. `• w ■'MONUMENT Wo N AT MATTITUCK 31'1 ]I U) N TOWN OF SOUTHOLD ry ISA - 40' SUFFOLK COUNTY, NEW YORK NO. 90-0333 N IIIALUTHORIEIO ALTERATION ON ADDITION TO THISF*qd%.al, Z ov N COPIES OF THIS SURVEY NOT BEARMG THE LANDSURVIVOR'S I-rMOT W (� n V 1 RGUARAMTEES INDICATED HEREON SHALL RUN ONLY TOTHE M- DOCN.88°37011 1 PERSON FOR WHOM THE SURVEY IS PAEPAREOAMD CYNE W. OD NIS BEHALF TO THE TITLE COMPANY, GOVERN- 200.001 Area = 26100 s.f. -'iHAIN IINN itNC[ N now or formerly Edward B. Sawicki 8t Beatrice A. Sawicki m m P 3 M I♦ 0. O M (Y 0 0 C4 F- N Q D if wool 041 1 2 IS DISTANCES SHOWN NEAEOM FROM PROPERTY UNES ,I TO EXISTING STRUCTURES ARE FOR A SPECIFIC R PURPOSE AND ARE MOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y S. LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK SURVEY FOR ANNA LOCKER TOTE. ■'MONUMENT SUFFOLK COUNTY TAX MAP AT MATTITUCK DATE- MAY 10, 1990 GIST 1000 SECT 11581- 03 LOT 13 TOWN OF SOUTHOLD SCALE ISA - 40' SUFFOLK COUNTY, NEW YORK NO. 90-0333 N IIIALUTHORIEIO ALTERATION ON ADDITION TO THISF*qd%.al, SURVEY 6 A VIOLATION OP SECTIOM 7205 OF THE NEW YORK STATE EDUCATION LAW ov N COPIES OF THIS SURVEY NOT BEARMG THE LANDSURVIVOR'S I-rMOT INKED SEAL OR EMBOSSED SEAL SMALL SE CONSIDERED TO N A VALID TRUE COPY RGUARAMTEES INDICATED HEREON SHALL RUN ONLY TOTHE PERSON FOR WHOM THE SURVEY IS PAEPAREOAMD OD NIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCY AMO LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDINGINSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUHEOUENTOWNERS IS DISTANCES SHOWN NEAEOM FROM PROPERTY UNES ,I TO EXISTING STRUCTURES ARE FOR A SPECIFIC R PURPOSE AND ARE MOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y S. LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK Location BUILDI:,;G DEP i RTI•IEIiT T0,•Ii\I OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT number & street) (Piunicipaiity ) Subdivision Map No. Lot(s) Name of Owners) Occupancy /Ir-/ SCM . (type)owner- Admitted by: ccompanied by: Key available Suffolk Co. Tax No. -3- /3 Source of request%• Date �en anti DWELLING Type of construction 100" #st'oriesAr�— Foundation Cellarr,4_Crawl space Total rooms, lst. F1 Jam- 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) / Porch, type Deck, type Patio, type_ r" - Breezeway Garage e ility room �. Type Heat -l{4 - 'rlarm Air Hotwater. ./—. Fireplace(s)&c�� No. Exits ,.,Z Airc d'tio ing Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming Guest, type const. Other VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: , �. Inspected by: Date of Insp. 0 Time start end . ��