HomeMy WebLinkAboutZ-27095FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PR~ EXISTIN~
CERTIFICATE OF OCCUPANCY
No Z-27095
Date MAY 23, 2000
THIS CERTIFIES that the building. ACCESSORY
Location of Property 3875 WIur~%MAV~uE MAT~ITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 107 Block 9 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for an accessory structure built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-RT095 dated MAY 23, 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 ACCESSORY TWO CAR WOOD FRAM~ ~ARA~ WI~H ATT~t"~q~n WORKSHOP*
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*Pr.~ASR SEE ATTAu~D INSP~CTIONREPORT.
KAT~n~EN MILNE & ORS.
N/A
N/A
ector
Rev. 1/81
LOCATION: 3875 WICKMAM AVE
SUBDIVISION:
NAME OF OWNER (S): KATHLEEN MILNE & ORS.
OCCUPANCy:
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
BUILDING DEPARTMENT
TOW/~ OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
MATTITUCK
MAp NO.: -- LOT (S) --
KATHLEEN MILNE & ORS.
ACCOMPANIED BY:
SUFF. CO. TAX MAp NO.: 107.-9-4
ABIGAIL A. WICKHAM. ATTy 5/17/00 DATE: 05/22/00
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 0.0
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
OTHER:
2ND FLR.: ~
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
TYPE HEATER:
WARM AIR:
STORIES:
CELLJ~R:
BOTWATER:
0,O # EXITS:
CRAWL SPACE:
3RD FLR.: --0
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES~
GARAGE, TYPE OF CONST.: WOOD FRAME * STORAGE, TYPE.CONST.:
SWIPING POOL: GUEST, TYPE CONST.:
OTHER: *2 CAR GARAGE WITH ATTACHED WORKSHOp`
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ~ ART. I SEC,
REMARKS: BP#26414Z-COZ-Z-27082 - NEW DWmLT.TNG
DATE ON INSPECTION: 05/22/00
TIME START: 11:15 ~ END: 11:28 AM
- TOWN OF SOUTHOLD
,'- - ' TOWN HALL
!'~ ~ 765-1802
! L-- , - i APPLICATION FOR CERTIFICATE OF OCCUPANCY
T~-t~i~c~i6~ filled in by typevriter 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 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 buildings and
:'pre-~xisting" land uses:
1. Accurate survey of property showing ill 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, Sw4ww,~ng pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $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 .... ~a~. 16, 2000
Construction ........... Old Or Pre-exist/rig Building. ~t~ff~. garage
3875 Wickham Avenue ~tt~uck
~.ation of Property ......................................................................
House No. Street H~mlet
mmr or Owners of ~ .... ~ Kathleen Milne, ~qn~l Reiter, Barbara Reiter, pon~ld Reiter
and Gwendolyn Sartoris
~nty Tax Map No 1000, Section .... ~q~ ....... Block ...... ~ ......... Lot... 4
",lbdivision .................................... Filed Map ............ Lot ......................
,mn/t No.~Pg~ ......... Date Of Permit. 3/21/00 ..Applicant. Kathleen Milne & ors
· ~lth Dept. Approval .......................... Underwriters Approval .........................
.arming Board Approval ........................
~quest for: Temporary Certificate ........... Final Certicate....X .......
CONSENT
TO
INSPECTION
Kathleen Milne and others
· 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 3875 Wickham Avenue, Mattituck, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 107 , Block 9 , Lot 4
That the undersigned (has) (have) 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 for the detached frame garage
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 bi the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations o/ the Town of Southold.
I I , -/'// (signature)
~ A~fga±l A. Wickham, Agent
Abigail A. Wickham, A~ent
(print name)
(signature)
(print name)
ED-