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Home My WebLink AboutZ-39546 Town of Southold 3/6/2018 53095 Main Rd Southold, New York 11971 poi # Baa' PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39546 Date: 3/6/2018 THIS CERTIFIES that the structure(s) located at: 2485 Bay Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 144.4-6 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- 39546 dated 3/6/2018 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, accessory wood frame seasonal guest cottage and accessory wood frame sheds.* Note: BP 8656 addition with toilet room COZ-7385 The certificate is issued to Stanley, Dale (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A ho ' d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2485 Bay Ave,Mattituck SUFF.CO.TAX MAP NO.: 144.-4-6 SUBDIVISION: NAME OF OWNER(S): Stanley,Dale OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Stanley,Dale DATE: 3/6/2018 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: electric WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 2 wood frame sheds SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/6/2018 TIME START: 9:52am END: 10:15am BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2485 Bay Ave,Mattituck SUFF.CO.TAX MAP NO.: 144.4-6 SUBDIVISION: NAME OF OWNER(S): Stanley,Dale OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Stanley,Dale DATE: 3/6/2018 EKJXG: (Cottage) #STORIES: 1 #EXITS: 1 FOUNDATION: concrete block piers CELLAR: CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: no TYPE HEATER: AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 0 #KITCHENS: 0 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/6/2018 TIME START: 9:52am END: 10:15am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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: 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 I% 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. 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 is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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. a �a 'a�0 8 New Construction: Old or Pre-existing Building: (check'one) Location of Property: �-y 4 r\ House No. /� Street Hamlet Owner or Owners of Property: P All° A S54o o Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ��17 C Applicant Signature CONSENT TO INSPECTION the undersigned, do(es) hereby state: Owner(s) ame(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at a S i/ A u-C which is shown and designated on the uffol County Tax Map as District 1000, Section ) q q , Block Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the ' Southold Town Building Inspector's Office for the following: C Pr's 0 66 L4 Pa h OV 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. el Dated: �2� � l L �2 vo� (Si nature) Q e AS4dn/c [r (Print Name) (Signature) (Print Name) I"AR MEMEMENEENEE ONE No wMEMMMM mosommmmonsrm 'Ad A monism Fou ndalion Basement Interior Finish Fire Place .......................... ............. ............. -�aB reezeway Ti a Garage 0. B. 2,Lj V P/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 110 INSPECTOR �r4F SOUI N 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ol '✓ .V" , r pJ1Mn ✓ DATEJ49 INSPECTOR V" • ._ -.=. i- s -- .. - ..- .._ r .ter - _ .s_ .. �Aj� V SOUIyo �V.'� # N is /►� 1 . TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ..k [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: KS:+ bok,-, AJ?Aolel�l DATE INSPECTOR i 100,E LOCATION: t W &..- num er street) (municipality) SUBDIVISION: i AP,N,O.: LOT(S): .. NAME OF OWNER(S),: Vq W. I I' 6fv\l w OCCUPANCY: N Pi " (type). (owner-tenant)- ADMITTED owner-tenant)ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAR MAP*N0, 1000- SOURCE OF REQUEST. DATE: ti )4I DWELLING TYPE OF CONSTRUCTION: A ! tlV # STO-RTES: # EXITS: T� FOUNDATION: ASlti'IENT: �CRAWL SPACE: r HOF BEDROOMS: 1ST FLR. +��_ 2ND FLR: 3RD FLR: ;nary\ - BATHRO'OM(Sj: TOILET Aioom(S): UTILITY ROO'IVI: 'PORCH.TYPE: DECK, TYPE '� P TIO;TYPE: BREEZEWAY: FIREPLACE:\ � ARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT:`.. WARM AIR: HOTWATER: # OF KITCHENS: 'flv..,1_-_ FINISHED BASEMENT:- YES_ 0 OTHER: ACCESSORY STRUCTURES X 11• (✓ ,�X v GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:M/ . SWIMMING POOL: GUEST,'TYPE CONST: _� 0 OTHER: U , VIOLATIONS:. CHAPTER 144 &N.Y. STATE.UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D CRIPTION ART. SEC. W r REMARKS: INSPECTED BY: J K AY& DATE OF INSPECTION: ws TIME-START: • ��' END: ' 1 LOCATION: .(number street) (municipality) SUBDIVISION: A. MAP N-O.: LOT(S): .. NAME OF OWNER(S): OCCUPANCY: (type) (owner'- tenant)-ADMITTED BY: _ ACCOMPANIED BY: a'?' KEY AVAILABLE: SUFF. CO. TAX MAP•N . 1000- SOURCE OF REQUEST: �� _ , . . DATE: DWELLING TYPE OF CONSTRUCTION: � # STORIES: �_# EXITS: 1i 1 FOUNDATION: tASVMENT: �CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHRO-OM(S): TOILET ROOM(S): UTILITY ROOM: . PORCH-TYPE: DECK, TYPE: .. . PATIO;TYPE: BREEZEWAY: FIREPLACE: QARAGE: DOMESTIC HOTWATER.: TYPE HEATER: . . , AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS:_ FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS:. CHAPTER 144 &N.Y. STATE.UNIFORM F;RE PREVENTION & BUILDING CODE ,, LOCATION DESCRIPTION- ART. SEC. Oct flov r� REMARKS: INSPECTED BY:, IA✓ DATE OF INSPECTION: TIME START: ( A _ END: O'• SURVEY OF PROPERTY a t MA TTIT UCK TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y, 1000-144-04-06 SCALE: 1-7-40' APRIL 26 2016 OIF �5 cj?l -� ' ` �—� --� Q N I GVB�E��S 04 c22 16° REN COO 2' �" S>>y23 ` \0 P I.kyAG nE ca+sv pc,0 :�jNG.�p g' �2•k � � � SNE �Qve PRr Ao. MPRH '? •TOPffO�x `�\ M G at ` co''c �e�tJ �N c`-o AS Ar- 5 ,OX NE_ ` oc 0�' 2 » f .011C�0r0lto'ZS e cow ZpNF , ,6 <0��L-•n 0� N GK XECK 0 3� ►`.FOOD ZONE UNE \ < �� 9 ,3. �� OE ° �� s .05 N. \ \ o� 1/0/ `GN•�ON y � �Li� � ME N F9 <<� ��y2-v -vim ;Fy�� cr�avEL P�N� E0A O y/��`j' �'-d 2 3 Ston OUSE ° �z 3 ARE ' o �y\ \ \ �� \ L OBER 2'• 'NEON 169 6 St 9y+ \ R V � FlN.f�AA 5 >P° O vB�O wp Ovo O, C. Ly GN ,oG�G / /_/ \ NIO G�PUG��\N \ -o, ` s M OMC,1.P� \ o kp o s� so F �+'N oss �RE00°�N r o � �� '� <� 6 P •A•5 `" O� `MPS \ SOT OPRp( GR PEP R L SE A So . NO•s 9��s� 'yFti� / LOT o"y O F �9 2G) 1,01 1$ pL ACE . LLE 'D C�.E gOA g� Age LES 8 LOT NUMBERS REFER TO MAP OF LIDA BARTLEY" SUFFOLK COUNTY FILE NO. 770. TEST HOLE DATA FLOOD ZONE FROM FIRM McDONALD GEOSCIENCE o2/2s/1s #36103C0481H EP T. 29, 2009 BROWN SILTY SAND SM -- 0.3' C}f NEt•,"/ ,c.. ELEVATIONS ARE REFERENCED TO NA VD 88 c1 .�,L�' = WETLANDS FLAG PALE BROWN FINE SAND SP ✓ 4 ® = MONUMENT 1 ; ----- 12.1' S. LIC. N0. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON WATER IN PALE BROWN FINE SAND SP PE`GpNIC.`SUR�YORS, P.C. OF SEC77ON 7209OF THE NEW YORK STATE EDUCATION LAW. AREA = 34,273 80. FT. (631) x -� ozo"FAX (631) 765-1797 EXCEPT AS PER SECT70N 7209—SUBDIVISION 2. ALL CER77FICA77ONS OR = 0.787 ACRES P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 17' to 11E LINE 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. NOTE: WATER ENCOUNTERED 121' BELOW SURFACE SOUTHOLD, MY 11971 16-012