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HomeMy WebLinkAboutZ-29148FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPAi~CY No: Z- 29148 Date: 12/26/02 T~IS C~TIFIES that the building DWELLING Location of Property 900 BAYER RD MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 107 Block 0009 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- 29148 dated DECEMBER 26, 2002 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 ACCESSORY WOOD FRAME GARAGE * (HAMLET) Lot 028 The certificate is issued to EMILY R MATHER of the aforesaid building. ( OWNER ) SUFFOLK COUNT~ DEPART~I~NT OF ~R~LT~A~PROVAL ELEC~r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~43 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~)C2%TION: 900 BAYER RD SUBDIVISION: ~ OF O~ER (S): EMILY R MATHER OCCUPANC~f: SINGLE FAMILY ADMITTED BY: RALPH ARMBURST MATTITUCK MAP NO.: LOT (S) EMILY R MATHER ACCOMPANIED BY: SAME K~ A~-A~I~a~BLE: STIFF. CO. TAX ~ NO.: 107.-9 28 SOURCE OF P, EQUEST: A. WICKHAM, ATTY 11/21/02 DATE: 12/26/02 DWELLING: ~PE OF CX)NS~RUCTION: FOUNDATION: CEMENT BLOCK · ~)T/~L ROOMS: 1ST FI~{.: BA~iRO~4 (S): 1.0 WOOD FRAME 6 STORIES: CBIJ~AR: 3/4 2ND FI41.: 0 TOILET ROOM(S): 0 . 0 FIPdEPI~%CH: ONE 1.0 # EXITS: 2 CRAWL SPACE: 1/4 3RD FLR.: 0 UTILIT~f ROO~(S): PATIO TYPE: CEMENT BLOCK (REAR) GARAGE: XX ACCESSORY STRUCTURES: ~E, TYPE OF CONST.: WOOD FRAME, 4 CAR STORAGH, TYPE CONST.: SWI~4ING POOL: ~OEST, T"fPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P,I~4ARI~,S: BP #23014Z-COZ 23932 (ADD) INSPECTD BY: Rminspected 12/20/02 DA~ ON INSPECTION: 11/26/02 TI~ START: 10:15 ~34 ~]D: 10:40 D34 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter 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 ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 November 18, 2'002 Date ...... , .................................. New Construction ........... Old Or Pre-existing Building.~..~.~.~.family' one story fra dwelling & detached frame garage Location of Property ......... 9~0 p~.~p~.~ Matt~tucm~ House No. - Street Hamlet Onwer or Owners of Property. Estate of Emily R. Mather County Tax ~p No 1000, Section............107 ..Block. 9...............Lot..~ .................. S ..... Amended Map of Mattituck Heights ...... umamv~s~on .................................... Filed Map.~P~ ...... Lot~..~.~q~b.~ Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cer~i~te..~ ...... .j . lOO oo ,' / ' Fee Submitted: $ ..... ' ........................ ~'~ ?'. - ~'~/~ C--O ~ ~ ~J ~ ~0~0~ ~ ' ' 'A~i~ ~' APPLICANT Wickham, '~ ......... Estate of Emily R. Mather CONSENT TO INSPECTION 21 · 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 lo~ated at 900 Bayer Road, Mattituck, New York 11952 · which is shown and designated on the Suffolk County tax map as District 1000, Section 107 , Block 9 , Lot 28 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: a Pre-Existing Use Certificate of Occupancy for a single family, one story frame dwelling and 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 In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulation~o~ the Town of Southold. I// .,.?,x" ,.? I / , I/,.' / .' ... Dated: November 18, 2002 /~t~?/(siil~ature) _ . Abil~ail A. Wickham, Agent (print name) PROFESSIONAL ENGINEER 1 ?25 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK l 1971 TEL631-?65-2954 · FAX631-614-3516 · e-mail: joseph~fischetti.com Southold Building Department Main Road Southold, NY 11971 Date: Reference: December 19, 2002 ~100 Bayer Road Dear Sir, I inspected the reconstructed masonry fireplace at the above referenced home and fined that it meets current NYS Building Codes and good c ' Joseph Fischetti, PE 765-1802 BUILDING DEPT. INSPECTION [ [ [ [ REMARKS: ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING ] FIREPLACE & CHIMNEY ROUGH PLBG. ] IN/SULATION [~/~INAL ~/~. ~) DATE ~o~ (~) %