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
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REMARKS:
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
] FIREPLACE & CHIMNEY
ROUGH PLBG.
] IN/SULATION
[~/~INAL ~/~. ~)
DATE
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