HomeMy WebLinkAboutZ-26987FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26987
Date: 03/15/00
THIS CERTIFIES that the building DWELLING
Location of Property 1335 MARRATOOKA RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 115 Block 0011
Subdivision Filed Map No. __ Lot No. __
MATTITUCK
(HAMLET)
Lot 026
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26987 dated MARCH 15, 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 ONE FAMILY DWELLING WITH OFFICE AS HOME OCCUPATION, ACCESSORY
BOATHOUSE & NON-FUNCTIONAL WINDMILL *
The certificate is issued to GEORGE & JEAN S. RICHARDS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOC~%TION: 1335 MA]~RATOOKA RD MATTITUCK
SUBDIVISION: MAP NO.: __
NAME OF OWNER (S): GEORGE & JEAN S. RICHARDS
LOT (S)
OCCUPANCY: ~-I RES. GEORGE & JEAN S. RICHARDS
ADMITTED BY: DR. RICHARDS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAp NO.: 115.-11-26
SOURCE OF REQUEST: GARY FLANNER OLSEN. ESO.- 2/16/2000 DATE: 03/15/00
TYPE OF CONSTRUCTION:
FOUNDATION: CEMENT BLOCK
TOTAL ROOMS: 1ST FLR.: ~
BATHROOM(S): 4,9
WOOD FRAME
2ND FLR.: _~
TOILET ROOM(S): 1.0
PORCH TYPE: FRONT & REAR COVERED
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: OIL
OTHER: *WITH STOVE INSERT
DECK TYPE:
FIREPLACE: ONE *
YES TYPE HEATER: PROPANE
WARM AIR:
- **OFFICE WING
# STORIES: 2.0 # EXITS: 5
CELLAR: FULL CRAWL SPACE:
3RD FLR.: ~
UTILITY ROOM(S): --
PATIO TYPE:
GARAGE:
AIRCONDITIONING: ~
HOTWATER: STEAM-HW
ACCESSORY S77{UCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWI~4ING POOL: GUEST, TYPE CONST.:
OTHER: BOATHOUSE. PUMPHOUSE (NON FUNCTIONAL)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~M FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION I ART.
REMARKS: BP #4024Z-COZ-3370 (ADD) BP#23050Z-H.CAP RAMP-COZ-24932
INSPECTED BY: DATE ON INSBECTION: 02/29/00 m~k~te~ 3/14/2~00
TIME START: 9:30 AM END: 1Q~00 AM
, 765-1802
FEB I 6 31 1 i
............ j APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. Thia.~ap~tica~lon.must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property line£
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 bulld~
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
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 applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in w-~iting to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~,,,,~ing pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinK Building - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15f00, Commercial $15.00
Date .F~bIq~.l~,.zqqq ...................
x (house, boat house & Old Wind
New Construction ........... Old Or Pre-existing Building ................. Mill)
Location of Property...3OO~.~r~ro0k~.gd,o.M~%~ugk,.~ .................................
House No. Street Hamlet
Onwer or Owmers of Property..Q~rg~.P..gi¢~ord~.~.4~n.8~.Rich~n~.... ..................
County Tax Map No 1000, Section..ll5 ......... Block...ll ........... Lot.~6 ..............
Subdivision .................................... Filed Map ............ Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Cert~cate .......
Fee Submitted: $-- t00;00 .....................
...... ..................
GARY FLANNER OLSEN, ESQ ,~- ~ APPLICANT
P.O. BOX 706
cUTCHOGUE, NY 11935
~./RVEYE O FOR
~EOR~E ~. RICH. nRD~
AT
CONSENT
TO
INSPECTION
George D. Richards and Jean S. Rich&rds
· 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 1335 Maratooka Rd., Mattituck, NY
· which is shown and designated on the Suffolk
County tax map as District 1000, Section Il5 , Block l l . Lot 76 ·
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th,~ Southold Town l~u~lcling lnspeu~,~ '~ c, rt[oo to.- +h,, {n]lnwinf:
one family residence, boat house and old wind rail1
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southoldto 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, ncludmg~nspect~ons
to determine that said premises comply with allofthe la~vs, ordinances, rules
and regulations of the Town of Southold.
Thc undersigned· in consenting to such inspections· do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections maybe used as evidence in subsequent prosecutions for vio-
lations of thc laws, ordinances, rules or regulations of the Town 6f Southold.
Dated:
' /(signature)
George D. Richards
(print name)
~ (signature)
Jean S. Richards
(print name)