HomeMy WebLinkAboutZ-25922FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25922
THIS CERTIFIES that the building
DWELLING
Date: 08/27/98
Location of Property 435 WESTVIEW DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 139 Block 0001 Lot 023
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- 25922 dated AUGUST 27, 1998
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 *
The certificate is issued to PAMELA J SELLARS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
i
B lding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: 435 WESTVIEW DR MATTITUCK
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): PAMELA J SELLARS
OCCUPANCY: A-1 RESIDENTIAL PAMELA J SELLARS
ADMITTED BY: PAMELA SELLARS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 139.-1-23
SOURCE OF REQUEST: PAMELA SELLARS. 8/25/98 DATE: 08/27/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: _ 2
FOUNDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE: PART.
TOTAL ROOMS: 1ST FLR.: 2ND FLR.: _a 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE:
DECK TYPE: 2 WOOD 1ST&2ND FLOOR PATIO TYPE:
BREEZEWAY: FIREPLACE: NONE GARAGE: 1_-1/2 WOOD FAME
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
• :OhP SWIMMING POOL WITH DECK AROUND
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION i DESCRIPTION i ART SEC
i
NOTE: BP #13824Z -CO Z-14601 (FOUNDATION)
EP #14249 -Z -CO Z-15639 (GARAGE ADD)
i
BP #14132Z -CO Z-15286 (POOL)
BP #14229Z -CO Z-15640 (ADD & ALT)
BP #17493Z -CO Z-18255 (DECK)
BP #22194Z -CO Z-23825 (ALT 2ND FLOOR&DECK ADD)
i
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 08/26/98
GARY,Q. FISH TIME START: 10:10 AM END: 10,30 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
PLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
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 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 Building - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..... hL)oj I.S ..� �.5................
New Construction........... Old Or Preexisting Building.....x ....... L
Location of Property ..... �3i........ ......5:�:sfu.ew jij: ye..........Ii![r�nfi.cs�...,.......
House No. ••. Street
r Hamlet
Onwer or Owners of Property .... fam'qtg...... .'..S.e%l.°.......................................
County Tax Map No 1000, Section.... !-3V ..... 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 Certicate.> ........
Fee Submitted: o o : ...............
L..... .
TCANT
CO rs�-�
7
ame
do(es) hereby state:
CONSENT
TO
INSPECTION
the undersigned,
That the undersigned (is) (a -pe) the owner(4) of the premises in the Town
of Southold located at 3S ,u es` of ecu L/ u e i lyo-hf;F uct,
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block �_, Lot 3
That the undersigned (has) (ta*6-) filed, or caused to be filed, an applica-
tion in the Southold Townl Building Inspector's Office for the following:
t�Clltf 4� 0C c:
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 regulations of the Town of Southold.
Dateds -�?S. / �YEL,
(sign re
e//?
(print name)
/ODo – /31- /-e13
TOWN OF SOUTHOLD MOPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT
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'FORMER OWNER
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TYPE OF BUILDING
J
SEAS.
VL. _
FARM
COMM.
( INO.
I CB.
I MISC.
Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS �—
-3.,v /Y 6
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3
/B EY
/O! S6LQ X660 J L /60
$ELL 1PS a � /e SE'G RS p 2 G /
3 3 o G
S
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n a
1 'f °
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q/4/95 ISO -142.2-9 Vim.
so a
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7 6 0if
3
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NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
D
Form
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
G J
Tillable 1
BULKHEAD
Tillable 2
DOCK
C►; ' Ci7 1 z ` ` - / 3 0
Tillable 3
j ' SGS s'= s 3$ G
Woodland
Swampland
P a a
-i r1 s o� h tx
Brushlan
House Plot
i;.
-` Fig' �' Z Sx Z� =, $ 12, 3196�S r
Foundation
�. i3
Both
xte-n'Yn.�
K :z
Basement
�A �-�
Floors
xtension
Ext. Walls
Q ,_,.
jnterior Finish
xtension
Fire Place
—
Heat
y
r� Zc� s 3
����
c, Lreezeway
1 c�
/
-
a U
Porch
Porch
Roof Type
Rooms 1st Floor
-�- -
-
Patio
Rooms 2nd Floor
arage
Driveway
Dormer
B.
79 e
11 Ln T; --
MAP OF PROPERTY
SITUATE AT
MATTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
S.C. T.M. 1000-139.00-0100-023.000
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IRREGULAR WIRE FENCEtu
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LAND NiF CASSArA
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ALBERT W, TAY
Land Sufvey0f
P.O. BOX 312. PLAINVIEW, NY 11803
FAX (516) 433-0409
TEL.
(516) 4333725
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:�"> ( r �il��.� AA -
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
er & street
.kmuni.cipa.Lity
MAP Nn. Tnr !el
l
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
ACCOMPANIED BY: ����---
SUFF. CO. TAX MAP NO. 13 %
DATE:
DWELLING:
TYPE OF CONSTRUCTION (N ° ��,,,� # STORIES % #EXITS
FOUNDATION C CELLAR ^f CRAWL SPACE -_--,L
TOTAL ROOMS: IST FLR. 3 2ND FLR. c 3RD FLR. �—
BATHROOM ( s) ?1r -,f TOILET ROOM ( s ) - UTILITY ROOM
PORCH TYPE DECK, TYPE- PATIO, TYPE
BREEZEWAY FIREPLACE 'A/0 AJ,—Z- GARAGE
DOMESTIC HOTWATER TYPE HEATER�,� AIRCONDITIONING
TYPE HEAT_ WARM AIR HOTWAT R
OTHER: /,� ,.�yj art- W lr" �� AZ, -A'
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE,
REMARKS:
INSPECTED BY: DATE ON INSPECTION
TIME START r "'�o i