HomeMy WebLinkAboutZ-16769FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No... Z-16769 Date ...April 5, 198 . 8
..................
THIS CERTIFIES that the building s - PA(e . Family. Dwelling .......................
Street Location of Property ...230 Bayer Road Mattituck, New York
.................... S.....................
House No. StreHamlet
County Tax Map No. 1000 Section ..1.3 9 .......Block .. 3............Lot . 2 3 ............ .
Subdivision ...............................Filed Map No. ........Lot No. .............
Requirements for a private one -family dwelling built prior to
conforms substantially to theI�:t�diIXffiiiI1�Iil�fF�:1i�XXX�C���
April 23, 1957 Certificate of Occupancy No.
..................... pursuant to which A. 1................. .
dated April 5, 1988 . 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 .... HENRY L . & BETTY M. TYLER
of the aforesaid building.
Suffolk County Department of Health Approval ............ N / A
..............................
UNDERWRITERS CERTIFICATE NO .................... N/A
PLUMBERS CERTIFICATION DATED:
Rev. 1/81
N/A
Building Inspector
BUILDING DEPART, -LE" T
T0:'1N OF SOUTHOLD, N. Y.
' HOUSING CODE INSPECTION REPORT
Location 230 Bayer Road Mattituck, New York
(numoer & street) (eiunicipality)
Subdivision Plap No. Lot(s)
Name of Owner(s) HENRY L. TYLER & BETTY M. TYLER
Occupancy R-1
type owner -tenant
Admitted by: Mrs. Tyler Accompanied by: Same
Key available ' Suffolk Co. Tax No. 139-3-23
Source of request Richard F. Lark Date Dec. 7, 1987
DWELLING:
Type of construction Wood framed ill stories lz
Foundation cement block Cellar Crawl space
Total rooms, 1st. Fl 4 2nd. F1 2 3rd. F1
Bathroom(s) 1 Toilet rooms)
Porch, type Deck, type Wood Patio, type_
Breezeway Garage Utility room
Type Heat Gas Warm Air Hotwater xx
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Yes Type heater gas
Other
ACCESSCRY STRUCTURES:
Garage, type const. Storage, type const. Metal
Swimming pool W- Fence Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
I "..4 1.74.. r - A -
Lncat-ion-I
Description
IArt.1
Sec.
No Violations where found.
I
1
This pre -co includes BP #8148Z for pool
& fence - CO Z-16768, also BP 16 :Z ._o_
a dec attached to dwelling CO 216767,
Me 2 uti ity building GO Z 16/66
Remarks:
Inspected by: U
Curtis Horton
Date of Insp. Dec. 15, 1987
Time start10:30 end 11:00
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF
Instructions
A. This application must be filled in typewriter OR ink, and submitted to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy New Dwelling, $25.00, Accessory ,$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date 9ctgber,,29,, 1987_,,,
NewConstruction...... Old orPre-existing Building ... X....... Vacant Land .............
Location of Property .. ? 3Q ............. BaXer Road Mattituck . _ .
. .. .. ..... .. . . . .
House No. Street Hamlet
Owner or Owners of Property . ,Henry L. Tiler and Betty Pl. Tyler
County Tax Map No. 1000 Section ..139,.,OQ. , , , .. Block .. : 00....... Lot ...02 •.400.... .
Subdivision .Amended flap of D4attituck Heights:iced Map No. 1184, , , ..Lot No. 64, &, P/O 63
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........... I ............
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate ....... X ...............
Fee Submitted $ . 5 01 0-0 ....................
Construction on above described building and permit eets all applicable codes and regulations.
Applicant .... BeQ �fes./ ........... ..... .
y M � Tyler
Rev. 10-10-78
Ou co .2 16 7� 9
STATE OF NEW YORK:
ss.
COUNTY OF SUFFOLK:
BETTY M. TYLER, being duly sworn, deposes and says:
That I am the owner of premises at 230 Bayer Road, Mattituck,
New York (Suffolk County Tax Map No. District 1000, Section 139.00,
i
Block 03.00, Lot 023.000). That I acquired title to this parcel
along with my husband, Henry L. Tyler, by deed dated April 19,
1
11957 and recorded in the Suffolk County Clerk's Office on April
'24, 1957 in Liber 4290 Page 594. That my husband, Henry L. Tyler
!died on September 1, 1987 at Riverhead, Suffolk County, New York.
Located on the property is a one and one-half story frame
Ihouse in good condition which was constructed prior to 1957. Also
,on the premises is a metal shed which was placed there prior to
1976, a wooden deck which was constructed by my late husband in
'1975, and an in -ground pool for which a building permit was issued
on August 15, 1975 (No. 81482), a copy of which is attached hereto
along with a copy of the Board of Fire Underwriters Certificate.
This application is made for the purpose of obtaining a
pre-existing Certificate of Occupancy from the Building Department
of the Town of Southold for the dwelling on the premises and a
Certificate of Occupancy for the metal shed, deck and in -ground
pool.
�
B ty M. Tyl
Sworn to before me this
a �d day of December, 1987
�� f[ „� B$RBARA Di of N
"►►""�� NOTARY PUBLStave
of NIC, Sew York
Notary Public No. 4635190, Suffolk County
Commission Expires October 30, 1988
CONSENT
TO
INSPECTION
BETTY M. TYLER , the undersigned,
Owner • Name(•)
does hereby states
That the undersigned . is , the owner.. ; of the premises in the Town
of Southold located at 230. Bayer Road, Mattituck, New York
which is shown and designated on the Suffolk
County tax map an District 1000, Section 139.00 , Block 03.00 , Lot 023.000,
That the undersigned' has filed, or causgd to be tiled, an applica-
tion in the Southold Torun Building Inspector's Office for the following:
Certificate of Pre -Existing Use, Certificate of Occupancy
for deck, metal shed and pool.
That the undersigned does_ 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, $n consenting to such inspections, does so with the
knowledge and understanding that any information ob$ained 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.
Dated: December ,7 ; 1987- L_22L
(si ature)
Betty M. Tyler
(prifst.,name)
signature
(print name)
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Location
BUILDING DEPART141ENT
TMI-N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Subdivision clap No. Lots)
Name of Owner(s)
Occupancy /I --
(tYPe) owner -tenant
Admitted by: e24 Accompanied by: .�2il�yiy�
Key available Suffolk Co. Tax No.�
Source of requestLg� Date
D19ELLING :
Type of construction
tories
Foundation CAlar Crawl space
Total rooms, 1st. Fl 2nd. Fl 3rd. Fl
Bathrooms) �. Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat Warm Air Hotwater
Fireplace(No.-Exits Airconditioning
Domestic hotwater Type heater zjV
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45 N.Y. State_Uniform_Fire Prevention
Inspected by: Date of -Ins
p
Time start v _.. 4 ental /K 1670