HomeMy WebLinkAboutZ-26832 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26832 Date: 12/13/99
THIS CERTIFIES that the building DWELLING
Location of Property 5896 SOUND AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 0004 Lot .027.001
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- 26832 dated DECEMBER 13, 1999
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
The certificate is issued to GENEVIEVE A WOESSNER
(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.
Vf
Bu' ding inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD '
HOUSING CODE INSPECTION REPORT
LOCATION: 5896 SOUND AVE MATTITUCK
SUBDIVISION: MAP NO.: LOT (S) "
NAME OF OWNER (S) : GENEVIEVE A WOESSNER
OCCUPANCY: SINGLE FAMILY GENEVIEVE A WOESSNER
ADMITTED BY: GENTEVIEVF WOESSNER ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 121 -4-27 1
SOURCE OF REQUEST: DAMARA C. BONER 11/30/99 DATE: 12/13/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3
FOUNDATION: CEMENT CELLAR: 3/4 CRAWL SPACE: 1/4
TOTAL ROOMS: 1ST FLR. : 6 2ND FLR. : 0 3RD FLR.: 0
BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: . YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX'
OTHER: REAR ENTRY WAY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 1-1/2 CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST. :
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION i ART 1 SEC
ACCESSORY BLDG i EXTERIOR DOORS, WINDOWS & SIMILAR OPENINGS i NYCRR i VOL 9B
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:
EXTERIOR i SHALL BE MAINTAINED WEATHERTIGHT i PART i 1242.5B
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WINDOWS.
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:
REMARKS: RP #719OZ-COZ-26833 (ADD TO ACCESSORY) REINSPECTED 12 10 99
INSPECTED BY: DATE ON INSPECTION: 12/07/99
GARY J. FISH TIME START: 9:20 AM END: 9:45 AM
JUL-08 '92 11 UhJhi GF SOUTHGLU - F'.
Form No. 6
TOWN OF SOLITHOLll --
BUILDING DEPARTMENT
i TOWN HALL `1,,I C�n ``'._
765-1802 f
E Nov 2 910
APPLICATION FOR CERTIFICATE OF OCCUPtlitiCY
ptnG.��
'!'his application rt:ust be filled its by typewriter On ink alld submit
inspector with the follo*.,�i.ng: for new building or new use:
1. Final survey of property with accurate location of all buildings, proper:-y lines,
streets, and unusual natural or topographic features.
2. Final- Approval frorr Health Dep.:. of water supply and sewerage-disposal(S--9 form) .
3. Approval of elecc.rical inscallation from Board of Fire Underwriters.
4, Sworn statement from plumber certifying; that the solder used in system contains
leas Chan 2/10 of 1% lead.
5. Commercial building, industrial building, Multi-ple residerdces 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.
Por existing; buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre--existi.rg" 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 Ce'rt .ficate of Occupancy is denied, the Building- Inspector shall state the
reasons therefor in writing to the applicant.
Fees
1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alteratiors co dwelling $25.00, Swimming pool. $25.00, Accesr�ory building $25.00,
Additions to accessory bu:iiding $25.00. BLLsines;;e; $50.00.
2. Certificate of Occupancy on ?xe-existing Building - $100.00
3- Copy of Certificate of Occupancy - $5.00 over .5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5: Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
`lJ.`.3%G . . . . . . . . . . . . , . . . , . . . . . . .
Date . . . . .
ew Cor_-d-ructiorn. . . . . . . . . . . Old Or Pre-exi-sting Building. . ./ . . . . . . . . ,
ocaLion of Property. . . .�. . . . . . . So� l-n.xa ,�/:�.. - .M/ r.�/�. - .
House No. Street Hamlee
nwer or Owners of Property. S!v � 19
ocinty Tax Map No 1000, Section. Block. . J�-V-.0Q. . . . . .Lot. . . . . . . . . .
ubdi.vision. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .Filed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
ermit No. . . . ... . . . . . . . . .Date Of Pormit. . . . . . . . . . . . . . . .Applicant. . . .
�.�. 71�. . . . . . . . . . . . . .
aalth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Un6erwriters Approval. . ... . . . . . . . . . . . . . . . . . . . . .
lanninb Board Approval. . . . .. . . . . . . . . . . . . . . . . . .
:quest for: Temporary Certificate. . . . . . . . . . . Vinal Certicate. . . K . . . . .
00
ve Submitted: $.<. xZ4). . . . . . . . . . . . . . . . . . .
6Z:�c,� S 7aa p . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
one 0 APPLCANT
JUL 92 11:50 TOWN OF SOUTHOLD
1 or
C:UNSr-'NT
` TO
INr PCC,rEON
Uwn0r(5) Namc!t;;)
do(es) hereby state:: F
That the undersigned (is)/ tlzc Qwncr(s) of the prcir.isc:: ir. the Tom
of Southold located at SOCc ,ilp BTU /1� 7 .
xt•hich i- --hov.n and dcsirTnntod on 'the Su-iio1I:
County ax, map as District 1000. Section Block T�(}� Lot 0:; 7,&W)
That the undersigned (tags) (have) filet!, or caused to be filed, an applica-
tion in the Scuthcld Totcrn Puilding Insncctor's Office for the followir. : `
f-2-r7 �ci rig
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 nay
dee-n necessary with respect to the afor esai.d applicntion, includi.-:g iaspec ions
to deter mine that said prernzses comply with all of the lass; ordinances. rules
ar.d requla'tions of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so u1th the
knc,-Icdgc and tin dc.°rstanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lationF, of the laws, ordinances, rules or regulations of the To%vn of Southoi4�-
0
Dated: 11h,dlgt
1Z (signature) `
C6t-r�- r
(priilt nlrr10)
,o e
(pz•irit c�alne) .�.
v
SURVEY OF PROPERTY
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
F °v • �° N 7 T
00 4ACTU AL FouNo S U F F O L K COUNTY, NEW YORK
v ��•2 C
S.C. TAX No. 1000- 121 -04-27. 1
�O 4EOF PPoM4rc SCALE 1 —20
• E� NOVEMBER 12, 1999
•gg' th
a G s • • POLE / �' -
�/ , .��'' • p AREA = 22,363.34 sq. ft.
0.513 ac.
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N ,5p935
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CER TIFIED TO:
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
w AQUEBOGUE ABSTRACT CORP.
5�o�u5E NORTH FORK BANK
w oRp,MENo 58a� RANDALL OLSEN
N LAURAL A. OLSEN
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cONG' CO10
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GONG N 2�9
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co GAGE 2,$
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND \m-
TITLE ASSOCIATION.
(JA �01� ACE F
/t�Ct�t' A.I�
�l
N.Y.S. Lic. No. 49668
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW
Jose h A. I V a V■
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
Lan S r v e y o Y EMBOSSED SEAL SHALL NOT BE CONSIDERED
i TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABI F.
PHONE (516)727-2090 Fax (516)722-5093
THE EXISTENCE OF RIGHTS OF WAY
OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF
One Union Square P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED.
Aquebogue, New York 11931 Riverhead, New York 11901
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99-713