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Home My WebLink AboutZ-31833 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- 31833 Date: 09/22/06 THIS CERTIFIES that the building DWELLING Location of Property 1305 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 0011 Lot 026 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- 31833 dated SEPTEMBER 22, 2006 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 2 CAR GARAGE* The certificate is issued to DOROTHY WINIARZ (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. -A uthorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1305 NEW SUFFOLK AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : DOROTHY WINIARZ OCCUPANCY: SINGLE FAMILY DWELLING DOROTHY WINIARZ ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF_ CO. TAX MAP NO.: 114.-11-26 SOURCE OF REQUEST: GARY F. OLSEN, ATTY 9/1/06 DATE: 09 22 06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 1 3RD FLR.: 1 BATHROOM(S): 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S): ONE PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: ONE BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: OIL HOT WATER HEAT-RADIATORS, SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 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 ART. SEC. REMARKS: BP#4604-COZ-5700 (ADD) INSPECTED BY: DATE ON INSPECTION: .09 13/06 GEORGE GI Q TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 # TC APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the-Building Department with the following: A. 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 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Ternporary,Certi-frcate of Occupancy-Residential $15.00, Commercial $15.00 Date.August 24, 2006 New Constriction: Old or Pre-existing Building: (check one) Location of Property: 1305 New Suffolk Ave., Mattituck House No. Street Hamlet Owner or Owners of Property: Dorothy Winiarz Suffolk County Tax Map No 1000, Section 114.00 Block 11.00 Lot 026.000 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check ne) Fee Submitted: $ 100.00 OLSEN & OLSEN LLP ` 32495 MAIN ROAD- PO BOX 706 Applicant Signature CUTCNOGUE,NY 11936 QiU-c `7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT A iari� Z 51" 1 b V. 19-e 1- ,b ' CAI FORMER O ER E,.. AIR. , S W TYPE.OF BUILDING � q A ES �d SEAS. VL. ARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Q d : ,Io_6 4 44 fn 9 " Cc S i ec�_��!r/�1 a - � t Cam • AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per .Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD � � Meadowl,a_nd DEPTH d256 House Plot BULKHEAD Total .� �,, DOCK 'iij ♦ �'• All,IRI MEN ■■■■■■■■IffIMENMA■IS■■■■■■■■■■■■■■ MENNOMENSa ■■■■■■■■■■■■■■ alm ��■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Foundation t Dinette t. WGIIS Interior Finish Fire Place ilRooms Ist Floor Recreation Roo . .. 1 i 08/22/2006 15:10 FISHER EGAN 8 GOLDEN LLP 97347712 NO.346 D03 R'.G`q-4L—c:Y T, IspxsEN, jR. LrS FAX tC. : 631 734 SSW Aug. 1S 2m 1o:50km P3 ..c bwa M 9�'79'4U"f' 69,42' gn $ 1 a a�arwr S I.�i VI A r Q _ T S 8 ? p .92 , NEW r VENUE SuRMLY � DESCRIF3Ea PROP RTY .VnmyE MoATTITU+CK, TOWN OF SOUTHOLD. SUFFOLK COUNTY, N.Y, SiJ 1J FOR' 40SEPH (;=E)2 SWRWYF.D: 1 a AMUSt 20M ouAntAnTFE¢Mo.. CATHE 'NdE COLDER eArewfir OoLty SAFE MARMN THE ANUFdCY, LTA. AREA d T6jA5 S.F. NASSAU WUCA7MRS 9L►3ERAL C9011 UNON ON OL479 ACRES aP.sasai/ arNa�ww `"swam" aws�ac a 11W# Iq+70-17a-r r_Q26 SURVLfEU AY ecav+ :�OKMWoiYlta.la�s STANLr`Y J. JSAKSEN, .JR- «.arw +ewe�w�aw�o P.O. Box 21 4 r•a�ravdp'oos�r�rraJ NEW Sit" N.Y. 11956 �m+r••• 8'J 1^-734- �S ��R•�� 4e�ewrai aaork,.o�o.r,p.,aw,�e L CE !,}WO 5ilR1+EYOR N Lic. No. 49273 '001523 CONSENT TO INSPECTION f ! T Gary Flanner Olsen as Attorney for Dorothy Winiarz 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 1305 New Suffolk Ave., Mattituck -,%,hich is shown and designated on the Suffolk. County tax map as District 1000, Section 114.00 Block 11.00 Lot 026.000 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion iri'the Southold Town Building lnspet;LuA. o.rfloj ror +ha fnllntiving: ood frame residence with covered porch and detached 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, includinginspections 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 he used as evidence in subsequen pros cutions for vio- lations of the laws, ordinances, rules or regulations o th Town of Southold. Dated: Aumst 24, 2006 (signature) " Gary Flanner Olsen:: (print name) (signature) (print name) r LOCATION: 13 OS 44jv& a,� (number&street) (municipality) SUBDIVISION: r MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: ILVw (type) (owner-tenant) ADMITTED BY: ACCOMPANIED:BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- /f SOURCE OF REQUEST: 6 � DATE: 0 ,6 DWELLING: TYPE OF CONSTRUCTION: FP4-n1 E # STORIES: 02 #EXITS: 7rT — FOUNDATION: �+s.. CELLAR: ��mZe. CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: p— PATIO,TYPE: BREEZEWAY: FIREPLACE: d-41E GARAGE: — DOMESTIC HOTWATER: TYPE HEATER: AW _AIRCONDITIONING- TYPE HEAT: 6 2- WARM AIR: — HOTWATER: OTHER: �` y ACCESSORY STIWCTURES: A CIA GARAGE, TYPE OF CONST.: �� "R4/'lE-STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTIOj!q-` ART. SEC. REMARKS: c—,, ® , t INSPECTED BY: DATE OF INSPECTION: TIME START: END: