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Home My WebLink AboutZ-31865 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- 31865 Date: 09/26/06 THIS CERTIFIES that the building DWELLING Location of Property 850 MARRATOOKA LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0003 Lot 016 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- 31865 dated SEPTEMBER 26, 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 ATTACHED GARAGE* The certificate is issued to OLGA D WYDRO (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. Aut5fiorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 850 MARRATOOKA LA MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : OLGA D WYDRO OCCUPANCY: ONE FAMILY DWELLING OLGA D WYDRO ADMITTED BY: KEN WYDRO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-3-16 SOURCE OF REQUEST: KEN WYDRO 9119106 DATE: 09126106 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S): PORCH TYPE: ROOFED OVER DECK TYPE: PATIO TYPE: CEMENT BREEZEWAY: YES FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC HOTWATER: YES TYPE HEATER: OIL BURNER AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: YES HOTWATER: YES OTHER: 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 LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 09 22 06 GEORGE GILLEN TIME START: END: Illiy ; 9 !I FormNo.6 I� {Li! �; 34�h19^gnu �� TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL , 765-1802 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. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. c I 200� New Construction: Old no�r�Pre-existing Building: ( �p� (check one",Rwu ) Location of Property: �� o 'V �'��WrV_bD� �C _ House No. Street Hamlet Owner or Owners of Property: O LG A (f Suffolk County Tax Map No 1000, Section `l o 0 Block 0 Lot O W o o 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 one) Fee Submitted: $ V�1 Vv� Applicant Signat e i TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT r; f!.-•�_ ��SCfi'1 FORMER OWNER �N1 E. ACR.r, C I' C S ram ' ,A TYPE OF BUILDING SEAS. VL. FARM COMM. CB.. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ff c � > t` b 6 �i... %pace d �Qa ��7 �a/�oh� �6 oJau;e.4 JJ ` .�/ Al 1 � gist O (O G d f0 J e l_ 1,02 46.3 p 127'- bar wc-(t- ZI A - ��4-- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER 8p Woodland FRONTAGE ON ROAD - / D Meadowland DEPTH House Plot I BULKHEAD Total DOCK v. Ae , �rraly 1�4,, ■■■■■■■■■■■■■■■■■■■■■■■■■■■ t�3.. c,` -. NOON■■ ■■■■■■■■■■■■■■■■■■■■■ NOON■■ -=Usu :z ■■■■NONE■■■■■■■■■■■■■■■MEN■■NO■ENEE■ONN■N■■■■NONE ■■■■ ■��____.. _sue■■■■E■■■■ONN■NNE MINES Emmmammilumimmmmm MINE ME ■MINEMINE■■■■■■!«m.imums MI ■NN■■ I■■EE■■■■■■■■■■1E ■■m■i■EN■■EE■E■ MEN INNEENNION11526 Ommin No ■N�� NNN■NN■■�s��■NOOI�ON■■E■NNE : .. NN■EEO■EO■■■NONE■■■I■ I MEND■ ■■NNNNNNNNNNNNl��JN■NNENNEN - ■■■■■■■■■■■■■■■��■■■■ NOON■■ ' ■i ■■NEE■■■■■■■■■■E■EN■■ENEEEE ■■■■■■ONO■■■■■■ENE■EN■■■NEs■E CONSENT TO INSPECTION the undersigned, do(es)gnhereby state: Owner(s)Name(s) That the undersi a (is) (are) the owner(s) of the premises in the Town of Southold, located at 0 . k CA which is shown and designated on the Suffolk County Tax Map as District 1000, Section fc , Block 03-00, Lot 01�'b_o That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town uilding Inspector's Office for-the following: 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 in subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: �, vv (Signature) W-02, (Print Name) (Signature) (Print Name) : . .: m 1 m g r9 a Ql ru C _ -- Reeve r (. a ar•»'ro F po 0 9 O.. � �o a U) �0. 1 lill Id E il�', • a: �. Q � 16 F fort t. 'f f YOUNG a YOUR(; ° �,• r,� elill,c•,ecA ,;t�ruc,illv[ersaD,rl[w rcAx � A�orw W.iauao W r■or,gwMN rK•tln&.■ gOMAAO IN rt F— !'C1Gid OLCA DOILY WYDRO 8 SUSAN KORpLt1CK 11R7 YAt•.a1sT,IPC0 7[GL Np ELA.OD3 �,•,•,,'-r 1•'•r'a•• W ■:N.. r■1.1.1: v/.�.... 11 10.v f,a-.y UI ru AT 1N 'la W.,,. :.�;�.10:' '::/ '• ATTl.7UCK Ct/.AA - 1 a y�r 1=•i t:aei..a.w:�,• Torlr.oy $0 IktllA vC Cd. dlf �. UTHOLD v wH..,rY:1:•�I rll..lir�y . 11•i�1 M .\ ..n.171t..i I.LWFDLK ' ' �1• •4\C H: 1•r.. .... 1CALt• .A PATE, r ••��1�� f 40' . 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