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Home My WebLink AboutZ-27193 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- 27193 Date: 07/18/00 THIS CERTIFIES that the building DWELLING Location of Property 455 BAYER RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 139 Block 0003 Lot 012 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- 27193 dated JULY 18, 2000 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 AUGUSTA LANTIERI (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. � c Auth ized S gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 455 BAYER RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : AUGUSTA LANTIE.R2 OCCUPANCY: RESIDENTIAL _ AUGUSTA TANTIRRI ADMITTED BY: THOMAS J. UHLINGER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 139 -3-12 SOURCE OF REQUEST: GARY OLSEN ATTY 7/10/00 DATE: 07/18/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME. # STORIES: 2.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD FLR.: 0 BATHROOM(S) : 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) - PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: XX HOTWATER: 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 DESCRIPTION i ART SEC i I i i i i i REMARKS: INSPECTED BY: ` TE ON INSPECTION: 07/17/00 GARY J. FISH TIME START: 9:50 AM END: 10:10 AM BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lineE 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 buildi 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 a "pre-existing" land .uses: I. 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 applicar. 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, V 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•- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . July. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .X. . . . . . . . . . . . . . Location of Property. . ,455.Bayer Road: Mattituck . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . House No. Street Hamlet Onwer or Owners of Property.. Augusta Lantieri County Tax Map No 1000, Section.LM,QQ . . . . . . .Block. 43,Q0. . . . . . . . . .Lot. .W1 -.QQO. . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . . . . . :. . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Under4tie l. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final . . . . . . Fee Submitted: $. •100:00 • . . . . . . . . . . . . . . . . . . . . GARY FLANNER OLSEN ANT. . . Main Rd, PO Box 706 . sgfg- Cutchogue, NY 11935 cJ Z czr1 s T 3 CONSENT TO INSPECTION Gary Flanner Olsen as attorney for, Augusta Lantieri the undersigned, Owner(s) Namc(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 455 Bayer Road, Mattituck, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 139.00 , Block 03.00 , Lot 012.000 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town L'uilcting 1nspeULv.L CITfic o rar. #60 fnllrnvinLj: Two story frame house 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 maybe used as evidence in subsequen pro ecutions for vio- lations of the laws, ordinances, rules or regulations f Town of Southold. Dated: July 10, 2000 signature) Gary Flanner Olsen, as _attorney (print name) (signature) (print name) SURVEY OF LOT 35 CD AMENDED MAP OFCD MATTITUOK +SIC HT5 �> MOPE I,.T OF 6U5TAV BAYSR' CCD D CD Filed Jily 24, 1435 a5 Map No. 'I1 4 :S vn)ATE: mAT riTucK TOMc SOLMHOLn ' to 5UFFOLK WuWy eY 0 ssb 5URVEYED 6-;28-WOO / T ^ %FFOI-K COUNTY TM N Q V�j/�� La w 3t, T a �J t9 to "so ffjj��VV" GERFIFIEV TO: 3� _ �C t,*4R15XLA G'EOZGAKOPCVLC,-,d WRMA MINGUELA ( _ 60N?40WEALTH LAND TITLE IWARANGE GOMPARY ae'n,'• �0 , 0 r0 0ry S (CD tJ �' yP 4Z e r C 10 �2 �" w �� m cn 00 0 Y: NOTES: �G ❑� /. t"av �.�"is.' • MONUMENT �� :7 "°�°�ya'�.a:►"b '� f+��1 AREA _ lam' 1 5F OR O.I?AGCZcS 5`• �/r JOqN C. EW-ERS LAND SURV YOk to 6 EASE'1+9A1N STREET NA3.MC.NO.56202 6RAPH3G 5GAlLE l ZQ' RIVERHEAD,NY. Ih901 369-8288 Fax 36 A-8287 ARF.—%%Ap smTMdkPR0Sl20•-7IJ2 pro ( r • TOWN OF SOUTHOLD PROPERTY RECORD CARD JER STREET VILLAGE DIST. SUB. LOT ER OWNER N �y E ACR. / n S W TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MISC. Mkt. Value AND IMP. 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IN 5 � '� S IM MATMII" Toms SOIJiNOID S y,. SIFFO x caw.w o Diu o,ho a° M T .� ' ►�� v �aodrxsb 4P'ti �D rqy o W ` aemnm►o �D � wco�e�.n+uwrn►s.ue�ir�canwx► � ', ?�,,•_, Z d ARZLl i Z p , � Q ^ . -Ito a �A _y`, j }m;*' ao ! cn *Mrs. FRI AM 16 !ON an AOft � \,� JOHN C.EHM LAND SURVEYOR! . q,4 WAGM Sf.A t �arrnueransis �.rs uc no:ma 0 _ _ �esvnurr osr,rs�Aowo-rar+o im 0�4 rq� . im r 7 J 7\ BUILDING DEPAR111ENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number & street municipality SUBDIVISION MAP NO, LOT (s) NAME OF OWNER (s) OCCUPANCY type - owner-tenant o ADMITTED BY: j IS UJ-7LI A)C-5 ACCOMPANIED BY: �5 � KEY AVAILABLE SUFF. CO. TAX HAP NO. SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION CELLAR �T— ,(,� CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3 3RD FLR. �r BATHROOM (s)_ TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE --t PATIO, TYPE �r BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER`.'` ,,,f.-S' TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ---------------------------------------------------------- ------------------------------ ---- -- ---------- --------------- VIOLATIONS: . C1APTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION �// TIME START ,f�jEND r/(J