HomeMy WebLinkAboutZ-20159 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-20159 Date AUGUST 23, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING `
455 SUNSET AVE. &
Location of Property, 420 MARRATOOKA RD. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 3 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-20159 dated AUGUST 22, 1991
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 ONE CAR GARAGE &
ACCESSORY FENCED IN DOG PEN.
The certificate is issued to ANNA M'. LOCKER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE' NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
uilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 455 SUNSET AVENUE & 420 MARRATOOKA ROAD MATTITUCK, N.Y.
number & street (Municipality)
Subdivision Map No. Lot(s) .
Name of Owner(s) ANNA M. LOCKER
Occupancy A-1 RES. OWNER
. type owner- enan
Admitted' by: MARGERY M. WALKER Accompanied by: SAME
Key available Suffolk Co. Tax No. 115-3-13
Source of request ANNA M. LOCKER Date AUG. .12, 1991
DWELLING:
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space
total rooms, 1st. Fl 5 2nd. Fl - - 3rd. Fl - -
Bathroom(s) ] FULL Toilet room(s) 1
Porch, type Deck, type Patio, type
Breezeway Garage ' 1 CAR Utility room
Type Heat OIL ' Warm Air Hotwater Kg
Fireplaces) ONE No. Exits 2 Airconditioning
Domestic hotwater YES Type heater OFF BOILER
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other DOG PEN (FENCED IN)
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
t
Remarks: BUILDING PERMIT #19073/CO Z-19375 ISSUED FOR ADDITION
Inspected by: �t.� Date of Insp. AUGUST 16, 1991
/,&/J. VISH Time start 9:30 end 9:55
Y
AUG-1 31991
CONSENT
BLDG. DE PT. TO
TOWN U�SOUTHOLD INSPECTION
Anna M-: •Locker the und'ersigncd,-
Owner(s) Name(s)
do(es) hereby state
That the undersigned (is) M*-r; the owner'O of the premises in the Town
of Southold located at 455 Sunset Ave -, Mattituck, NY 11952
which is shown -and designated on the Suffolk
,._County,tat map as District 1000,` Section 115 ° Block 3 Lot 13 .
That the undersigned (has).'@61 filed, or caused to be filed, an'applica-
tion in the Southcld Town Building-Inspector's Office for the following:
Certificate of. Pre-Existing Use
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 building."s located thereon, to conduct such inspections as they may
deem necessary tivith 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
zilch.inspections maybe used as evidence in subsequent prosecutions for vio-
lations of. the laws, ordinances, rules .or regulations 'of the To of Southold.
Dated: August 12 , 1991
( rA 1111
ANNA MS1 ;QC K )
(print name)
(signature)
j (print name)
}
Forrn No. 6
�L J'- -1 j ►, TOWN OP SOUTHOLD
BUILDING DEPARTMENT ;, t
AUG 1 31991 j TOWN BALL
[) 765-1802
BLDG. DEPT.
TOWN OF SOUTHOLD—APPI,ICATION FOR CERTIFICATE. OF!OCCUPANCY
'�• This application must be filled in b t j .
inspector with the following:* Y building
r inlc and submitted to the building
1• Final surveyof for new building or new use:
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 _
3• Approval of electrical installation from Board .ofaFireeUnderwriterssal(S-9 form) .
4• Sworn statement from plumber certifying that the solder used in
less than 2/10 of 1% lead. system contains
' S• Commercial building, industrial building
and installations, a certificate of Code�C :mpliamultipnce I ler from earchiaectsorlencrineerar aings
responsible for the building. o
6• SubmiE Planning Board Approval of completed site plan requirements.
�• For exist ' bu ' di 'or A ril 9 1957) icon-conforming
1pre-existing" land uses: 1 V ., b uses or buildings. and
1 Accurate survey of Property showing all property !
unusual natural fob' t�o'pographic features. p Y linesf� eets; building .and
2• A properly completed application and a 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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to .dwelling $25.00
Alterations to dwelling $25.00, Swimming pool $25.00,' *Accessory
Additions to accessory building , Accessory building $25.00,
2 Certificate of Occupancy on Pre-existing Building
$50.00.
3 Copy of Certificate of Occu anc _ 0 s - $1 0
4. Updated Certificate of Occupancy $5.00 over 5 years - $10.00
5. Temporary Certificate of Occupancy $5Res0i0dential $15.00, Commercial $15.00
e'r Const Date . . . . : :.August• 12 ,. .1991 . • . . . • . • • • • • •
ruction. . . • , , , . Old Or Pre-existing Building. , • • • X
ocation of Property. , ,455, Sunset Ave . • • . • Mattituck: NY
House No. . . . . . . . . . . . .
•
Street Hamlet
ewer or Owners of Property. . . Locker
• _Anna .M:
)unty Tax Map .No 1000, Section. . , 115
. . . . . . .Bluck. . . . . . . . . . . . . .Lot. . .
13 . . .
:bdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed . . . . . . . .Lot. . . . . . . . .
.emit No. . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . .
. . . . .Applicant. . . . . .
:alth Dept. 'Approoval. . . . . .
• • • • . .Underwriters Approval.
. . . . . . .
Inning Board Approval. . . . . . .
quest for: Temporary Certificate. .
Final Ccrticate. ,X, , ,
Submitted: $• `00,•o.v
. . . . . . . . . . . . . . . .
cam, a ,5 v : . . . . . . . . . . . . .
y APPLICANT
`(q�kco
�°\
MAIN ROAD ( N.Y_ S. Rte. 25 )
f,
°,
i
now or formerly Nicholas Papadopoulos 3
8 Mary Popodopoulos o
N
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In
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S.8803714011E._ 200.001
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PROPOSED
Q I AOOITIOM I O
G ]0 b'
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F-- a Area = 26100 s.f. 0 0
N )I':-i�o SO N
z
Z I rt -CHAIN LINK FCNCE N
IJ/ In S
L
FAIV[T NE OOE 2
J
N.88 037 40 W. 200.00'
now or formerly Edward B. Sawicki &
Beatrice A. Sawicki
SURVEY FOR
OTE . ANNA LOCKER
■ : MONUMENT
SUFFOLK COUNTY TAX MAP AT MATTITUCK DATE MAY 10, 1990
DIST 1000 SECT. 115 SL 03 LOT 13 TOWN OF SOUTHOLD SCALE: 1": 40'
SUFFOLK COUNTY, NEW YORK No. 90-0333
N UI"UTMORII(D ALTERATIOM OR ADDITION TO THIS E OF NF►uRvEY IS A VIOLATION Of SECTION 7EOS OF THE T.,1
NEW PORK STATE EDUCATION LAW S1 A
N COPI IS OF MIS UMvLY NOT SEARING THE LAND _p0 by
SUR vE YOR.S IMAE0 SEAL OREMBOSSEO SEAL SMALL .Si F^^ `O
NOT BE CONSIDERED TO Of A VALID,TRUE COPY 0 G
RGUARANTEES INDICATED HEREON SHALL Rum ONLY TO Y Q Z
T1NE PERSON FOR WHOM THE SUITVEI IS PREPARED T p
AND ON MIS BEMAL'F TO TN( TITLE COMMNI,GOVERN-
MENTAL AGE MCI AND LENDING INSTITUTION LISTED
MENEOM,AND TO TINE ASSIGN((S OF THE LENDING
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT NBL
OWNERS
N DISTANCES SHOWN HEREON FROM PRO►ERTV LIMES
f0(EISTIMG STRUCTURES AR(FOR A SPECIFIC Gv
►UR►07L AN ARE NOT TO BE USED TO ESTABLISH 0
►INGPERTY LINES ON FOR THL ERECTION OP FENCES
OSRANDER
YOUNG a YOUNG RRIIVOERHE AD, NEW YORKE
ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
HOWARD W.YOUNG, LAND SURVEYOR
N.Y.S.,LICENSE NO.45893
BUILDI_ G DEPART:•IENT
T0,'1i11 OF SOUTHOLD, N. Y.
HOUSI7�T CODE INSPECTION REPORT
Location 124. •
number & stree-c Iiunicipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s )
Occupancy _
(type) owner-te anti
Admitted by: in&WAe�, WA ccompanied by:
Key available Suffolk Co. Tax No. -3 ' /3
Source of request 0� f"I • Date
DWELLING:
Type of construction ,vstories *-e—
Foundation Cellar Crawl space
Total rooms , lst. Fl 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s) /
Porch, type -- Deck, type - Patio, type_ rr—
Breezeway Garage. tility room
Type HeatP 'alarm Air _ Hotwater .
Fireplace(s) _� No. E:cits Airc d'do ij i ng
Domestic hotwater Type heater: j
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other '
VIOLATIONS: CHAPTER. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Lncation Description lArt. 1 Sec .
I
Remarks: 0 ,5- A .d-
Inspected by: -4 Date of Insp.
Time start end .��