HomeMy WebLinkAboutZ-29148 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- 29148 Date: 12/26/02
THIS CERTIFIES that the building DWELLING
Location of Property 900 BAYER RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 0009 Lot 028
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- 29148 dated DECEMBER 26, 2002
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 EMILY R MATHER
(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.
i,
Z �,r
Au, or' ed Sig ature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 900 BAYER RD MATTITUCK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER. (S) : EMILY R MATHER
OCCUPANCY: SINGLE FAMILY EMILY R MATHER
ADMITTED BY: RALPH ARMBURST ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 107.-9-28
SOURCE OF REQUEST: A. WICKHAM, ATTY, 11/21/02 DATE: 12/26/02
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK 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) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE: CEMENT BLOCK (REAR)
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME, 4 CAR STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
R DUUZKS: BP #23014Z-COZ-23932 (ADD)
Reinspected 12/20/02
INSPECTED BY: DATE ON INSPECTION: 11/26/02
GARY J. I TIME START: 10:15 AM END: 10:40 AM
Form No. 6
TOWN OF SOUTHOLD Fil`
BUILDING DEPARTMENTTOWN HALL NOV ^^ r.
765-1802 2 2�
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with, the following: 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 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.
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 Buildinv -. $100.00
3. Copy of Certificate of Occupancy - -z
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date November. . . . . . . . . . . . . . . . . •
le
New Construction. . . . . . . . . .. Old Or Pre-existing Building.'.... . . for for a a - . .sin$. . .family, one story
fra e dwelling & detached frame garage
,..900 Bayer R9a. . . . . .. . . . . . . . . . . . . .Mattit... . . . . . .
Location of Property. . . . ...
. • , , , • , •, , , , , • , , . . . . . .
House No. Street. • Hamlet
EstOnwer or Owners of Property. . . .. . . . . Emily_ . . Mather. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
. . . . . . ..Mather
County Tax Map No 1000, Section. . . .107. . . . . . . .Block. 9. . . . . . . . . . . . . .Lot. .28. . . . . . . . . . . . . . . . . .
Subdivision. ended Map of. Mattituck,He ghts.. .Filed Map.f� !18 . . . . . .Lots„53.through,55 . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . ... . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . ,,??
Request for: Temporary Certificate. . . . . . . . . . . Final Cer i 'ate. .X. . . . . .
Fee Submitted: $. 100
. ..00. . . . . . . . . . . . . . . . . . . . . . r
i
Rize,
63�7j Ali g A• APPLICANT.Wicicham, Agent
NOV 2 2002 '
CONSENTS
INSPECTION
Estate of Emily R. Mather 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 900 Bayer Road, Matftuck, New York 11952
which is shown and designated on the Suffolk
County tax map as District 1000, Section 107 , Block 9 Lot 28
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: a
• r
Pre-Existing Use Certificate of Occupancy for a single family, one story frame
dwelling and detached frame 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, 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulation f the Town of Southold.
/r
Dated: November 18, 2002
signature)
Abigail A. Wickham, Agent
print name
(signa ure) ,
(print name)
PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com
Date: December 19, 2002
Reference: 100 Bayer Road
Southold Building Department
Main Road
Southold,NY 11971
Dear Sir,
I inspected the reconstructed masonry fireplace at the above referenced home and fined that it meets
current NYS Building Codes and good co?8kaicti.o
OF
NE
� 0 9
Z � C 0525,E Cn
�SS10NR�'
Joseph Fischetti, PE
2 3 2002' j ,
&/ //�vz,
c 765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
L
L
DATE � I �' OY INSPECTOR
SURVEY OF
/ LOTS 53 thru 55
'/ AMENDED MAP OF
MATTITUCK HEIGHTS
PROPER T Y OF
Sao, GUSTAV BAYE.R
�� / p• `�„y F `� �,� .1� FILE . No. 1 184 FILED JULY 24, 1935
SI T UA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 107-09-28.
4
LO�s� �6S) , _ SCALE 1 "=30'
NOVEMBER 01 , 2002
! sJ.
�o Jam �e a/ ax AREA = 13,081 .79 sq. ft.
e N O
(OJT Ln o
°F
r _ CER TIFIED TO:
°� ELIZABETH JANE MURPHY
/ � G
ro
-
ao
FOc T PREPARED IN ACCORDANCE WITH THE MINIMUM
�401Q �y ` STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY-THE L.I.A.LIS. AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
OTITLE ASSOCIATION.
l °yNP
LO $�O�
�3g. p� ,� ®,Q�,n 11i1 ,
a
49 IN
N.Y.S. Lic. No. 49'
UNAUTHORIZED ALTERATION OR ADDITION :�O S e p ■ I n g e g n o
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
€ IOW. Lan Surveyor
COPIESOPIES O OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN Title Surveys - Subdivisions - Site Plans - Construction La o
ONLY TO THE PERSON FOR WHOM THE SURVEY Y Y
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 Fax (631)727-172,
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHTS OF WAY 1380 ROANOKE AVENUE P.O. Box 1931
AND/OR EASEMENTS OF RECORD, IF RIVERHEAD, New York 11901 Riverhead, New York 1190'
ANY, NOT SHOWN ARE NOT GUARANTEED.
22