HomeMy WebLinkAboutZ-26987 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- 26987 Date: 03/15/00
THIS CERTIFIES that the building DWELLING
Location of Property 1335 MARRATOOKA RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 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- 26987 dated MARCH 15, 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 WITH OFFICE AS HOME OCCUPATION, ACCESSORY
BOATHOUSE & NON-FUNCTIONAL WINDMILL
The certificate is issued to GEORGE & JEAN S. RICHARDS
(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.
7 Z-: 4/
A thorize Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1335 MARRATOOKA RD MATTITUCK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : GEORGE & JEANS RICHARDS
OCCUPANCY: A-1 RES. GEORGE & JEANS RICHARDS
ADMITTED BY: DR_ RICHARDS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 115 -11-26
SOURCE OF REQUEST: GARY FLAMER OLSEN ESQ.- 2/16/2000 DATE: 03/15/00
DWELLING:
TYPE OF CONSTRUCTION: WOOD ERAME # STORIES: 2.0 # EXITS: 5
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 6 2ND FLR. : 0 3RD FLR. : 5
BATHROOM(S) : 4.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) :
PORCH TYPE: FRONT & REAR COVERED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE * GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: PROPANE AIRCONDITIONING: CENTRAL **
TYPE HEAT: OIL WARM AIR: HOTWATER: STEAM-HW
OTHER: *WITH STOVE INSERT - **OFFICE WING
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: BOATHOUSE PUMPHOUSE (NON FUNCTIONAL)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ' DESCRIPTION i ART i SEC
i
i
j
i
i
i
i
REMARKS: BP #40249-COZ-3370 (ADD) BP#23050Z-H.CAP RAMP-COZ-24932
INSPECTED BY: DATE ON INSPECTION: 02/29/00 reinspected 3/14/20M
G Y J. F SH TIME START: 9:30 AM END: 10:00 AM
fFi�N I L U L5 1 TOWN HALL
765-1802
. . FEB 6 M
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A... .-.,� hi`s.'.rappr7! c .ion 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 use or buildings a
"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 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,
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 - $1.00.00
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
X (house, boat house & Old Wind
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . Mill)
Location of Property. . . �S.Maxa pOka.gd.,. a ituck, Al. . . . . . . . . . . . . . . . . . Hamlet . . . . . . .
House No.
Street Hamlet
Onwer or Owners of Property..gVgrge-V--gichards.amd.Jean.S. .Richa.rda . . ... . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . 115. . . . . . . . .Block. . .11 . . . . . . . . . . .Lot. .2b. . . . . . . . . . . . . .
. . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
//
Request for: Temporary Certificate. . . . . . . . . . . Final Cert catez, . . . . . . . . .
Fee Submitted: . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . .
GARY FLANNER OLSEN,ESQ.
APPLICANT
P.O.BOX 706
CUTCHOGUE,NY 11935
"4ud � ° u
py
go
� o
/ k -
o-�
0 i 1
/fid
o �% ¢
70� 3�-
.2�„ 0
�o
�.h
d = rfsofsusrscfs�
ci
0
^t "
/1/l�I P oF- Pf?OPEF2T Y
v�URVEYEO F'OR
GEORC�E O. R/CH,4RUS
AT
GuArAirfcc� fo fyc Securr ly 7///`--
<o a'Ho�GL�a/'a'If7�y C'orif'PaNy 45 SUrfiCyE:o�
`i-\
J otter w. W& Tuy/ sos>
1 \. ✓�c'fsporf /i/c w 1Yorh
CONSENT
TO
INSPECTION
George D. Richards and Jean S. Richards 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 1335 Maratooka Rd. .. Mattituck, NY
-%%,hich is shown and designated on the Suffolk
County tax map as District 1000, Section_ , Block i I Lot 96
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'the Southold Town L'uilcting lnspecLv.L o.rflo, for fha fnllntvinLj:
one family residence, boat house and old wind mill
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, includin9"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 regulations of the Town df Southold.
Dated:
1
(signature)
George D. Richards
(print name)
(signature)
Jean S. Richards
(print name.)