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HomeMy WebLinkAboutZ-28981 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- 28981 Date: 10/09/02 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 2435 LAUREL WAY MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 0004 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- 28981 dated OCTOBER 9, 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 BRICK PATIO, ACCESSORY ONE CAR GARAGE, GAZEBO AND COVERED BARBEQUE.* The certificate is issued to CAROLE RICH & DONALD E WILDER (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. l Au o ize Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2435 LAUREL WAY MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : CAROLE RICH & DONALD E WILDER OCCUPANCY: SINGLE FAMILY CAROLE RICH & DONALD E WILDER ADMITTED BY: CAROLE RICH ACCOMPANIED BY. SAME KEY AVAILABLE: SUFF. CO. TAIL MAP NO.: 121.-4-16 SOURCE OF REQUEST: CAROLE RICH AND DONALD E WILDER DATE: 10 09 02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0. # EXITS: 4 FOUNDATION: CONCRETE SLAB CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : 1 PORCH TYPE: DECK TYPE: PATIO TYPE: BRICK BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: X HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE,OF CONST.: ONE CAR STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: COVERED BARBEQUE, GAZEBO VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#27797 ADDS/ALTS CO Z-28718 INSPECTED BY: DATE ON INSPECTION: 10/09/02 GARY J S TIME START: 10:15AM END: 11:00AM Form No.6 TOWN OF SOUTHOLD 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. DFBr existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. UShZ' 0`Z New Construction: Old or Pre-existing Building: Pl""' (check one) Location of Property: 2 If -5.5' 1,iq-Uez-l.. U_-*-/ fT*Z7!T(lG�, House No. Street Hamlet Owner or Owners of Property: GCS R.O U9 aC6* POW A-Z'b 0- a)) L-6��_ Suffolk County Tax Map No 1000, Section_( Z 1 o O Block 4- Lot J& .C 00 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: $ /OD . 00 �Q c T Ti T 0��< Applicant Signature pLj� September 13,2002 To Whom It May Concern: I, Pam Anshutz, live at the property adjacent to 2435 Laurel Way, which is presently owned and occupied by Carole Rich and Donald Wilder. I have lived at this location since I purchased it from my Aunt, Ms. Marion Smith. Marion resided at Laurel Lake,starting in 1938. Since about 1950, as a child and teenager,I spent my summers with my aunt at Laurel Lake. I recall that the configuration of the house, including the closet on the west side, and the out buildings, including the garage and barbecue structure, of 2435 Laurel Way have remained thh same since Wen before 1957(with the exception of a new addition in 2001 —2002). I contacte# my aunt,who is now 85 years old,and she confirmed my recollections. G� SUSAN J. NAGY Pam Anshutz Notary Public State of New York No.4896735 Qualified in Suffolk County Commission Expires May 200 i I j CONSENT TO INSPECTION C'1' [20LL� IRrGM ao��� aj ! L0&yZthe undersigned, Owne (s) Name(s) :.. do(es) hereby. siate: i That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold loca ed at ;7z which is shown and designated on the Suffolk. County tax map as District 1000, Section 1104-0a', Block Lot That the u dersigned ( (have) filed, 'or caused to be filed, an applica- tion in-the Sout old Town Building tnspecLu.L o.rr��., for +hp fnllnwina: r 7�0 19 s 7 That the u dersigncd 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 necessar� with respect to the aforesaid application, includin'inspections to determine thit said premises comply with all of the laws, ordinances, rules i and regulations)of the Town of Southold. The under igned, in consenting to such inspections,. do(es) so with the knowledge and understandin that g an y information obtained in the conduct of such inspection may'be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated:0A 12clIP-2- (signa(print name) (signature) • ��If A)g.[�o �. G[rJ l c� (print name) i i i i , • I , • S UR VE Y OF OP.v 'RTYj 1 . �f A T MA TTITUCK : TO WN OF, SOUTHOLD r I� t SUFFOLK COUNTY : N. 1000- 121 -04- 16 & 17 3 SCALE: 1 „ =30' �' i r JAN. 8, •200/ 450 �I it it ' 1 , Spy, Fs / I \ \ CD 00 Q� I��00, ode i y�> 34 30 it Zoe 86 nj � � .mil 'II .. '�•- ' - ,_ 1� i ! 4 ti 32 /� 20 ' 30 i AV / I h i C 24 ./qz L' f ry ,b to •o 14.5 o y . �I ^ y 13.4' 18.4' � _ .:. LOG-C FR. & �� `, f �. I a. ' lei OTTAG£ S , 1' 11.0 21.4' 6 r _ 10,0' Q , q BR 9.5 ri r v Q ' PA ICK A; `D 210 R it i A2IE�O 7. yz7, 12 • �� S -Io I 1 TN it _ 12 1p TIE LINE TIE LINE. SHORE Ly E € f - i' 4 'S 88'09'30' W 97.77 - 19,39 . S 86.28100' W . r iv LAKE 4 o� 1 r i LAUREL � - - ` •,: 1 t 1000'121- 04-16 AREA=20,518 S. F. to tie line 1000—`121-04-17 AREA=20,301 S.F. to tie line it qe ..::.. '.NOTE* CONTOUR LINES ARE ARE REFERENCED TO THE �OF NEw FIVE"EASTERN TOWNS TOPOGRAPHIC MAP N.G.V.D S E=MONUMENT ` . 1 YS LIC N� , , , '4 9618 ANY ALTERATION OR ADDITIDN TO THIS SURVEY IS A VIOLATION DF_SECTIPN 7E09 DF- 'THE NEW YORK STATE EDUCATION LAW. E .©._ IC �� _,."� E l S, P,C, f" EXCEPT ASS PER SECTION 7E09-SUBDIVISION E. ALL CERTIFICATIONS ' - (63 496% FAX (631) .765-1797 . HEREDN'ARE VALID `FOR THIS MAP AND COPIES THEREOF ONLY IF ' P. O. Iq SAID MAP OR COPIES BEAR T E IMPRESSED SEAL DF THE SURVEYOR 1230 TR R STREET p ,/ WHOSE SIGNATURE APPEARS H REDN, 00 J 1 SOUTHOLD, N,Y, 11971 ; I , , c : _ t