Loading...
HomeMy WebLinkAboutZ-45059 SuffQ4 Town of Southold 3/18/2024 c�Gy 53095 Main Rd ti Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45059 Date: 3/18/2024 THIS CERTIFIES that the structure(s) located at: 5670 Mill Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-6-4.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 -pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45059 dated 3/18/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: non-habitable wood frame tower for water and storage_* The certificate is issued to Glebe Associates LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. { tho iz d gnature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5670 Mill Rd,Mattituck SUFF.CO.TAX MAP NO.: 106.-6-4.1 SUBDIVISION: NAME OF OWNER(S): Glebe Associates LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Glebe Associates LLC DATE: 3/18/2024 #STORIES: 3 #EXITS: 3 FOUNDATION: concrete block CELLAR: CRAWL SPACE: BATHROOM(S): none TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: no TYPE HEATER: none AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: # BEDROOMS: none #KITCHENS: none BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/14/2016 TIME START: 8:46am END: 9:25am L�CC�[�Odf� Form No.6 B TOWN OF SOUTHOLD R BUILDING DEPARTMENT NOV 3 0 2016 TOWN HALL 765-1$02 BUILDING DEFT. APPLICATION FOR CERTIFICATE OF OCCUPANWWN OF SOUMOLD 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. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 —� 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. f 2 New Construction: Old or Pre-existing Building: (check one) ' t!�—g Location of Property: �" � (/ll I ( m /t t, k9 House No. p Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Igo i Block l U� , ~ � Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ l©o e F; C_ ('6_3 Applicant Signature CONSENT TO INSPECTION Mix C('teolz- undersigned, do(es)hereby state: Owne s)Name(s) to That the undersigned(is)(are)the owner(s)of the premises in the Town of Southold, located at 4� " Iyeig-1- Afl GL &H-& 7ury4`L I N V it which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block 6/ G Lot That the undersigned(has) (have)filed, or cause to be filed,an application in the Southold Town Building Inspector's Office for the following:' 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 in subsequent,prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold. Dated: ( 7 -4 p (Signature) (Print Name) (Signature) (Print Name) - G l D .-- T01PVN OF 50UTHOLD — . c OPRTY RECORD CARD m OWNER STREET / �7 D VILLAGE DISTRICT SUB. LOT ldbe�- --uw"L- ,-�F(OLARCMER WNER � At Gina• N E ACREAGE f . 1 IRA 0 1 jllC. S W 1 : TYPE OF BUILDING RES. 3 ) ZVJ SEAS. VL. FARM C f I ND r. CB. MISC. Est. Mkt. Value & , I t" LAND - IMP. TOTAL QATE RFIVIARKS 0 o , m w LO LO 0 U 7 0 F- ! 1 r - �.�t'� Ot• z. r��� 0 AGE ' BUILDING CONDITION • NEW NORMAL BELOW ABOVE 'FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tlllala(e 1 BULKHEAD Tillable 2 DOCK -n r~ Tillable, 3 - Y�C 3 00 Woodland Swampland S—L! SSl gf,�M, 40 m Brushland ��. ,f � 3— 5} �{d��013'cl NHouse Plat � .� -� `i` Lt' m m Tonal m - N m ' Q a_ r 0 i LO CO LO 1 F cn a Q Q f L I I I I 1 M. Bldg. ' ' 9 r o Foundation Bath i Extension 1 + + Basement Floors Extension Ext. Walls Interior Finish u Extension I Fire.Place Heat LO -- - — ' Porch Roof TypeLO — Porch Rooms 3st Floor v Breezeway s — — — Patio --- Rooms 2nd Floor m Garage ( ' Driveway Dormer N 0. B. � I n. - of So� o�� Tyo re. — TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS ho a*v+*v5 ��ur►�-ES A 0 4- -10-32 6 q t Weeo .,a, OO, oi w cow, DATE I INSPECTOR w'A�r MM Q�0 pf SOUI o� yo r�i -va?/ coUNi`I,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: � IYoOIMS �vwe, �' r�ilMiJi/ OL DATE INSPECTOR �o-o OF SOUTyo urml TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ .] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �' INSPECTOR i LOCATION: W.� (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): . NAME OF OWNER(S)-: v e . I'll Ce OCCUPANCY: (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: i SUFF. CO. TAX MAP'NO. 1000- !oh -!o •/ SOURCE OF QUEST: ' DATE: PE, Of CONSTRUCTION: OaI r"Il'wa # STORIES: J? #EXITS:) FOUNDATION:Gy"44 ,417� ; BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: Iy 644-- ' 2ND FLR: _Iy'�ne� 3RD FLR: . BATHRO'OM(S): per/ TOILET ROOM(S): _,_--"--UTILITY ROOM: PORCH-TYPE: DECK, TYPE: PATIO;TYPE: BREEZEWAY:' FIREPLACE: GARAGE: DOMESTIC HOTWATER:` TYPE HEATER: AIRCON'DITIONING: TYPE HEAT: ( p Q/ WARM AIR: _ HOTWATER: � # OF KITCHENS: do".,.-- FINISHED BASEMENT:- YES (7 1` NO OTHER: ACCESSORY STRUCTURES <owor• E; TYPE OF CONST.: W oo� �r ar�nP� -STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: `1 OTHER: l l(���" d1Y1yNL �GMevt�, 1119 l Vl Q+V �4- �5 fil1KQ� VIOLATIONS: CHAPTER 144 &N.Y. STATZIUNIZOR PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Ow01�,' I V N � 'f'� S t° �D'✓ 4YNI 14- o o 14 1ff M S 12 .G/D 0q 4f. M, Are rAe ry ow r !h' aoi ! v0& Cohr 3 ! ! A jMnaym, Ihl ►r ® V r" w orlG, REMARKS: G1%P.bT �OtYIPr� �S 4[ INSPECTED BY: LL4- DATE OF INSPECTION: ) Z' J cl Ito u ' TIME START:. 1 b �"m END: r�