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Home My WebLink AboutZ-30310FORM 570. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N -Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No. Z- 30310 Date= 07/23/04 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 2150 NEW SUFFOLK AVE PLATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 114 Block 0012 Lot 015 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- 30310 dated JULY 23, 2004 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 COVERED PORCH AND ACCESSORY GARAGE.* The certificate is issued to CAROL MCGUIRE & ANO (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. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSII7G CODE INSPECTION REPORT LOCATION: 2150 NEW SUFFOLK AVE MATTITUCK SUBDIVISION: MAP NO_: LOT (S) NAME OF OWNER (S): CAROL MCGUIRE & AND OCCUPANCY: SINGLE FAMILY CAROL MCGUIRE & ANO ADMITTED BY: CAROL MCGUIRE ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 114.-12-15 SOURCE OF REQUEST: CAROL MCGUIRE DATE: 07/23/04 TYPE OF CONSTRUCTION: WOOD FRA.MF # STORIES: 1.0 # EKITS: 3 FOUNDATION: BLOCK ASID POURED CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND PLR.: 0 3RD FLR_: 0 HATNROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCN TYPE: COVERED CONCRETE PORCH DECK TYPE: PATIO TYPE: ERESZEWAY: FIREPLACE: 1 -BASEMENT GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: STREET GAS AIRCONDITIONING: TYPE HEAT: STREET GAS WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET. SWIMMING POOL: OTHER: WOOD FRAME STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 M.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE SEC. INSPECTED BY: 21 l DATE ON INSPECTION: 07/14/04 MICHAEL S VERITY TIME START: 10:00AM END: 10:4SAM �,r�CL _ Form No.64, TOWN TOWN OF SOUTHOLD BUILDING DEPARTMENT - TOWN IiAI J t 3 765-1802 �- 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: L 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- Stibinit'Plattnirig Boakd 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. j' C. Fees ! 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, S`w immfi g pool $25.00, Accessory building $25-00, Additions to accessory building $25.00, Businesses $50.00. CY Certificate of Occupancy on Pre-existing Building - S 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. S:�u he 4 New Construction -Old or Pre-existing Building: (check one) Location of Property0�/� C7 !"d +L✓ vSLL7�4�ik A-Je— Yti.Z•E MAW, +L�.Ck House No. Street Hamlet Owner or Owners of Property C' A44) L S�MG G—e=at 2 "L Suffolk County Tax Map No 1000, Section / / 7 Block 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: $ C�Q 30 �l c) EC� Applicani Signature 1 V- A _ „1, „ ,,.TOWN OF SOUTHOLD PRC .PERTY RECORD CARD k. VILLAGE' DIST. SUB. LOT OWNER STREET 'ZO .M. I *(few JU ar-v/l�(�G�, FORMER OWNER N '"r.,,t..�l E A�%� / t� 6.7 Al S Y' W ,yy. �lqm P '/ TYPE OF BUILDING t SEAS. VL. FARM COMM. CB. MISC. Mkt. Value 1, LAND IMP. TOTAL �, DATE REMARKS ca ri � 0 0 0 �` a. %c,, c; �YxM t �aac d 7 5 �F� r7d� {I.'✓ 'h.r^—�-"kk � AGE BUILDING CONDITION NEW NORMAL. BELOW ABOVE FARM Acre Value Per Acre Value Fillable 1 Fillable 2 'illable 3 Voodland wompland FRONTAGE ON WATER rushland FRONTAGE ON ROAD louse Plot DEPTH? 4 BULKHEAD otal DOCK A TO: Southold Town Building Department FROM: Carol A. McGuire DATE: June 17, 2004 RE: Certificate of Occupancy, pre-existing building Enclosed please find the necessary paperwork and check for the above -referenced certificate. If you have any questions, I can be contacted at: Thank you. 215 Lou Avenue Kings Park, NY 11754 269-4133 - home 854-3900 - office CONSENT TO INSPECTION C' !Zc the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the oxrner(s) of thepremises in the Town of Southold, located at <:!D/ 5 L? /ll2cJ �Lf-f-ai.1C 14L� num which is shown and designated on the Suffolk County Tax Map as District 1000, Section / I'/ , Block /, , Lot JS 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 Toon 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. r. It/ l Dated: / (Signature C��!-12C l` lylC (Print Name) (Signature) (Print Name) •1 v/F SUSAN A/0"p17/S MYYAaMA140 ,1�0fl= ✓%2YTMSIAh �E�/CinON tln� EXaRi A5 FER nav �ROJ-sUmINAPN a: u} cm��c,nays FKR{I!N ARE fPR MIR MAP%AIU CL@I6$ iNER{p py(,Y IF SAWYAP m BEM IFI //.IR S$FR -FM W W S RY£ NHOY 9Cµ4IIAPE APPEAPS YEREWx 0 E- "'rPANIC AREA -36,271 S.F. SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NY 1000-114-12-I5 SCALE, 1'=30' NOV. 27, 2002 ■=MONUMENT •=PIPE 765-1797 P.0, BON 1230 TRAVELER STREET SOUTHOLD; N,Y..,17971 LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: ---.v (municipality) MAP NO.: LOT(S): Ttype) 0' 97 v (owner -tenant) ADMITTED BY: G[. %C•N%rrWACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -— SOURCE OF REQUEST• a DATE:01 DWELLING: I TYPE OF CONSTRUCTION: # STORIES: # EXITS: 3 FOUNDATION:..f-d CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FL %: S 2ND FLR: 3RD FLR: BATHROOM(S): / TOILET ROOM(S): ,/ UTILITY ROOM: . PORCH TYPE. ECK, TYPE: PATIO, TYPE: BREEZEWAY: f FIREPLACE GARAGE: DOMESTIC HOTWATER: TYPE HEATER:..AIRCONDITIONING: --• TYPE HEAT: K. WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: _� GARAGE, TYPE OF CONST.: G�l�'� �.t STORAGE, .TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: -- OTHER: REMARKS: INSPECTED BY: DATE OF INSPECTION: 149 � TIME START: �li .w END: T.�