HomeMy WebLinkAboutZ-30816FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPAi~CY
30816
Date: 09/09/05
THIS CERTIFIES that the buildin9 DWELLING
Location of Property 1350 CAPT KIDD DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 106 Block 0002 Lot 044
Subdivision Filed~ap No. __ Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CEI~TIFICATE OF
OCCUP/~ICY NUq~BER Z- 30816 dated SEPTEFfBER 9, 2005
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 ATTACHED ONE CAR GARAGE*
The certificate is issued to CHRISTOPHER R DAVIDS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS c~TIFICATION DAT~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Authorized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWI¢ OF SOUTHOLD
ROUSING CODE INSPECTION REPORT
I&)CATIO]~: 1350 CAPT KIDD DR
SUBDIVISION:
O~CIIPANCY: SINGLE FAMILY DWELLING
MATTITUCK
MAP NO.: LOT (S)
CRRISTOPHER R DAVIDS
ACCO~PA~I~ BY: MCKENSIE DALY
SOURCE OF P-E~ST: CHRISTOPHER R. DAVIDS 3/2/05 DATE: 03/09/05
1.0 UTILITY
REAR PATIO TYPE:
GArAgE: ATTACHED ONE CAR
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P.~.AP/~S: BP#3472Z-COZ2881 (ADD&ALT) BP#19514Z-COZI9511 (DECK ADD)
651 298 6571
TOWN OF SOUTHOLD
BUILDINGTOWN HALL DEPARTMENT
~PLICATION FOR CERTIFICATE OF ~
This application ~t be ~lcd in by ~e~t~ or ~ ~ submi;ted to ~e ~u[l~ng ~~1~
A. For new ~O~ng or ~ u~: 1. Fi~l s~ey of prepay with accuse to~tion of gl ~ildings, property lines, s~s, aM ~ms~l nm~l or
lopo~ap~c f~t~s,
2. Finat A~val from Health D~L of wat~ supply and s~gc~is~sa[ (S-9 fo~).
3. Approval of e[ec~c~ i~t~lation ~m Board of Ni~ Und~dters.
Sworn smt~eni ~om pl~ ce~if~nB that ~ ~1~ ~d in syst~ contai~ I~ss than ~'10 of 1% lea~.
5. Coaxial buil~n$, i~us~al buil~g, multipl~ resld~ces and simil~ bulldog md i~tailations, a certificate
of Code Complien~ ~m s~hit~t ~ ~i~r ~nsible for the buil&ng
6, Sub.s Pl~ng Boa~ A~val ofcomplet~ sile pl~ requi~ants.
For existing bulldin~s (prior to April 9, lgS~) non-conforming usfl, or buildlnp nnd "pre-exisflag' land uses;
1. Acourate survey of proper~y showing all property lines, streets, building and -nusuat natural or topographic
features,
2, A properly completed application and consent to impmct signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shalt state the m~ons therefor in writing to the applicant,
[G'ees
1. Certificate of Ocoupancy - Nm dwellinG $25.00, Additions to dwcllin$ $25.00, Alt~'ations to dwelling $25.00,
Swimmin$ pool $25.00, Ac~flory buildinG $25.00, Additions to accessory buildinG $25.00, Businesses $50.00.
2. Cer~ifle. me~afC'leann_=nev on pro,mYiitina Buildlnv. Sl00,0~
3. Copy of CertiflcateofOccupancy- $25
4. Updated Ce~ificate o£Ocoupancy - $50.00
Temporary Ce~ificate otOccupancy - Residential $15.00, Conunercial
New Construction:
Location of Property:
House No. -- Streci
Pe~[t No. Date of Pe~it., , Applic~t;
Tempor~ Ceaificate Fi~l Certificate:
Old or Pxe~xisf? Building: b/'/ (check one)
H~let
(check one)
Health Dept. Approval:.
Plannins Board Approval:
Request for:
Fee Suborned: $ //~, ~
CONSENT TO INSP]~CTION
Owner~ Nme~
That the undersigned (is).f~-tho owneffi~-'of the premises in the Town .of
Southo~d, iooated et /~5~) '~(L'~. W/d,.g~,~n>~.,/'ff~~
which is shpw~ v. nd designat~ on t~e Suffolk,'¢pUnty Tax Map es DiStrict 1000,
Section ~ Block ~-- ,Lot .~ . ·
That the undersigned (has) ~ filed, or cause to be filed, an application in the
Souti~bld To.w~.~uildi~g In~to~s Office for the following~ . , / ~ / ~
.... / , ':..2. '._...- -/
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 uecessary with
respect to thc aforesaid application, including inspections to determine that said premises
comply with all c~the laws, ordinanoes, roles and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(as) so with thc 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, rulea or
regulations of the Town of %uthold.
Dated:
Pr~ t Name)
(Signature)
(Print Name)
' PIPE
R=25, Z
=32. 04'
TIE=79.27'
LOT 1,35
S 86'00'50"E
WOOD
DECK
ONE-STORY
RESIDENCE
1.9'
PiPE
N 86'0C
CAPTAIN
KIDD
100.00'
HIMN[Y
10
DRIVE
PIPE
PIPf
FM# 1672
DATE F~LED JANUARY 19, 1949
TM# 7000-106-02-044
GUARANTEED TO:
WALTER d. SMITH III
JUDY T. SMITH
ADVANTAGE TITLE AGENCY, INC.
COMMERCE BANK
SURVEY OF
LOT 152
BLOCK 11
MAP OF CAPTAIN KIDD ESTATES
SITUATE
MATrlTUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: WALTER J. SMITH III
JUDY T, SMITH
SURVEYED: 16 FEBRUARY 2005
SCALE 1"= 20'
AREA = 72,000 S.F.
OR
0.275 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. lOX 294
NEW iUFFOLK. N.Y. 11956
631- ~
i~. No. 4~.,7Z 05R138