HomeMy WebLinkAboutZ-31034FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 31034
Date: 07/14/05
THIS CERTIFIES that the
building ONE
FAMILY DWELLING
Location of Property
745 MARRATOOKA RD
MATTITUCK
(HOUSE NO.)
(STREET)
(HAMLET)
County Tax Map No. 473889
Section 115
Block 0011 Lot
023
Subdivision
Filed Map No
conforms substantially to the Requirements for a
built prior to APRIL 9, 1957 pursuant to which
Lot No.
FAMILY DWELLING
OF
OCCUPANCY NUMBER Z- 31034 dated JULY 14, 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 PORCH.*
The certificate is issued to MARY S O'BRIEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL
NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
r
A thorized Signature
BUILDING DEPARTMENT
TOWII OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 745 MARRATOOKA RD
MATTITUCK
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): MARY S O'BRIEN
OCCUPANCY: ONE FAMILY DWELLING
MARY S O'BRIEN
ADMITTED BY: VOULA DIAKOVASILIS
ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO.
TAR MAP NO.: 115.-11-23
SOURCE OF REQUEST: ABIGAIL WICKHAM, ATTY DATE: 07/14/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME N STORIES: 1.5 0 EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOKS: 1ST FLR.: 4 2ND PLR.: 2 3RD PLR.: 0
BATHROOM(S): 2.0 TOILET ROON(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: YES DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: HOT WATER AIRCONDITIONING:
TYPE BEAT: OIL WARN AIR: HOTWATER:
OTHER: SEPARATE HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SW33IMING POOL:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE U17IFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP 1558 ADD COZ 1283
INSPECTED BY: / TS ON INSPECTION: 07/13/05
GEORGE GILLEN TIME START: 10:25 AM END: 10:45 AM
Form No. 6
TORN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL - .l
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 17, 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 a 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 - - .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date..Ju...ly 7., ..2005. ..............................
New Construction........... Old Or Pre-existing Building. .X for a_1..k4q story frame dwelling with
Location of Property .... .
50 Lupton Point Road Mattituck concrete patio
..................................................... ........
House No. Street Hamlet
Susan E. O'Brien, Maril n Voss and Daniel O'Brien
Onwer or Owners of Property.........................y........................................
County Tax Map No 1000, Section.,115 „ _Block... 11...........Lot..23..................
Subdivision....................................Filed Hap ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate...... X
Fee Submitted: $..100 ..
......
���� ^ Abigail A. APPLICANT Wickham, agent
CONSENT
TO
INSPECTION
Susan E. O'Brien, Marilyn Voss & Daniel O'Brien 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 50 Lupton Point Road, Mattituck, New York
11952 , which is shown and designated on the Suffolk
County tax map as District 1000, Section 115 Block 11 , Lot 23
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: a
Pre–Existing Use Certificate of Occupancy for a 1 1/2 story
frame dwelling and concrete patio.
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold
Dated: July 7. 2005 7't't—
signature
Abi ail A. Wickham a ent
print name
(signature)
(print name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNE
STREET
VILLAGE
DISTRICT
SGB:—
LOT
IND.
CB.
MISC.
Est. Mkt. slue
FORMER OWNER
2-
E
ACREAGE
REMARKS
SOU
2 o u
2 0 0
Y , ,
S / 8 o
%. i tl n n V
W - ;
%r a, A t , /,,I
TYPE OF BUILDING
I/Y
RES./D
SEAS.
VL.
FARM
COMM.
IND.
CB.
MISC.
Est. Mkt. slue
LAND
IMP.
TOTAL
DATE
REMARKS
SOU
2 o u
2 0 0
pioi�
;' CSS- l 4/D(J
.roU
Sao
3SGd �
i4,6Y
.�1�J�r�t�n
>� c.)/..','rn :','� j �e77,rlus,�„a�
afc! i
00
3a
3 'Qv
a . 'er, HIn
- -
ov
��ob
tj/vD 1
/�/%/
412gi-L1I
,C; NSA c-h'vn
t{ -O' en) 0'rrere Nc
eeot,
(
41541 M - 1\4
( AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE OPd WA:r6R 0
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD z 5-o
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
t
�` ta•yv{i G
Woodland
Swampland
-
Brush ando.
;
�G'LE •:r t y 6-a
��
House Plot
(J J Z
Total
Vi
5URVEY OF PROPERTY
51TUATE: HATTITUCK
TOWN: 5OUTHOLD
SUFFOLK COUNTY, NY
SURVEYED 07-06-2005
SUFFOLK COUNTY TAX u
1000- 115-11-23
ro--:A;y Y I J IN wl
I'
ALEX HILLENBRAND
SUSAN HUJAMRAND
COMMONWEALTH LAND TITLE
INSURANCECOMPANY
NOTE5:
■
MONUMENT FOUND
AREA = 23,250 5.F. OR 0.53 ACRE
GRAPHIG 5GALE— I"= 1330
f 'PE
I"ROAD
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\ \ FRAME TpRr
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2 _
<4� 00 op
Ov
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SFS T -y
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NF-� �V
N
S
\ JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.–\\Hp server\d\PROS\05-222.pro
■
LOCATION: 7% /"f4/Y11 Toa /C/} leo'06 % 41,f T7-1 ? 0- C -i1z,
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
S Lk
o^/AE�
(type)
MAP NO.:
D *' B
(municipality)
LOT(S):
(owner -tenant)
ADMITTED BY: Vo k Lif ) I } ("Co'y4 S L f SACCOMPANIED BY:
KEY AVAILABLE: i k I { SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: W4ATE: 7-7— a -S
DWELLING:
TYPE OF CONSTRUCTION: WO -Db FX A -M t # STORIES: /� # EXITS:
FOUNDATION: Co5AIIW7LoG CELLAR: ��WL SPACE: ---
TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: ""—
BATHROOM(S): a TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: 'y DECK, TYPE: PATIO, TYPE: �--
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: }SES TYPE HEATER: #rr XAMPWAIRCONDITIONING: ---
TYPE HEAT: OIL WARMAIR: Tom- OTWATER:
OTHER: 3E1 °���1 /)- 6)-
I
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST: _
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
REMARKS:
INSPECTED BY: '//a DATE OF INSPECTION:
TIME START: