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Home My WebLink AboutZ-31116 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- 31116 Date: 08/17/05 THIS CERTIFIES that the building DWELLING Location of Property 495 TUCKER LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 059 Block 0011 Lot 005 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- 31116 dated AUGUST 17, 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 ACCESSORY WOOD FRAME BARN* The certificate is issued to LINDA G METZ (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 HOUSING CODE INSPECTION REPORT LOCATION: 495 TUCKER LA SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (5): LINDA G METZ OCCUPANCY: ONE FAMILY DWELLING LINDA G METZ ADMITTED BY: SILL DUNBAR ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 59.-11-5 SOURCE OF REQUEST: LINDA G. METZ 8/12/05 DATE: 08/17/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 $ EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 4 2ND FLT.: 3 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S): PORCH TYPE: OPEN WOOD DECK TYPE: NO PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTMATER: YES TYPE HEATER: GAS AIRCO DITIONING: NO TYPE HEAT: RADIATORS WARM AIR: NATURAL GAS HOTWATER: YES * OTHER: SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD FRAME BARN SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: OPEN BUILDING PERMIT #30647--ZZZ (ADDITIONS/IITIONS & ALTERATIONS) INSPECTED BY: 'e!/ J - ... r .DATE ON INSPECTION: 08/16/05 GEORGE GILLEN TIME START: 9:25 AM END: 9:55 AM Form No.6i�,) TOWN OF SOUTHOLD t � t 1G 122005 BUILDING DEPARTMENT L J TOWN HALL J 765-1802 --_, ^ '4'1: p 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. B)For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses: I. 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. 0 Certificate of Occupancy on Pm-existing Building- $100.00 3. Copy of Certificate of Occupancy - 5.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial$15.00 Date. At44 IZ , zip c ' New Construction: Old or Pre-existing Building: t/ (check one) Location of Property: 4q5 I rucicags Lea 5,UTFfot-D House No. Street Hamlet Owner or Owners of Property: - q wind `p .A La-sine) M E TZ Suffolk County Tax Map No 1000, Section- 54 Block I l Lot Qg Subdivision L-��' /� - _ . 'd n' +. — Permit No. 3/94,47 Date of Permit. 9•Zo•0 _Applicant: Itiu_yl M�T2 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: S. _ �• __ / 6 l Apart Signature' ,62 ow co 't3111G N �— SURVEY OF PROPERTY gr / ?Upx AT SOUTHOLD ' TOWN OF SOUTHOLD o° �Tfs•`be 49,y�, SUFFOLK COUNTY, N.Y. 6'v s0 1000-59-11-05 00' SCALE. 1'=20' r ,ANNE 9. 2004 h S R }/ '- -- 10v 1 .Q�� . R A2,,, ? co 124eiT .` J w . 1 & s . \� N- 441 4, r$ �,n±�, ./ 3 *Q Io �h v NN . h co k R \°\ AR 2 • �� . NCO A'B). ta.+. 4 CER7/FIET0: • GWYN METZ /k�I u00 '/ LINDA a MEIN A/K/A /Y 77COR 77TLE INSURANCE COMPANY 7h'¢ F7RST MANHATTAN .._.i.1.. ..-P. bl(V g0� a TITLE #I7535VBS t F NCme a'? e 'jf 7" X Y.S. LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLATIONN O a-SECTION 72090F THE NEW YORK STATE EDUCATION LAW. `. . .1 AX (637) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERDF704 DONS •=GRANITE MONUMENT HEREON ARE VALID FOR DDS MAP AND COPIES THEREOF ONLY IFest* AREA=8,400 SQ. FT. 72141. • STREET SAID MAP OR COPIES BEN? DIE IMPRESSED SEAL d' THE SURVEYOR €1/ 1c j . WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 04-179 • • 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD M-2-{6 , o S7Z- //-`1OWNER . STREET i5 VILLAGE DIST. SUB. LOT -IV FORMER OWNER N > / , ACR./- ./ i 6, id 4- i �(e,-/yen�Piye. S 3� W _ / / TYPE OF BUILDING ,�..-..•• / rlvt If.... r. �/+)Y 73)..„ _" „td AJC A /, �,/L RES. / -2/6�0 SEAS. VL. i FARM i COMM. CB. MICS. Mkt. Value •,. LAND• IMP. TOTAL DATE REMARKS • .2 d v - a r wal7 , Id / : ,, . P . o- �n', wa l r /{/ F)'c eta, 2/ c� � �7�// / et '. c o a o0 'fooI - M r/r • = ' .26 , - • e.tm iT ` : 0 , C AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD aD I p -7 a = 412-6 Meadowland --- DEPTH /4'7'0 r House Plot BULKHEAD • Total DOCK ✓ -"" -a �iY. at 1 t; 1 . e1 1J. 1��.,µ �( 11 Thr+. 1r ,, a tit ' i • .c COLOR N A f ' C` y i a TRIM Ul N C - - - - « ''� ` €: . �, - - + J.. IL_. �_. /s is ! 9_ NA ably 2 & M. Bldg. 9/ . i o7lpX3a JOU -re t) 3906 4 Extension /S 1Xr6 `- 0 _ Extension 9ni! ' 99 e.7/f 3.p0 �O3" 7 Extension Foundation Bath Dinette lPatch p X / s= / z o ^� G D Basement Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway 0/.-.D a A ,: ,c; z o a Total ////�� Vif 17 (C%- , (P4-°20 / L - ? 6i3✓ CONSENT TO INSPECTION qiN/13 `kms LIPDh) M1 Z , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 4155 -rucree6 L_Ax3E, or#foLp, 0J/ which is shown and designated on the Suffolk County Tax Map as District 1000, Section 5/ , Block_I _, Lot OS" That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: pr p — G •® 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: Act.ti' 1 2, ' 2co5 t vas/ i/gnature) HETL 'rint Name) (Signature) (Print Name) LOCATION: If61,C iitdatA4" 1-0-4---e_ . 1-o-(A-t-kvete_ 2 (number& street) (municipality) SUBDIVISION: MAP NO.: - LOT(S): NAME OF OWNER(S): /14 OCCUPANCY: d NE /P1 I Of leg % ).- EA C-E D.'`d Al ,�►/(type) (owner-L��aail) ADMITTED BY: Dr-/-- kAi it ACCOMPANIED BY: ----- KEY —KEY AVAILABLE: ------ SUFF. CO. TAX MAP NO. 1000- 5 - 1 I - - SOURCE OF REQUEST: C y/l' M ETZ- DATE: S -Iv--0 s- DWELLING: - TYPE OF CONSTRUCTION: v400 P /-/(�'�j-i+1 E # STORIES: j. 49`• # EXITS: FOUNDATION: Cp.- 144-' CELLAR: f CRAWL SPACE: "— TOTAL ROOMS: 1ST FLR: 9- 2ND FLR: 3 3RD FLR: . BATHROOM(S): a. TOILET ROOM(S): - - UTILITY ROOM: -- PORCH TYPE: OW.-- ,b DECK, TYPE: U PATIO, TYPE: BREEZEWAY: r FIREPLACE: GARAGE: ` DOMESTIC HOTWATER: .J 3 TYPE HEATER: - ", GA'S�AIRCONDITIONING: _ TYPE HEAT: � � �S HOTWATER: �t ' OTHER: S eVint, Or VI4T- ' If .'i v Oi' ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: 13it112N WooD FgI %E VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: 1)-4* 3 C)6 L(°7 ' _ koLttr) .I Of INSPECTED BY: Aeir "AllDATE OF INSPECTION: F''- jet-' D� ` ?'<n1� TIME START: END: 49'��47/1