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HomeMy WebLinkAboutZ-31114FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31114 THIS CERTIFIES that the building STRUCTURES Date: 08/16/05 Location of Property 5725 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0005 Lot 011 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 31114 dated AUGUST 16, 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 CAR WOOD FRAME GARAGE & METAL STORAGE BUILDING* NOTE: THESE ARE NON -CONFORMING BUILDINGS WITH NON -CONFORMING USE. The certificate is issued to DAVID C.& LESLIE P. TUTHILL (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. thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5725 NEW SUFFOLK AVE MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): DAVID C.& LESLIE P. TUTHILL OCCUPANCY: RESIDENTIAL DAVID C.& LESLIE P. TUTHILL ADMITTED BY: DAVID TUTHILL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 115.-5-11 SOURCE OF REQUEST: GARY OLSEN, ATTY 8/5/05 DATE: 08/16/05 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: IST FLR.: 0 BATHROBE (S) : 0.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTi'ATER: # STORIES: 0.0 # EYITS: 0 CHLLAR: CRAWL SPACE: 2ND PLR.: 0 3RD FLR.: 0 TOILET ROOM(S): 0.0 UTILITY ROOK(S); DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: TYPE HEATER: AIRCONDITIONING: TYPE BEAT: MARK AIR: H017ATHR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: METAL SHED SWICUffNG POOL: GUEST, TYPE COMET.: OTHER: VIOLATIONS: CHAPTER 95 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: NOTE: NON -CONFORMING USE & NON -CONFORMING BUILDINGS INSPECTED BY: GEORGE DATE ON INSPECTION: 08/15/05 TIME START: 10:20 AM BBD: 10:50 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF O AUG 5 2005 u� L_ F -Y TQW'__ ''''sln 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: I. 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 L 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary.Ceftificate of Occupancy - Residential $15.00, Cornnercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: 5780 New Suffolk Avenue House No. Street Date. August 1, 2005 (check one) Mattituck Hamlet Owner or Owners of Property: David C. Tuthill and Leslie P. Tuthill Suffolk County Tax Map No 1000, Section 115 Block and 115 Subdivision Permit No. Health Dept. Approval: Date of Perini Planning Board Approval: Request for: Temporary Certificate Fee Submitted: S X00.00 �. to8731 Filed Map. _ Applicant:_ Underwriter Approval: Final Certificate: OLSEN & OLLP 324 82495 MAININ ROAD AD PO BOX 708 CUTCHOGUE,NY 11986 Lot _ 1 Lot: one,) Signature /Doo - TOWN OF SOUTHOLD PROPERTY 3 CARD `„ 0 OWNER STREET 75 VILLAGE DIST SUB. LOT ✓ ,r Ave FORMER OWNER N ACR. �S S W p % %i ueK E T/,ITES TYPE F BUILDING RES. SEAS.L.)9 FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ice �S�cr �t 300 9a 14 78,p goo - Tt , �oug, 16 0 6,1 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK COLOR TRIM M. Bldg. Extension Extension Extension Foundation Bath Dinette Porch 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. J4 Q/J Q Dormer Driveway Total /00 CONSENT TO INSPECTION Gary Flanner Olsen as attorney for David Tuthill and Ler1+ v Tuthi11 the undersigned, Owner(s) Name(s) _ docs) hereby state: That the undersigned (is) (are) the owners) of the premises in the Town of Southold located at 5780 New Suffolk Avenue, Mattituck, NY which is shown and designated on the Surfolk County tax map as District 1000, Section 115 7177— , Block 10 -7— Lot rT— 7 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in -the Southold Town Euilding lnspecw. •., Orf.- f— +V. rnllnwing: Two Story Frame House, detached Frame Garage, Metal Shed and Frame Garage 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 1n the conduct of such inspections may'l)e used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations he Town oC Southold. Dated: August 1, 2005 (signature) Gary Flanner Olsen (print name) (signature) print name) FSURVEY OF PROPERTY 51TUATE: MATTITUGK TOWN: SOUT 4OLD SUFFOLK COUNTY, W SURVEYED 06-06-2005 SUFFOLK COUNTY TAX u 1000-115-5-11 Andrew C. Fohdwlb F1dal ty Natioosl TWO Insurance Company of New York NOTES: ■ MONUMENT FOUND AREA = 12,608 5.F. or 0.29 AGRE &RAPHIG SCALE I"= 30' N S �v pL avarEn�en De-e5cry,orl�14 or; / S82° pini g Vitp 53'S 'rr� Der25,CirlfS d,�32..00'9 1 l Sha Frame Garage 16.5'- n i i n f •V N82 °53 50W « —a 6 New Is Uffolk A veru, 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\05-202.pro M ^e 5. Frame Garage 16.5'- n i i n f •V N82 °53 50W « —a 6 New Is Uffolk A veru, 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\05-202.pro M -7,--?-� /wJt&4, LOCATION: � SUBDIVISION: NAME OF OWI OCCUPANCY: (number & street) (type) MAP NO.: (municipality) LOT(S): 0 %A1A1Z1< (owner ADMITTED BY: 91ty I1j I uT /I / z --L-- ACCOMPANIED BY: KEY AVAILABLE: it I I SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: �t}?�, ©LSO DATE: DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: _ TYPE HEAT: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: # STORIES: # EXITS: CELLAR: CRAWL SPACE: _ 2ND FLR: 3RD FLR: TOILET ROOM(S): UTILITY ROOM: DECK, TYPE: PATIO, TYPE: FIREPLACE: GARAGE: TYPE HEATER: AIRCONDITIONING: WARM AIR: HOTWATER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: 7 VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. 0 REMARKS: ��64,- c >�- INSPECTED BY: DATE OF INSPECTION: TIME START: /a � )-O IM END: /0 ; j 0