HomeMy WebLinkAboutZ-31688 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- 31688 Date: 07/18/06
THIS CERTIFIES that the building DWELLING
Location of Property 2680 PIKE ST MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 0008 Lot 003
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- 31688 dated JULY 18, 2006
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*
The certificate is issued to GARRET & MARY P MEADE
(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: 2680 PIKE ST MATTITUCK
SUBDIVISION: MAP NO.: LOT (8)
NAME OF OWNER (5) : GARRET & MARY P MEADE
OCCUPANCY: SINGLE FAMILY DWELLING GARRET & MARY P MEADE
ADMITTED BY: GARRET MEADE ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 114.-8-3
SOURCE OF REQUEST: MARY MEADE 5/31/06 DATE: 07/18/06
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 5
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST PLR.: 6 2ND FLR.: 3 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) :
PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: YES GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: NO HOTWATER:
OTHER: HOT WATER HEAT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: FRAME SHED
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP#39352-COZ3360(ADD)BP#54002-COZZ4444G11(ADD)BP#147162-COZ18640(ISP&DECK)
INSPECTED BY: .�i �wc/1---DATE ON INSPECTION: 06/13/06
GEORGE GILLEN TIME START: 9:35 AM END: 10:00 AM
•
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
j s1 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:
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.
GOFor 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 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-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00
Date. l 3 / ( U 6
New Construction: COld or Pre-existing Building: t/ (check one)
Location of Property: c2 G p/ U 10 i 'K-c St HQ f'f r fuck
House No.
t StreetHamlet
Owner or Owners of Property: V a r r 2 f `I /-^C r/ MQ-0, d(
q
Suffolk County Tax Map No 1000,Section 1 � Block S Lot 3
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: $ k
Applicant igna e
C'ret :)oc
t co& Maar
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET1‘...)Wr1 VILLAGE DIST. SUB. LOT
d. Meade a w a:'u t A::... 7 es c_
FORMER OWNERN E ACR.
Sake)" �0La_I. ir - 0480
S WTYPE OF BUILDING
7;1141 it? JMOMNSod✓ F,1AywARD — .4 0 ?pie
6.-a,0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND - IMP. TOTAL DATE REMARKS • r
0 0 7 00 1/45-.1 o o jilia2M1 ," «¢
1 0 7Doc. 00 ✓ 1l2,r, ,� '�' 400 4 0 0oa s-vo0 7/� �-�"7J
a,3s 6 9.2JS
10--) .6 i y ✓ &/l�e2 S,-e e '`D`7togsa 71:://‘' fa h9en o4 1 -59„r p i 60.0
.3 3I/9 E l Wit 1v.k;V2(j ( c)L-• is-- rJec- (. . cacao, el--
00a
ms0oa 8P-1:L7E3518 ckmol01trn aCrecson? le9a- }I°if
= 01A-
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable • FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD 163- -` 5 Q "Z
Meadowland DEPTH //o o
House Plot __-- BULKHEAD
Total" ••••• `� .....•TotDOCK
" \� w. COLOR c/) auA ct TRIM
it illi
j :
IRAIM";' tate
/+- 177s7 4
iv
Q611. ,r' `
9 /6 . 3Ja > _
M. Bldg. a =6 i oo Ysro.
Extension ,
Gvlo2-- Z 7 i
Extension
riga, a 0 j b.i
OL-d, GOY ,e Foundation Ca c.. ' Both - .2 ,> Dinette
Porch 3 8 0 Basement Floors , p, -^ .. K.
O . `_S+t
Porch INIIIIIIMEISBIBNIIII " 7 0 wExt. Walls tiv-1-1-4st ,2 Interior Finish a LR.
$"° YFfiffinismif r Fire Place Heat DR.
GarageFaillitiliffill Type Roof Rooms 1st Floor BR.
Patio y 9 a o . _gecreation Room Rooms 2nd Floor FIN. B
SXR / y0 __
19
• p Se i Gf d C Dormer Driveway
Total /�
/]�.C\--... to - - , A tf c
".410NUMENT 73'29' N/4-SCHEER
SOUTH 40'E
7.6 --- STOCKADEUTILITY
�06
FENCE .33' POLE
o
I ---- —EN=FENCE
y
Z •
&-2 10,8 _ 72.0' N
pI FRAME m o �.{
V 111 I SHED w M
y ` J
O m1 0�\JOy�P rn
ti 1 1 O
0\-\
AVE LOPER 1 St ASPHALT APRONS O
:a I
0
01 C
O
2
O
4,1 STOCKADE 8 0
r
WOOD DECK 0
I 36' A
m
I o IN-GROUND 6.,'
POOL 13,7'
2,7 r unutt
D
WOOD DECK I '-ONE STORY POLE c
N I r.7_r14 BRICK STOOP
4— TE J & STEPS /�
X CONC & BRICK 32.4' `/1
o H
STEPS N 2D.1 3./' .-,III BRICK
w 32.4'
NSF BOL/kAS i 6.3' Lt TWO STORYtill
Co
I o 0 g
tti
CO 11.8 .. °'- z
, M m H
O . z W
AI CONC & 0
BRICK N c�
DISTANCE FROM ENO OF FENCE I m STEPS 0
TO PROPERTY LINEP'I
J V m
\ 5. 3 IFENCE CHAIN LINK FENCE NORTH_y PREP SINE _q p_ ROUND
0
Ai
2.7 135.68 MONUMENT
61'54 20 W
N/F HINSCH ='
IIw
p
NYS 25
MAIN ROAD
SURVEY OF
DESCRIBED PROPERTY
SITUATE
MATTITUCK, TOWN OF SOU�THOLD
SUFFOLK COUNTY, N. I N.Y. SURVEYED: 23 MAY 2006
GUARANTEED TO:
ROBERT DRAKE SCALE 1"= 30'
JANE C. DRAKE SURVEYED FOR: ROBERT DRAKE
PDE TITLE INS. CO. JANE C. DRAKE AREA = 21,029 S.F.
OR
TM# 1000-114-08-003 0.483 ACRES
ONLGUAY TOT THE PERSON EES FOR WHOM THHERE ON E SURVEY RUN
SURVEYED BY
TIEPARED.AND ON HIS BEHALF TO THE TIS
LE COMPANY,GOVERNMENTAL AGENCY, STANLEY J. ISAKSEN, JR.
LENDING INSTITUTION,IF LISTED HEREON,AND P.O. BOX 294
TO THE ASSIGNEES OF THE LENDING INSTITUTION NEW S - FFOLK. N,Y. 56
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
637 — .34— 835
UNAUTHORIZED ALTERATION OR ADDITION TO THIS ��/ Ir
//
SURVEY VIOLATION SECTION '�
THE NEW
PARK TATE EDUS CTIATIONLAW.
COPIES OF THIS SURVEY MAP NOT BEARING ICENS, • LAND : RVEYOR
NOE T BEONSIDE ED TOEMBOSSEDBE
ALID SEAL SHALL NYS LIC. No. 49273 06R1505
CTLEDSUREYO BBASALIDEAL
COPY
CONSENT TO INSPECTION
CG a r r e) M a✓ ! M,Ca d C ,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 a co 4S v P I K c St t Ma t f i }v k
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section j I '-f , Block % , Lot 3
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southol Town Building Inspector's Office for the following:
rc — CO
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:
s/3 , 7 0,6 �����,
i
(Si ature)
a aavitt Vlleaote_
/He
ne
(Signature)
Marti fl1ea ,a
(Print Name)
LOCATION: 024 10 fikc ST, /I erg Tr/ C(k.C1 "
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): --
NAME OF OWNER(S): Q /'i( /1'.-2ic�-4.
OCCUPANCY: 1 �f1/'1/L--V 'FS/)Q f- /cf= 6‘,,ti/1/
(type) //JJ (owner-tenant)
ADMITTED BY: 1'114 ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- /14- 8 -3
SOURCE OF REQUEST: /2' / ts-ea-Q_ DATE: 5 3/- 0 6
DWELLING:
TYPE OF CONSTRUCTION: W °°3) Fkr47"(� # STORIES: I d2 #EXITS: —5-
FOUNDATION: C-0 ,.e-,.. eetraz
_ CELLAR: PDQ CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3 3RD FLR: —.--
BATHROOM(S): 2- TOILET ROOM(S): I UTILITY ROOM:
PORCH TYPE: E/Yc.1-O5 1 DECK,TYPE: VJoo D PATIO,TYPE: CoA/C, ATE
BREEZEWAY: •-- FIREPLACE: )/ES GARAGE:
DOMESTIC HOTWA� R: y3 TYPE HEATER: AIRCONDITIONING: —
TYPE HEAT: WARM AIR: r fo HOTWATER: —
OTHER: //or- w1,41 H&rr
ACCESSORY ST1 tJCTURES: _
GARAGE,TYPE OF CONST.: STORAGE, TYPE CONST.: tm" _ svb
SWIMMING POOL: 18/ )C 36 / IG P GUEST,TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 &N. TATE UNIFORM FIRE PREVENTION&BUILDING CODE
LOCATION C.
Oreik.)--014-e. rirriti-o- __.-4,414...e-/-4--
Pike rA4-41.- >-)i...4 (A-e -tez. c-Oree- . .
REMARKS:
tp
INSPECTED BY: --/J(-4T; DATE OF INSPECTION: 6 /3-- o
�
TIME START: q'1)5 4171 END: Ab v