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Home My WebLink AboutZ-31744 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- 31744 Date: 08/10/06 THIS CERTIFIES that the building DWELLING Location of Property 570 PACIFIC (HOUSE NO.) County Tax Map No. 473889 Section 141 ST (STREET) Block 0004 MATTI TUCK (HAMLET) Lot 023 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- 31744 dated AUGUST 10, 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 WITH ACCESSORY GARAGE . The certificate is issued to KAREN WENDA (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. ~iZ~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT MATTITUCK MAP NO. : LOT (S) KAREN WENDA ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. T.AX MAP RO.: 141.-4-23 SOURCE OF REQUEST: ABIGAIL WICKHAM, ATTY 8/1/06 DATE: 08/10/06 DWELLING: TYPE OF CONSTRUCTION: 2Ifi) FLR.: 2 TOILET ROOM (S), ---L.Q DECK TYPE: FIREPLACE: NO # STORIES: ~ # EXITS: ---1 CELLAR: PART CRAWL SPACE: 3RD FLR.: --9. UTILITY ROOM(S) : WOOD FRAME FOmmATION: BRICK TOTAL ROOMS: 1ST FLR.: .2. BATHROOM(S): ~ PORCH TYPE: BREEZEWAY: DOMESTIC BOTWATER: PATIO TYPE: GARAGE , AIRCOlIDITIONDlG: YES TYPE HEATER: TYPE HEAT: OIL BURNER WARM AIR: YES OTHER: SEPARATE HOT WATER HEATER BOTWATER : ACCESSORY STRUCTURES: GARAGE, TYPE OP COllST.: SWIMMDlG POOL: OTHER , WOOD FRAE STORAGE, TYPE CONST.: GUEST, TYPE COllST.: WOOD FRAME VIOLATIONS: CHAPTER 4S N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS , GEORGE GILLBIl DATE ON INSPECTION: 08/03/06 TIME START: JDiII): DilSPECTED BY: Form No. 6 .'\ i L_ i \ "j! ')..._JAPPLICATION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 '. JG l: ____1('~ " FOR CERTIFICATE OF OCCUPA.~CY 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 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 1.'pre-existingT1 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. Certificate of Occupancy on Pre-existing Building.- $100.00 Copy of Certificate of Occupancy - , .25'0;' Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 -,/,2. 3. 4. 5. Date.... :Z/Z't.J29D.h..................... New Construction........... Old Or fre-existing Building..~............ Location of Property.... .'f.7t?. f?q..cfh~. .~t."""""""""""" ':1:11~........ House No. /l' Street Hamlet Onwer or Owners of property.....K~..4)~..~.?<!~~)............. County Tax Map No 1000, Section.. .!.Lf./..... .Block...... !-f...... .Lot.....0............ Subdivision.. . . . ..--: . .. . .. . . .. .. . . .. .. . . . . . . . . . . Filed Map........... .Lot. . .. . . .. . . .. .. . . . . . . . . Permit No............... .Date Of Permit............... .Applicant............................. Health Dept. Approval.......................... Underwriters Approval......................... Planning Board Approval........................ Request for: Temporary Certificate........... Final Certicate........... ';;~~;~f::~. aaH' H' H H H H H Hy~~ H' H H H H - ," en " (1', , . TOWN OF SOUTHOLD PROPERTY RECORD CARD M~ (L ::cD~~ (J) o )- o ..J ..J E o ~ LL . - - .. -, =-.n;o..... -, ~NER STREET 570 VilLAGE OIST. SUB. lOT ~"1..ft't ~tlte:f q -.. .. rfI r>. . ) .rvJ..J nla -Jh <.fu ct ~e. ACR. l as' REMARKS - TYPE OF BLD: I'Dj~~i'l-l..f~l"7 ~I~~-:<- ,"?, - ,~ ~f, to ~-N/C. PROP. ~~ r I -, r -, -. LAND IMP. TOTAL DATE 50D ::n no .If/a.q/74 - 1 - - -- .., .----- -. ., '" , .0- ___._. -- - .. .-- .. . FRONTAGE ON WATER TILLABLE - - .. .... ... ..... .-.... .~._- - FRONTAGE ON ROAD WOODLAND ---..- OEPTH MEADOWLAND !:uu 1t~1:4n HOUSE/LOT If) Ul If) OJ OJ m ru ..-< f") Ul o f-- m If) ..,. en <:r f") r-- ..-< f") Ul ..-< If) Ul ..-< Ul IS) IS) ru , f") ..-< I ..J 2 .J en , r- [L l(l UJ l(l OJ OJ m ru .... t'J UJ o I-- m 31dg. l(l <r m nsilm <r t'J r- .... nsion t'J UJ rnslon :h :h (JJ o >- o --' --' E o '- l>- IS) l(l UJ .... ezeway age :10 B. UJ IS) IS) ru I t'J .... I --' ::J >-; al . ...... ~-. H - -. -"'-'-'~...;::;::-' $i:Ynt /1, y-yl{ - .~~ .' ..' ill 'i \V' - . I -r" 01.. S'HE".l> .-~.... '-.' " : ""'<'.. I'--'--'~' ----,--.- 1 I COLOR ,--; ........ ';,':".: I j.,...... 1 .~ 'fe fit 'V yf ... ll1rl"A , ," .:..t:~ .. ..' .. .... " TRIM t-cJh \ 1:;..' _. , , ~ Foundation "- Basement J'" c) 10/ ? i, txt. Walls , , Fire Pince .,.... . ,,';'1/. J;.t:)O 2~~ Type Roof Recreati~n Roon Dormer, . . )A'" ~.3 t- ., Driveway .SO II 'fI '/ . $"1> 1 ~'!J7'U; /: : ~ .' '{:;' rot i '. !~ 1 I I. f I" fly,c'" ? I'r ...- r 1.# I> >11 IVa, -r"' '-,:_T. ,~._... ---..- I~"" '. / ,I ~ (;- ./:. ~,t. .:t ,,,-.f) /':"'>- .\ Rooms'! st ~Ioor .., 1/ I ~ Both Floors '~'.. " Interior Finish Heat Rooms 2r'\d Floor ., ,:!."~-,....r ,-~i~'-'-T-' .~--'-'l . . I . -.. m , 1-:. . ., '3 YV , v9 L '{{ ~~" '~. : tr (y) ." , ( f '.(}L/-:;,. Jh , . <,,71 ,;;r ~$I -, f'vU 11.1.( i y y ~ II . ~..... '" !7 .~ . .. I Dir'\ette ,. f: .. K. 1 I ~ '1Zf 4i-~t~ : LR. i 4ft . DR. / J DR. V Y FIN. B. ....'.>: " " CONSENT TO INSPECTION kAR5~er~Er%~(s) h~ Ab~~ A. LA) IcJc ~a. ~ . the undersigned. do(es) hereby state: That the undersigned (is) (are) ~he owner(s) of the premises in the Town of Southold located,.--at 510 Pa.~-0 Sf-:) maJiJj,U'/<1' NY Ilq ') L.---- . which is shown and designated on the Suffolk , County tax map as District 1000. Section lif I . BlOCk..#--, Lot 7 -<., . , 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: , ~-e. CO +~/ 2.~. \"OoSe. ~2:lMl\O vJl ~lL-) "- ckt:a r JA..P PP ) eOl1de:~'''_f~h'o ',.{:' f@Q:"'UU. ...~ ~ That the undersigned doles) hereby give nsent to the Building Inspectors ~~ of the Town of SouthoId 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,lrules and regulatio'ns of the Town of Southold. The undersigned, ~n consenting to such insplictions. doles) 50 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: 7h ~ /7/?Oc,. / f ~. ~ ,~~"'- . Signa~ 4,gIGA/L WrcRlI1fJ#1, yd , (print name) (sij:!nature) (prInt name) N unuT'!. ptV \ '"I:) > n .... ~ .... () tJl ~ ';l:) ~ ~ ~ sotlt'tV 1:'t'ttlE b.'lD '" :::! '" ... \ \ \ --~~ ~fl:"cE o. .p;iJ" u"~ \ <1[3'5 I',.: \ -------- 1\-10\..0 f SO\.! 10'lll'l 0 0. ''''. f :;o-E. 1'l7f5 V> \~ .,. \'g '2 "P, CoNcRETt FR. '" GAR. ". -" 12.'>' \ 1.4.1 '" ,}O.7 O. cO"'cRE1< '" o "'. 2 STY. FR. H$(. '" o <.. ::::--- 13.1' 14,2' lJl1uT'! pQt.E ~EOGE VIE-\..\..S lit 1'l~I'lC'(' J~w.E.S f{. I'l/o/f AREA=13,744 SO. FT. .=MONUMENT ANY AL TfRA nON OR ADDITION TO THIS SURVEY IS A \l70LA T10N OF SECTION 72090F THE NEW YORK STA TE EDUCA T10N LA W. EXCEPT AS PER SECTION 7209-SUBDI\I7SION 2. ALL CERTlFlCA nONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. SURVEY OF PROPERTY AT MATT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000-:-141-04-23 SCALE: 1" 20' JUL Y 25, 2006 JUL Y 27,2006(CERTlFlCA TIONJ ~ ~ z ....... o ....... ""T\ ":xl ~ )> Z -\ <;) ~ !!l ~