HomeMy WebLinkAboutZ-31824
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-
31824
Date: 09/19/06
THIS CERTIFIES that the building
DWELLING
Location of Property
580 OLD
(HOUSE NO.)
County Tax Map No. 473889 Section 144
SALT RD
(STREET)
Block 0005
MATTITUCK
(HAMLET)
Lot 012
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-
31824
dated SEPTEMBER 19, 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 1 CAR ACCESSORY GARAGE'
The certificate is issued to PATRICK & JENNIFER HIGGINS
(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.
~orE!:::::
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOIl:
580 OLD SALT RD
MATTITUCK
SUBDIVI8IOl!l :
MAP BO. :
un: (s)
KAME OF ONHER (8): PATRICK & JENNIFER HIGGINS
OCCUPANCY: SINGLE FAMILY DWELLING
PATRICK & JENNIFER HIGGINS
ADMITTED BY:
ACCC>>IPANIBD BY:
KEY AVAILABLE:
SUFF. CO. TAX MAP BO.: 144.-5-12
SOURCE OF REQUEST: PATRICK L. HIGGINS 8/31/06
DATE: 09/19/06
DWELLING:
TYPE OF COIiISTRUCTIOIl:
WOOD FRAME
# STORIES: ~ " EXITS: 2
POUBDATIOIl:
CEMENT
CBLLAR: PART
CRAWL SPACE: PART
TOTAL R.OC>>IS: 1ST PLR.: -1.
2ND PLR.: ~
3RD PLR.: ~
BATHROOM (S) , 1.0
TOILET ROC:>>I(S) : 2.0
trl'ILITY ROOM(S): ~
PORCH TYPE:
ENCLOSED
DECK TYPE:
PATIO TYPE: BRICK
BREEZEWAY:
FIREPLACE :
ONE
GARAGE:
IJCIIIBSTIC BOTNATER.: YES
TYPE BEATER:
AIRCOBDITIOBDlG:
YES
TYPE BEAT:
OIL
WARM AIR:
YES
BOTNATER :
YES
OTHER: 2 INTERIOR STALL SHOWERS-SEPARATE GAS HOTWATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COIiIST.: 1 CAR WOOD FRAME*
STORAGE, TYPE COIiIST.:
SWDDIDlG POOL:
GUEST, TYPE COIlIST.:
OTHER: *2 STORY 1 CAR GARAGE WITH NON-HABITABLE STORAGE 1ST & 2ND FLOORS)
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP#24612-COZ26121 (ADD&ALT EXISTING ACCY GARAGE)
~~~
DATE mr DlSPECTIOIl: 09/12/06
IHSPECTED BY:
GEORGE GILLER
TIME START:
","",
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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 Dep!. 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 I % 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
I. 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 Certificate of Occupancy - Residential $15.00, comm::: 15 .00 ~/} I/t; P
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: ~~(J
House No.
atJ f/fj;( 111J4tJ
Street
/t,frTZedCII...
Hamlet
OwnerorOwnersofproperty: t ;J/fri-Ul -f 56VPZ;?a :T. ;.h'6td:AI..s
Suffolk County Tai" Map No 1000, Section 1'1'1 Block S- Lot /.2
Subdivision ,)AiT tII~E flt2tA6€- Filed Map. Lot:
Permit No.
Date of Permit.
Applicant:
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $
~
tAJmo-t:l f;:l $)1 9'1'11
f-~~OJ~I + Scf-l'tDUle j
6:~co-l. 3'8~'f
~ '1-eJ,j"-/2..
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET S2:YO VILLAGE DISTRICT SUB. LOT /
ILK -tj~(),'#r s.
.FOR~
" . f ~ 5.
" r. '1'\" '\'n01"'\ At ar'\o S
~/V1-vtk --3 'l() (YV~vl..b'vv
lES. ~.J rJ
LAND
.;l t1 t' tJ
?-- I- 0 ()
'2.-. V C; 0
) '''''';) d
~ D bt:>
3 /f:iE
NEW
Farm
'illable
'illable 2
'illable 3
Voodland
wampland
:rushlO'l'M -
~ouse Plot
'otal
SEAS.
IMP.
S l( 60
J ((6 ()
&:, / CO
S-. 7 ,(I
7300
Q(OC)'tet
NORMAL
Acre
--
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VL.
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N
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E
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ACREAGE
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W
TYPE OF BUILDING
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COMM. IND.
CB.
MISe.
TOTAL
REMARKS ...."
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DATE
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,
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Value Per Acre
Value
--
--
--
-
t'1'
.. , .~
"c:_
..
-
<< -,
,j,iOo,. _
M, Bldg, ! c/ V' i, :. .1.-1) cL (I)
Extension ,', i \/ -j " . I 0 C/(~
Extension ),( (/ '/ J.-t, :; b )//?:;
r/i. l
Extension .... r y ') I :: I d-O (if
);(~J.
Breezeway
f~
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7C_ " -'- oS;.! e D
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Ext. Walls
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Basement r !-r--~ Floors
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Interiar Finish
Fire Place p:(il\ \ fhA 1.- '
~~<> J/4'D
/0 3t, '/Patio IS 'i /'f
o ~ Driveway
. 'f""~ ~ i:kffO
~ (J'O .j,,~
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CONSENT TO INSPECTION
I. (l/l1lltC!t ~ C0?;)
~
;TiillAlt/flt f t/;frtTth5
Owner(s) Name(s)
, the undersigned, doe es) hereby state:
That the undersigned (is) (are) the owner(s) OftlJ;p~ises in the Town of
Southold, located at 5tJO ()t() 5;1ft.r 1"tJ/h . #,fr(ClVtK..
which is shoWl};and designated on the Suffolk County Tax Map as District 1000,
Section / t( 7 ,Block ~ , Lot I).... .
e
That the undersigned doe 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, doe 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:
ZjJ/d6
t.A ~{I186-lii j
qR5~~;j
(Print Name)
~..t,. .'
. ~ "','
0"'/1 HO,OO' a ,,-.....I
579'0'5'0 vI'"""
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co ("75 OWNERS ASS .
lrj .03' A-115.00"
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SURVEY OF LOT I
"MAP OF SALT LAKE VILLA<SoE"
FILED IN THE OFFIGE OF THE GLERK OF SUFFOLK GOUNT'!'
ON MAY 10, 1"'140 AS MAP NUMSER ISIO
SITUATE IN THE VILLA<SE OF MATTITUGK
TOJi'lN OF SOUTHOLD, SUFFOLK GOUNT'!', N.Y.
I
i
r
SUFFOLK COUNTY TAX HAP NUMBER
1000-14400-0500-012000
SURYEYEO DEC. 23. 1996
GUARANTEED TO:
PATRICK HIGGINS
JENNIFER HIGGINS
STEWART TITLE INSURANCE co.
COUNTYWIDE HOME LOANS INC. AND
ITS SUCCESSORS ANO\OR ASSIGNS
AS THEIR INTERESTS MAY APPEAR (A.T.l.M.A.)
AREA=227B7 S.F.
60
1".30'
. .
" 90
.V.S, LIC. NO, 50202
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