HomeMy WebLinkAboutZ-31830
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-
31830
Date: 09/21/06
THIS CERTIFIES that the building
DWELLING
Location of Property 615 SIGSBEE
(HOUSE NO.)
County Tax Map No. 473889 Section 143
RD
(STREET)
Block 0002
LAUREL
(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-
31830
dated SEPTEMBER 21, 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 WOOD FRAME GARAGE*.
The certificate is issued to HERBERT A GUNTHER & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~ze~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOH:
SUBDIVISIOB :
615 SIGSBEE RD
LAUREL
MAP HO. :
LOO: (S)
HAME OF OWNER (8): HERBERT A GUNTHER & ORS.
OCCUPAHCY: SINGLE FAMILY DWELLING
HERBERT A GUNTHER & ORS.
ADMITTED BY: HEATHER GUNTHER
ACCOMPABIBD BY: SAME
KEY AVAILABLE:
SOURCB OF REQUEST:
SUPF. 00. TAX MAP HO.: 143.-2-12
HEATHER GUNTHER 8/25/06
DATE: 09/21/06
DWELLING:
TYPB OF COHSTRUCTIOH:
WOOD FRAME
. STORIES: ~ , EXITS: ~
CELLAR: PART CRAWL SPACE:
FOUNDATIOB :
CEMENT BLOCK
TOTAL ROOMS: 1ST FLR..: .2-
BATHRCXJM(S): ~
PORCH TYPB:
BREBZBWAY:
DOMESTIC BO'nIATER:
2ND FLR.: ---9.
TOILET ROOM (S): -L..Q
DBCK TYPE:
3RD FLR.: 0
UTILITY ROOM(S):
PATIO TYPB:
YES
TYPB BEATER:
GARAGB: 1 CAR
AIRCORDITIOBIliG:
YES
FIRBPLACE:
NONE
TYPB BEAT:
OIL
WARM AIR:
YES
BOTWATBR :
OTHER: SEPARATE HOT WATER HEATER
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
RIlMAllKS ,
G~
~ )- DATJ. OB DIISPEC'rIOB,
TIME START:
08/29/06
B!lD,
IliSPBC'TBD BY:
'Pre CfJ
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:
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:
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, Commercial $15.00
Date. f1 / ~5 dJ-f
New Construction:
Location of Property: C / C
liouse No.
Old or Pre-existing Building:
S; Y<>S'&e
v Street
----
v'
(check one)
/JJ lJ lTif""c ;(
. Hamlet
!lei..
Owner or Owners of Property: He/" &,-1
Suffolk County Tax Map No 1000, Section
C-c,n/ier ,f'j/Ld'';t:> 6-rAIJ.!1.t:.r , h/ht>/r;,J4~/'
v C/'
! !ff/ 0 I q: ~ Block 19....2- Lot ,?? I)
Subdivision
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Permit No.
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $ /OO.(J c/
&-.u .71000
6\JL Co-i. :31€.3 0
;Z q;;- - 20C;9
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Applicant Signature
\.,,--
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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GUrl+I\c.r _ II
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ffl RES. '.:? / tJ SEAS.
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LAND
II
ACR. ,
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TYPE OF BUILDING ~ :1..
! rLtl.ttt.{
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,
Mkt. Value ;l c:; (J)(J
DIST.
SUB.
N
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'ho+'.
VL.
TOTAL
COMM. CB. MISe.
REMARKS
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I BUILDING CONDITION
I 5ELOW
---~ - - - ----
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland I FRONTAGE ON WA TERJ .
-----,.-- .-.----t-.~ I jtJ
2i\,sh!and FRONTAG. ')r: KUf\D - ~=--~----
--- - -- --'---- ---- "---
Hause Plat DEPTH Ii./ft)
BULKHEAD
Total DOCK
III
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IMP.
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c__ ,...__ . ... . .. ... . . ." . f-- - -I-'-:-~ 1-- .'. - .
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;._( Bldg. 12.--)("'\~ 70(/ yrV /7 (.n Foundation IC~ Bath '/( Dinette
.'T'. :-
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-, i . f ' !Basement I -, -------
Extension Imv"-- Floors , 7)/ I V,p K,
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E".tension i ! Ext. Wolls ' Wd J h. Interior Finish iT ~{ Ie.. LR. ' I
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Extension I Fire Ploce A J.~>, /. (: .Heot b d (\), \ll.'C.AA DR.
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Type Roof 1-1 I {J Rooms 1 st Floor 1 LJ BR.
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Porch Recreation Room Rooms 2nd FlOor I
FIN. B.
Porch I Dormer
,
Breezewoy k' I-jt"\lt !ltt {IN . /' / Drivewoy
Garoge /k XV~ .. UIA~ \ y i S ~~!
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Patio 1 I
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CONSENT TO INSPECTION
#eq#ZV ~~;lI<---
Owner(s) Name(s)
, the undersigned, do( es) hereby state:
That the undersigned (is) (are) the owner(s) Ofth~emises in the Town of
Southold, located at 6';, ,C;lt'j..t8c-c e .
which is shown and designated on th~SuffoIk County Tax Map as District 1000,
Section , Block , Lot
That the undersigned (h.as) (have) filed, or cause to be filed, an apPlica~ in the
SouthoId Town Building Inspector's Office for the following: fk ~
That the undersigned do( es) hereby give consent to the Building Inspectors of the
Town of SouthoId to enter upon the above described property, including any and ail
buildings loc.ated thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to detennine that said premises
comply with ail 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 SouthoId.
Dated: ;'/J,. r- /()~
~~
/ / (~j,gnature~
/7 eCC 771 tr /1 /) tf',r-
(Print Name)
(Signature)
(print Name)
---. - .----- -
--.....- --
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m.m
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ JACOBS' GLEN HEATHER GUNTHER ~
~ P.O. BOX 1304 615 ZIGSBEE ~
~ JAMESPORT, NY 11947, RT. 25 ~
1m MA TT1TUCK, NY 11952 1m
~ . ~J&.~"I ~
~ Located at .J;TI'f),,,, ~
mI ml
~ Application Numliert Certificate Number: 1178811 ~
i Section: Block: Lot: Building Permit: BDC: NS11 I
~ Described as a R;sidential occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and l!Iliring. described below. located inIOn the premises at: ~
~ Outside, ~
I I
~ was inspected in accordance with the National Electrical Code and the detail of the installation. as set forth below, was ~
~ found to be in compliance therewith on the lOth Dayof November, 2003. ~
~ Name OTY Rale Raling Circuit I= ~
1m Serviee 1m
~ I Phase 3 W Service Rating 100 Amperes ~
~ Service Disconnect: 100 cb ~
~ MeIers: I ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~I ~
~ ~
~ I of I ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
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GUARANTEES INDICATED HERE ON SHALL RUN
ON/. Y TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TTTL.E COMPANY. GOVERNMENTAL AGENCY,
LENDING INST1TUT1ON. IF LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTTTUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDmoNAL INS77TIJT1ONS OR SUBSEQUENT OWNERS.
UNAUTHORIZED AL TERA 710N OR ADDfTJON TO THIS
SURv=Y ISA VIOLATlON OF SECTION T209 OF
THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAl.. SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
MAIN ROAD (NYS 25)
LOT 9.3
N 69'22'00"[
IN
'-J
140.00'
CHAIN UNK FENCE GENERAlLY NORTH OF UHf
WIRE FENCE
ROOf" OVER
ENTRY
32.0'
WOOD FRAME
CONC RAMP
'"
!'>
"GARAGE RESIDENCE
UNDER
HOUSE
CONCRETE
WALKWAYS
26.2'
FRAME
n
\i
~
COCNRETE BlOCK WAlLS EITHER
SIDE OF DR/VEWA Y
GARAGE
GRE FENCE:
LOCAnON APPROX!'''TE
---"""-
36.7'
"""
S 69"22'00"W
140.00'
,j>.
m
LOT 91
.
SURVEY OF
LOT 92
IN
AMENDED MAP OF
MATTITUCK PARK PROPERTIES, INC.
SITUATE
MA TTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: HEATHER M. GUNTHER
GUARANTEED TO:
HEATHER M. GUNTHER
SUFFOLK COUNTY NATIONAL BANK
COMMONWEALTH LAND TITLE INS. CO.
FM# 801
DATE FILED JAN 12, 1926
TM# 1000~143-02-012
IN
CO
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SURVEYED: 18 AUGUST 2006
SCALE 1"= 20'
AREA = 7,000 S.F.
OR
0.161 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SU FOLK. N.Y.
631 - 7 4-58.35