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Home My WebLink AboutZ-32384 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- 32384 Date: 06/05/07 THIS CERTIFIES that the building ACCESSORY BARN Location of Property 240 (HOUSE NO.) County Tax Map No. 473889 Section 139 FREEMAN AVE (STREET) Block 0003 MATTITUCK (HAMLET) Lot 043 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 32384 dated JUNE 5, 2007 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 ACCESSORY WOOD FRAME BARN WITH ATTACHED STORAGE SHED.* The certificate is issued to HALSEY GOLDSMITH (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ~ze~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOH : 240 FREEMAN AVE MATTITUCK SUBDIVISIOH : MAP 1l0.: LOT (S] NAME OF OWNER (S); HALSEY GOLDSMITH OCCUPANCY; N/A HALSEY GOLDSMITH ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 139.-3-43 SOURCE OF REQUEST: PAUL PYLKO DATE: 06/05/07 DWELLING: TYPE OF CONSTRUCTION: # STORIES: ~ # EXITS: ---9. FQillIDATION: CELLAR : CRAWL SPACE: TOTAL ROOMS: 1ST PLR.: 0 2ND FLR.: --9. 3RD PLR.: 0 BATHRQOM(S): ~ TOILET ROOM(S): ~ UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE : GARAGE , DOMESTIC BO'lWATBR: TYPE BEATER.: AIRCONDITIOIlING: TYPE BEAT: WARM AIR: BOTWATBR : OTHER , ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE OQRST.: ATTACHED WOOD FRAME SHED SWIMMIIlG POOL: GUEST, TYPE CONST.: OTHER: BARN VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BPS HOUSE COZ205, BP33096 ELECTRIC COZ323S3 INSPECTED BY: ~~. DATE OH INSPECTION: 05/15/07 GEORGE GILLEN TIME START: EIID, 2007-04-2509:38 >> 2522474355 P2/3 #It FonnNo.6 TOWN OF SOVTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~( O^''^ O~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~\J\S-e ~J GI 0 This application must be filled in by typewriter or ink 8lId submitted to the Building Department with the following: A. For aew buDding or new u8e: I. Final survey of property with IICcurate location of all buildings, propertY lines, streets. and unusuallUllural or topographic features. ,.,- 2. Final Approval from Health Dept. of water supply and sewerage-disposal (5-9 form). 3. Approval ofeleclrical installation from Board of Fire Underwritm. _ .' 4 4. SWOrn statement from plumber cel1ifying that the solder used in system contains less than 2/10 of 11IMIiI!I 8', 5. Commercial building, industrial building, multiple residences and similar buildings and installations!"8''lJtifiCale of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ___.J f_ ::-.. 8. For ntsllng buildlnp (prior to April 9. 1957) Don_nlormlng lileS, or blllldings and "p"'lllstlng" laad 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. lfa Cel1ificate of Occupancy is denied, the Buildilllllnspector shall slate the reasons therefor in writillll to the applicant. C. Fees I. Certificate of Occupancy. New uwclling $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, Businesse. $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. cJ -.] (j -0.7 New Construction, Old or Pre-existing Building: V (check one) ~...of_, ~LI~ ~~~ OwnerorowneMfPro:::~NO' .~~,} .,~ ~~ Suffolk County Tax Map No 1000, Section ~::::{j Block 0 ._ Lot ~j j Subdivision ,_,_._ Date ofPermil. Filed Map. Applicant:__ . Underwriters Approval: Lot: Permit No. Health Dopt Approval: Planning Board Approval: Request for: Temporllry Certificate _ 2007'04-2509:39 " 2522474355 P313 CONSENT TO INSPECTION /LP ~ (k-//;i:;'~ipoQ. '*>-by_ er(4 Name(s) ~ That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold. located at .' lj -. ~ l .' ... }j Qc . which is shown and designated on the Suffolk County ax Map as District 1000. Section~, Block ?, , Lot J.\"?-) . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Vp" ("Ii' \\1(15 <"jlJ- That the undersigned dotes) hereby give consent 10 the Building Inspectors of the Town of South old 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 inspel:tions to determine that said premises comply with all of the laws, ordinances, rules and regulatiQns of the Town of South old. The undersigned, in l:onsenting to sUl:h inspections, do(es) so with the knowledge and understanding that any infonoation 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 South old. Dated: ~- 30-07 ~~ /J / (SignJtur r4u hi.! /'v!;ro (Prin(Name) (S ignsture) (Print Name) tJCJO - /3 -3-'/0> OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD " ///, /(.., STREET <2 Cf 0 VILLAGE ,5't:/L/ -is DIST. SUB. LOT N S RES...2/0 LAND SEAS. VL. FARM , IMP. TOTAL DATE 0 6-/00 ~3D 0 ~~ '1 ""' ZJ 1'-'" 00 'I- 00 600 G t:) 0 600 AGE NEW FARM BUILDING CONDITION NORMAL BELGW ABOVE Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushland Hause Plat Total "-"'~ '- /' -I--I-,iu. C /" 9 /1 I( 8 Ell) A~R40 I TYPE OF BUILDING G"\~ E W COMM. CB. MISe. Mkt. Value REMARKS s.e. FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD I:!.> 0 @ c; Oz) 0. (., 0 C,) \ DOCK , '7'JL .j,,, ,,""- , .> ! - ---~'~-'.':' , . ! . COLOR R(D f : It } 0 <.~ ! 0 ! TRIM I , wH 171:: . J , ~'I I"- , , , , ! / '1 ... ItI ! "';' .~""".- ~... ...----.-..-.-.-"------ --_._-- - --- --- --._..-'---"-.-',-.~-' -~. ...~_.,---- M. Bldg. .J7'14t I /.. j h' 19(,9 Bath '. Dinette - Idci/:<' '100 Foundation C 13 I ~ Extension I s I, Basement Floors K. 7'l(S;> ~ " I. 3 00 I (, (l F ,.; t. ! <:) ~f <... - -- Extension . VE:R7 , 8DS Ext. Walls Interior Finish :Z/ALc:. 131) lR. .--'- Extension Fire Place If E s Heat \1 f < DR. Type Roof r Roams 1st Floor ! BR. S Porch I C' " ./ &~ - ,I ?c! <5-fj '-~ Recreation Room Rooms 2nd Floor FIN. B. .' ) Porch Dormer 77::3' r ,R a N -r ()'PD'R, Breezeway Driveway 5',3aG - Garage "'7.) 100 NY 4 Patio 4 :2-7-6 ~J 7 O. B. .sf"PAGE' ~r,-f 10 0 -- Total ..('3 :; (0 N SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-139-03-43 SCALE: r-30' APRIL 23, 2007 ,. '0 ~ ~ '74 ~ C. ~ ~o~v lfl1U1" pQI..E ---- 't- - o - -<\ ~ -=i ~ 'b ~ \..0\ ,'1. ~ 't- - o - -<\ ~ -=i \ ~ ----------~ .~ \D. IV s x \ ... L\ x\ ~ 'l-.-~NcE \ \ ~ -=i -;. ~ 1,' 1,0 \J"l 570'3 ------- - ~-;:\f I '0'" , _______ >R. .\ '- \ \ \ \ ~ 't- - o - -<\ \..0\ '1. \ \ AREA=20,293 SQ. FT. 18 . =Mo.NUMENT LOT NUMBERS REFER TO. "MAP o.F GARDEN HEIGHTS" FILED IN THE SUFFo.LK Co.UNTY CLERK'S o.FFlCE AS MAP NO. 577. ANY AL TERA T/ON OR ADDITION TO THIS SURVE:Y IS A VIOLA T/ON OF SECT/ON 72090F THE NEW YORK STA TE EDUCA T/ON LA W. EXCEPT AS PER SECT/ON 7209-SUBDIVISION 2. ALL CERT/FICA T/ONS 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.