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Home My WebLink AboutZ-32419FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 32419 Date: 06/26/07 THIS CERTIFIES that the building DWELLING Location of Property 11115 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 031 Block 0004 Lot 030.003 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- 32419 dated JUNE 26, 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 ONE FAMILY DWELLING* The certificate is issued to FREDERICK PRESTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A r Au horized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 11115 MAIN RD EAST MARION SUBDIVISION: MAP NO.: _ LOT (S) NAME OF OWNER (S): FREDERICK PRESTON OCCUPANCY: ONE FAMILY DWELLING FREDERICK PRESTON ADMITTED BY: NANCY DISTILLI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-4-30.3 SOURCE OF REQUEST: NANCY DISTILLI 6/21/07 DATE: 06/26/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EZITS: 4 FOUNDATION: CEMENT BLOCK CBL*F: FULL CRAWL SPACE: TOTAL ROOKS: IST PLR.: 4 2ND FLR.: 3 3RD FLR.: 0 HATHROOM(S): 2.0 TOILET ROOK(S): 0.0 UTILITY ROCN(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL- HW WARN AIR: HOTWATER: YES OTHER: SEPARATE HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE COMET.: SWIMMING POOL: GUEST, TYPE CONST.• VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: GEORGE GILLBB DATE ON INSPECTION: 06/26/07 TIME START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 bLO-1 DEP'. rcJwN 2F S^^.INo! _! APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled 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. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" 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 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. i New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: /71pll/ R01,917 S% A/?I?/ o Al House No. Street Hamlet Owner or Owners of Property: r1/q/wt/ l� t� / 5 'T"/ G L / Suffolk County Tax Map No 1000, Section 09/ Block O Lot 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: $ to 0. A' A614cant Signature Ptz CO�`fIR 0 # /,1,1, _ ?/ - V 7n � TOWN OF SOUTHOLD PROPERTY RECORD CARD VILLAGE DIST. SUB. LOT OWNER STREET Tames Pre furl d6fsiUz,�•�� .,'�' FORMER OWNER N E ACR. 1 L S W TYPE OF BUILDING 2ES. SEAS. VL. FARM COMM. CB. MISC. /Mkt. Value - y e LAND IMP. TOTAL DATE REMARKS ,!5-0 6) 'UU aC O 6 1 3 -3 " 4 oPt a 1'-' ° 3 e 0 0 3 f?P G y3 6 3 -L 10938 518 fon oesj r/t e,4fs 3' 370 ',Fan ,r / 7Y Co Fr. °I -L 22"7 p 1 R- SltD7 1D Pres kn 0 O/ /y/ S" U 3&,/p0 — 0/ ,^ sfm &h/ns lire AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Fillable 3 Noodland swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD G �' c 544 - louse Plot N DEPTH 3 5 ` BULKHEAD 'otal DOCK L Aka' "-I , I X r 0 NL O o rn CK V) 4 z N/F NOVICK SURVEY OF N 87'37'20"E 68.00' DESCRIBED PROPERTY D— ® SITUATE KOCK PIT EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. v SURVEYED FOR: NANCY P. DISTILLI PIPE 0.5WEST 2' el V r w � W 2 I� Z FENCIN ,L-1.6 8.3SHED P 0.7 OVER LME rlrc � v 0.4 of N 80'59'3^ MAIN „W 68'00 ROAD GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE AAE COMPANY, GOVERNMENTAL AGENCY. LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SFAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY TM# 1000-031-04-030.3 GUARANTEED T0: NANCY P. DISTILLI SURVEYED: 15 JUNE 2007 SCALE 1"= 50' AREA = 26,878 S.F. OR 0.617 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUF�fOLK. N.Y. 11956 631-734/-5835 ;D ISEp/LAND SJVVEYOR LIC. NO. 491`73 07R15 1SHED CONCRETE APRON m .91DVER LINE W/STEEL DOOR 2.0' FENCE FAsi of PROP. LINE 6 CONCRETE w I OVER LINE �j 2' r I N I` Y o 7 o N z 8 WOOD ^ n Is �Onre O W Z !4 '< 2 FRAME TON v 0 I O FEN i HD (n D' RESIDENCE 2' 4 `A rlrc � v 0.4 of N 80'59'3^ MAIN „W 68'00 ROAD GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE AAE COMPANY, GOVERNMENTAL AGENCY. LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SFAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY TM# 1000-031-04-030.3 GUARANTEED T0: NANCY P. DISTILLI SURVEYED: 15 JUNE 2007 SCALE 1"= 50' AREA = 26,878 S.F. OR 0.617 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUF�fOLK. N.Y. 11956 631-734/-5835 ;D ISEp/LAND SJVVEYOR LIC. NO. 491`73 07R15 CONSENT TO INSPECTION /Y% 1t/C V e �/ S 7-/ /- I— / , 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 which is shown and designated on the Suffolk County Tax Map as District 1000, Section U3 / , Block O 41 Lot o 3 a. 3 . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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: le 7 Z( (Print Name) (Signature) (Print Name) LOCATION: I I 115 1 l IeA, (number & street) (municipality) SUBDIVISION: MAP NO.: — LOT(S): NAME OF OWNER(S): OCCUPANCY: dr'c (type) (owner -tenant) 01 ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- 3 — 3 D, 3 SOURCE OF REQUEST:Jr DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: FOUNDATION: CELLAR: %C CRAWL SPACE: TOTAL ROOMS: 1ST FLR: _ 2ND FLR: 3 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: T-- DECK, TYPE: PATIO, TYPE: — BREEZEWAY: FIREPLACE: dlv� GARAGE: O& 9-;5w DOMESTIC HOTWATER:TYPE HEATER: AIRCONDITIONING: /f -- TYPE HEAT: o Lt . WARM AIR: HOTWATER: � S OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: 116OVC STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: ��/ //J , '" DATE OF INSPECTION: 6 -A 6 -0,7 TIME START: END: