HomeMy WebLinkAboutZ-32558
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
.,
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No: Z-
32558
Date: 08/24/07
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 2615 SIGSBEE
(HOUSE NO.)
County Tax Map No. 473889 Section 144
RD
(STREET)
Block 0002
LAUREL
(HAMLET)
Lot 026
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-
32558
dated AUGUST
24, 2007
was issued, ~nd 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 ENCLOSED PORCH AND ACCESSORY SHED.*
The certificate is issued to JOSEPH & BERNARD BRACHFELD
(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.
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Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
2615 SIGSBEE RD
LAUREL
SUBDIVISION:
MAP NO.:
LOT (8)
NAME OF ONHER (S): JOSEPH & BERNARD BRACHFELD
JOSEPH & BERNARD BRACHFELD
OCCUPANCY: ONE FAMILY DWELLING
ADMITTED BY: BOB CELIC
ACCOMPANIED BY: SAME
KEY AVAILABLE:
BUFF. CO. TAX MAP HO.: 144.-2-26
SOURCE OF REQUEST: JOSEPH BRACHFELD
DATE: 08/24/07
DWELLING:
TYPE OF COBSTRUCTIOR: WOOD FRAME
# STORIES: ~ 1= EXITS: ~
FOUlIDATIOR: CEMENT BLOCK
CBLLAR: FULL
CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 5
2ND FLR.: -9.
3RD FLR.: 0
BATHROOM (8): -1..:...Q
TOILET ROOM(S): 1.0
UTILITY ROOM(S) :
PORCH TYPE: ENCLOSED
DECK TYPE:
PATIO TYPE:
BREEZEWAY:
FIREPLACE:
GARAGE:
DOMESTIC BOTWATER.: YES
TYPE BEATER.:
AIRCONDITIOHIBG :
TYPE BEAT: OIL
WARM AIR: YES
BOTWATER.: YES
OTHER ,
ACCESSORY STRUCTURES:
GARAGEI TYPE OF COHST.:
STORAGE1 TYPE CORST.: 9'X 6' SHED
SWIMMDlG POOL:
GUEST I TYPE CQBST.:
OTHER ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARI<S ,
INSPECTED BY:
~ ~ DATE ON IB8PECTION,
GEORGB GILLMI TIME START:
08/23/07
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLlCATlON FOR CERTlFICATE 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 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 2/1 0 of] % 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.
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B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land nses:
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.
.
New Construction:
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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $]5.00, Commercial $]5.00
Date. ? 177
I
V ( check one)
/h/J1'Tj'TPu:.
Hamlet
Old or Pre-existing Building:
!;/~heV R..oIJrQ.
House No. Street
Owner or Owners of Property: JOs,e'l t., r2.:xurrJlUrf (J!T II /
/'If
~/,,-
Location of Property:
Suffolk County Tax Map No 1000, Section
Block
R
Lot
()~
Date of Permit.
Filed Map.
Applicant:
Lot:
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ jt#J./O
c.o Z 3d--S-5"" ~
~c Id-~O I
Final Certificate:
/ (check one)
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pp lcant I e
.
TOWN OF SOUTHOLD 'OPERTY RECORD CARD
STREET z b /S DISTRICT SUB.
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)WNER
-.1-.:<(,.
,),f /
ORMER OWNER
:s.~o
LAND
t-T-ll
/-1-1J
lf~O
AGE
NEW
Farm
liable 1
liable 2
liable 3
oadland
'amp land
ush land
)use Plat
)tal
ACREAGE
SEAS.
N E
S W
VL. FARM COMM. [IND.
TOTAL DATE REMARKS
3 ~ o--v
I CB. I MISC.
TYPE OF BUILDING
IMP.
~
LOT
/ a./,-- ;t-1;eN '-<-...
I Est. Mkt. Value
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BUILDING CONDITION
'BELOW
/
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
ABOVE
NORMAL
)( ri9J3 <L /0--/<<,'
Acre
Value Per Acre
Value
-
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IA. Bldg. , I ~ 1; 0 i. ~., I Foundation u....cl Both I i
"I ;(.. " ' 9 !
!:) "- r: I c . """"';, !~ [J~A.t; <.
" ~. , 'Oq5'~ 'J I
:xtension I /f;O.1{ Floors I ,.\0
I r-l-- 'o~~m
, -----~ She < ~l
:xtension I Ext. Walls ~.'~.L;1~~<l~ Interior Finish
I ':".€~~'--.-^oC_{' yael(
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:xtension I ' , Fire Place ); Heat . I, '{ i
-1- ' ---- ' ,_0 (Q ~U ~ , +-
kll' Porc~L Roof Type !.;~! /.1
'rtcl"",,,,, I~\\i'> :::.: f::- ",'~" l' - .)..;; I '''' (\ '
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Porch Rooms 1 st Floor I
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3reezeway I ' Patio Rooms 2nd Floor
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30 rage I Driveway Dormer
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CONSENT TO INSPECTION
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~{}5eft fi3M('~~jl
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersi~ed (is) we) the owner(s) of the premises i the Town of
Southold, located at ~/r~; "
which is shown and designated on the Suffolk County ax Map as District 1000,
Section /<,1'1 , Block bJ.. , Lot J-<::, .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town BuiJding Inspector's Office for the following: ~~
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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 South old.
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 ofthe laws, ordinances, rules or
regulations of the Town of Southold.
Dated:
<6/0101
I /
(Print Name)
(Signature)
(Print Name)
..........,........, ..............,
u....."-"".........."-'-'4:.4:.
oov ,......
t""t4I..:1t:. l:1Lltl:.!
Certifications indlc:olliJd '-~cn ~I!ilnlfy lhol this I=Jldt of th. proptlrty d.pll;:ted hereon YoIOI mode- In aceordone. wuh Ih. l!!J(i.tlng Cod. of Practicl!! for lQnd Sl,lrveyor. Qdoptcd
by Ihe New York Stele AsSOCIOIIOl'\ of PrOfe:laionOr land Surveyor~. Thill C&rll(lcollon Is only fOr the rands d.plel.d h.rltOn ond Is nol c:"rtlflcQtion of IlIle, zoning or freedom
oE encumbrancel. Sold certlflcatlona I5hQU run only 10 lhe person.s end/or ."l1Ii.1i fl"kld htlireon ond I;JrO not Iron.$feroble 10 addlflonal I'ersons. entllles or :iUbaequWlt owners.
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VIEW: SURV('I'
rhos. <:1IfsefS O' dim.nllIQ/u ""0'Ntl From 51ruc:lurf'lll 10 Ih. pl'"Op8rf'y 1I"<<'-lI a.. for c .pec:l1Je PUrpoUI end uUt, ond Ih,millio,." ariA "01 ifl'l!Inded to suld.. In Ih. erwction 01 r.Mol:flJI, relolr'llng ......aU..
pool., poliOll, planllng 0'.011. addlllon. to bll.ldinel and Ol'ly othe, conlllrlJcllon. Subl5urfcce onel environmenl'Ql COr'ldWons were nol el(Qmlnad or c:onsl~red OS c port of this IUIVCy,
eOiK"lTlenls. R:lgh,.,-oJ..Woy of record. Jf ony, ore nOI shown. Propet1y como, monum"nl!o _,e noi plocll!ld os 0 pert ~ this .wrvoy, ~ 2007 BeV PC
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Civil Engineers
Surveyors.
Plann&f"'$:
C.rTiFiad 10:
LOT
5.3A
;;
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1 STORY
DWELLING
No" 2615
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11.1'
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PORCH
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20..3S"OO~N"w""
SIGSBEE
ROAD
Barrett
Bonacci &
Yon Weele, PC
] 7 SA Commerce Drl....e
l-touppous_, NY I 1788
T6J1A3.5.1 III
r 631 .43,s.1022
\NWW,bbvpc;.c:om
Titl. No.~ PDE2 225
Tg"Mop: DISTRICT 1000 SECTION 144 BLOCK 2 LOT 26
Mop of: MATTlTUCK PAI{K PI{OP. INC !AMENDED)
Mop Lot: 53A
F'I.d: 1/12/26
Mop Ble><k:
No.: 801
Counry= SUFFOLK
Situate: lAUREl. TOWN OF SOIJrHOLD
RtrY'isicn
By
MICHAEL J. SNOW
FIDEUTY NAnONAL Tm.E INSUllANCE COMPANY
BROOKl.YN FED~RAL SAVINGS BANK
Su
ScalI!!;
: AD
1"= 20'
"",o..
PR C eked
Date: AU(JU 7 2
M:\DA07\AC7aSll2\dwv\AOroSB2,dWO. Mollel, I/jtl/:too:;o 313"':3' PM, e.rrett. 1k:Inac:d i......an ~re. P.l:.,N.A.
UnOUll.oriad ollerQtlon 01 odcIiliol'l /Q
Ih,- lIiurvey is 0 violotion of SecllQn
T20Q aI New Yor!: SIoIe ECVttltion (QW
Dot.
~-=-
ld._~f--~
Caples Qf Inl~ Survey mep tIQl bee....
Ing mIl lend &l."veyet'~ ollmbeH&d
$001 end &J;nolu,,", $holl nol be can-
"rd.,..d to ~ a IIv. c!1d valid eopy
: WJD
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Project No.: A070582