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HomeMy WebLinkAboutZ-32602 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- 32602 Date: 09/14/07 THIS CERTIFIES that the building DWELLING Location of Property 1000 MILL RD (HOUSE NO.) County Tax Map No. 473889 Section 074 (STREET) Block 0002 PECONIC (HAMLET) Lot 014.001 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- 32602 dated SEPTEMBER 14, 2007 was issuedl 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 1 CAR WOOD FRAME GARAGE* The certificate is issued to SONYA & WALTER BRIGHAM III (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. d Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATIOH : 1000 MILL RD PECONIC SUBDIVISIOH: MAP :NO. : LOT (S) KAME OF OWNER (S): SONYA & WALTER BRIGHAM III OCCUPAHCY: SINGLE FAMILY DWELLING SONYA & WALTER BRIGHAM III ADMITTED BY: WALTER BRIGHAM ACCOIIPAllIED BY: SAME KEY AVAILABLE: SUPF. CO. TAX MAP HO.: 74.-2-14.1 SOURCE OF REQUEST: DEBORAH DOTY, ATTY 7/18/07 DATE: 09/14/07 DWELLING: TYPE OF COBSTRUCTIOH: FOmmATIOH: CEMENT BLOCK TOTAL ROOMS: 1ST FLR.: -2 BATHROOM(S): ~ PORCH TYPE: SCREEN PORCH REAR 2ND FLR.: -2 TOILET ROOM (S) : nECK TYPE: # STORIES: ~ # EXITS: 2 CELLAR: 1/2 CRAWL SPACE: 1/2 3RD FLR.: --9. 0.0 UTILITY ROOM(S): PATIO TYPE: WOOD FRAME BREEZEWAY: DOMESTIC HOTWATER: YES FIREPLACE: TYPE HEATER: OFF BOILER GARAGE: AIRCONDITIONDIG: CENTRAL AIR TYPE HEAT: OIL OTHER: WOOD STOVE WARM AIR: XX HOTWATER ; ACCESSORY STRUCTURES: GARAGE, TYPE OF COHST.: 1 CAR WOOD FRAME STORAGE, TYPE COHST.: 6 X 8 WOOD FRAME SWIMMDlG POOL: GUEST. TYPE CONST.: OTHER , VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #13811Z-COZ22335 (ADD) BP#33321Z-COZ32601 (WOOD STOVE) DlSPBCTED BY: DATE OR DlSPBCTION: 08/02/07 TIME START: 10:10 AM END: 10:30 AM 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 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 certilYing that the solder used in system contains less than 2/1 0 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 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. 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 7/18/2007 Date. New Construction: Old or Pre-existing Building: x (check one) sfd & detached garage Location of Property: 1000 Mill Lane, Peconic House No. Street Hamlet Owner or Owners of Property : Walter Cole Brigham, III & Sonya King Brigham Suffolk County Tax Map No 1000, Section 74 Block 2 Lot 14.1 Subdivision Penuit No. Date of Permit. Filed Map. Applicant: Lot: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ ~ c- ~~"" ~ pplicant Signature ~ Deborah Doty as attorney for owners BM./,?05t' 6'1I.t (ot 3;2(; o~ . G:?\-"16S -3 \" CONSENT TO INSPECTION Walter Cole Brigham, III & Sonya Owner(s) Name(s) Brigham King ~ the undersigned, doe es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 1000 Mill Lane. Peconic which is shown and designated on the Suffolk County Tax Map as District 1000, Section 74 , Block 2 , Lot 14.1 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-Existing C/O for single family dwelling & detached garage 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 of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 07/18/2007 A~ ;~l;~ ~nnt~ (Sig re) Sonya King. Brigh~ffi (PrmtName) . ... .. "... _ ;<. l ~/. j TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET I Do 0 VILLAGE DIST. SUB. ~~~>)-:"~ . l/.,.. 6' LOT I' {l.AA:r, , ( <:..- E ACR. 0:1 I TYPE OF BUILDING N (<; W .. , ' h ,#A",44~ I' S ,"')"u:ci COMM. CB. MISe. Mkt. Value ES, t-IO SEAS. LAND VL. FARM IMP. TOTAL DATE REMARKS AGE NEW FARM 'illable 1 'illable 2 illable 3 loodland wampland rush land louse Plot - atal ; f4/ /7/ ",,<,c. r'S (""2.5<;3 +.2.5 '*"'2",-\5 j ,1"'1" C J, BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value ,'3 f ~ 7 - FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD o bb (C).. '" I I \ DOCK " .~ - V' ~' ,';':'''' . :"<'r-'" " , )::.," '.:1 " ""..- .' '. .' 1;'" .. COLOR .,'4,; .. , " ;' -,- ~ .... {I" (, t~ . i'l ,( '~ " ..."" - '- >~ ,."...~.,\; ~ TRIM . ~ .. "2.. ,.- ( ,n ./ ,I' /'Y ,~ k 17 -(L2k'.e..., I " . '/' "(f, " 'I" , , ..' .;t. I .. ~ ~ J 'I ~.! r -' , ::- 'J-A.-mag. ._-----,. -- Foundation ,-', Bath / Dinette "- " r /Jj...r '.", " " Extension cry ;;2 / fY / Basement , f Floors K, l<; .fC/t1 , Extension /r )( ~ / t/ Ext. Walls Interior Finish lR. ;;;(p . ' . Extension ) ,t 7L/C; 1/ TO 35 70 IJJ;e Place /J i; Heat [' . . L/ J- DR. >_i" / '.... . ~ r a.t:- /) I ;z. Yt, 3o() 7 :J-() .,< .y ;2' ;) :!:we Roof ( Rooms 1 st Floor BR. Porch IXI":c,' Y<,/ ) ?2- ,Recreation Roorr Rooms 2nd Floo FIN. B. J~'/l ,c, jV'! Jr'O ~/' W!/T'lCZ. o.t::>. /~~ .;)"'" Dormer / .:? }( If: .' nJIC ~./~~ .-- Breezeway q "'1'( d) I./l,t '2.! Driveway <4.,,;, / 5"'1' " Garage 1-g-79 , , . 0(,.) ~19Po>, '- 1.3 X a 7= '3 S-I /- 3';" I , -" O. B. Total 3'2..~'" , ~, I., ..! .~/J/.~)' , . '-'" . . . MONUMENT Z .j:o. <0 ~ .;.: CO E:: I\i 0 . 32.6' ~ O~ ~ 27.7' ~ ~ CO ~ ~ :-.J >< 01 ~ CO -< JI+ 26.1 '" ~'" y. V) {..o 0, :x: -I 5.4''''' l(\;<; .0' . U. :: Co ;, , ~ 15.8' '" N42'56'40WE FE X 4-,6'S " N/O/F RONALD & SH8LA ~CCA SURVEY OF PROPERTY AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-74-02-14.1 SCALE: 1"=30' AUGUST 23, 2004 339.86' MONUMENT ~ ><q x-x-x-x PICKET FENCE '" '" "\ Vl 01 o v< 01 oi o M 'L GRA VEL ORlVEWA y . S42'56'OOwW Cll ;Jj Cll "'. JtI/)/).le e, (NON1''7t~ (el? -ATV..4/)) 48) AREA =29, 772 SQ. FT. ~ 0, '" ,,~ >If:l 't~ " FR. GAR. 18.2' ;;:; N ;', ;', 18.2' " "" x-x, r r r r r >< PICKET FENCE X~ X-x- '(!;a~ co' '" " . 8.1~ CO :-.J 01 CO. 341.06' N/O/F ANNE. A. HUBBARD TOWN OF SOUTHOLD CERTIFIED TO: WAL TER BRIGHAM SONYA BRIGHAM ABSTRACT INC. 12-77289 l+f"LLS FARGO NA .. /<OF NE~ J.~"\ OA ". .~. ME)'.? ''+' . 'Q.;-..... . Q . \ I /!?'*\<''P) \. 1*1 *1 i \' I .~I 8'JJ618 P CONIC SUR OR, (631) 765-5020 FAX P.o. BOX 909 1230 TRAVELER STREET 04-2r'70 <::nllTl-lnln AI Y 11071 rl ANY AL TERA T10N OR ADDITION TO THIS SURVEY IS A VIOLA T10N OF SECTION 72090F THE NEW YORK STA TE EDUCA TlON LA W. EXCEPT AS PER SECTION 7209-SU8DIVlSION 2. ALL CERTlFICA TIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES 8EAR THE IMPRESSED SEAL OF THE SURVEYOR 'M-/OSE SIGNA TURE APPEARS HERtoN.