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Home My WebLink AboutZ-32798 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY 11I0: z- 32798 Date: 12/20/07 THIS CERTIFIES that the building DWELLING Location of Property 2350 DEEP (HOUSE NO.) County Tax Map NO. 473889 Section 123 HOLE DR (STREET) Block 0004 MATTITUCK (HAMLET) Lot 007 SUbdivision Filed Map 11I0. Lot 11I0. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 32798 dated DECEMBER 20, 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 HARLEY B ARNOLD (OWNER) of the aforesaid building. SUFFOLK COIlI!lTY DEPARTMRHT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE 110. N/A PLUMBERS CERTIFICATIOR DATED N/A "PLEASE SEE ATTACHED INSPECTION REPORT. ~~ Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATTOR: 2350 DEEP HOLE DR SUBDIVISIQIII: IIMIB OF OIIIIER (S): HARLEY B ARNOLD MATTlTUCK MAP lID., LOT (S) OCCOP.ARCY: SINGLE FAMILY DWELLING HARLEY B ARNOLD AI>>Ir1'TKD BY: ERIC KLQDNICKI ACaIMP.AIIIBD BY: SAME KEY AVAILABI.iB: SOFP _ CO _ TAX MAP JIO.: 123. - 4-7 SOORCB OF RBQDBST: ERIC KLODNICKI 12/17/07 DArB: 12/20/07 DWELLING: 2RD PLR.: ~ TOILBr ROOM(S) , ----"-'.Q DHCl[ TYPE: WOOD I S'l'OIIIIlS, ~ I BXI"l'S, --" CBLLAR.: NONE CRAIIL SPACK: YES 3RD PLR.: ~ lJ'l'ILITl' ROOMIS), ~ PATIO TYPE: TYPE OF UJIlU:n::K.U\,;:a:~OIf: WOOD FRAME P'OORDATIOIf: CEMENT "JO'I'AL HOC>>IS: 1ST PLR.: ~ IlM'IIIlOaI(S), ~ PORCH TYPE: COVERED R>>~: FIllEPLACII:: ONE GARAGE: YES XX TYPE IIBA'J'BR.: HOT WATER ATDCQUnITImDliIG: DRII AIR: BASEBOARD 1IO'1"IIA7KR: YES DllMBSTIC IIOTIIATBR, TYPE BBA7': OIL omBR., NO ACCESSORY STRUCTURES: GARAGE, TYPE OF COIlIST.: NONE STORAGR, TYPE caIST _ : :;".I..I'WI.UIl.:i POOL: GOES'T I TYPE COIIST.: omBR., VIOLATIONS: LOCATION CHAPTER 45 N. Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. SEC. REMARKS: BP#2681Z-COZ2169 (ADD/ALT) BP#28757Z-COZ29212 (DECK) IBSPECTIlD BY, _~ ~ DATB aI IBSPBCTIaI, GBORGR IL:LBII TIME START: 12/18/07 BIID, QI7-S$Co- 3;;>-'73 ['0f.U[~~[0:-W IUUiDEC I 7 'L I ,,, L-,::.QV' ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 -.J , ~_.. r-.,' ~, 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 certifying 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: 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 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. 12-I7~07 New Construction: Old or Pre-existing Building: I ( check one) Locationofproperty: 2:'50 Deep Hole Drive. House No. Street Owner or Owners of Property: \-1M Ir1 13.. A.r()oI~ Suffolk County Tax Map No 1000, Section 123> Block I'\o+li ~ck. Hamlet 4 Lot 7 Subdivision Filed Map. Lot: Pennit No. Date of Permit. Applicant: llealth Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Ccrti ficatc Final Certificate: (check one) Fee Submitted: $ 100.- 6<.u-. 73'5 '1 <f 6~ CD 't.3'J7~r J-, "" 1"~:-- ''''s <' u;:-"c. ,JI')O,O/~ 4,010 4t-~ "'0 ---.':--0. OEEP HOLE DRIVE '....... ,~ II S 83029, ?O E 60.,6 N , \Q "' <:1- ~ , f/d30' A z 54.24' I - I 2-RAIL FiNcr END I FE "ENCE Fi N02 0" NO'II tV 2.2' I ~ I "(,0 -10 ia} ,. .) I I '''K~';K!\ -~ I STORY L ~ W,O~OD FRAME I 1 L RES 1--445'--- "'f END FENCE: SOI',W04' 'e NIF D:C/KERSON \Q '" rr, NIF K!fvG l<J !'3 "'. '-'''' ~O "- .... ....'" ;.. ",,,, t).. "'-.... ~ <.0 o ~ ~ u-</ 1"..", s '-, <:' o -1>.0 '-" 0 \ -t, <!l_ _ :t._ ",,' ",- -1--..}: ~ ~() "9(;'<,<' -S "fs, O~ u:-, ~ U' ' :-:-":i' ~ 'S- % ?- RAMP -Sl f FLOATING -lf~ , DOCk L;J , ~ ,I WOOO&lJl DOCk - o C\J (]) rr, '1/ SSo (/~ /,j>- ~ 0.." "'"" Ir >:s' C'~<:",;..)'~ o <!l a V) /0/ 6'6' ' ~- TM 1000 - 123- 04 - 07 SCJRVEY OF S1.JRVEYED 17 JUNE 1997 SCALE I'" 50' DESGRIBED PROPERTY SITUATE MATT/TUCK. TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SURVEYED FOR HARLEY B ARNOLD GUARANTEED TO SURVEYED BY HARLEY B_ ARNOc:J FIJELfTY NATIONA.... TITLE fNS CC TOWN OF SO'jTHOLD Guarantees indicated here on shan ,..., only to the pen::>n for ",horn the sVI'Yef' is _ prerared, and on his behalf to tfle titl.e ccmpt.n)',. C o'lern-.entcl Agency, lending In$tit~ti:-". if fisl'ecl hereonr oncf to 1he css;snees of th~ lending inlti~ Cuarontees are not trons~~r:Jbl. to oddilionol inslilulicns or ..b..qulnt 0_ STAN_EY J iSAKSEN, JR P 0, BOX 294 NEw S:.JFFOLK, N.t 1/956 CoP'.' of thi. .urv.y mop nol b . the land S. eanng l;rveyors embossed seal shall nc. be 'd ' consl ered te be .a yard t IlOpy. I rue 97 R 638 r;',u:'. 'l:.'u ,lteration.or addition to fhit . "'.Y L " vielation of Section 7209 of 'ho New York SIal. Education Law. CONSENT TO INSPECTION ttulE'1 B. Am c> l.:2t Owner(s) Name(s) , the undersigned, doe es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at '2 ~ Sl) O~ f!o' Itol e Dr. which is shown and designated on the Suf olk County Tax Map as Dlstnct 1000, Section I '2. ~ ,Block ~ Lot 7 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: prp - CO 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 South old. Dated: --12 - \1- Dl ~-J~- . ~ignature) . Erec klCJdAIClc..i - As A~ (Print Name) (Signature) (Print Name)