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HomeMy WebLinkAboutZ-32952FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 32952 Date: 03/31/08 THIS CERTIFIES that the building DWELLING Location of Property 15345 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 023 Block 0001 Lot 005 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- 32952 dated MARCH 31. 2008 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE* The certificate is issued to ROBERT W GILLISPIE, III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART14MT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Aithorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15345 MAIN RD EAST MARION SUBDIVISION: MAP NO.: LOT (S) NAME OF ONNER (S): ROBERT W GILLISPIE, III OCCUPANCY: SINGLE FAMILY DWELLING ROBERT W GILLISPIE, III ADMITTED BY: ROBERT W. GILLISPIE III ACC@@ANIND BY: SAME RST AVA31JURA: SUFF. CO. TAY MAP NO.: 23.-1-5 SOURCE OF RNQUERT: ROERT W. GILLESPIE III DATE: 03/31/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK CEId,AR: FULL CRAHL SPACE: TOTAL ROCKS: IST FLR.: 3 2ND FLR.: 5 3RD FLR.: 0 BATHROON(S): 2.0 TOILET ROOK(S): 1.0 UTILITY ROOK(S): PORCH TYPE: GLASS ENCLOSED DECK TYPE: ONE PATIO TYPE. SLATE BRHBZERAY• FIREPLACE: 2 GARAGE: 2 CAR DOMESTIC H0INATER: YES TYPE HEATER: AIRCOEDITICNIIRi: TYPE HEAT: OIL NARK AIR: NOTIULTER: XK OTHER: REAR ROOFED OVER ENTRYWAY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CO OT.: SMALL SHED SWIMMING POOL: YES -1973• GUEST, TYPE CONST.: OTHER: *BP#4964-COZ-5096 (INGROUND SWIMMING POOL) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: y O�� M=p� DATE ON INSPECTION: 03/24/08 GEORGE GILLEN TIME START: RED: Form No. 6 TOWN OF SOUTHOLD r • 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: l . 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. or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: l . 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, Swinuning 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. New Construction: _ Old or Pre-existing Building: / 1 F4 (check one) Location of Property: t53A-5 a;L(() 124 �a House No. Street Hamlet Owner or Owners of Properly: { - Suf,olk County Tax ylap No 1000, Section C 2, 3 Block Lot Lot Subdi�isi°n _Filed Map._ Lot: Permit No. Date ofPermit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate D4 Fee Submitted: $ ((�(� (--tta,cw , 64,c- � `f0 Lf -3 C0f-3.)-g52 Final Certificate: _ (check one) oz -os -o$ Applicant Signa u CONSENT TO INSPECTION Z. t t �197– , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) the owner(s) of the premises in the T wn of Southold, located at i 5 34EAICA-, S AUC" �O fa -e> f -a 6,fi'VI which is shown and designated on the Suffolk County Tax Map as District 1000, Section TJZ3 , Block C>1 Lot 6 S That the undersigned (has) OW filed, or cause to be filed, an application in the Southold Town BIIu''ildinInspector's Office for the following: p 0 A.um A k'\ni,t--� t 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: 3 — (g – o (Print Name) (Signature) (Print Name) ode 0 TOWN OF SOUTHOLD 0 PROPERTY RECORD CARD OWNER STREET rJ VILLAGE DIST.1 SUB. LOT l ' .. _ SIL n Des FORMER OWNER E% AGR. %f,34 S W � f TYPE OF BUILDING IJOVI SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 400 a tD v 1v 00 fP ' J Z� 3r_ Ka 23- !- 3r71a vA, 4m at Du 3 o /b 70U Sas 7 6 O O 3 o a s AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER 1 loQ Woodlorw FRONTAGE ON ROAD - 4i Meodowkmd DEPTH o 1,7 a House Plot BULKHEAD Total ^ ^ I DOCK LONG ISLAND "8g°540 E SOUND HIGH WATER 4NE ihl5 n. ' 6g. %j . BARRIER BEAQp HIGH WATER LINE %IIS DA r, s... vFY URVEY OF DESCRIBED PROPERTY SITUATE EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROBERT W. GILLISPIE III TM# 1000-023-01-005 GUARANTEED T0 - ROBERT W. GILLISPIE III \ OP \y N/F BARRETT 1 \ 2� J N/F DFLANO IE PREPARED, AND ON HIS BEHALF TO THE PRE COMPANY, GOVERNMENTAL AGENCY, LENDING INSRNTION, IF LIS TEL HEREON, AND ti y\\ S OF ME No l g \ LHt` ROOF GVEfl CONCRETE Y eRIVEWAY AFflaN Z Pap OVA 0 b \ ADDITIONAL INSPRIPONS OR SGBSEDUENT ONNERE yJt�r�O Q "M M UNAUmORNFOAL1 RAYON OR ADDITION TO MIS A p�y8 7'}� ^a�` WIL ROOF OVER �aLS\�RM SURVEY ISA KOLA RON OF S£CRON 7209 OF s... vFY URVEY OF DESCRIBED PROPERTY SITUATE EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROBERT W. GILLISPIE III TM# 1000-023-01-005 GUARANTEED T0 - ROBERT W. GILLISPIE III II suum iiau cn'� TE TO ..+� aao R=2898 , 129.41 - A=38.05 S 70'2810 W MAIN ROUTE 25 AIN ROAD N 1, 28 FEe 08 CORRECT NAME SPELLING SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BO 294 NEW SU FOLK. N.Y. 11 631-7 4-5835 /J Lic. No. 492737 08R1661 \ MIN GUARATOVTES WE NDICAPERS N HERE OM SHALL SURVEY ONLY TO WE PERSON FOR NHOM ME SURVEY \ N/F DFLANO IE PREPARED, AND ON HIS BEHALF TO THE PRE COMPANY, GOVERNMENTAL AGENCY, LENDING INSRNTION, IF LIS TEL HEREON, AND y\\ OF ME No g \ GLIARANIEESGARE NOT HIANSFERASLE TONPDN Z b \ ADDITIONAL INSPRIPONS OR SGBSEDUENT ONNERE UNAUmORNFOAL1 RAYON OR ADDITION TO MIS A SURVEY ISA KOLA RON OF S£CRON 7209 OF O/fiW vx[b mn[s THE NEW YORK STAT£ EOUCARON LAW COPIES OF THIS SURVEY MAP NOT HEARING TH£LANO SURVEYGRE EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. SURVEYED. 05 FEBRUARY 2008 SCALE 1"= 60' N a AREA = 193,390 S.F. O y OR V W N/F DELANO 4 4398 ACRES O II suum iiau cn'� TE TO ..+� aao R=2898 , 129.41 - A=38.05 S 70'2810 W MAIN ROUTE 25 AIN ROAD N 1, 28 FEe 08 CORRECT NAME SPELLING SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BO 294 NEW SU FOLK. N.Y. 11 631-7 4-5835 /J Lic. No. 492737 08R1661 LOCATION: ✓' �-c�t ,� u`�• (number & street) SUBDIVISION: NAME OF OWNER(S): 1�,o OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) % (owner -tenant) • T ADMITTED BY: ACCOMPANIED BY: L_,,4 . , KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- A3 SOURCE OF REQUEST: DATE: 3 —) g -- 0 S, DWELLING: TYPE OF CONSTRUCTION: _ # STORIES: a2 # EXITS: FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: IST FLR: 3 2ND FLR: S 3RD FLR: BATHROOM(S): TOILET ROOM(S • / UTILITY ROOM: PORCH TYPE: ,Irr ✓✓J,,,c DECK, TYPE: 0u.Q1 PATIO, TYPE: � - '- BREEZEWAY: FIREPLACE: 2� GARAGE: s7 �y,L JDQMESIIC HOTWATER: TYPE HEATER: AIRCONDITIONING: WARM AIR: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: yeS' OTHER: HOTWATER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. t f t REMARKS: INSPECTED BY: DATE OF INSPECTION: /` GG�,Ua TIME START: ?__ J END: