HomeMy WebLinkAboutZ-33047FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33047
THIS CERTIFIES that the building DWELLING
Date- 05/27/08
Location of Property 630 WIGGINS ST GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 048 Block 0001 Lot 029.001
Subdivision Filed Map NO. Lot NO.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior t0 APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCDPANCY NOMBSR Z- 33047 dated MAY 27, 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 ONE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE.*
The certificate is issued to JUAN SECAIDA
(OWNER)
of the aforesaid building.
SIIFPOLR CODNTY DEPARTMBNT OF HBAI,TH APPROVAI, N/A
ELECTRICAL CERTIFICATE NO. N/A
PLOMBHRS CB(tTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
BUILDING DHPARTMENT
TOWN OF SOUTNOLD
HOUSING CODE INSPHCTION RHPORT
LOCATIOY: 630 WIGGINS ST GREHNPORT
SOHDIVISIOY• MAP HO.- 7.OT (S)
NAlHi OP 01YHIIt (S): JUAN SECAIDA
OCCOPANCY: ONE FAMILY JOAN SECAIDA
ABlR1TBD BY• ACCOl~AYIBD HY-
HSY AVAIIABi.S: SOPF. CO. TA% MAP NO.: 48.-1-29.1
SOiIYCB OP YSQOSST: VALERIE MARVIN, ATTY 011TH: OS 27 OB
DWELLING:
TYPE OP COYSTYOLTIOH: WOOD FRAME # STOYffi: 1.5 # H%ITS: 3
PODlH)ATION: CEMENT HLOCK CHLLAY: CRAM. SPACE:
TOTAL BOORS: 1ST FLY.: 4 2ND FLY.: 3 3YD FLY.: 0
HATHHOOR (S): 1.0 TOILSP HOQI(S): 0.0 DTII.ITY BOOM(S):
PORCH TYPS• DSC& TYPS• PATIO TYPE:
BRHSZHIWY• FIBBPI.A(B• GABAGS• ONE CAR
DOlBiSTIC B017Q1TSR: YHS TYPE H611TSB: OIL AIBCgIDITZOMIMG:
TYPH BEAT- OIL MAYM AIR- BDTMATSB• X
ACCHSSORY STROCTURHS:
GAYAGS, TYPE OF Cffi7ST-:
SMITlmiG POOL:
VIOLATIONS: CHAPTER 45 N.Y. STATH UNIFORM FIRE PREVENTION & BUILDING CODE
HHMABYS: BP1186 ADD COZ1220, BP33256 FIRH RHP COZ32898 nDZZAR1 h~tl+rnr~m COZ33046
ffiPBCTSD BY:
GAMY J
OATS OM ffiPSCFIOR• 05 27 08
TI10; STPABT: 10:00AM BeID: 10:30AM
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 fomt).
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 Apri19, 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 pp
Date. ~ I 1 l I D 0
New Construction:
Location of Property:
House No.
Street
Hamlet
Owner or Owners of Property: ~ ~(ilCl.Yl i`-YYl ~ h I` O ~7C~C~ C~4`-
Suffolk County Tax Map No 1000, Section 4g Block ~ ~ Lot Z~• ~
Subdivision
Permit No.
Health Dept. Approval:
Date of Permit
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ~O
~p~ ~~b~
(~c'l X35 S~
Filed Map.
Underwriters Approval:
Lot:
Final Certificate: ~ (check on
~~
Applicant Signature
a.~- a4~ ~~-~
Old or Pre-existing Building: ~ (check one)
V/~~cxl~,s ~veeL ~ree
._.-
LOCATION:
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
LOT(S):
(type)
ADMITTED BY:
KEY AVAILABLE:
(owner-tenant)
ACCOMPANIED BY:
SOURCE OF REQUEST:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING: ~,~D ~
TYPE OF CONSTRUCTION: C " ° `~ # STORIES: /~_ # EXITS: 3
FOUNDATION: Q CELLAR: CRAWL SPACE: _
TOTAL ROOMS: 1ST FLR. ~ 2ND FLR: 3 3RD FLR: '~
BATHROOM(S): ~~ OILET ROOM(S): UTILITY ROOM:
PORCH TYPE: ~ DECK, TYPE: ----
BREEZEWAY: ~-~ FIREPLACE:
DOMESTIC HOTW TER: ES TYPE HEATER:
TYPE HEAT:- WARM AIR:
OTHER:
PATIO, TYPE:
GARAGE: C~'~
AIRCONDITIONING: -^
HOTWATER: f
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
~~~
(municipality)
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:
(number & street)
DATE OF INSPECTION: 7`//(0
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
TIME START: ~0~~ ~ END: /~f~0
_ _ _ _ _ __
{~~ ~-°p, ~ wiz ,~~~
~~~~
~, -
~~Np~ TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL ~~c~J
[ ]FIREPLACE & CHIMNEY [ ] FlRE SAFETY INSPECTION
( ]FIRE RE!S CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
-a3-O~
~~
DATE ~ ~~ INSPECTOR
Z~, i_
~~~ ~ ~ _ TOWN
OF SOUTHOLD
PROPERTY
RECORD CARD
~ //I-/9
OWNER'' STREET ~ -~~~ ~ VILLAGE DISTRICT SUB. LOT
1 ~ ~ ~' ~ ~
~~(~!/~~ZC?!21a .~ec~d /' t,=`i f~~. • ' / ~ Q ~ESC~
FORMER QWNER N ~ l r E {~'-~ _ ACREAGE
~r~ S ~ W TYPE OF BUILDING
RES. ~~~ ~ SEAS. VL. FARM COMM. IND. CB. ~ MISC. ~ ~ ~ ,
LAND fMP. TOTAL DATE REMARKS ;1
a ~ ~.
3 a
2 ,j t= :,
Z~ J ~
~.'~ S O ~~ ~ f`
~ J
~ja , .~~ ~ : ~ 3 a ~ ~ k.~c 7' 3/ -~L ~ I CQ ~ G COG
Df
_30oU
350y
a a /J3
Z 3
Z~ ,~-5- ~'~`'y~;
jn; Z '~tr~C'/s ~- - ^'g~~;•
AGE BUILDING CONDITION a ~g 03- p -~ CfiIC t ~ i i
NEW NORMAL BELOW ABOVE ' ,~ X -" ~` S ° ° 3 S
Farm. Acre Value Per Acre Va lue- ~ a~ D3 P a~ ~~ dew 1 ~1
Tillable 7 _ _ ~~I~ja~l gP~ 33ZSb ~ cos BP# a917Z
Tillable 2 _ (~~ <-'- ~ 1Z t~'`
Tillable 3
Woodland
Swampland
Brushland
House Plot
-- ---- ---
... r
Tctal~ - ~ r
~•~.
~__z _
~" -
~
G. y, i t
Ghee ~/
,
~ ~~ ~ u 5~
I
!, s ., ~
~ '
i I ~ ~
.
~
~ ' , ,.,,,
7 9 _. ~ r
Y ~ ~
g• 3 ~ a - _ ~ ~ _ ~ ~ g ~ ~ oundotion ~ ~ ~ ~/ Bath
Extension Basement
~.,~ Floors ~ ~ '
Extension
- Ext. Wolls ~'n~ ~ ~~t Interior Finish S~ ~ 2
. ~_
Extension Fire Place_ Hemt W ~~ J
~e ~ I~ ~ ~ , ~ ~ ~ Z / Porch ~ Attic
Porch Rooms 1st Floor
Breezeway ~ ~ X ~~ _ ~ ~ ! ~ U _~q~ atio Rooms 2nd Floor l Q 5
Garage ~ u ,; _ z ~ /B O ,j 6 $' ~riveway _ -
O. B. _ ~~~~~,~
a s~ g
~ `s``~,3 ~ ~.
~~r~n- y.~-i-~ ~ TOWN
__,_
OF SOUTHOLD PROPERTY
RECORD
NER ,
O
W STREET
t " ~"'
; VILLAGE DIST. SUB. LOT
II
/
Vl~~ / ~ ~l.li~l..~l(JVI., /~,/{~,{
t(
'j ~
l~[/~~ fit!'/ ~ y 4.'.r f~ °4' ~ ~ ~ ~~S
C
/FORMER OWNE
Ala N
~ E '
,c~~ .~~i, ACR._
. ~ ~.;~<,
,~ ,,
,~r I~ S
.~ ~azZa~erl-~1~ ~,,Wr ~
,g3'~aK:B'F _Cos~t:~-a TYPE OF BUILDING
RES. SEAS. VL. 3io FARM . COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS 9 ` f t ,~( -•-""
o '~'
_ L -FlaflP/ ~n ~~i~c, ~3~~v
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per
Acre Value
Tillable 1
Tillable 2
Tillable 3 ~//~, ~`//]
vVoodland
swampland FRONTAGE ON WATER
3rushland FRONTAGE ON ROAD .3 ~"'~ ~ ~ f~` f(/
-douse Plot DEPTH ,/~ ,;,
,''.
BULKHEAD
total DOCK
V
14
N ~,
- ~„ ~..
:, : _ +~
OR
N
48-1-29.1 10/03
A. Bldg. Foundation Bath Dinette
xtension Basement Floors K.
:xtension Ext. Walls Interior Finish LR.
:xtension Fire Place Heat DR.
Type Roof Rooms 1st Floor BR.
'orch Recreation Room Rooms 2nd Floor FIN. B.
'orch Dormer
Breezeway Driveway
garage
Patio
O. B.
total
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wraanvs srx~r
mceaeA~yr
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LOT IJ g N00'3i"f 0'W 1 (02.05°
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fUC•ENf & MARY AfA27AFERFO
m2
h
a=MONUMENT
SURVEY OF PROPERTY
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
Sono-.eB-o1-z9.1
SC.4 LE• 1'=20'
MARCH 12, ZOOR
W
COT NUMBERS REFER TO "MAF' of PLAN
CORN9N ESTA lE' F1LE0 /N THE 5f/FFOLN
CLERK$ OFFICE GYJ DEC£MBfR 23, 1930
ro
AREA-11,172 5Q. Ff.
CONSENT TO INSPECTION
1.1O~ -+~tt u /) t ~ ~Cti (~C~ ,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 ~(~%~ ~p/,'grX~~,~g ~• ~ triYe~., t:b/t;
which is shown and desrgnated on th uffo~- lk County Tax Map as District 1000,
Section L~Q ,Block ~l. dO ,Lot C~
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold gown Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building hrspectors 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: ~ ~ I ( ~ b
~°
~,..~~_
~=~iK/ ~SC'O~iO~a~
Name)
(Si~nature)
1,~1 fe~r~ e ~v~.~
(Print Name)