HomeMy WebLinkAboutZ-33126 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- 33126 Date: 06/30/08
THIS CERTIFIES that the building DWELLING AND ACCESSORIES
Location of Property 3375 INDIAN NECK LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 098 Block 0001 Lot 001.003
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- 33126 dated JUNE 30, 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 AND FOUR ACCESSORY BUILDINGS.*
The certificate is issued to PHILIP R MARCO
(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.
....045/
uthor' ed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3375 INDIAN NECK LA PECONIC
SUBDIVISION: MAP MO.: LOT (S)
NAME OF ONNER (S): PHILIP R MARCO
OCCUPANCY: SINGLE FAMILY PHILIP R MARCO
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 98.-1-1.3
SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: 06/30/08
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME i STORIES: 2.0 it EXITS: 2
FOUNDATION: CEMENT BLOCK, BRICK, STONE CELLAR: 1/2 CREEL SPACE: 1/2
TOTAL ROOMS: 1ST FIR_: 5 2ND FLR_: 3 3RD FIB.: 0
BATHROON(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZENAY: FIRS: GARAGE:
DOMESTIC HDIINATER: YES TYPE HEATER: PROPANE AIRCOIDITIONING:
TYPE HEAT: OIL NARK AIR: X WYTWATER:
OTHER: MUDROOM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 4 WOOD FRAME BUILDINGS
SKINNING POOL: WEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
OUTSIDE 2 ACCESSORY BUILDINGS IN NEED OF REPAIR
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 06/17/08
GARY J //PL9H TIME START: 10:15AM END: 10:45AM
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT n
TOWN HALL
765-1802 t � JUN — 6
APPLICATION FOR CERTIFICATE OF OCCUPANCY
U
This application must be filled in bytypewriter or ink and submitted to the BuildingDe artm ®I r Tnv
PP YP P ntsa' '�
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 2/10 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 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
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
June , 2008
Date.
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 3375 Indian Neck Lane, Peconic, New York 11958
House No. Street Hamlet
Owner or Owners of Property: Philip R. Marco & Patricia Phillips Marco
Suffolk County Tax Map No 1000, Section 98 Block 1 Lot 1.003
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ /00 • 0 n
a33I ; ea9seerrit-
t2A.c c , 1 t- Li Applicant Signature
CONSENT TO INSPECTION
Philip R. Marco & Patricia Phillips Marco, 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 3375 Indian Neck Lane, Peconic, NY 11958
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 98 , Block 1 , Lot 1.003
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: for a
pre-existing (prior to 4/9/57) building.
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, as in
effect and applicable to all buildings and structures existing prior to 4/9/57.
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 /� � ►
(Signatur)
Charles R. Cuddy
(Print Name)
(Signature)
(Print Name)
1, TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREETC33` ,=( VILLAGE DIST. SUB. LOT 1
P -r c.a • , rps
FORMER OWNER t9� E ACR. I I +. C7 t)
, 7/ x RdGRoN - etc N/v,r/owic A +►e,AtrI
or - C.t 1 1 TYPE OF BUILDING y
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ES. SEAS. VL. FAR 0 COMM. CB. MISC. Mkt. Value
1
LAND IMP. TOTAL DATE REMARKS
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illable 2 , „
illable 3
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rushland FRONTAGE ON ROAD
louse Plot DEPTH
BULKHEAD
otal d_0 , DOCK
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r..� LS TOWN OF SOUTHOLD PROPERTY RECORD CARD
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DWNER STREET 331 S VILLAGE DIST. SUB. LOT
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ouse Plot BULKHEAD
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Porch ilsi g 4/ ..57f
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Patio Recreation Room Rooms 2nd Floor 1.--- FIN. B
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/273
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SURVEY OF
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SUFFOLK COUNTY, N.Y.
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LANE
F , CERTIFIED TO,
aNECK PHILIP R. MARCO
PA TRICIA PHILLIPS MARCO
>- S 78.gq'00' VI. TICOR TITLE TITLE GUARANTEE CO.
INDIAN NORTH FORK BANK F,OF NEir
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ANY AL TERA TON OR ADDITION TO TNS SURVEY/S A VIOLATION + w^.�y. gi
OF SECTION 7209 OF THE NEW YORK STATE FALL CERN LAW 13 fb n
EXCEPT AS PER SECTION 7209-SUBDIVISION Z. ALL CERTF/CAVIONS .. �>`� 1k
HEREON ARE VALID FOR TNS MAP AND COPES THEREOF ONLY F /�
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 7/1 "'
WHOSE SIGNATURE APPEARS HEREON �l/T+C�'� L I b`{JI, 4961e
- NUMBERS ARE REFERENCED TO 'MINOR SUBDIVISION + <
' THE O'KULA FAMILY ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY 'ECONIC SG61w.7:"dMT2
MUST BE USED BY ANY AND ALL SURVEYORS UTLIZW6 A COPY 15161 765 Ili
WECT®
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS % 'AND P. 0. BOX 909
'DROUGHT-TO-DATE-ARE NOT IN COMPLIANCE WITH TAE LAW. 1230 TRAVELER STREET
SOUTHOLD, N.Y. 11971.
LOCATION: 33 3 764' ii4K) Aek_
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: ,1w/ ' # STORIES: LA- XITS: 2
FOUNDATION: Com- c }" e G r LAR: CRAWL SPACE-472i4
TOTAL ROOMS: 1ST FLR: S 2ND FLR: 3 3RD FLR: r— .
BATHROOM(S): TOILET ROOM(S): • UTILITY ROOM:
PORCH TYPE: r DECK, TYPE: r----- PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE: —
DOMESTIC HOTWATER: YES, TYPE HEATER: IRCONDITIONING:
TYPE HEAT:. d! WARM AIR: HOTWATER:
OTHER: MSS itv,m..
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 4t p,
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DFSCRIPTION ART. SEC.
auti d, (,J Al6c4c t* /2,041i .
REMARKS:
1
INSPECTED BY: 7 DATE OF INSPECTION: 67 77
TIME START: (6:4r END: (0 t(15--