HomeMy WebLinkAboutZ-33531FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33531
Date: 02/10/09
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2675 INDIAN NECK LA
(HOUSE NO.)
County TaxMap No. 473889 Section 086
Subdivision
PECONIC
(STREET) (HAMLET)
Block 0005 I~t 013
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
~C~3PANC~f ~ER Z- 33531 c%ated FEBRUARY 10, 2009
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 TWO ENCLOSED PORCHES.*
The certificate is issued to DEBORA/q PONTINO
(OWNER)
of the aforesaid building.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
PECONIC
MAP NO.: LOT (S)
DEBOPJ%H PONTINOE
DWELLING:
~ OF CONSTRUCTION: WOOD FP. AME
FO~TION: CEMENT BLOCK
POR(~ 5~/"PE: 2, ENCLOSED
# STORIES: 2.0 # EXXTS: 3
CRLr~R: PART C~ SPACE: YES
3RD FLR.: __0
PATIO TYPE:
HOT~/ATER: YES
ACCESSORY STRUCTURES:
VIOLATIONS: CNAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
GEORGE GILLEN
DAW ON ~NSRMC'TION: 02/09/09
F'~rm No. G
TOWN OF SOUTIIOLD
BIJ]I~DDCG DEPARTMENT
TOWN ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must bo filled in by typo~it~r or ink and submitlexi to the Building Depanmem with tbo followb~.
A. For~n~ufldlug or new use:
1. Final su3Iv~fpropcrty with accurate location of all buildings, property lin~s, ~u~xis, and unusual natural o~
topographic ~
2. Final App,~,~al from~l'I~.~ Dept. ofwatcr supply and scwcra .g~lisposal (8-9 form).
3. A~p,,val ofeE-cldcal imtalI~/~ fwm Bo~! ofF/~ Uml,~n-i~.
4. Sworn statcmant from pinmbcr ccl~i~g that the solder used in ~tc~.. coalain~ Ices t~n 2110 Of 1% le~(L
$. Co~. ilding, ind~al buildin~lc rcddcnces and simdar buildings and installations, ,, cc~ificatc
of Code Complianco from ~rchit~c~ or cngm' c~le fro' th~ building. ·
6. Submit P[~ nnlng Bo. m'd A~ro~ of completed sit~ plan i~[aia~eats.
B. l%r ~tisgn~ bm'ldlngs (prior to April 9, 1957) non-conformin~ uses, or b~ildlngs and "~re-t~is~nP' hmi nse~:
1. Accurate survey o£pr~..n'y showin~ all pn~cn'y lin~, sireets, building and unusual natural or topograp~c
2. A properly completed application and coa.sunt to inspect sig~ed by the applicant. Ifa Ccrtificatc of Occupaa~y is
dani~xl, thc Building hspector shall state the res.sons thc~for in wrltin§ to the applicant.
C. Fe~!s 1. Certificate of Occupan,~y - New dwelling $25.00, Additiona to dwelling S25.00, Ah~rations to dwdling $25.00,
Swhnming pool $25.00, Acceasory building $25.00,f.~lili~s to accc,~ory building $25.00, Busineases $50.00.
2. Cen'/flcate of Occupancy on Pre'cx/$t/n~ Building( .~. $100.00 )
3. Copy of Certi§cat~ of Occupancy - S.25
4. Updated Cc~ficate o£Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $ I $.00, Commercial $15.00
Date. F~o
Old or Pre-existing Building: _ ~ (check
Street Hamlet
New Constn~on:
Location of Property:
House No.
Ow~cr or Owners of Property:
Suffolk Count)* Tax Map No 1000, Section
Subdivision ~ ~
Block 0 ~-- Lot [ ~'
Flied Map.' lot:
P~mit No. Date of Permit.
H~alth l~t Approval:
Plarming Board Approval:
Request for. Temporary Certilicatc __
Fee Submflied: $ __.\ CbCb . 0 0
Applicant:
Undctwritcrs Approval:
Final Certificate: I (~hex, k one)
LOCATION:
(number & street)
(municipality)
SUBDMSION: "----- ~P~ LOT(S):
NAME OF OWNER(S):
OCCUPANCY: ] ~
v (type~/ (owner-tenant)
ADMITTED BY: ~'~'- ~9~ ACCOMPANIED BY:
KEY AVAILABLE: --
SOURCE OF REQUEST:
SUFF. CO. TAXMAPNO. 1000- g~-- .5--- }3
DATE: c;2 "-- ~7t -- o ~
DWELLING:
TYPE OF CONSTRUCTION: ~A/~ F. flL¢.~_~ # STOy~: ~ # EXITS' 23
FOUNDATION: ~ ~ CELLAR. ~O~CRAWL SPA~E:
TOTAL ROOMS: 1ST FLR: c~. ' 2ND ELR: /-~ 3RD FLR:
BATHROOM(S): ~. ~TOILET ROOM(S): ~' UTILITY ROOM.'~
PORCH TYPE: o9-.j ~7~CI.-~¢~ECK, TYPE: ~ PATIO, TYPE:
BREEZEWAY: FIREPLACE: ~ GARAGE:
DOMESTIC HOTWATER: ~ TYPE HEATER: O/L- Bo-n~,~.AIRCONDiTiONING: /~rO
TYPE HEAT: 0]1 WARM AIR: HOTWATER: y&".--q
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDiNG CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
TIME START: END:
Environment East, Inc.
2885 Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
$outhold Building Department
February4, 2009
We recently completed a renovation project for Deborah Pontino at 2675 indian Neck Lane and we
are scheduled to present our application to the ZBA for the purposes of constructing an accessory
apartment in that residence. The ZSA has requested that we apply for a "Certificate of Occupancy on a
Pre-Existing Residence" and I have attached the application and the "Consent to Inspection". Our
hearing is scheduled for February 19th and if there is anything we can do to assist you please call.
Thank-you,
(~n Chambers
02-04-09;14:59 ; 97345812 ; # 2/ 2
CONSBNT TO INSPECrlON
Owner(s)
__ __ __, thc undersigued, do(~) h~-mby stsc:
S That the und~rs/gned~is) (~'c) the owner(s) of the premises in the Town of
outhold, locatcdat /2~ [k)Dt,'scsJ M~_~C_~. L~t~.J.~. , :~C--Cbt~i~.
which is shown ~d designated on the Suffpl_k Cotlnty Tax Map as Dls[ric~ 1000, '
Block ot_ I
That the tmdbrsigned (ha.s) (have) fil~t, or caU.qc to bo filed, an application ill tho
$outhold Town Building Inspeg'tor's Offieo for the following: ._~_.¢~¢q ~_f-b~agrlt3t'
That tile undersigned do(es) hereby givo con&ent to th~ Building Inspectors of ih,'
Town af $outhold to enter upon th~ abov~ described property, including ~my and all
buildings located thereon, to Oonduct such inspections as they m-y deem necessary with
respoet to the aforesaid application, ineludiag inspections to dotermino that said pr~.nuises
comply with all of the laws, ordinance~s, rules m~d regulations of tho Town of $outhold.
The undersigned, in consenting to such inspections, do(os) so with tho knowledge
mid understanding that any information obtained in the conduct of such inspoetions may
be used in.subsequent pro~eutions for violations of the laws, ordinances, rules or
rogulalions of tho Town of 8outhold.
(Print Namo)
(Signature)
(Print Nm'nc)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~(~7 ~ (yJI~LAGE DIST.' SUB. LOT
' ~ ~ ~ ~ ~) S ~- W ~PE OF BUILDING
~ES.i'~_/~ S~S. VL FARM COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
,-ow
FA~ Acre Value Per Value
Acre ,
ril.lable 2 .
Vo~land
~wampland FRONTAGE ON WATER
Jrushland FRONTAGE ON ROAD
4ouse Plat DEPTH
~ ~ BULKH~D
'otal DOCK
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Patio
O.B,
Total
tion
:ire PIoce
Type Roof
reation Room
Bath
Dinette
Rooms 2nd Floo,
BR.
FIN. B.
" s88~?'$o-£
166, ?~'
AREA=32,949 SO. FT.
175.50'
" ~ ' ~ OF: ~ROPERTY
· ." :A T PECONIC
TO ~YN. O? $OUTHOLD
SUI~I~OLI{ COUNTY.., ~.~
' 1000-86'05'18
~CAL~' 1~80'
AUGUST 26, 2008
EXISTING LOT COVERAGE
EXISTING HOUSE & PORCH=-I, 502 SO. F7:
1,502 / 32,949 x 100=¥.6%
· 'f'" ;w~.~$. LIC. NO. 49618
\.,~,]9.ff~_.~?~.~Z~Z'~Y(~RS, p.C.
~~~FAX (651)765-1797
I~~ER S~EETI 08
sou~om, N.~ .~ I --~