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Home My WebLink AboutZ-33601FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 33601 Date: 03/18/09 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 3885 CAMP MINEOLA RD (HOUSE NO.) County TaxMap NO. 473889 Section 123 Subdivision M3~TTITUCK (STREET) (HAMLET) Block 0005 LOt 031 Filed Map NO. __ Lot No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs%~%nt to which CERTIFICATE OF OCUUPANCY NUMBER Z- 33601 dated MARCH 18, 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 SCREENED PORCH AND ACCESSORY COTTAGE WITH ONE CAR GARAGE. * The certificate is issued to PETER S GRAY of the aforesaid building. ( OWNER ) SUFFOLK COUN~"f DBPA~T~ENT OF HEALTH APPROVA~ ~L~L-I'~ICAL U~u(TIFICATE NO. PLIERS CERTIFICATION DA'r~u3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD BOUSING CODE INSPECTION REPORT LOT (S) PETER S GRAY BATHRO(~4 (S): 1.0 I~CH T~: SCREENED BREEZ~Y: I~STIC HO~T~: YES 1.0 # Exrrs: ~3 ACCESSORY STRUCTURES: C~, TYPE OF C~ST.: *SEE BELOW VIOLATIONS: LOCATION SEC. CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTIO~ & BUILDING CODE DESCRIPTION ART. P.~: BP 4306 ADD CO Z3931 GEORGE GILLEN RTE (~ INSP~CTI(~: 03/18/09 ~ START: 02/2712009 14:~8 6312980477 TOWN & COUNTRY NO FO PAGE 01/03 TOWN OF $OI.rlHOLD BUILDING D~PARTME~ TOWN 765-1802 APPLICATI,ON FOR CERTIFICATE OF OCCUPANCY This applioshon must be filtcd in by typewr/~ or ink ~md submitted to tho Building Dcpm-tm~ A. For new bulldhI or new me: 1, Final ~ of.property with acctuate location of all Imilding~, pwpexty lines, street% and unu.~al natural ct topogaplgc fc/tturms. 2. Final Approwl fxmn Health D~pt. of Water. supply and s~werai~d/sposal (S-9 form), 3~ A~i~val of eleclncal ktstallatlon from Board of Fire Uttdetwfitm~s. 4. ~wom Malemcllt fi'Om plumber ocffif-yin~ that ~he'soldm. used in system c0mains less than 2/10 of 1% icad. 5. Commerdal building, industrial build/us, multtplet~aidcn~ and ~imilir buildin~ and irmtallatlon6, a,~Lqcate of Ccde Compll~ce from architeot ot ~ reqmmible f~ th~ building. ii. Submit'Plan,~tn~o Board Approval of completed site Plan r~luiremeats. ~.l%r .existing buildings (prior to April 9,'1957} noll~onP, rming mm, or buildin~s and '~*pre-extsttnil- land l. Af,/ctuatrre~res.e mrvey of property showin$ all property ltn~,, streets, lm/ldfllg &nd u~usual eatural or topoig.~ph/¢ 2. A properly completed application ~md consent to insl~eot stsned by the ~PPlicant. if a Certificate.of Occupancy is denied, the l/kitlding Impostor shall stat~ the rcasorm thci¢f,)i in writing to the appli~a~. C. Fees 1. C~tifioale of O¢oupancy - New dwelling $2100, Additions to dwelling $25.00, Alteratiolls to dwelling $~5.00, (~. Swimming pool $25.00, Aooessory?uilding $25.00, A~lditi0ns to accessory bgildins $25.00, Busine~ses $~0.00. Copy of C-.~fficate of Oooupancy - $.21~ 4. Updated C~tiflcate of Ooottpau~/. $$0.00 5. Temporary Certificate of Oco~ancy - Residential $1 $.00, Commercial $1 $.00 N~v Construction: Old or Pm-existi~ Building: i ? (~h~;k one) R'o~s e No.' .qtree~ ' - ' ' Hamiet ~ or Owners of Pto~. ' Suffolk Permit No. Health Dept. Approval: planning Board Approval: Request for: Temporary CertLqcate Fcc Submitted: $ ! _t~St"5,~;//~ S r) Da~ofPem~it... ,,, Applioan~: Un&a'writera Approval: . Final C~rtiflcate: Lot: ~ (check one) Applt~t '$ignatm-~ 82/27/2889 ~4:48 6312980477 TOWN & COUNT~Y NO FO P&GE 0~/0~ CONSENT TO INSPECTION __ ~ ~' . * ~ ~'~. the tmdersigned, do(es) hereby ~tate: O~mer(s) Name(s) ' That the undersigned (is) (ar_e) the own?(s).o f the premised, tn the Tqwg of That the undi~ratgned (has) (have) filed, or cause to be filed, ~ applications Sout~old Town Building In~e~or's Office for the follawlng, /°~,..2.', ~-~ ,-_. _ .~.\ That the undersigned do(es) hereby give con~ent to the Building Inspectors of the Town of Southold 10 e~ter upon the above described property, including ~uy m~d all buildings located thereon, to conduct such inspections as they may deem necessary, with respect tc the aforesaid application, including inspeedon~ to detema~ne ~hat said premises comply with all of the laws, ordinances, wles and reg~flations of the Town of Southold. The uudersigned, in consenting to such inspeotions, do(es) so with the Io~owledge and understanding tJmt any information obtained in the conduct of such msp~ctious may be used in.subsequenl proseoutions for violations of the taws, ordinances, rules or regulations of the Town of Southold. (Sig amre) (J (Pri~t Name) (Signaturc~ (Print Nmue) ANY AL TERA TION OR ADDITION TO THIS SURVEY IS ,4 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7~09 ~ SL;~[OIVlSION E. ALL HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW TERM * AL TERED BY ' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH ' INSPECTED ' AND · BROUGHT - TO - DATE ' ARE NOT IN COMPLIANCE W;TM THE ;_AW. 30~ 16.2' STY ~. ~ RSE ~'J'C S 86'40'00;-W~ GREAT PECONIC BAY .. AREA =9,299 sq. ft to tie line SUR VE Y OF PROPER T Y A T MA TTITUCK TO WN OF SOUTHOLD SUFFOLK COUNY, IV. 1000-123-05-31 SCALE :1'~20' JUNE 14,2005 IZ30 TRAVELER STREET SOUTHOLD, N.Y. 11971 05- 198 /~o~- /.~.~-o'-.~ TOWN ,OF SOUTHOLD PROPERTY RECORD CARD -~-~ ~z'~ STRE~'~'i~'5 I V,',.AG, D,ST SUB. ,OT / .. ~ ~ .~. . ,~c~.~! FORMER OWNER N ~ 0, ~tD~Z'~ ~' ,~ ~ ~ *~ ~PE OF BUILDING ~s. 2~( "s~'~ vi. ~c0~. c,. ' ~,~c. ~,..vo,~e ~N D IMP. TOTAL DATE REMARKS ~ ' FA~ Acre Value Per ~re Tillable 1 Tillable 2 Tillable 3 W~land ~ ~"1<' ..~ ~ Swampland FRONTAGE ON WATER ~ ~ ~, L F-' Brushland FRONTAGE ON ROAD House Plot .. DEPTH /~ Total . DOCK M. Bldg. Extension Extension Extension Porch ? COLOR Basement Ext. Walls Fire Piece Type Roof ~ecreetion Roon Beth Floors interior Finish Heat Rooms 1st Floor Rooms 2nd Floo~ inette LR. DR. FiN. B. BR. Porch Bre,ezewey Gorc~je O.B. Total Dormer DrivewOy ]- 5'0