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HomeMy WebLinkAboutZ-34031FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34031 Date: 10/26/09 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 12580 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 031 Block 0014 Lot 008.001 Subdivision Filed Nap 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- 34031 dated OCTOBER 26, 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 FRONT OPEN PORCH AND SIDE ENCLOSED PORCH, ACCESSORY TWO CAR GARAGE AND ACCESSORY SHED.* The certificate is issued to WILLIAM P HUKILL (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. e _ Au�orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 12580 MAIN RD EAST MARION SUBDIVISION: NAP NO.: IAT (S) NAME OF O1NER (S): WILLIAM P HUKILL OCCUPANCY: ONE FAMILY DWELLING WILLIAM P HUKILL ADMITTED BY: BILL HUKILL ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAR MAP NO.: 31.-14-8.1 SOURCE OF REQUEST: WILLIAM P HUKILL DATE: 10/26/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME Q STORIES: 2.0 R EXITS: 0 FOUNDATION: CONCTRETE BLOCK AND STONE CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: IST PLR.: 6 2ND FLR.: 3 3RD FLR.: 0 HATHROOM(S): 1.0 TOILET RODM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: FRONT OPEN, SIDE ENCLOSED DECK TYPE: PATIO TYPE- BREEZEWAY- FIREPLACE- 1 GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: NATURAL GAS AIRCONDITIONING: TYPE HEAT: NAT GAS NARM AIR: HOTUATER: X OTHER: DWELLING IS A PARTIAL 2 STORY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.. SWIMMING POOL: CAR WOOD FRAME STORAGE, TYPE CONST.: SMALL WOOD FRAME SHED GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION @ BUILDING CODE REMARKS: BP4928 ADD COZ5097, BP8372 ADD/ALT COZ7034 INSPECTED BY: / DATE ON INSPECTION: 10/19/09 GARY J WS1 TINE START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ���—D((zi p � d.✓� APPLICATION FOR CERTIFICATE OF OCCUPANCY U 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: I. 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 I% 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. Certificate of Occupancy on Pre-existing Building - $100.00 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. 0047 New Construction: Old or Pre-existing Building: 1�1� (check one) Location of Property: J;,5f�V kr.,5- n j*/, /Z&— C4:1j 1/.y�i(YV House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted:we /Z Filed Map. Underwriters Approval: %�z Lot 2ri / Lot: Final Certificate: _Z (check one) Appffcant �ign/y " CONSENT TO INSPECTION w �\ ` 0,'n R\ �'I� � � , 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 att S O m �' n 5 (—�n 0--t—i which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block , Lot That the undersigned (has) (have) filed, or cause to be filed, an ppplication in the Southold Town Building Inspector's Office for the following: �_ 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: 9 t- — C (Print Name) (Signature) (Print Name) TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL 1p' 60 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTIq CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE/0 INSPECTOR Zl� _ TOWN OF SOUTHOLD 0PERTY RECORD CARD — 0 ! , , , STREET �a y 0C) VILLAGE DISTRICT SUB. LOT I rOWNER V -C✓ ' i lqu K/ l/ A/N RD. J<06t c L R2/� 6/LUrvl rr •• FO ER OWNER nil / N E Y ACREAGE 4G S W TYPE OF BUILDING / PES...jSEAS. VL. FARM COMM. IND. GB. MISC. Est. Mkt. Valve • LAND IMP. TOTAL DATE REMARKSI veq '—r p, Y 0 b 9 `' ¢/ P *Y3 2 Z, ��4/ d 4 ailAoa a..d .0 OV 21"d Z4 00 J 3,0 C) ,) z7 d Z It -o c 1 o 4 4 00 5 n o v 7 i. 9S ter:01 /37 10 ' 9 0 feu c/ ASO v v S o o Ir „ /o ° 3///7 PI - 146 D4 GI CO y vy—L 12-33'/ z35- Yukill.Gs rc i%V f, L9W 2 ABOVE FRONTAGE ON WATER F `api°V Acre Value FRONTAGE ON ROAD I o O Till S-A 4�0 Qf' 2 / BULKHEAD Tillable 2, DOCK Tillable 3 Woodland Swampland Brushlan8 *. ' House Plot Total I 4 H4fgle W WO Ma M1 MIA 6 M. Bldg. Zp irZrS z s�`j 00 O oundation C Both / z Extension E4 t- Basement �� r-/ Floors Extension �Z X .2 j ,f g 3 0 d p yF Ext. WoIIs Interior Finish Cuzzi- �1 a Lc N Extension �oY , v,i r o Fire Place Heat p01 c h �8 6 6 X 28 = l2 t7 2-18. �A 1 L P�rcLh Roof Type . ea 1. , 2 q7Ai Y y Porch Rooms 1st Floor bi u sroau' 2 3 2 Patio Rooms 2nd Floor -- Garage'( a Driveway Dormer I � 4 o,L fif . •r .,.-a:�`G�.r r%:.��., .. .i '. a_Ie �-. v 'r I%e't3-.11 ,`' G Y� y• _ tt L -R i) �'�Y 1i t� SAM tutu Y", "h,Q ' o `; rt w: t•T ✓�F,i9"43 qv. ,r �, C 7 {. " 't x _ r i7 N <; FE• `: ��� < a i i " i 1 ' � " � tf tr �+n r3A w•r, s . ' ! , - �1rrC � M P RL�--.;• '4 etc, I A too, sad, �gi..l:; ?.j �' I 7 • r ''t ,. ,. _ t a,. , r i i ,,,t F F ' r }:: dj7��r,1 I ,,a'_. t. , -•,,..7 -,, . t.a IIr CGC G � : }Ai CiGBR. .r ., � ,� . r ' ss }�� ..t a� ' n All INi.t �rF Y<f�'vjF��tl.���:ly! try... /� � '5195 60 a'� ".r . 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W, '93-87 to •; '*� }'i ., < — N.3S23'W` S.i2, iit�trf3t: L Atfc " OF: bAVID ,r.,~f.:.IP r+ t?'�C �: , t, t ,r ' t` ai., i., ,7 rQ7 � • t ..� > I ' . 4 .. • x v. ' � ,,� . � 'RAv?(5 i/ }}t ` _rLir) '! y t + ,a > tt-♦ +r,(4t„ty.� Fr{+• .4N,�4 F, l J.'il( � M � � t 9. ..rrr{,.n I� Owl Apr, 2) Fr: a ?' ati, • ` 1+ �t � 1 w3 ', .SUCH+ -V EVn^U FOR.. ARBA n� ,!���6}f}'5A. �C � r �F's' Yy WL, PERtZY HUk!L. L- BAST".MAwoN. o M0Na04e44T,,' SURVEY- GOM1>(_Wrsm 'AES:. FY: l9.?11," TUYL`�40N-' .,.SCALC3,: 40c G LOCATION: �o�s�y &,�� o 5 (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:-�Q� # STORIES # ETS: FOUNDATION: f CELLAR: ✓ CRAWL SPACE TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): alt._- UTILITY ROOM: PORCH TYPE: E, TYPE: PATIO, TYPE: BREEZEWAY: PLACE: GARAGE: DOMESTIC HOTW T R: lt4�55 TYPE HEATER: IRCONDITIONING: '^ TYPE HEAT: WARM AIR: OTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: �-- "6TORAGE, TYPE CONST.:11 c�'�►�l di1 G�,� GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE I LOCA-TWN I DESCRIPTION I ART. I SEC. REMARKS: R , INSPECTED BY: DATE OF INSPECTION: /0) TIME START: %©�" CV END: