HomeMy WebLinkAboutZ-34105 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- 34105 Date: 12/03/09
THIS CERTIFIES that the building DWELLING
Location of Property 770 OLD SHIPYARD RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0004 Lot 020
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- 34105 dated DECEMBER 3, 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.*
The certificate is issued to ELIZABETH G MEREDITH
(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.
Au horized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 770 OLD SHIPYARD RD SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (5): ELIZABETH G MEREDITH
OCCUPANCY: ONE FAMILY RESIDENCE ELIZABETH G MEREDITH
AIPIITTED BY: CAROL SZYNAKA ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 64.-4-20
SOURCE OF REQUEST: ELIZABETH MEREDITH DATE: 12/03/09
DWELLING:
TYPE OF CQ4STRUCTIOi: WOOD FRAME $ STORIES: 1.0 K EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: 1/2 CRAWL SPACE: 1/5
TOTAL ROOMS: 1ST FIR.: 5 2ND FLR.: 0 3RD PLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: BRICK
BREEZEWAY: FIREPLACE: NONE GARAGE:
DOMESTIC HOTSATER: YES TYPE HEATER: KEYSPAN GAS ArumNDITIONING:
TYPE HEAT: KEYS. GAS WARM AIR: HOTWATER: X
OTHER:
ACCESSORY STRUCTURES:
TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
DA4ARKS: BP6232 R 6891 arty gar & add/alt coz6-059
BP20255 add to no -h
a
b
itable arry aaragn rn771761
INSPECTED BY: - Q ���� HZf21_.� DATE ON INSPECTION: 11/25/09
GEORGE GILL N TIME START: END:
9(7`-
Form No.6 b L(& /
TOWN OF SOUTHOLD ,...A0y
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 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.
For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses:
i. 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. F!es
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.
a' ertificate 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
Date. . ] 0 - a ) - 6q
New Construction: Old or Pre-existing Building: (check one) J
Location of Property: -3---41). old Si, tp qa( Lana &L T11 nptd
House No. tre&t Hamlet
Owner or Owners of Property: . i . • is r yy��tfeA Ann e it'' . r V ,'e, ii
Suffolk County Tax Map No 1000, Section ��n 0 Block 400 Lot 20000
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: $ t 00.00
ccfa- -31/4--‘ 10 (/ �c M & , L,
L CrOTI) / ) Applicant S. nature
170 b N'1 t/frn-b , ;'���,OF SOUL
'^ ' X17 1* *
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /d° 4-cc-Lc c
f'( ffe C4-fi b_JA)so 03
DATE 7/ (7/oci INSPECTOR
CONSENT TO INSPECTION
Etn1t to e-N,C- Jane r t� Qe.,
e( i A,1n�I(Int-0601e- , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is C the owner(s) of the premises in the Town of
Southold, located at 440 a a c p j arra Lan a
which is shown and designated on the Suffolk Colin&Tax Map as Distridt 1000,
Section (P`foo, Block 'fGQLot 2-0000
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for ie following:
Cer-h C (cif E. of CJ cc Lpttin c_y 6 h
-Pre e c r s ti r�1G
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: lb - 21 - 6q \ ne
Ls ?,c i (?o R)
ignat
$ � t 1‘‘/PC) R
(Print Name)
(Signature)
(Print Name)
fik,
_ �-o TOWN OF SOUTHOLD 1? OPERTY RECORD CARD ,�- > q
OWNER STREET 110 VILLAGE DISTRICT SUB. LOT
ane t SIM �'Ill , �_.__
�� v '' - -
SriER •WN R E ACREAGE
ascAC - I ped/ !9
re.. (Ye /l/ v W TYPE OF BUILDING -----
. .. 1 rj4 1!e..fiN ` 1 c.)_, fie{ l �9
RES. Z,a) SEAS. VL. FARM I COMM. I IND. I CB. I MISC. 1 Est. Mkt. Value
LAND IMP. TOTAL DATE • REMARKS
' lint - 0/ y _ - /442 .. . c ,0 i_ 5I ., 551
try /g. CO 144 ° MM. iff- is/, 3 / / I z Fsr t2sao /
.Z3 pePr ,Y•107-0,5,�faD wear
co O o 0 0 G oZ 1' Pr m . : 9/ s - / tLA �
"� �t_ �1 &Lc, ' 40
2I D !f 00 O ]� e • v II • -37- IXO .. _ ' ) ! , e- -I ' '0 • S.;5, ..%r - - ,i . .-/
gob y7 o 0 j j 0a . L/28/1V ILW erei i ,cease l de. •JT b.s
foo 410 0 - -cry V/ `92- f / 05-L1244 . 07. 7- keretdA tv /22111 aono. G
ABOVE RIM WL E; S• r eitt In 6 L[St
Value FRONTAGE ON ROAD 75 1 Y! 5 0' re) 1 a SP
73-v
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland1 ara .
1 Swampland
Brushland
House Plot
t
Total
7
♦ I �
A r ` 30
wY i1 ,, x i t0���
i
I 1 1WEra 1
!i _ I S II I 3i I i I -
- I
I onI I 1 I ,
I
YS
I
. III 1 I I
I I I , - 1 .
' , I
. � - I I 1
•
!Cante^wV ; Bath •
' Foundation �b�n I
V{. Bldg• i pt.., x a p r / o o I 1 I
I I: I r,i_ L L i Floors [ 0n. i.,
Extension I a ! Basement
� a YiL = / do T.2oj 37 A3 ' ! S{lce
s 11�. Walls 115 6 Interior Finish
ExtensionI -for I
i //� ?f 3 0 Io
I
Ili
il Fire Place Heat G/!L P/pt'2E S
Extension 9 x 9 ° gi .1G 1 1 300 16 -2 �� J
1 Porch Roof Type i
PX/6 = At : I X.Tei 339
1 Porch 1 Rooms 1st Floor
i Rooms 2nd Floor
Breezeway I ..''..''44� I Patio
'Is="'Li6 x 3Z o 512 A� .5/Z Driveway I I Dormer I 1
Garage QS. / x Z 352- 1 , aa 3s a— — 1
I I
O. B. i 1
i
X855 (O2
(_,
LANDON LANE
■
N 64'05'00'E 150.00'
R 0
(�/4, Z GcL N N r, N
<,//// N 4 GGA ,Or bo N 5 _ (n iv
(n
U FCD
(3( 1 1 56.Y cn
- 0 6.2'- emcn 38.8 0
0
W \ r000 rriO
aml
�/ /
N \\s o WOOD FRAME RESIDENCE _ 38
re
w C
N \\�� ,.
LOT 81 9\*q�
f
--16.3"— NQ's V D
V N N UT
C17 NO T
O /VV
W o
GUARANTEES INDICATED HERE ON SHALL RUN O o
ONLY TO DHE PERSON FOR WHOM THE SURVEY
IS PREPARED. AND ON HIS BEHALF TO THE
RE COMPANY. GOVERNMENTAL AGENCY, 111"°""0M
P ��
LENDING/N5777U710N. IF LISTED HEREON, AND S 64'5'00 YY LOT 90 150.00'
70 RIE ASSIGNEES OF NNE LENDING INSTITUTION. SURVEYED: 2 NOVEMBER 2009
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
SURVEY OF SCALE 1 n= 20'
UNAUTHORIZED ALTERATION OR ADDITION TO THIS FM# 834 LOT 89 AREA = 11,250 S.F.
SURVEY lS A VIOLATION OF SECTION 7209 OF DATE FILED MAY 70, 1927
THE NEW YORK STATE EDUCATION CAW.
SUBDIVISION MAP OFOR
COPIES OF 7HIS SURVEY MAP NOT BEARING TM# 1000-064-04-020 0.258 ACRES
RIE LAND SURVEYORS EMBOSSED SEAL SHALL FOUNDERS ESTATES
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
SITUATE SURVEYED BY
SOUTHOLD, TOWN OF SOUTHOLD STANLEY J. ISAKSEN, JR.
SUFFOLK COUNTY, N.Y. P.O. BOX 294
NEW SUFF/e LK. N.Y. 11956
631 -734 5835
GUARANTEED TO: SURVEYED FOR: NICHOLAS ANTONUCCI
NICHOLAS ANTONUCCI MARY ANTONUCCI ' �` �
MARY ANTONUCCI I,%1 `�/ _--
FIDELITY NATIONAL TITLE INS. CO. LIC' SED ND, L6 ."..VEYOR
WELLS FARGO BANK, N.A. ,
S Lic. o. 49 3 09R1751
LOCATION: 770 2 teee. .%-,,,W---fr-
,
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S): MPF01' d G , .
OCCUPANCY: / F ` e--e,fl— :
(type) / (owner-tenant)
ADMITTED BY: ort,ez`,,d,,, 4 ACCOMPANIED BY:
KEY AVAILABLE: —^ / SUFF. CO. TAX MAP NO. 1000- ( — 1-/- -- 9.0
SOURCE OF REQUEST: /e9-4:,_J DATE: I/— (9-3--0 ?
DWELLING:
TYPE OF CONSTRUCTION: ';k_)0-4r # STORIES: — #EXITS: 02-
FOUNDATION: � ,,f.�,/T---14-�a�1c CELLAR: j7) ,Z CRAWL SPACE: ID 2
TOTAL ROOMS: 1ST FLR: _5"-- 2ND FLR: -- 3RD FLR: —
BATHROOM(S): O , TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE: Ski cic
BREEZEWAY: `— FIREPLACE: ,e/c� GARAGE: -
DOMESTIC HOTWATER: fr. TYPE HEATER: , if�g,.,) CLAIRCONDITIONING:
/-c-,7)74.)
TYPE HEAT: s, WARM AIR: l HOTWATER: ��
OTHER:
ACCESSORY STRUCTURES: .r' E)f (° Ajk r
GARAGE, TYPE ���
G OF CONST.: L_ ORALE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
7.'s--(
II - ;-‘ --6 ? - 61/I le-/L
REMARKS:
INSPECTED BY: 0,7 �-,�.h" DATE OF INSPECTION: //"�� g j
TIME START: /0% /e2 END: