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Home My WebLink AboutZ-35073FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 35073 Rte: 07/19/11 T~IS CERTIFIES that the building DWELLING Location of Property 1175 CENTRAL DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Cotk~ty Tax ~ap NO. 473889 Section 106 Block 0002 Lot 029 S%~bdivislon Filed~4ap 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~3PAMC"f~ Z- 35073 dated JULY 19, 2011 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 KATHERINE ACHEY (OWNER) of the aforesaid building. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ~AP NO.: ~OT (S) KATHERINE ACHEY ~ AVAILABLe: ~UFF. CO. TAX MAP NO.: 106.-2-29 SO~ OF P~ST: MARGARET LYNN DATE: 07/19/11 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. - ~ __ ])ATE (3~ INSPECTI(~]: 07/08/11 GEORGE GILLEN TIME START: ~: 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 (8-9 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 iustallations, 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 applicanL New Construction: Location of Property: C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmi~.g pool $50.00, Accessory building $50.00, Additions to accessory b~ilding $50.00, Businesses $50.00 2. Ce~ificate 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 (check one) 11'75- House No. Street OwnerorOwnemofPmperty: ,~/[o~Oo~kc.-~ L Suffolk County Tax Map No 1000, Section ] O ~o Date. Old or Pre-existing Building: ~'~ Block Hamlet Subdivision Permit No. Date of Permit. Filed Map. Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ] O 0 . Oo Undervn'iters Approval: Final Certificate: (check one) LOCATION: (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S):- OCCUPANCY: l ~ (t~pe) ADMITTED BY: /~ KEY AVAILABLE: SOURCE OF REQUEST: LOT(S): (owner-tenant) ACCOMPANIED BY: SUFF. CO. TAX MaP NO. 1000- DATE: 7'~o DWELLING TYPE OF CONSTRUCTION: FOUNDATION: # OF BEDROOMS: IST FLR: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: # OF KITCHENS: FINISHED BASEMENT: YES - ~/~--BASEMENT: 1~9,¢.4,~? CRAWL SPACE: 2ND FLR: ' "- TOILET ROOM(S): '~ DECK, TYPE: FIREPLACE: ~x//~ TYPE HEATER: WARM AIR: NO 3RD FLR: UTILITY ROOM: '~-- PATIO, TYPE: GARAGE: ~ - AIRCONDITIONING: -- ' HOTWATER: OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: '-- VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: CONSENT TO INSPECTION , the undersigned, do(es) hereby state: That the undemigned (is) (~e) thq own ,er(%~pf the premises in the,T, owvn of l Southold, locatedat 11 7 ~~'. (~ e. O~, c ~t ( D ~ ~ ~":~. ~ ~,-']-~ ~°~'~a c ~ ~ which is shown and designated on the Suffolk County Tax Map as District I000, Section /0/o , Block ~ q Lot ~[~. r F o hat the underslgued (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for-the following: That the undersigned do(es)hereby give congent to ~he Building Inspectors of the Town of 8outhold 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 ahd' regulations.of the Town of South61d. The undersigned, in ~onsenting 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, rotes or regulations of the Town of Southold. al(Sign?re)t (Print Name) ~(8ignature) (Print Name) TOWN OF SOUTHOLD ~ROPERTY RECORD CARD OWNER FOR~v~E R O~b/NER RES.-,~/Z) SEAS, LAND IMP. ~,o0 AGE IEW VL. d£w' :,f',N Z N t FAI~ TOTAL DATE t?o o ?::: 1/1 '.'/'~: ,/'" ': VILLAGE E Farm Acre Value Per Acre Value TilJobJe 1 Tillabte 2 DISTRICT SUB. ACRF.~GE TYPE OF BUILDING LOT 13 2 RFMARKS ~ ~'r-a 1 Tillable 3 Woodland Swampland Brushland Hous~"fflc,'t,~ '~ ~ Total .//o -i Ill i111 I I~I' ~l ~ ! i extend,on /r~ ~-~0 ~, ~,Co ~ ~ ~ ' //~ ~ / Basement i ' ~ ~ Fl~rs Extension ,, / : .q ~ ~ ~ ~/ ~ ~ J ~ t. Walls Interior Finish J Porch Attic BreezeWl J Patio Roams 2n~ Flor Garage ~~ ~ J,~ ~J / Driveway o.s. ~. J MAP NORTH ~' INI ~ET DRIVE q 038) S 03°59'30" W 120.00' CONC PAD 227' MAS( ?,4X LOF 29 AREA= 12,000 SO F? 0.275 ACRES N 03°59'30" E 120.00' 02'W z ON LINE 1 inch = 30 ft. GR^PHIC SCM~I~ ( llq I~BT ) (14621)- DENOTES FILED MAP LOT NUMBERS. T. EASON [,AND SURVEYOR $04 H~LLOCK MVENUE, PORTJEFI"ERSON STMTION, N.}q 1i776 Phone (6$1)474-2200 /Fax (631) 899-9085 emailTI;~43'ONI~OPIONiJNiCNET BOUNDARY SURI~EY ;URV'EYFO1L' MARGARET LYNN MAP OF.' MAP OF CAPTAIN KIDD ESTATES LOCATION: MATTITUCK, TOWN OF SOUTHOLD, NEW YORK CERTIFIED TO: MARGARET LYNN 3'UFFOLK COUNTY- DIST. 1000 SEC. 106 Bi J(. 02 LOT 29 9.4TE: 07 02-11 ISC4U~.. 1"=30' r~ROJECFNUMBEtL' TEAl1 172 TRLIM~4NE M. ~AS'ON, LIC. # 050452