HomeMy WebLinkAboutZ-35907No: 35907
Town of Southold Annex
54375 Main Road
Southold, New York 11971
8/24/2012
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 8/24/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision: Filed Map No.
conforms substantially to the requirements for a
260 Sunset Ave, Mattituck
115.-3-6
Lot No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35907
APRIL 9, 1957
dated 8/24/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
cement block one family dwelling.*
NOTE: BP 13064 garage addition COZ-12995; BP 37479 enclosed porch COZ-35848.
The certificate is issued to
Sobieray, John & Sobieray, Hazel
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 260 Sunset Ave, Mattituck
SUFF. CO. TAX MAP NO.: 115.-3-6 SUBDIVISION:
NAME OF OWNER(S): Sobieray, John & Sobieray, Hazel
OCCUPANCY:
ADMITTED BY:
SOURCE OFREQUEST: Sobieray, John & Sobieray, Hazel DATE: 8/24/2012
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: 1.5 # EXITS: 1
FOUNDATION: cement block CELLAR: flail CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 2ND FLR.: 3RD FLR.:
BATHROOM(S): ! TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: Nat'i Grid AIR CONDITIONING:
TYPE HEAT: WARM AIR: X HOT WATER: yes
# BEDROOMS: 3 # KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY:
GARY]:
DATE OF INSPECTION:
TIME START:
§/20/2012
END:
Form No. 6
TOWN OF $OU~HOLD
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:
For new building or new use:
1. Final survey of property with acCUrate'location of all buildings, property lines, streets, and unusual natura} or
topographic features.
2. Final Approval from Health Dopt. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board 0fFire 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.
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. Ifa 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00:
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of.Occupancy - $:25
4. Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: . Old or Pm-existing Building: (check one)
House No. / Streei Hamlet
Owner or Owners of Propert~y=x ~ ~./) ~/~{jq~]~.l')(o.,
Suffolk County Tax Map No 1000, S~tion Bilk ~t
Subdivision Filed Map. Lot:
P~xmit No. Date of Permit. Applicant:.
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
$ tLso
Final Certificate:
(check one)
' ~ 6~pplicant Signature
CON~ENT TO INSPECTION
~ O',~ner(s} Name(s~-.~
· the undersigned, do(es) hereby state:
That the ~der~gg. ed (is) (are) the owg. er~s) of the premises in the Town of
Southo a ooat d L, -5-z c/f
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 application in the
Southold Town Building Inspector's Office for tha
/ - /
That the undersigned do(es) hereby give cor~ent to ~e 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 8outh61d.
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 insubsequent prosecutions for violations of the laws, ordinances, rotes or
regulations of the Town of Southold.
(print Name)
'(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD Y ll./~.~
OWNER STREET ~_~,~ ~,~ VILLAGE DIST. SUB. LOT
I~MER OWNER / N E
S W TYPE OF BUILDING
RES~0 S~S. VL. FARM CO~. CB. MlCS. Mkt. Value
~ND IMP. TOTAL / DATE RE~RKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Wo~land FRONTAGE ON ROAD /~0 .~-~.'~ ~ q 7~ ' 700
Meadowland DEPTH -?---7/;: ~¢'-'?(
House Plot BULKH~D / /~ ~ '
Total I DOCK / '
i
COLOR
TRIM
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Geroge
Patio
'Total
72.ol
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
!LR.
DR.
BR,
FIN. B
~ED~O
l
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~I,gULATION
[~]~INAL
[ ] FRAMING/STRAPPING //,c~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICA~J~UGH) [ ]~
REMARKS:_.(==~' 0 ~..~
DATE
INSPECTOR
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S): .
(type) (owner-tenant)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: _~x~.~t ~-- ~ # STORIES:
FOUNDATION: ~-~?_~d~--.~f~Z-.~ BASEMENT:
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: q:~
BATHROOM(S): ~, ~r_2....TOiLET ROOM(S): --'--"
PORCH TYPE: ~Ot~f ~h ~'~-~ECK, TYPE:
CRAWL SPACE:
3RD FLR: ~
UTILITY ROOM:
PATIO, TYPE:
BREEZEWAY:
FIREPLACE: ~ "
GARAGE:
DOMESTIC HOTWATER:
TYPE HEAT: ~
TYPE HEATER: ~IRCONDITIONING:.
WARM AIR~ y HOTWATER:
NO
# OF KITCHENS:
FINISHED BASEMENT: YES
# EXITS:
OTHER:
ACCESSORYSTRUCTURES
GARAGE, TYPE OFCONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PZEVENZION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC,
REMARKS:
DATE OF INSPECTION.
TIME START: ' '
INSPECTED BY:
END: