HomeMy WebLinkAboutZ-35976No: 35976
Town of Soutbold Annex
54375 Main Road
Southold, New York 11971
9/28/2012
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
9/27/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
3530 Sound Ave, Mattituck
121.-3-3
Filed Map No. Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35976
dated 9/27/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood flame one family dwelling.*
The certificate is issued to
Poole, Timothy & Poole, Deborrah
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED iNSPECTION REPORT.
BUILDING DEPARTMENT
TOVCN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3530 Sound Ave, Mattituck
SUFF. CO. TAX MAP NO.: 121.-3-3
NAME OF OWNER(S): Poole, Timothy & Deborrah
OCCUPANCY:
ADMITTED BY: Deborah Poole
SOURCE OF REQUEST: Poole, Timothy & Poole, Deborrah
SUBDIVISION:
DATE:
9/27/2012
DWELLING:
# STORIES: 1 # EXITS:
FOUNDATION:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 3
OTHER:
2
cement block
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
WARM AIR:
# KITCHENS: I
CELLAR: full CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
offboiler AIR CONDITIONING:
HOT WATER: x
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
2 small sheds
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION: 9/17/2012
TIME START: 10:00am END: 10:30am
Form No. 6
TOWN OF SOUTHOLD
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 locafion 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.
Bo
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.
2. Certificate 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.
Old or Pre-existing Building: X (check one)
Street
/ mock
Date of Permit.
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ } ~ ,~
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Hamlet
Lot
Final Certificate: ~ (check one)
CONSENT TO INSPECTION
Vc~4'lrz cA ~ ifa /'/]ffOCi-r~. , the undersigned, do(es) hereby state:
Owner(s) Name(s)[~t~)
That the undersigned~.._~(is) (are) the owner(s) of the premises in the, Town of
Southold, locatedat 3~ ~~; ~~ ,
which is shown and designated on the Suffolk ~ount3 Tax Map as District 1000,
Section [~/ ,Block ~ ,Lot ~
That the undersigne~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 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:
(Signature~
(Print Name)
(Signature)
(Print Name)
PATRICIA C. MOORE
Attorney at Law
Main Road
51020 Main Road
Southold, New York 11971
September 12, 2012
Mr. Michael Verity
Southold Town Building Dept
Southold, NY 11971
By Hand
Re:
Dear Mike:
me.
PCM/mr
Encls.
3530 Sound Avenue, Mattituck, NY
SCTM # 1000-121-3-3
Enclosed please find the following for the above referenced premises:
1. Completed application for a Certificate of Occupancy on Pre-Existing
Building
2. Completed Consent to Inspection
3. Survey
4. My check in the sum of $100.00 for payment of the CO fee
If you have any questions, or need anything else, please do not hesitate to contact
Thank you.
Ve[y truly yours,
~ Moore
TOWN OF SOUTHOLD PROPERTY RECORD CARD
/ooo ~ /~27~ 3 -~9
FORM[R OWNER
VILLAGE
W
D~T. SUB.
ACR:. I
TYPE OF BUILDING
FARM COMM. CB. MICS. Mkt. Value
LAND TOTAL DATE REMARKS
,5~Co 0
~00
AGE BUILDING CONDITION
BELOW ABOVE
SEAS. VL.
IMP.
.310o
NORMAL
Acre
NEW
FARM
LOT
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON RoAD
Value Per Value
Acre
Meadowlafld DEPTH
House Plot BULKHEAD
Total DOCK
121.-..3-3 4/12
M. Bldg. /s'ty ..,:-.,~ ! '~3, ~. =. 5z
Extension i I~ I'.: ' ' '
~orch B~Sement . . ~// Floats., ¢~ K. - ]
~reezeway Fire Place ~¢ ~e Heat O;l ~ ~ DR.
~arage ~ ~ype Roof ~ - Rooms ]st Floor BR.
~atio Recreation Room Rooms 2~d Floor FIN. B
). B. Dormer Driveway
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: ~tg--~O ,~,~r_~
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION: ~ g-
BASEMENT:
# OF BEDROOMS: 1ST FLR: ,3
2ND FLR:
BATHROOM(S): ~ TOILET ROOM(S): ~
PORCH TYPE: DECK, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: 7'~d' TYPE HEATER: ~t-~__ ~AIRCONDITIONING:
TYPE HEAT: t~a'Z~- WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES
No
OTHER:
~ # EXITS:
CRAWL SPACE:
3RD FLR:
UTILITY ROOM:
PATIO, TYPE:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
STORAGE, TYPE CONST.: 6t,,4J,"--,C /.~o ..~t~"~
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:
SURVEY OF PROPERTY
,4 T MA TTITUCK
TOWN OF $OUTHOLD
SUFFOLK COUNTY, N.Y.
1000-1R1-05-05
$CALff: 1'=$0'
APRIL 19, 2012
N
CERTIFIED TO:
DEBORAH POOLE
TIMOTHY POOLE
WELLS FARGO BANK, N.A.
ADVOCATE'S ABSTRACT, INC.
STEWART TITLE INSURANCE COMPANY
AREA=22,438 SO. FT.
· =MONUMENT
ANY ALTERATION OR ADDITION TO THIS SURI/EY IS A VIOLATION
OF' SECTK,:~'V 72090F THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR C~IES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
P/HOSE SIONA TURE APPEARS HEREON.
/~CONIC ~L,(~'(/EYORS, P.C.
(6J1) 765-5020 FAX (6J1) 765-1797
P.O. BOX 909
12J0 TRAVELER STREET
SOUTHOLD, N.Y. 11~71 1£-156