HomeMy WebLinkAboutZ-36063Town of Southold Annex
54375 Main Road
Southold, Ne%r York 11971
11/28/2012
No: 36063
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
I 1/28/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the require~nents for a
3655 Wickham Ave~ Mattituck
107.-9-8
Filed Map No.
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36063
dated 11/28/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy tbr which this certificate is issued is:
wood frame one family dwelling with enclosed front porch, accessory 1 1/2 car garage and seasonal accessory cottage
with 2 bedrooms, toilet room, screened porch and outdoor shower.*
NOTE: BP 37651 deck COZ-36062
The certificate is issued to
Yousik, Rosemary & Yousik, Sharon Ann
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF IlEAl, TH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILI)ING DEPARTMENT
TOWN OF SOUTHOLD
IIOUSING CODE INSPECTION REPORT
LOCATION: 3655 Wickham Axe, Mattituck
SUFF. CO. 'FAX MAP NO.: 107.-9-8
NAME OF OWNER(S): Yousik. Rosemary & Yousik. Sharon Ann
OCCUPANCY:
ADMITTED BY: Carol Bohn
SOURCE OF REQUEST:
SUBDIVISION:
Yousik. Rosemary & Yousik. Sharon Ann
DATE:
11/28/2012
DWELLING:
# STORIES: 1
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWAI'ER:
TYPE HEAT: oil
# BEDROOMS: 2
OTHER:
# EXITS: 2
I TOILET ROOM(S):
enclosed DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
CELLAR:
oil
ttOT WATER:
BASEMENT TYPE:
flail CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
AIR CONDITIONING:
steam
unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLAT IONS:
1/2 car
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
seasonal
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION:
TIME START: 9:30am
10/I/2012
END: 10: 15am
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ItALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Thi~ application must be filled in by typewriter or ink and submitted to the Building Departmentw~th the following:
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 featur6s.
2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form).
3-. Approval of electrical installation from Board 0fFire Undenvriters.
4.
5.
'Sw.om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance-from architect or engineer responsible for the building_
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 naturai or topographic
features.
2_ A properly completed apphcation and consent to inspect signed by the applicanL 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,
, Swimmit4.g pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $t00.00
3. Copy of Certificate of Occupancy- $.25
· 4. Updated Certificate of Occupancy $5000
5. Temporary Certificate of Occupancy - Residential $15.00, Commermal $1500
New Construction:
Location of Property: ~ G ~-~
House No.
Old or Pre-existing Building:
Street
q. Tt,- 2etz
(check one)
Suffolk C. opnty Tax Map No 1000, Secti0nL/"l '3 ~ ¢[ ~ dq ~q- g Block Lot
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Filed Map.
Applicant:
Underwriter~ Approval:
Hamlet
Request for: Temporary Certificate
Fee Submiued: $ I ~A~), ('0
Final Certificate:
(check one)
~"
CONSENT TO iNSPECTION
Owner(s) Nme(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at ?)C- 5-.<~' cc' ,q&//W~ /?t..- ii?4
which is shown and designated on the Suffolk, County Tax Map as District 1000,
Section i(?rl ,Block ~)t] ,Lot ~ ~ .
That the undersigned (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 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 South01d.
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, roles or
regulations of the Town of Southold,
Oared: q 2¢ 2olg
Certifications indicated hereon signify that this plat of the propeR depicted hereon was made in accordance with the existing Code of Practice for Land Sun~3rs adopted
by the New York State Association of Professional Land Surveyors. This certification is only for the lands depicted hereon and is not certification of lille, zoning or freedam
of encumbrances. Said cerlifications shall run only to the persans and/or entities listed hereon and are hal transferable to additional persons, entities or subsequent owners.
'~( ~ ~ 8.0' ~ A~0 CONCRETE
~:~ o ~ o.~.~ \ ; I ~o.~=' ~,,.
OL~ X J ~ ~ '~w /~1-~.o' .~
~.o ~ o ~ ~ lY/l~ " , ~o~ ~
<u ~O ~, //~°1 STORY I },, Z
, /,,'//No.
Itl l/V,/ '
~0 WATER FOLEY'S) ~ ..'""'""'"
75.00'
o.*'~ S 31'05'40"
W
wICKHAIvl AVENUE
',,mw: LOT AREA = 20,371 S.F.
~e afl. ets or dimensions shown fTom StNOtures tO the property lines are ~or a specific purpose and use, and therefore, ore not intended to guide in the erection of fences, retaining walls,
pools, patio~, planting oreo~, additions to buildings and any other construction. Subsudace and environmental conditions were not examined or considered as a part at this susvey.
Easements, Right. of-Way of record, [~ any, are not sfiown. Property comer monumenls were not placed as a pan al~ this sul~ey. ~) 2012 BBV PC
:~ ~ Barreff Tax Map: DISTRICT 1000 SECI1ON 107 BLOCK 9 LOT 8
Unaut~'iz~d all~atia~
Bonacci & Map oF. DESCRIBED PROPERTY
Civil Engineers 175A Commerce D~ive Map Lot: --- Map Block: ---
SUP/eyors Hauppauge, NY 11788
~ b3L435.~lll Filed: --- No.: --- Counly: SUFFOLK
Planners ~ 63 ! .435.1022
www.bbvpc.com Siluat~: MATI]TUCK, TOWN OF 5OUTHOLD
Certified to: Tit~e No.:38! 200077 Revision By Date~o~p
ANTHONY & PATRICIA GALEOTI1 les of I~i$ surly map not bear
CHICAGO TITLE INSURANCE COMPANY ing the land sur,'eyor's embo~
se~l and signature s~all
ASTORIA FEDERAL SAVINGS & LOAN ASSOCIATION sldeed to be a true and valid copy
(~successorsand/orassigns) Sun,~:lby:. A.B. Drafted b),: G.C. Ched~:llT: M.A.R. PmiedNo.: A120463
Scale: I" -- 40' Da~: SEPTEMBER 14~ 2012
TOWN OF SOUTHOLD PROPERTY RECORD
OWNER
?U~K -~ ~ ~ '
STREET b ~' ~77 VILLAGE
S
E Va~% i~
W
'?
CARD /7- /~
SUB. LOT
SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
IMP. TOTAL DATE REMARKS
TYPE OF BUILDING
RES..2 ? ~/
LAND
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM
Tillable 1
Tillable 2
Acre
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
Value Per Value
Ac re
House Plot I
DEPTH
BULKHEAD
DOCK
' I
' i
M. Bldg. i I ~ I I
~ ~ 2 ~ .: ~ /~ ~,~ /~ ~o.F°und°fi°n_~ ~ Bo~h / Dine~te~
Extension j 7 ~ ~ ~ ~ z ~-"o / ?~-- Basement ~-M Z ~ Fl~rs ~., ~ K.
Extension ~ [Ext. Wails ~7zz2' Interior Finish ~.~ ~ ~ /: :~ LR.
Extension /~ ~ ~ ~ ,~' ~ ~ /~ o ~ ~ Fire Place _ ~ ~ , ~eot ~ E ~ DR.
~Type Roof /~ , 'p Rooms 1st Floor BR.
IRecreation Room Rooms 2nd Floor FIN. B.
Porch ~ ~ ~ ~ ~ / ~ ~ S" ~ ~ I
Porch r ~Dormer
Breezewoy Drivewoy
Garage / 2 X ~ . ~0 ~0 ,/ ZO ~
Patio ~
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: ;~y~ ~
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY: -~T'~:--
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
~j~,~ ~ #STORIES:
BASEMENT: /~d
2ND FLR:
dY~U2.___ # EXITS:
CRAWL SPACE:
3RD FLR: ~
BATHROOM(S): O%t-Z-~ TOILET ROOM(S):
PORCH TYPE:/~,~/-/~;, J/~dA DECK, TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
FIREPLACE:
TYPE HEATER:
WARM AIR:
# OF KITCHENS: ~
FINISHED BASEMENT: YES
UTILITY ROOM:
PATIO, TYPE:
GARAGE: /L/C;
AIRCONDITIONING:
HOTWATER:
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY:
TIME START: