The URL can be used to link to this page

Home My WebLink AboutZ-36663 Town of Southold Annex 1/28/2014 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36663 Date: 1/28/2014 THIS CERTIFIES that the structure(s) located at: 3502 Private Rd #13, Mattituck SCTM 473889 Sec/Block/Lot: 105.-1-5 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36663 dated 1/28/2014 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 frame accessory garage.* Note: BP addition and roof overhang to existing accessory garage CO 36662. The certificate is issued to Jaques, Melinda Brady (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3502 Private Rd #13, Mattituck SUFF. CO. TAX MAP NO.: 105.-1-5 SUBDIVISION: NAME OF OWNER(S): Jaques, Melinda Brady OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Jaques, Melinda Brady DATE: 1/28/2014 DWELLING: # STORIES: # EXITS: FOUNDATION: CELLAR: CRAWL SPACE: BATHROOM(S): TOH.ET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: # BEDROOMS: # KITCHENS: BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: wood frame STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 11/21/2013 TIME START: 10:50am END: 11:13am 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 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. Swom 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. 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, A ' ' ns to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building $100. 0 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: ' JOjk -gOGA 1r)( ~J,JLC_k, LU llgsa House No. Street Hamlet Owner or Owners of Property: y I / i e l li j J~Y` ~ --d~9 U-PS Suffolk County Tax Map No 1000, Section l t7s U Block Lot 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: $ 160 ~hGApp i=4 Pnl CONSENT TO INSPECTION Me fl ?1 A ~ rOI CL Q U-eA the undersigned, do(es) hereby state: Owner(s) Name(g) That the undersigne (is (are) the w er(s) the pre is sIi th Town of Southold, located at ?i'Vp t)~ 1 Id . 1g~J, uct~ nil f ~4 which is shown and designated on the Suffolk County Tax Map as District 1000, Section AS , Block I , Lot ,S-- . That the undersigne has) (have) filed, or cause to be filed, an application in the Southold Town Building Ins c or'sPffice for the following: G~y~DIrCU~t~YI foy o freegrd tn- 24 t c-a-le ar 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: 1 ' 'a("re u , 4 (Print Name) (Signature) (Print Name) cDA/-OL CS OF SO[/jyol, Town Hall Annex Telephone (631) 765-1802 54375 Main Road C N Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 ^A I, O~Ct7U~ BUILDING DEPARTMENT TO`YV OF SOUTHOLD P the undersigned, do(es) hereby state: wner(s ame(A) That the undersigned (is) (am) the%, of the premises in the Town of Southold, located at which shown and designated on the Suffolk County Tax Map as District 1000, Section Block ILot That the undersigned (has) filed, or cause to be filed, application in the Southold Tewn Building Inspectors Office for the following: ~2~ ~~y y~yly~. _ _ t That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon th above described property, including any and all buildings located thereon, to condu~t 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, ordina ces, 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 informatlion 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. I! Dated: - ~ /SSi turc) (Print a ) (Si at rmt Name) III ~I .I C [ARLES R. CUDDY Attorney at Law 415 GriliCng Avenue Rive head, New York 11901 Tel No.: (631) 369-8200 Fax No.: (631) 369-9080 TO: Building Deparmtent Fax 765-9502 ATTN: Connie TELEC PIER COVER SHEET Total Number of pages-!including cov • r sheet. If transmission is faulty or incomplete, lease inform us as soon as possible. Operator: Iwona Date: November 19, 2013 Comments: Re: Jaques -Consent to Inspection As requested, attached please find the si ned Consent to Inspection form. Thank you. Charles R. Cuddy This fax transmission fo;,etlter with materials fol ing are intended for the person ar persons named hereon and are considered confidential information. if you have received this transmission in error, you are directed to return these materials immediately by regular mauto the sender at the above address. Postage incurradfor the return will be paid by this firm. SOWN OF SOUTHOLD PROPERTY RECORD CARD oco OWNER STREET VILLAGE DIST SUB. LOT /L S (f t 11 QJ( FORMER OWNER N E 1, r f ACR. ~ r { ~~u $ ,9 ¢ brad amo . S W TYPE OF BUILDING RES. Z ~U SEAS. VL. FARM COMM. CB. % MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS u v o 0 8 4/o o /o /-11117 I $ tar %Z %n4tn?s N n L) I CD ZO 7- UL) 9 2~ Z 2 oo - r t~~r d !d (o AGE BUILDING CONDITION Q ( Brl I ,~a ~o1(JPi~(i' IJrCIG~~1 ~ID° lU "4 il/C, NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland nn Swampland FRONTAGE ON WATER n v' l~ 33, G~Od Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK TO" U-IF SOMHO ) ROPITtTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT 161a2- /6 z< "w ~r~~ FORMER OWNER N E ACREAGE S W TYPE OF BUILDING FIN SA f 4 p RES. ? SEAS. VL. FARM comm. IND. CB. - " I MISC. wC LAND 2IMP. TOTAL DATE REMARKS ~G /o? OD //~~/a =i vol ~7e7Z 9 6M~ Z 6ou a NEW NORMAL BELO ABO ` Farm Acre lue Per Acre Value Tillable 1 LCr "~z~ Y" Tillable 2 ~ f lW, C IV F 1- 4 -f A v ,r Tillable 3 ~QF Lc / N P~ Wcodlands~c Swampland (A 1 4-9 Yl Brushland House Plot Total ~1a 1 a a- x IICI ~t \ . t'o z _ e M. Bldg. Foundation Bath Extension _ v f' a d ,3 ~ j' asement 3& „ r Floors Extension Ext. Walls Interior Finish l2 r!.~i 1~~?~ I Fire Place Extension kn , Heat Porch Attic poRC L XS S = SO U -a I 7.Z j~ Porch Rooms Ist Floor '.i ayC,(k "r , If I' I? 1 ~ Patio Rooms 2nd Floor Garage 6U 2 ~Ob driveway O. B. Z d r B I L• ! y' ? q fL 3C::)x~1& =1~140 x,25 't~oo? i y LOCATION: 3`S O 2 Zjo,- Y`~ 4,0 (number & street) (municipality) SUBDIVISION: ePIAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- /US SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: # EXITS: FOUNDATION: BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO 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. !iz REMARKS: (~LIX ~fLX2~-~ ~P ~.u-? (~~i. Q` ~g 78 INSPECTED BY: DATE OF INSPECTION: //Z-~ TIME START: Sy END: 1=~3 T'~Ot9 ,10 gyro Ole SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD :iii SUFFOLK COUNTY, MY. 1000-105-01-05 SCALPS'.. 1'=50' DECEMBER 13, 2012 Feb. 15, '1.013 (R.O.W. Dl~ / O FRAM K SE g =c AND ARAGE i yh.'l / ' ASPHALT bbb E 'A 7 \1 ~ c o M E 0 ~p kn ~P `1\ ZN~ \ Si~~~ 2 UTK ROAD R O, \ gUYF1 N Ni ~m Wp \ 4~ yao ,Ap RV~j OF Wp~f ~.3e 9a P~ cF- •w u Y ajtl o~ m / ~E OF NEW / Y 1. ME 7., - AREA=4.7795 ACRES 0.A Vol' TO TIE LINE wz 5°•v~ Vol ELEVATIONS REFERENCED TO N.G.V.D. `Iq 56enOcr ~N S. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. 77ON pdf ~a \ fop f\~ N ~S P f N ,~10 NwND CO IC S YORSY P.C.l C. NO. 49618 EXCEPT AS PER SECTION 7209-SUBDIWSTON 2. ALL CER77FICA77ONS +'(N ° (631) 765-5020 FAX (631) 765-1797 ' P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF °t Z SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ¦=MONUMENT 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 12-'277