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Home My WebLink AboutZ-36805 yy f Town of Southold Annex 3/18/2014 54375 Main Road Southold, New York 11971 Ma PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36805 Date: 3/18/2014 THIS CERTIFIES that the structure(s) located at: 3005 Grand Ave, Mattituck SCTM 473889 Sec/Block/Lot: 107.4-22 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- 36805 dated 3/18/2014 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 one family dwellin¢ with attached one car ,garage, brick patio and front slate covered patio.* Note: BP 38681 for addition/alteration, including garage addition (now 2 car) COZ-36804. The certificate is issued to Muir, Helen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Au tze ignatu e BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3005 Grand Ave, Mattituck SUFF. CO. TAX MAP NO.: 107.-1-22 SUBDIVISION: NAME OF OWNER(S): Muir, Helen K. Family Trust OCCUPANCY: ADMITTED BY: Barbara Droskoski SOURCE OF REQUEST: Muir, Helen DATE: 3/18/2014 DWELLING: # STORIES: 2 # EXITS: 3 FOUNDATION: concrete block CELLAR: 75% CRAWL SPACE: 25% BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered slate patio DECK TYPE: PATIO TYPE: brick BREEZEWAY: FIREPLACE: 1 GARAGE: attached one car DOMESTIC HOTWATER: oil TYPE HEATER: off boiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X # BEDROOMS: 3 # KITCHENS: I BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 3/10/2014 r l TIME START: END: D r a ' r i Form No.6 i f ~ TOWN OF SOUTHOLD FEB 19 2014 JJ BUILDING DEPARTMENT j TOWN HALL ~f 765-1802 e' nr TOtryw' ",DLD 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: I. 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. 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. 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, 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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 'a?rgz Date. .2 New Construction Old or Pre-existing Building: X (check one) Location of Property: 3 4b",~ (nT/~ 6, /1/lg 7 fZY~ House No. Streets/ Hamlet Owner or Owners of Property: y~yl K ~rlG// y5 Suffolk County Tax Map No 1000, Section W-7 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: $ Applicant Signature CONSENT TO INSPECTION 1(LWa 1J~31Lt~~, ~C~t the undersigned, do(es) hereby state: Owner(s) Name(s) Tr~z+cR 4CAl -et ~G. R V r ~r~st That the undersigned (is) (are) the owner(s of the premises in the Town of Southold, located at Oc~S ~~rrz ..~1 A-e-enive xu{{t ti ic which is shown and designated on the Suffolk County Tax Map as District 1000, Section 10-7 , Block I , 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 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: Q- - I to - 13 (26 yt~~- U R L" , (Signature) (Print Name) (Signature) (Print Name) ras 011, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INS -ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANT PENETRATION [ ] ELECTRICA v L (ROUGH) [ ] ELECTRICAL (F11 REMARKS:fi 31 311214- DATE INSPECTOR LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) ( (owner-tenant) ADMITTED BY\' ~ Ok-9 4" !J ftyS ~2ry ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING \ - TYPE OF CONSTRUCTION: st # STORIES # EXI S: " 3 FOUNDATION: BASEMENT CRAWL SPACE d> # OF BEDROOMS: 1ST FLR 0' e~ 2ND FLR: 3RD FLR: BATHROOM(S) TOILET ROOM(S): UTILITY RQOM. \ PORCH TYPE: DECK, TYPE: PATIO, TYPE:, &C-o-4- BREEZEWAY: FIREPLACE: 0-2~ ~~GARAGE: AC_ DOMESTIC HOTWATER: TYPE HEATER Q t/ ~RCONDITIONING: o TYPE HEAT: WARM AIR: HOTWATER:~ W gn I~ # OF KITCHENS C n a C9,A FINISHED BASEMENT: YES NO OTHER: ~'601~t ACCESSORY STRUCTURES X 6~ GARAGE, TYPE OF CONST.: G 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: ~j~a fr c,C TIME START: END: r ~aS a C3 AT e BAN"~` / Z ~ °F JPN & /a \ ~NQ NIF a/a ) Z o LTI w ~-7~•4-7'°° N a/~ o ~ 52b' y .D m TR 1 ' 1 1 a Co. o g 71A , 1 1 i~ N N m P~ Z SURVEY OF PROPERTY SITUATE Oe'; " Guaranteed to: s MATT/TUCK,TOWN OFSOUTHOLD SUFFOLK COUNTY, NEW YORK ar ~ag,I z Laurie Johnson & Sandra Bilotti Suffolk Tax Map No.:1ooo-so7-o1-o22 Suffolk County National Bank DATE SURVEYED:2/8/203.4 Appellate Land Services LTD Stewart Title Insurance Company NOTE: Do" snow at time of survey. Walkways and patios LAND not shown orguaranteed. NOTES. y 1. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEAR NG A LICENS ED LAND SURVEYORSSEAL IS A NOOTION OF SECTION ]209. SUB-DINSION 2, OF NEW YORK STATE EDUCATION LAW. 2. ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL APE GENUINE TRITE AND CORRECT COPIES Of THE SURVEYOR'S ORIC.INA. WORK Mp 0%NION. -x~ A NEW YORK CC RDMCcT WiH ~HE Tf. U RR~N ~DEAR %ISTNG COGIMA OF PGRACT'a FOR HLAHO SUWRVEYS RADOPTEDI BY THE 7 ~~~~/\N -A ASSOCI PROFES O PERSONSTLOR WHOM ATHE BOUNDARY SURVEY MMOS PREP REpI`TO THE TTL£ICONZ.'TLIMl1ED ! GOKRNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP4. THE CERTIFICALONS HEREIN ARE NOT TPANSfERABLE. S THE LOCATION OP UNDERGROUND IMPROVEMENTS Ofl ENCROACHMENTS ARE NOT ALWAYS KNOWN A 11o Sou, Lindenhurst, NY OFTEN MIST BE ESTIMATED IF ANY UNDERGROUND MPROVEMEN?S OR ENCROACHMENTS E%ISi OR ARE RE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. E. THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE MJSndsurvey.com FOR A SPECIFC PURPOSE AND USE AND THEREFORE ME N-0T INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS. POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BVIIDINGS. MD ANY OTHER P: 63: 631-226-2400 TYPF OF CONSTRUCTION, Z PROPERtt CORNER MONUMENTS WERE NOT SEi M PART OF THIS SURVEV, S/- 8. THIS SURW WAS PERFORMED WITH A SPECTRA FOCUS J0 ROBOTIC TOTAL STATION. ALE: 1°=2D` M.S. " .C. JOB NO. S34-0029 a..-Yy r - 'a' `J'3} 7+" s ^,4:`° b is'62,7 <s r i' a• ~ r K..~~. _ .F-`~t F't~ .-F' TOWN VON) A _N: STREET V! E A315$ SUB. LOT r~ = i u ! Tv e RM to ER O NER N it Lk ! ^ l E AC , ~ 0-77- S ~f W TYPE OF BUILDING 3r SEAS. VL FARM COMM. CB. MISC. ;Mkt. Value ` `Irk; ii LA~NA IMP. TOTAL DATE REMARKS ' ~clr 4-AV ~qd ~{(b U d d 833DL ~u 1~DD~T,oy b'e ? Vol ref ~i 0 ~f~va a r~'l Rgv, G DITION It of it tl f NORMAL BELOW ABO . At- We leh u) i RM Acre Value Per Value Acre 3 D - - Y11YA+' ~flTilvGfS -1n fll7~ti`~ lv' Til&*le 1 pliloble 2 r t L 3- B P Z(!Y /b rvilable 3 Woodland mpland FRONTAGE ON WATER i shlpnd FRONTAGE Ot4 ROAD 1 Q r ~ouse P104 DEPTH BULKHEAD l + DOCK f _ 77 -m Alt TRIM 3 } y+1 i' r~ ~ 0 f. SYhF ."T (Q Foundation C . Bath ' / -trlEtte M. Sosement v Floors.` - Ext.-,Walls Interior Finis, LR fL Fire Place flea ~ 0 / DR - rf1, h~ Type Roof. Roorus IstFioor3 jo. Recreation Roo :Rooms 2nd Floor 4+, r+ P- x; Dormer Q!1/ ~t* .F ,Driveway 'v sac..F a - --FFf' 'LPG A t T, t 5,•~! ~?R y f y t _ ti. s M e p~ • ip • s R' w w ~,7t ~ ~'1t ~ ~ ; ~I ~ Alp r + ~ , • w ' t,I,rr+R r ~ + 4r i ~ ~ `a. , t ~ i J-n r iy,,/~r a a'fi''M v. .1 ~i.~ ~ :IC e~ ~ A ? a ~ T ~~.y't• ~ J 9 F.f III qt r w' `r * n ip VIA 10, IV, Ilk Vii., *"`y . • ~ ~ ~ ~ J i a s • : y 1 i ton• n ~V 1 t Ve r i.. .N let , } 10 r 9r~ r ; i" der, of .4 Ah .0, *~•~r"` ~ x - I ;n / AF ~~~A # ~ ~ ' • i slr~i' ~ ~ ~ • s N ~ ~ ~,1 '1~"`t~ ~M?' ? - p vor ,y~ r