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HomeMy WebLinkAboutZ-36860 y fi f Town of Southold Annex 4/14/2014 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36860 Date: 4/14/2014 THIS CERTIFIES that the structure(s) located at: 290 E Legion Ave, Mattituck SCTM 473889 Sec/Block/Lot: 143.4-6 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- 36860 dated 4/14/2014 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 dwelling with enclosed porch concrete patio and accessory garage Garage is in very bad condition and in need of and in need of repair.* BP #5012 addition COZ-4169 The certificate is issued to Kast, George & Kast, Donald (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. tho ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 290 E Legion Ave, Mattituck SUFF. CO. TAX MAP NO.: 143.4-6 SUBDIVISION: NAME OF OWNER(S): Kast, George & Kast, Donald OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Kast, George & Kast, Donald DATE: 4/14/2014 DWELLING: # STORIES: # EXITS: 1 FOUNDATION: concrete block CELLAR: 1/4 CRAWL SPACE: 3/4 BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: concrete BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOT-WATER: yes TYPE HEATER: Natl. Grid AIR CONDITIONING: TYPE HEAT: WARM AII2: HOT WATER: X # BEDROOMS: # KITCHENS: BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: wood frame STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: Accessory garage in very bad condition in need of repair. REMARKS: INSPECTED BY: GA DATE OF INSPECTION: 3/25/2014 TIME START: 10:15am END: 10:45am 511p 5b~ bleb r Form No. 6 r^I~ I I~il TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL LIAR 17 2014 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thts apphca#i4`' d 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. 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. 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. 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. 3/ New Construction: Old or Pre-existing Building: (check one) _kZ Location of Property: Z~Q ,f.T1Pa>y .a? L~~ House No. 'Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block ~y h Lot -y-~ 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: $ /do ~ pis t Signature Y CONSENT TO INSPECTION h"17 the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises the Town of Southold, located at 2 o G, P ,,,.v r ..ei ~~f < which is shown and designated on the MOW County Tax Map as Dis ' t 1000, Sectio~ Block '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: ~ Q 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 violati ons of the laws, ordinances, rubes or regulations of the Town of Southold. Dated: (Signature)/ h~~I 6 gr/22 x, ~(Prmt Name) (Signature) (Print Name) C -2,-70 - S~G0 ti K- 4 APW e No TOWN OF SOUTHOLD P C~PERTY RECORD CARD OWNER STREET 2-190 VILLAGE DISTRICT &W8.. LOT r FORMER OWNER N E '7KREAGE e, 2 $o W TYPE OF BUILDING ast *ars - RES.,.,4.plld SEAS. VL. FAR COMM. IND. CB. MISC. ( t. Mkt. Value LAND IMP. TOTAL DATE REMARKS zoo ~Ob /00 a ~4 _ ~G //0,0 tJ /c . D / 70 G/ z ZfiO<i 266 d !a ! 97- i s -yi - f- c //,,o e o o a2 a o 0 L /7 ! D3- 1~?&S aO ~cSf >'D 1~'~Sf~aD. - c. I o !s as - ee~na~ G• l~asf re s ~~c. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD ~r Tillable 1 BULKHEAD Tillable 2 . DOCK Tillable. 3 Woodland swampland Brushland House Plot Total c Aiw ~.I I t vv, _ I I I i k i i ~ I S < l i 3 6rf `~.fb Foundation ^G (Bath 1 11 ! A Bldg. :zten~ sio Basement s°r f Floors/~rF . Ext. Walls Interior Finish II Dctension xtension Fire Place JQ Heat / I Parch Roof Type i Porch Rooms Ist Floor Breezeway Patio Rooms 2nd Floor Caroge I { I i /~7ff s ~G s f.~ Driveway . t r orroer 0. B. 7 sgi~ I I ; .k v 1t 1C Y as ELF ~ as 2G . n6 ~twe. O ?e ` e ,s Q' M e 2 tia- V. mew ~-r fwd• Z e. ~6 =3 Off, ,O ~O S ~ M y A m•^ action 7209 of the New York Statb k o. Na~pl(pIt ` Copies of this surv EdWason Law. I or embossed •Y MP not beodrsp the land sunreyo/s i Guwc, seal shall not be considered alts a valid n"itul #h,cottsmeirsdiceted'heie6l; slN-ll nm la only person for whom m the survey is prepared, and an his bshafFto title company, govemmenta) Mency and lend- I hereon, and to the assignees of th I ionaturt. or certifications are not transfee leto a ilt subsequent ownem roble to additional itMMrMw SURVEY FOR REFERENCE r ELINOR KAST AT AA4TT/ TUCK TOWN OF SOU,TM4"EW SUARANTEED TO, SUFFOLK COUNTY, MY SCALE: Ia= 30' OCT. 24, 1973 LlfCN.N gft LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING V TYPE OF CONSTRUCTION: Wf # STORIES: # EXITS: y FOUNDATION: CCU BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: T- PATIO, TYPE: OJ BREEZEWAY: FIREPLACE: GGARAGE: DOMESTIC H,,O//TWATER: TYPE HEATER:/_ L~.4IRCONDITIONING: TYPE HEAT:/"3- GRA WARM AIR: HOTWATER # OF KITCHENS: c3~ / FINISHED BASEMENT: YES NO t/ OTHER: Tj C lD~i9 6?L ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: ( GE, TYPE CONST.: T SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTI N ART. SEC. z i REMARKS: INSPECTED BY: / DATE OF INSPECTION: TIME START: 10' ~J END: _