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HomeMy WebLinkAboutZ-36990 ypFFO�,f Town of Southold Annex 6/30/2014 54375 Main Road Southold,New York 11971 fi PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36990 Date: 6/30/2014 THIS CERTIFIES that the structure(s) located at: 455 North Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-6-19 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- 36990 dated 6/30/2014 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 concrete patio with wood on top The certificate is issued to Breen, John&Breen, Maureen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Auth ed gnature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 455 North Dr,Mattituck SUFF.CO.TAX MAP NO.: 106.-6-19 SUBDIVISION: NAME OF OWNER(S): Breen, John&Breen,Maureen OCCUPANCY: ADMITTED BY: John Nickles SOURCE OF REQUEST: Breen,John&Breen,Maureen DATE: 6/30/2014 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: cement block CELLAR: pit CRAWL SPACE: X BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: patio w/wood on top BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: X HOT WATER: #BEDROOMS: #KITCHENS: BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: doll house under 100 sq. ft. VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/24/2014 ` TIME START: END: 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. 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 I Date. New Construction: Old or Pre-existing Building: i/ (check one) Location of Property: //'/'—r /tJ(.7/2_7-r-/ Z�)/? ' IV?,q 7l � T U i House No. Street Hamlet �y Owner or Owners of Property: 1`� Suffolk County Tax Map No 1000,Section f 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: $ o Applicant Signature 6P-18 i &301-t L I W1 I W CONSENT TO INSPECTION v 3 (F& �!�► �� � >'J the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s)of the premises in the Town of Southold, located at !f�_A/d.P-TN PA - /46 i7 /7 L''/ 1 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section /,0 & ,Block Lim ,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: Ce 1) PA ,1lC- d� 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: 2S V- 7-1 (Signature) / �d ff Al Z3/'( f! (Print N e) (Signature) ft,55)yz�r-L 4p (Print Name) Form No.6 TOWN OF SOUTHOLD R — 2 2 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. 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$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. New Construction: Old or Pre-existing Building: (check one) Location of Property: A1 � / ol__ ( F— House No. Street Hamlet i / Owner or Owners of Property: / a-/AIGwe-2-Z-1, Suffolk County Tax Map No 1n000, Section Block Lot 19 Subdivision _5 n0 r� f}-(,f^Qf� Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Tem3 Certificate Final Certificate: (check one) Fee Submitted: A��4� 1,24vet v�� Appli ant Si re CONSENT TO INSPECTION rh ` , the undersigned, do(es)hereby state: ner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in he Town of Southold, located at which is shown and designated on the Suffolk County ax Map as District 1000, Section , 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: ��2 C 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 violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ' �! d' Print e) 6 (Signatu (Print Name) o — /0 _ TOWN CIP SOUTH@LD ��- n�. ERTY RR+-ORD CAS ,�4 OWNER STREET Z/45 : VILLAGE DIST. SUB. LOT € o rvitcux erg © f� D r, yr 11A i�� 40 F RMER OWNER _ h N �E ACR. G ZZ4' S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS r .400 � � d/.717S 5oLD M,,t C• O&Al1 rO /'1. 114Aj AOO g l"7NB. f f �? ' AN�rI?/ -Al. % F/ / i #9#0C. o N r ?�� cQal .�G Goa -Da ra), f relli�+q p �9 3 Va/at '1,,,�.5'Sa.+� � fYaifi'h 7j• �yt ex3i L X5.2 O 044-2 ✓ S11'6 S 8^&Zoto d6,npbl '*fr lau wedA AGE BUILDING CONDITION ' NEW NORMAL BELOW ABOVE bt - LiI -& �� _ oc' o FARM Acre Value Per ValueIL Acre P4a 5105_ L i a 7 7 p 6 - fie} -71D tC Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Piot DEPTH BULKHEAD Total DOCK w MEN t ,a vfl NONE■ ■M®MNNMM■M■MMMMM■MM EMEMMOMMEMEMOMMOMM OMEN 10 ■OMMO■MM■■EMOM■■MM■ ■MMMM HU ■■■MM:�wMMMMMMM■MMM� ■■MMMOM ■■■Mf=2MMM■■MM■■M■ ■■MMM■M ■MNNM8MMMMM■MMMMMM� MMM■MM■ ■Nflxw■MMMMMMMMM■M�� ■MM■OMM MMM■MSOMMMMMMMMMMM� MMMMMM■ ■M■MM■MMM■■M■■MMMFoundation � Li`i� tirtfi :• • - - Basement Interior Finish 'Fire Place Rooms 2nd Floor .r 0 o IT, N.Y. 11721 LAND SURVEYOR PHONE LIC.NO.45021 (516) 423-0117 TITLE-SURVEY ONLY FOR GERA:D & KAT GUAffANTEED ONLY TO LAWY.ER3 TIT IGEN C.REPEZZI S�aSE flF �r€k, INS. CORP. LOT(s) 2Z & 28 MAP OF SHORE ACRES LOCATION MATTITUC$, TO BLOCK SCALE 1 in. = OF SOUTHOLD 30 ft. SUFFOLK CO. (Vi Y. 45o2ly�o� NOTE: NO ESTABLISHED GRADE DATE 12/5�8p E.�Hp S�� STREET MAINTAINED BY TOWN S 83051 '15 Alf 163.'8810 t , ! Q Q s./ 0 Olt 14 ,�.tl• T,P R 2 d O N N 83 051'15 ovw 177106 N h i t LOCATION: 45'S /c/0- /�- (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: /Vt c.� 6 ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: \ 2 TYPE OF CONSTRUCTION �i „�c # S DRIES:- [)`^�-� # EXITS: J FOUNDATI CELLA _CRAW&SPAC TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR BATHROOM(S): est_ OILET ROOM(S): UTILITY ROOM: PORCH TYPE: — DECK,TYPE: PATIO,TYPE: BREEZEWAY: A"11(_ FIREPLACE: WI GARAGE: ✓ DOMESTIC HOTWATER: Z3; TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: o ACCESSORY STRUCTURES: OVA GARAGE,TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: 62 VI TIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 3 - i c f � o REMARKS: INSPECTED BY: DATE OF INSPECTION: �f ZO X 0 0 TIME START: END: '