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Home My WebLink AboutZ-374330* No: 37433 Town of Southold 53095 Main Rd Southold, New York 11971 631-765-1981 2/13/2015 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 2/11/2015 THIS CERTIFIES that the structure(s) located at: 16045 Route 25, Mattituck SCTM #: 473889 Sec/Block/Lot: 115.-1-7 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- 37433 dated 2/11/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling. * Note: BP 4199 addition to dwelling COZ-3579• BP 4383 accessm garage COZ-3773• BP 4897 accessory in ground swimming pool COZ-3935 The certificate is issued to Horton, Helen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. /"'w Aut�d Wknature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 16045 Route 25, Mattituck SUFF. CO. TAX MAP NO.: 115.-1-7 NAME OF OWNER(S): Horton, Helen OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Horton, Helen DWELLING: # STORIES: 2 # EXITS: 2 FOUNDATION: Concrete Foundation BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: Electric # BEDROOMS: 3 OTHER: 1 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: REMARKS: TOILET ROOM(S): DECK TYPE: FIREPLACE: TYPE HEATER: WARM AIR: # KITCHENS: 1 INSPECTED BY: GARYF SUBDIVISION: DATE: 2/11/2015 CELLAR: Partial CRAWL SPACE: 1 UTILITY ROOM(S): Laundry Room PATIO TYPE: 1 GARAGE: AIR CONDITIONING: HOT WATER: Electric Hot Water Heater BASEMENT TYPE: Part Finished & Conc Slab STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: DATE OF INSPECTION: 2/10/2015 TIME START: END: LFEB —9 2015!a I 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: 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 Date. c 3 v? O/S New Construction: Old or Pre-existing Building: X (check one) Location of Property: N.KC,t_k% k_ nc_t & a` k House No. Street Hamlet Owner or Owners of Property: j S kr'-V e- U Suffolk County Tax Map No 1000, Section C-) 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: $ 100 It 1A J Ap ' ant Signature •t ��c E ��- �-� r �' , th undersigned, doles hereby state: Owners) Name(s) Q—k, ,� VkiV,21, . �O ('-� G n That the undersigned (is) (are) the owner(s)of the premise th�To of Southold, located at 1604 i if�'1Sa t t.'. c�� A _, r -L -{-1 C which is shown and designated on the Suffolk County Tax Map as District 1000, Section It 5 , Block I , Lot -7 That the undersigned (has) (have) filed, or cause to be filed, an application in the 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: a _3, o2 O/p (Signature) (Print Name) I -). f7 Z) - /Z. A7 - __7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT -FORMER 9NEIL Irl E'ACR. S W TYPE OF BUILDING SEAS. VL. FARM comm. C8. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS -3 '3 V OF LA qsvo ap s/2z f ld- L t f e L-4 4, 9 AGE BUILDING CONDITiON NEVs�' NORMAL BELOW ABOVE FARM Acre Value Per Acre Value 'illable FRONTAGE ON WATER Voodiand FRONTAGE ON ROAD 4eadowland DEPTH louse Plot J, BULKHEAD oral l I DOCK /;y3J: f �, 4 -� �. _ .. f _ __ �o��pF SOUry06 1,, %- 7z,e-Pt�--TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL ( ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ) ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) REMARKS: DATE-,211401(15' ATE ,24015' INSPECTOR. S.C.T.M. NO. DISTRICT: 1000 SECTION: 115 BLOCK: 1 LOT(S): j/ N70019'00"E _ 75. ////� LAND N/F LEANING 1 0 W OF MON. /� WILLIAM P. RULAND 0.5 0.2'E TOWN OF SOUTHOLD C,///%(DEVELOPMENT RIGHTS) PLOWED FIELD FRM. 0.2'W ;r-1 0.3'W O O LAND N/F 'G OF JOHN B. & LAUREL KIRMISH U.P MAIN 10.2' 2 STY FRI io' DWELLING N 116045 24.0' to.z N se.6�s v O CJS II LAND N/F OF JANET V. STEWART S69'55'00 "W 74.49' U.P. ROAD 258 W z 11 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL S• 25/ LOCA77DASH OBTA/REFROM NED M FIELD O S£RVAT/ONS AND ORAREA: 29,874.54 SQ.FT. or 0.69 ACRES ELEVATION DATUM: _________________________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO:JULIA BRODER; REBECCA NORTHEY; MAP OF: EQUITY SETTLEMENT SERVICES, INC.; FILED: CITIBANK, NA; SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design / P.O. Box 153 Aquebogue, New York 11931 FILE # 15-10 SCALE: I"=40' DATE: JAN. 25, 2015 PHONE (831)298-1588 FAX (831) 298-1588 N. Y.S. LISC NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk 4J3_ ASPHAL DRIVEWA 0 r� 'Cwp WOODto ENCLOSED PORCH 10.2' 2 STY FRI io' DWELLING N 116045 24.0' to.z N se.6�s v O CJS II LAND N/F OF JANET V. STEWART S69'55'00 "W 74.49' U.P. ROAD 258 W z 11 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL S• 25/ LOCA77DASH OBTA/REFROM NED M FIELD O S£RVAT/ONS AND ORAREA: 29,874.54 SQ.FT. or 0.69 ACRES ELEVATION DATUM: _________________________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO:JULIA BRODER; REBECCA NORTHEY; MAP OF: EQUITY SETTLEMENT SERVICES, INC.; FILED: CITIBANK, NA; SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design / P.O. Box 153 Aquebogue, New York 11931 FILE # 15-10 SCALE: I"=40' DATE: JAN. 25, 2015 PHONE (831)298-1588 FAX (831) 298-1588 N. Y.S. LISC NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk