HomeMy WebLinkAboutZ-37495Town of Southold
53095 Main Rd
Southold, New York 11971
PRE EXISTING'
CERTIFICATE OF .00CUPANCY
4/13/2015
No: 37495 Date: 4/13/2015
THIS CERTIFIES that the structure(s) located at: 9520 Sound Ave, Mattituck
SCTM #: 473889 Sec/Block/Lot: 122.-2-24.3
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-
37495
dated 4/13/2015 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with second floor storage room and accessory one car garage_*
Note: BP 39623 wood stove COZ-37494
The certificate is issued to Steadman, Gregory & Steadman, Catherin
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED.
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autho ' e Si ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 9520 Sound Ave, Mattituck
SUFF. CO. TAX MAP NO.: 122.-2-24.3
NAME OF OWNER(S): Steadman, Gregory & Catherine
OCCUPANCY:
ADMITTED BY: Catherine Steadman
SOURCE OF REQUEST: Steadman, Gregory & Steadman, Catherine
SUBDIVISION:
DWELLING:
# STORIES: 2 # EXITS: 2
FOUNDATION: Brick and Concrete
BATHROOM(S): 2
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Nad Grid Gas
# BEDROOMS: 4
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
Yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
DATE: 4/13/2015
CELLAR: 3/4 CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
Natl Grid Gas AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE:
Wood Frame 1 Car STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
Unfinished
1/4
Accessory garage in violation of Section 304 Property Maintenance Code of the State of New York - exterior walls, roof and
drainage.
REMARKS:
INSPECTED BY: GARYF
DATE OF INSPECTION: 2/11/2015
TIME START:
END:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OC
� 4
iFEB 10 7�2015
1
XPAN.CY BLDG. DEPT.
TOVVN OF SOUTHOLD
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 $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. , — /0'-/ 5—
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 9��20 Sovl-�W 4w , V a Z 17 5760- CIRC - -
House No. Street Hamlet
Owner or Owners of Property: �CUf�✓L4iLt�yiel%%iiL� Ll J
Suffolk County Tax Map No 1000, Section Block a Lot C J .!
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
�-fwo- r1l4ewy,GAS , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned�is) (are) t e owner s) f the premises in the Town of
Southold, located at t��i7�-� , �04-
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section IR, Block c7-7> , Lot :;� . �)�
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southol4,Town Building Inspector's Office for the following:
it - 0-, O
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:
(Signature)
rlua eVDC,e
(Print Name)
(Signature)
(Print Name)
9
5URV.L- , IF OF PROPERTY
51TUATE�:'MATTITUCK
TOM: SOUTHOLD
SUFFOLK COUNTY, NY
SURVEYED 04-0q-01
SUFFOLK COUNTY TAX #
1000- 122-2-24.3
CERTIFIED TO:
GREGORY G. 5TEADMAN
CATHERINE G. 5TEADMAN
SOUND -AVvCHNUE_'7'9
EDGE OF PAVEMENT
_SPLIT RAIL FEN_E
E N9703390011
N8l032900'E -o ' - _ `t26� -
60.00
NOTES:
MONUMENT FOUND
0 MONUMENT SET
AREA = 19,737 5F OR 0.45 ACRES
GRAPHIC, 5G -ALE 111=30'
S8703290011W 86.66'
Voaulhorlted aIlt... Von or ndditbn to a survey
map bearirly o Ilc ` d lantl surveyor's seal Is a
vialatbn of section 1209, sub-dlvisinn 2, of the
Non York State Education Lnn.•
sonny copies from the orlgNpl of Ws .urvey
orked nith an orlghol of the land sur'veyor's
stanpetl seal Moll be comberetl to be valto Wn
copies•
'GartiFicotlnns Mdiwted hereon .i909 that [his
vey nos prepared In accordance nIlh the -
t God. of Practice for Land Survey! adopted
ny he Nnn Ynrk Stole Aesoclntbn of Professla nl
Lard Surveyors. Sold <erllFicatlnn! shall run only
[o the pa on for r.nom the suv.y 1. prepared.
and on hi. --IF to the title company, gave_.,
to)
agenry and IeMung NL'Lvllon Ibtedhereon. —
to the n!llgnee! of the In, InitnW'_. 6"LiFIc
!Ions are not Lronsleroble to oddltlahol Nstltvtions
1�/(�f'�Q�
JOHN IE L ERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901 REF.\\Hp server\d\PROS\01-128.pro
369-8288 Fax 369-8287
F SOia
plyo
�f-� . • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION.
[ ]FOUNDATION IST [ ]ROUGH PLUMBING
[ ]FOUNDATION 2ND [ ]INSULATION
[
]FRAMING/ STRAPPING [ ]FINAL"
[ ] FlREPLACE 8 CHIMNEY [ ]FIRE SAFETY INSPECTION
[ }
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
[ ]CODE VIOWION [ ]CAULKING- ,
DATE INSPECTOR-
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):. ,
NAME OF OWNER(S):
OCCUPANCY:
N (type) (owner -tenant),
ADMITTED BY: (�fi7.�L1 /i �- ACCOMPANIED BY:
KEY AVAILABLE: SUFE. CO. TAX MAP'NO. 1000 -
SOURCE OF REQUEST: 7 DATE:
DWELLING
TYPE OF CONSTRUCTION: "iJ4442,,p`##STORIES: oS # EXITS:
FOUNDATION:4�;��iJ BASEMENT: i' CRAWL SPACE: /
#F R y�
O BEDROOMS: 1ST FLR. ,� 2ND FLR. � . 3RD FLR: „
BATHRGOM(S):Q 2� TOILET ROOM(S): UTILITY ROOM:
PORCH,TYPE:
DECK, TYPE: ..� PATIO; TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
NIJ O DOMESTIC �HHOTWVIES r) : ING: �
TYPE HEAT: AIR: _ _ HOTWATER:
# OF KITCHENS—
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: Ok - STORAGE, TYPE CONST.:
SWIMMING P'O'OL:
OTHER:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
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FAIII
WA
REMARKS:
v ► r rz cJ yr f u t- /VF-Dod / -- L X T
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
END: