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No: 37535
Town of Southold
53095 Main Rd
Southold, New York 11971
5/4/2015
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 5/4/2015
THIS CERTIFIES that the structure(s) located at: 2305 Laurel Way, Mattituck
SCTM #: 473889 Sec/Block/Lot: 121.-4-18
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-
37535
dated 5/4/2015 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 enclosed porch and front entry deck. *
Note: BP #4026 addition to dwelling COZ-3372; BP #16897 accessorygarage COZ-16812; BP 39637 "as built"
additions/alterations COZ-37515.
The certificate is issued to Britton, Walter & Britton, Linda
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2305 Laurel Way, Mattituck
SUFF. CO. TAX MAP NO.: 121.4-18
NAME OF OWNER(S): Britton, Walter & Britton, Linda
OCCUPANCY:
ADMITTED BY: Kimberly West
SOURCE OF REQUEST: Britton, Walter & Britton, Linda
DWELLING:
# STORIES: 1 & 2 # EXITS:
FOUNDATION:
BATHROOM(S): 1 TOILET ROOM(S):
PORCH TYPE: Enclose Porch DECK TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Elec/Propane
# BEDROOMS: 2
OTHER:
3
Cement Block
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
REMARKS:
FIREPLACE:
Yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
Wood Frame
INSPECTED BY: GARYF
- - -A-7
SUBDIVISION:
DATE: 5/4/2015
CELLAR: 80% CRAWL SPACE: 20%
UTILITY ROOM(S): Washer/Dryer
Front Entry PATIO TYPE:
(es GARAGE:
Electric AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: Unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
DATE OF INSPECTION: 5/1/2015
TIME START: 9:15am END: 9:40am
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 ofCertificate of Occupancy = - ---------------`--"- ---`---�--- -
4. Updated Certificate of Occupancy - $50.00
—_—.—__5..—Temporary__Certificate of_Occupancy_=ResidentiaL$LS.QQ, Commercial_$1.5.00 .__�_.�.___
New Construction:
Location of Property:
House No.
ate. L--( - 2 1�! -1 S
Old or Pre-existing Building: (check one)
(_.a W cwt .Nk�fi
Owner or Owners of Property: VU o- l
Suffolk County Tax Map No 1000, Section
Subdivision
C
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $
Street
' U"u
Block `f
Filed Map.
Applicant:
Underwriters Approval:
Lot
Lot:
Final Certificate: (check one)
Appli ant Signature
Hamlet
H
CONSENT TO INSPECTION
—J0 Ce,- (� n __ +ka� .
[A/at-ia9 -t- GIti,04 Q2)zHCVj , 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 '?305. L,gvP,At- W V cy, u
which is shown and. designated on the Suffd County Tax Map as District -1000
Section., Block !2R!' ,'Lot.
!Z( 14 A&
That the- undersigned (hasj (have) filed, -or cause to be filed, an application in the
Southold Town Building Inspector's Office for,•the following:
PR
That the undersigned do(es)-hereby give -consent to the Building Inspectors of the -
Town of Southold to enter -upon the above describedproperty, including any and all
buildings located- thereon,. to conduct such -inspections - " iheyyjay deem necessaryw
--- --`--- respect to the aforesaid applica.fion, inclu&n inspections to determine that said premises
complywith all of the laws; ordinances, rules aridregulations•of the Town of Southold. .
The undersigned, in consenting to such inspections, does) 'so with the knowledge
and understanding that anyinformafion obtained hi the conduct of such"inspections.may
be used iii.subsequeni.prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold"
Dated: a 9 - SpA -1-5 CUc�
• / (Signature)
(A/ft-7&r
(Print-Name)
4 (Signature)
(Print Name)
co
TOWN OF SOUTHOLD BUILDING- DEPT�,
765-1802
INSPECTION-..
FOUNDATION IST
ROUGH PLUMBING
]FOUNDATION 2ND
INSULATION
FRAMING/ STRAPPING
FINAL A -4-L co
FIREPLACE & CHIMNEY
FIRE SAFETY INSPECTION
FIRE RESISTMT CONSTRUCTION
FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH)
ELECTRICAL (FINAL)
CODE VIOLATION
CAULKING
REMARKS:
DATE
'>Q
I
I -,).l --q--1 E -
MAY 4 2015
TOWN OF SOUTHOLD
/0 0 le -
PROPERTY
0
RECORD CARD
OWNER STREET
VI LLAGE
D EST. SUB. LOT pit
-FORMER.QWNER ans , N
L,4.. 14 195 *' '�f7
E
ACEI.
J9
i 411� I �jj
w
TYPE OF BUILDING
'RES/e., w
o
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt.. Value
LAND
[MP,
TOTAL
DATE
REMARKS
fr I1`1
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AGE
L BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
VcIue
y11ley V I 175 4A
Tillabie
FRONTAGE ON WATER
L 6'.
Woodland
FRONTAGE ON ROAD
I Z7
Meadowland
I
DEPTH.
House Plot
0
BULKHEAD
Total
DOCK
DOLOR 419V TRIM
121.4-18 4109
ME
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IMME
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Ext. Walls
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AA01 Ififf
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Fire Placef
L) A
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DR.
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Type Roof
Rooms I st Floor
BR.
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Recreation Room
I
Rooms 2nd Floor
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Total
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REFERENCE:
-'299 PG.801
�>149 4
1901.
&28.0
¢Q.
Unoutharised dtamtlon or oddtior, to this survey
G a vtetollon of Smtten 7209. eubdAston 2, of the
Hew York State Eaucatton,Law.
Cop7ee of this Sanwy 01ap not bearing the land
I
sun+yoT inked or ombossed seal shall not be
. Ir.to bs a valid true copy.
cerutkations b,ddeot.d heron stgnlfy that this survey
was pteparsd In arxrdanaa with the sslrting Cade of
ProsU.9 for Land Sarraye adopted by the l3ew YorY
Stats Assoetatlon of Pro al t and Surrwyon Said
vortifkathns stroll run only to the person for whom
tho sarmy was proporm4and on his b"f to be We
o"'pony, goventr,rentd agency and landing Ins4ltutlart
noted hareoa. mid to the summa" and/or assigns"
of the lending Institution for the putpass of their
matpags to saW ppsrsan(o). for wham this rxewy was
prepared. csrtmwUat+s ars not transferahlr to oddlttand
Institutime or subcoWent owners other than OMW
stated.
MAP OF
DESCRIBED PROPERTY
SITUATE
LAUREL
TOWN OF SOUTHOLD, SUFFOLK COUNTY N,Y.
AREA = 26,718 SQ. FT, '
DATE: FEBRUARY 8, 2010 SCALE: 1"=30'
REVISE®: JANUARY 9, 2015
PREPARED BY
SCH EPE & MURRELL, Pvc,
LAND SURVEYORS — LAND PLANNERS
126 MAIN STREET, SAWLLEe NY 11782 .
631-589-1322/631-589-1779(FAX)
TAX MAP DEWGNAWN NUMBER
DISVICT SECTION BLOCK
1000 121 04
I'
uj.
�t90
L1VDI
4
f� N
til
,Q
ry era
4D,
s�12
MAP OF
DESCRIBED PROPERTY
SITUATE
LAUREL
TOWN OF SOUTHOLD, SUFFOLK COUNTY N,Y.
AREA = 26,718 SQ. FT, '
DATE: FEBRUARY 8, 2010 SCALE: 1"=30'
REVISE®: JANUARY 9, 2015
PREPARED BY
SCH EPE & MURRELL, Pvc,
LAND SURVEYORS — LAND PLANNERS
126 MAIN STREET, SAWLLEe NY 11782 .
631-589-1322/631-589-1779(FAX)
TAX MAP DEWGNAWN NUMBER
DISVICT SECTION BLOCK
1000 121 04
I'
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: _ LOT(S):.,
NAME OF OWNER(S),: 0.
OCCUPANCY:
(type) (owner -tenant) -
ADMITTED BY: W45j7 ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: �� �2/�# STORIES: 4 �"�'- # EXITS: �.
FOUNDATION: BASEMENT: " ®� CRAWL SPACi- A2
# OF BEDROOMS: IST FLR: 2ND FLR:. 3RD FLA:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH -TYPE: DECK, TYPE: .. PATIO; TYPE:
BREEZEWAY: ..
FIREPLACE: ` � � GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: '- C, AIRCONDITIONING:
TYPE HEAT: G� PAUWARM AIR: HOTWATER:
# OF KITCHENS:---' 4
FINISHED BASEMENT YES
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL:
OTHER:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:11
J� r
TIME START:. �� END;