HomeMy WebLinkAboutZ-19267No 219267
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date AUGUST 3, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 805 CAPTAIN KIDD DRIVE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 005 Lot 009
MAP OF
Subdivision CAPT. KIDD EST. Filed Map No. 1672 Lot No. 187
conforms substantially to the requirements for a private one -family
dwelling built prior to APRIL 9, 1957 pursuant to which
Certificate of Occupancy 7,19267 dated AUGUST 3, 1990
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING AND ACCESSORY GARAGE.
The certificate is issued to ELLA P. GARSCH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*****SEE ATTACHED INSPECTION REPORT
B ilding Inspector
Rev. 1/81
BUILDI:•:G DEPA.RT'TEENT
T0:•111,1 OF SOUTHOLD, N. Y.
HOUSIIdG CODE INSPECTION REPORT
Location 805 CAPTAIN KIDD DRIVE MATTITUCK
knumoer do street) 1,iunicipality)
Subdivision Map No. Lot(s)
Name of Owner(s) ELLA P. GARSCH
Occupancy A-1 OWNER
(type) owner -tenant)
Ad.-,itted by: KRISSTEN THOMPSON Accompanied by: SAME
Key available Suffolk Co. Tac No. 106-005-009
Source of request ELLA P. GARSCH - Date JULY 25, 1990
MIELLI,IG :
Type of construction WOop FRAME #stories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space --
Total rooms, 1st. F1 6 2nd. F1 -- 3rd. F1 --
Bathroom(s) 2 full baths Toilet room(s) --
Porch, type -- Deck, type -- Patio, type_FLAGSTONE
Breeze..iay -- Garage -- Utility room —
Type Heat OIL Warm Air Zg Hotwater
Fireplace (s) NONE No. Exits 2 Airconditioni ng -'
Domestic hotwater OIL HOT WATER Type heater BOCH
Other
ACCESSORY STRUCTURE'S:
Garage, type const. WOOD FRAME Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Remarks: B.PJ 174V COZ 1405 ADDITION
Inspected by:
GARY Y. FISH
0
• Date
of Insp.
8/2/90
• Time
start 9:40
end 10: 10 a.m.
0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
_ TOWN HALL
SOUTHOLD, NEW YORK 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE..4u1X.25:.1990..
NEW CONSTRUCTION .......OLD OR PRE—EXISTING BUILDING. X. --VACANT LAND ........
805 Captain Kidd Drive Mattituck
Location of Property ............ :......... .. _ __ _ _
HOUSE NO. STREET ... .HAMLET..• ....•.
Owner or Owners of Property .... Ella-P:.Garsch._.- ••--..•
County Tax Map No. 1000 Section ..106. Block 5 Lot 9
Map of Captain Kidd Estates
Subdivision ....................... Filed Map ..1672..Lot...
87..,..
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate... XX
Fee Submitted: $...............
DEE
JUL 2 7 Sex '1
rev- 10/14/88
APPLICANT .--<--..
Ella P. Garsch----�---
�d
to, CO Z
ffOAd
L
FORM NO. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings 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 of 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 solder used in system contains less
than 2/10 of 1Z lead.
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the 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, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
I. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 — Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
rev. 10/14/88
BUI:.OI=:GDF?•,�i'�.:iT
1♦ :•
TO, -FN Or SGUT:,OLD, N. Y.
HOUSIidG CO Ii•iS ECTION RE ORT
Loci tion
74r-
:�oer s �: eJ �)A_cWli�7,Subdivision)
1 No . -Lot(s)
Name of Owner(s)
Occupancy
`'yP e o :vn er-L ar.,, -)
Aci:iiltzd by: _ .�� 'AC��ciIAp�:rii�d by:
Key available Suffolk Co. Tax No.
Source of request
• .. Date �,� d
DIYELLING. -
Type of const uction
Foundation lstories�
Cella pace
space
Total rooms, 1st. Fl 2nd. Fl
Bathrooms) 3rd. F1
Toilet room(s)
Porch, type2Z_ Deck, type
Breezeway -- _ Patio, e
Garage ?' Lc
Type Heat �. Utility room
�-Q Warm Air �/ Hot-water
Fireplaces )_ 6/J /
NO ' F't- `s— .� Aircor_di tioning
Domestic ho twater , W � � Type heater
Other
ACCESSORY STRUCTLTRL'S
Garage, type const.
Suim-mi ng pool b�.stora�
e, type const.
1
Other Guest, type const.
CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION _ BUILDING CODE
cation
Remarks:
Inspected by:
Descrinticn
Art. I Sec.
Z_ ' Date of Insp.
• Time start ' p
o:�v
CONSENT
TO
INSPECTION
Ella P. Garsch the undersigned,
Owner(%) Name(N)
do(es) hereby state:
That the undersigned (is) #oax�4 the owner(W of the premises in the Town
of Southold located at 805 Captain Kidd Drive, Mattituck, New York
, which is shown and designated on the Suffolk
County tax map as District 1000, Section 106 , Block 5 , Lot 9
That the undersigned (has) (kxzw) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Pre-existing Certificate of Occupancy
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: july 25. 1990 6f;�� . , 4 Z, ,, �/ ,_
(signature)
Ella P. Garsch
(print name)
(signature)
(print name)
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PAPADOPOULOS
- CHQISTI NAS
RC t E S
t .SU FF CO, TA)e MAP L)ATA = ' r0 -i 06,-
2. J,QT, NQ'5,
6,-2.?,CT:`S, tE TQ 'MAP OF CAPTAIN D1yaStaTfS-8�41E !�
FILED" IN 1E SUFF C.Q. 1_-!.ErZV_'5 .OFFICE A:S MAP NO. 16'72.
:.tn3,,itiStC1LLO't QI.L3r3ttQ11 or addition
to this eun ey is a violation of
Section :2^I of the Now York Static
"lucall*7tt L.W.
Coples of this , ,rvsy man not baaring
the land i Keo seal o.
e.^ah7Sc9t nasi shz0 no be const :ered
to be s valid true copy
fsuamnteis i"Idir! wed hereon shah run
only to t" .yor, f• -r v gat
is pre18 nd on h 5 to
tr 5 t (+: /, '.`P"n`T' ry and
le
to toes of r 3
to icn es pre r r c Gt
to s ..,.ons ,, nnitions or SL. S6 j.,el"
ow -rs.
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