HomeMy WebLinkAboutZ-20985FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20985 Date AUGUST 28, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 655 HOBSON DRVIE MATTITUCK,_ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 6 Lot 23
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20985 dated AUGUST 28, 1992
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 (NON -HABITABLE) *
The certificate is issued to MARIE HOBSON & ARLENE BAXTER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
B it ing ns ector
+r D7
OF SCUT,iOLD, N. Y.
HOU: I::G CODE' IiiS?'CTION RZ_7 CiIT
Location 655 HOBSON DRIVE
�tlu .ocr �Ix zreec
Subdivision
LAUREL, N.Y.
� ra1:.1C1(J:111 Cl
.•Tap No. Lot (: )
Name of Owner(o) MARIE HOBSON 6 AND.
Occupancy 1 FAMILY VACANT
(type)
(oem er- enanz
Admitted by: ARLENE BAXTER Accompanied by: SAME
Key available
Suffolk Co. Tax No. 122-6-23
Source of request Timothy S. McCulilay, Atty
Date
DITEL LING: -
,Type of construction_
Foundation BRICK, BLOCK
Total rooms, 1st. Fl-
Bathroom(s) 1
Porch, type 2 CLOSED IN
4
uuAW
Deck,
Aug. 17, 1992
1stories PAR 2
_Cellar 50 Crawl space 50
2nd. Fl 2 3rd. F1
_Toilet room(s)
type Patio, type
Breezeway Garage Utility room
Type Heat OIL Warm Air XX Ho-•..
Fireplace(s) N t
No. . E i1 LJ A.ircond+ icn-i ng
Domestic ho treater II
T;rpe heater ELECTRIC
Other
ACCESSORY STRUCTURES :
Garage, type const._
Seri;. -.1i no pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFOI:M FIRE PREVENTION & BUILDING CODE
Lncation Descriotion
NON -HABITABLE WITHOUT MAJOR STRUCnftl , REPAIRS, TO rt Sec
OOR, ROOF, ELECTRIC, HEATING, CHIMNEYS, ETC.
ANK ONTO ADJOINING PROPERTY - SURVEY FROM HOWARD
YOUNG 7/7/92.
I
Remar.cs:
Inspected b• . e Date of Insp. 8/21/92
O J I R Time start 10:10
end 10:30
Form No. 6
' TOWN OF SOUTHOLD
1(UI'
BUILDING DEPARTMENT AUG I TW
TOWN HALL I
765-1802 BLDG.DEPT.
_TOM OF SOUTH11
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 17 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 a 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....... A49dSt .5, .x.$92 ....................
New ColLstruct':ion...... Old Or Pre-existing Building ..... X ......... 4.
Location of Property.. AW. jwlsan. Ar•J.ve............................... ........................ 219,ttatzrrk ...........
House No. Street Hamlet
Onwer or Owners of Property.�?:ie Hobson. and.Arlene,B�xter......................
County Tax Map No 1000, Section., 122.00.,.,,,Block ... W ........... Lot ... 23 ;00
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant .............................
Health Dept. Approval..........................Underwriters Approval.........................
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certicate.
Fee Submitted: $. 100 00....................rE
i ? ..................
.ism.
APPLICANT ARLENE BAXTER
CONS F: ,T
TO
11rPGCT[ON
MARIE HOBSON and ARUM BAXTER,
Utrncrls) Nth(. undc�rsi[�n(,d,
doh hereby state:
That the undersignec (arc) tite owncr(c) of the premise,; i^ the To;vn
of Southold located at (no# Hobson Drive, Ma.ttituck
t:•hich is -hov,n and (lesiffnated on the Suf;ol:;
County tax map as District 1000,
Section 122.00 L'lock
— Lot 023.00
That
the undersigned 10DW (have) filed, or caused to be filed, an applica-
tion in the SOuthcld Town Duilding Insnector's Office for the follo;:ire:
Certificate of Occupancy on .Pre-existing Building
That the urdersi.gned dq-ft) herebyiv
,g� (� 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
dee=m necessary with respect to the aforesaid application, incl,, -4 insp c _o -s
to determine that said premises comnl, u
;:ith all of the laws; ordzna: ccs, rules
ar.d re?ulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so «-ith the
1:.^.0 •ledge and understanding that any infcn—nation obtained in the coc.duct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the latus, ordinances, rules or rebulations of file Tott•n of Southold.
Dated: August 5, 1992
(sibnature)
MARIE HOBSONJt
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DIST. 1000 SECT 122
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TOWN OF SOUTHOLD PROPERTY ' RECORD CARD
OWNER. ,
STREET
VILLAGE
DIST.
SUB. LOT
F
�RME�OWN�R IOSO
N
E
ACR. .
231o:N
S fW
=s ' .
15Yoweors
TYPE OF BUILDING
/RES' 2 �b
SEAS.
VL.
FARM
---
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
V-0
Jh! A/1 Cd fa M ff''f,�s a2
�jL
10�
e2 ✓ O_f7
.i Ob
/ 76-
S 9 Y .333 O Soo 4,5 Ho6savi A -04G 5
-- Z1 'Hcz2ci ohsr ,� ► =�a
AGE
BUILDING CONDITION
NEW.
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
Woodland
P
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
House Plot
-
DEPTH
77
BULKHEAD
Total
DOCK
TOWN OF SOUTHOLD PROPERTY -RECORD CARD
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
LAND
IMP.
TOTAL
DATE
REMARKS
H J
r Ca
Z
4 L971 S05 L-9
FORMER OWNER
N
E
ACR.
u'AA 4 1 7 r -J. sd
70- it
Ilk r ro r i i I Q d C/(T, �7
S
W
TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
E �T - CB. mics. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
77,
r Ca
Z
4 L971 S05 L-9
u'AA 4 1 7 r -J. sd
70- it
Ilk r ro r i i I Q d C/(T, �7
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
BULKHEAD