HomeMy WebLinkAboutZ-25972FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25972
THIS CERTIFIES that the building
DWELLING
Location of Property 1005 BAY AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 143 Block 0004
Subdivision
Filed Map No. Lot No.
Date: 09/15/98
MATTITUCK
(HAMLET)
Lot 028
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25972 dated SEPTEMBER 15, 1998
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 WITH ACCESSORY NON -CONFORMING GUEST COTTAGE
The certificate is issued to CARL R HOLFELDER & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Buil4ing Inspe or
Rev. 1/81
SUBDIVISION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MAP NO.: LOT (S)
NAME OF OWNER (S): CARD R HOLFELDER & ORS.
OCCUPANCY: SINGLE FAMILY DW TN CARL R HOLFRLDRR & ORS.
ADMITTED BY: FRANK MURPHY ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 143. -4 -
SOURCE OF REQUEST: JOHN F. CORRIGAN. ATTY 8/25/98 DATE: 09/15/98
TYPE OF CONSTRUCTION: _WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION:
TOTAL ROOMS: 1ST FLR.: _. 2ND FLR.: _k
CELLAR: 254 CRAWL SPACE: 754
BATHROOM(S): 0.0 TOILET ROOM(S): 0.0
PORCH TYPE: FRONT & REAR* DECK TYPE:
BREEZEWAY:
FIREPLACE:
3RD FLR.: 0
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: NO
TYPE HEAT: HW -OIL WARM AIR: HOTWATER:
OTHER: *COVERED & ENCLOSED (UNHEATED)
ACCESSORY STRUCTURES,
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.: WOOD FRAME GUEST COTTAGE*
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART
i
*2 ROOMS, 1 FULL BATH, NO HEAT & SMALL KITCHEN.
i
ALSO ELECTRIC HOT WATER HEATER. SEASONAL
i
i
I
OCCUPANCY.
I
INSPECTED BY:
DATE ON INSPECTION: 09/15/98
TIME START: 10:20 END: 11:00
Form No. 6
TOWN OF SOUTHOLD
BUILDING'DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF
BLDG. DEPT.
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 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.
8. For e.Yisting buildings (prior to April 9, 1957) non-cauforming 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
k. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 525.00,
Alterations to dwelling $25.00, swimming pool $25.00, Accessory building 525.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20_00
4. Updated Certificate of Occupancy - $50.00
5. ,Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .. ........
.......
CJ.t�rGn.t.,�'..em.�Z1�.....���'�':%ii,...`.i'�:.:•_yr:.Q�.�:_D.T9.`P:r..i�—the-it�rT.n i.. :; 1Y..'a 15 ����t. ..�.: ....... .. ._`. :.. .i .. '. -.c.-. ... .. ... .... �.. ._._.
:.ocation ox Property :f.........�..�'..
......./.
House No. street Hamlet
Onwer or Owners of Property............................
Oounty Tax Map No 1000, section./ �......... Block_ f ........ Lot... 0......°..........
Subdivision...., r 6 3
...............Filed Map... a... .... Lot .......................
Permit No................Date Of Permit ................ Applicant ..............................
Health Dept. Approval..........................Underwriters Approval.........................
?lanning Board Approval
tequest for: Temporary Certificate........... Final Certicate...........
-ee Submitted: $................
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Young & Young, Land Surveyors
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400 Ostrander Avenue, Riverhead, New York 11901
N&So
516-727-2303
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Alden. W. Young, P.E & L.S. (1908-1994)��6
Howard W. Young, Land Surveyor
Thomas C. Wolpert, Professional Engineer
Kenneth F. Abruzzo, Land Surveyor
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John Schnurr, Land Surveyor
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NOTES:
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1. AREA = 15,350 S.F.
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2. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
c<Z ��`<
SUFFOLK COUNTY ON NOV. 27, 1928 AS FILE NO. 186.
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DATE: REVISIONS: ow
E'tmw
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SURVEY FOR: =�=g
SCOTT W. GAMMON
NN<[
LOT 3 "MAP OF PROPERTY OF GEORGE H.,It
S�$
WILLIAM T. & D. T. RILEY
At: MATTITUCK Town of: SOUTHOLD <go
Suffolk County, New York I o.
Z"py
60
>ZO¢
Suff. Co. Tax Map: 1 1000 1 143 1 4 1 28
District Section Block Lot a3
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CERTIFIED TO: a e
SCOTT W. GAMMON a€m
LONG ISLAND SAViNGS BANK, FSB $ w
STEWART ?I TLE INSURANCE COMPANY o
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DATE : AUG. 3, 1998
SCALE :1'=30'
JOB NO. :98- 0450 =F.,
<-Fg
SHEET NO. :1 OF 1 �<o�
0
LOCATION:
(number
SUBDIVISION
NAME OF OWNER (s)
OCCUPANCY
type
ADMITTED BY: /I
KEY AVAILABLE
SOURCE OF REQUEST:
BUILDING DEPARITIENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
gw
a L ree 0 tmunicinaLiEv
MA D Wfl r nT / _
bury - UU. TAX nnr Nu. /c Z U;;
DATE:
DWELLING:
TYPE OF CONSTRUCTION E # STORIES l S EXITS
FOUNDATION CELLAR 7—S_ CRAWL SPACE S
TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE ^-- PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE
DOMESTIC H2OT.,W�ATER
TYPE HEAT
OTHER: .oiT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
Ak _ %moi
_ TYPE HEATER �� AIRCONDITIONING_
WARM AIR HOTWATER
STORAGE, TYPE CONST.
;GUEST, TYPE QONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY:
�- DATE ON INSPECTION eJ A BAe
..
TIME START �D: ZO END
/ /9 --� n — / !.,/_ 7 - L/ _ _-) r v r v • v %w r v rr W • r r rr mow r' Sa ,%W it ■. rr► d r rran v Vrr r%Lrr /V/ - 1 6
OWNER
STREET 1005
VILLAGE DISTRICT
SUB.
LOT 3
clt r 4 D is
� -
s, ! UC,/
I Est. Mkt. Value
LAND
FORMER OWNER
N
E CREAGE
REMARKS
A DD
352
/300
S
W TYPE OF BUILDING
Da
RES.
SEAS.
VL.
FARM
COMM.
I IND. I CB. I
MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
A DD
D0
/300
sr159_ L4&507p 197 - `4
car
Da
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
J7J s
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
Brushland
House Plot
Total
jt�t,.vv1
Bldg
0e
IFoundation
G
Bath
f I
tension
�I
Basement`0j-L
Floors
/� c
�
I
Ext. Walls
I
I
Interior Finish
-
�
3 -
�-� Z`
Q
I
jt�t,.vv1
Bldg
0e
IFoundation
G
Bath
f I
tension
Basement`0j-L
Floors
/� c
tension
Ext. Walls
LO"-
Interior Finish
-
tension��'"
3 -
�-� Z`
Q
Fire Place
Heat—I
-
--- -----
Porch
Roof Type YP
�
8p
Porch
XZ
Rooms 1st Floor
ezeway
r
Patio
Rooms 2nd Floor
—}I
rage
Driveway
Doemer
B.
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/4,n „ _ ;,s,� _ �, -),PTOWN OF SOUTHOLD PROPERTY' RECORD CARD ,� _ � �0
OWNER
STREET f ��
VILLAGE Disrm"T
SUB.-
LOT 3 x
COMM. 1 IND..
CB.
MISC.
Est. Mkt. Value
rri
n
COX
�t
TOTAL
DATE
! m
L,
REMARKS
1-/00
FORMER OWNER
N
E ' CREAGE
..;*,.,, �' rr
3.x'2
0 nto
z
"4
S
W TYPE OF. BUILDIPIG
S ( 5 - ..117 3? . 4C1— (-9.*34�Z
RFS. j D
SEAS.
VL
FARM
COMM. 1 IND..
CB.
MISC.
Est. Mkt. Value
rri
n
LAND
IMP.
TOTAL
DATE
REMARKS
1-/00
(i
I
0 nto
"4
S ( 5 - ..117 3? . 4C1— (-9.*34�Z
.*dn
o
Z
m
Z
S o p
o7 9 0
ZO O
A.
C
v
AGE
BUILDING CONDITION
a
n
n
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
�, Y
Tillab)'e I
BULKHEAD
Tillable 2
DOCK
Tillable 3
'
Woodland
Swampland
Brushlond
House Plot