HomeMy WebLinkAboutZ-10044 ctIFPOI,f�, Town of Southold 12/27/2016
coo ��y 53095 Main Rd
Southold,New York 11971
CIO
1 �
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38726 Date: 12/27/2016
THIS CERTIFIES that the structure(s) located at: 870 Bray Ave, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.4-15
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- 38726
dated 12/27/2016 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 private one family dwelling.*
This Pre-Existing Certificate of Occupancy replaces Pre C/OZ-10044 issued 7/24/1980. Formerly known as 600 Bray
Avenue,Mattituck.
The certificate is issued to Williamson,Kathrine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ut o ' ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 870 Bray Ave,Laurel
SUFF.CO.TAX MAP NO.: 126.-1-15 SUBDIVISION:
NAME OF OWNER(S): Williamson,Kathrine
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Williamson,Kathrine DATE: 12/27/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: cement
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: x HOT WATER:
#BEDROOMS: #KITCHENS: BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/22/2016
TIME START: END:
Form No.6 RCROVE
TOWN OF SOUTHOLD D
BUILDING DEPARTMENT
TOWN HALL r
765-1802 DEC 1 2 2016
APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPT.
This application must be filled in by typewriter or ink and submitted to the Building DepartmenT9MMOM. OLD
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 I%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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. 12/7/16
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 870 Bray Ave ., Matt; tuck
House No. Street Hamlet
Owner or Owners of Property: uathrine S Wil 1 ; amson
Suffolk County Tax Map No 1000, Section 126 .000 Block 01 .0 0 Lot 015.000
Subdivision George I. Tuthill & Others Filed Map. 861 Lot: 31
Permit No. See attachedDate of Permit. Applicant: Francis J. Yakaboski, Esq.
Health Dept.Approval:_ N/A Underwriters Approval: N/A
Planning Board Approval: N/A
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 15 0 .0 0
Applicant ' nat re
Attorney/Age t
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. . . . .21.0044. . . . . . Date . . . . . .Ju1Y .24. . . . . . . . . . . . . . . . . .. 19 .W
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
600 Bra Avenue Ma
Location of Property . . . . . . . . . . . . . . . Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ttlt.qQ1f,. AI.Xe
House No. Street Hamlet
County Tax Map No. 1000 Section . . . 1?6 . . . . .Block . . .9 . . . . . . . . . . .Lot . . . . 15. . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
requirements for a private one family dwelling built priot
conforms substantially to the
Certificate of Occupancy
to. . . .April .23. . . . . . , 19 5.7. pursuant to whic . . . . . . . . .210044. . . . . .
dated . . . . July. 24. . . . . . . . . . . . . . . 19 JE0 , 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 . . . . . . . . .
. . . . . . . . . . . . . . . Private.One .F,,�mjly. purering. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . .M,aTy.LaCorte
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner,lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . .NSR
. . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . .N/.R . . . . . . . . . . . . . . . . . . . . . . . . . . .
� . . . . . . . . . .
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 600 Bray venue Mattituck, N.Y.
number & street Municipality
Subdivision Map No. Lots)
Name of Owner(s) Mary LaCorte
Occupancy R-1 tenant
type owner-tenant
Admitted by: tenant Accompanied by: tenant
1
Key available Suffolk Co. Tax No. 1000-126-1-15
w
Source of request }.Francis P. Melly, Esq. Date June 13, 1980
J
DWELLING:
Type of construction Wood #stories one
Foundation ePmPnt block Cellar full Crawl space
Total rooms, lst. F1 4 2nd. F1 3rd. Fl
Bathroom(s) 1 Toilet rooms)
Porch, type Deck, type Patio, type cement
Breezeway Garage Utility room
Type Heat oil Warm Air X Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Kitchen Gas stove no shut-off V 52-52 E6
Remarks:
Inspected by: Date of Insp. July 21 , 1980
Curtis Horton Time start 2:00 end 2: 30
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor 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 or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date . . . .July. 2k 19P.0 . . . . . .
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . X. . . . Vacant Land . . . . . . . . . . . . .
Location of Property . . . . . . . . . . . 6QQ. A3 U. AVQKIIJ . . . . . . . . . . . . . . .KatititiicX, .N..X. . . . . .
House No. Street Hamlet
Owner or Owners of Property . . . . MIPY. LaCQr.tQ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . . 126 . . . . . . . Block . . . . . . . 1. . . . . . . Lot . . . . . . . .1.5 . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . , Francis P. Melly,x Esq. , . . . ,
Health Dept. Approval . . . . .Nza. . . . . . . . . . . . . . . .Labor Dept. Approval
. . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . X/$. . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . X . . . . . . . . . . . . .
Fee Submitted $ . 5...00. . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building andpermitmeets all applicab le codes and regulations.
Applicant . .v T�.�-44. . y. . /. .
Rev.10-10-78 /
- o .
00
J L L
' N ro9' !3' 10�1= t50.0
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�. TOWN OF - SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT
F01�, j
0J E�2 N E ACREAGE
S W TYPE OF BUILDING r
u ! ✓ rd ,�. e
RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I �u
LAND IMP. TOTAL DATE .REMARKS
4,41
AGE BUILDING CONDITION C �}���p 7 SONEW . NORMAL BELOW ABOVE
Farm Acre Value Per Acre -Value
Tillable 1
Tillable 2
'I 'billable 3---- -. --- - —.– ----
Wcodland ----
`,wumpland
f,rushland v -- - - --
Rause Plot – ------ ----____. _
Total
= ���, ` ,�, � ,,fir r,,;�x�_;: ■ ■■■■ ■■ ■■■■ ■■
�� � ,�,ai -fit• ��9•�:
■
Floors00, Foundation
Extension Basement
Extension Ext. Walls / Interior Finish
E,tension Fire Place Heat
Porch Attic
Porch Rooms Ist Floor
Breezeway Patio Rooms 2nd Floor
Garage
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number & st t Municipality
Subdivision Map No. Lot(s)
Name of Owner(s)
Occupancy
type owner-tenant
Admitted by: Accompanied by:
Key available Suffolk Co. Tax No. /.—
Source of request Date� �,L1 � li
DWELLING:
Type of construction (stories a ,,_
Foundation ,,�,7` Cellar Crawl space
Total rooms, lst. F1_ 2nd. F1 3rd. Fl
Bathroom(s) / Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat e::� Warm Air Hotwater
Fireplace(s) No. Exits �. Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
Remarks:
Inspected by: Date of Insp. 7 G
Time start G d end