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Home My WebLink AboutZ-23238No Z-23238 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date SEPTEMBER 20, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1275 MILL CREEK DRIVE SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 135 Block Subdivision Filed Map No. 3 Lot 41 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-23238 dated SEPTEMBER 20, 1994 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 AN ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & MARIE MAC DOUGALL (owner's) 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 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1275 Mill Creek Drive Southold, NY number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) Thomas & Marie Mac Dougall OCCUPANCY Single family dwelling Owner type owner -tenant ADMITTED BY: Thomas D. Mac Dougall ACCOMPANIED BY: Same KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-135-3-41 SOURCE OF REQUEST: Thomas D. Mac Dougall DATE: 7/19/94 DWELLING: TYPE OF CONSTRUCTION Wood Frame $ STORIES 1 1/2 # EXITS I FOUNDATION Cement Block CELLAR Full CRAWL SPACE Partial TOTAL ROOMS: IST FLR. 5 2ND FLR. 1 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) I UTILITY ROOM PORCH TYPE Rear enclosed DECK, TYPE None PCO Small rear BREEZEWAY None FIREPLACE 1 GARAGE DOMESTIC HOTWATER Yes TYPE HEATER Electric AIRCONDITIONING No TYPE HEAT Oil WARM AIR Yes HOTWATER OTHER: Side Covered entry porch, outside cellar entrance. ACCESSORY STRITCTTiRES- GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: 1 Car - Wood frame STORAGE, TYPE CONST. No GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION I ART. SEC. REMARKS. BP022287-Z Alteration CO#Z-23237 INSPECTED BY DATE OF INSPECTION 7/21/94 TIME START 9:45 END 10:05 -F' ;' I 1 919911 I n O -B Form No. 6 TOkr,V OF SOUTHOLD BUILDING DEPARTMENT TOUN HALL 765-1802 APPLICATION FOR CERTIFICATE; OF OCCUPANCY 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: I. 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 li 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. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and it 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 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 $15.00 Date .......... 7',f %—. �� New Construction..... Old Or Pre-existing Buil ing., .• .. Location of Property. «7, �, , , ,/�/L(.. C/C�F,� .tQ .............. . ................................... House No. Street Hamlet Onwer or Owners of Property. 7�<?t_ �:C......•..•.•.•.•.... County Tax Map No 1000, Section... xa-s_ ...Block....3 „ 7 / .......Lot... ............. Subdivision....................................Filed Map ............ Lot ..... ................. Permit No................Date Of Permit ................ Applicant .......... ................... Health Dept. Approval..........................Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted:�$....�'dQ................... �C L4$q�1 - APPLICAnT -1[(�[1� 9 A ae�= BLDG. DEP?___ _ OVmer(s) Name do(es) hereby state: CONSENT TO INSPECTION the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town Of Southold located at vL L X , Which is shown and designated on the Suffolk County tax map as District 1000, Section /3,S;__, Block 3 , Lot **211 . That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: 5 That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all -of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: / —4—' -&/ (signature) print name I/ ' V 3 J AUThQ_;7-U AI.iL...c TTHIS SURVEY 15 A VIOLATION OF - 5 CTION 7209 OF THE NEW YORK STATi'- F UCATION LAW. `\ F'ES OF THIS SU'Y:Y b'A7 I:OT BEARING T E LAND 5J .\ - .AL O" 1 CQ _ f'beNOr, E 1. ♦ARc 3� • 52.0 9 �� O • s t. . I Cat o �, ,\,�� too • ,�`. r yO `L Q C.0 p, Imo- Z 5 S N n e \ � w \64> 94. E (BOSSED SEAL 'NALI S'DERED 1% - Q T BEA VALIDTU' C r " e -C 'ARANTL S AGE!', 0.:.. Y Coto MAP OF PR.OFERTY 0�O'ro4p i supVEY50 FOR AT A[Z6H AMOMA�iUE �4F M\ � f TcwN. OF :'sOUTFi'Ji.DF N. Y. - eA k O,V ' vdARAtlTer� 70 Q .SCALE 1" CHIC660 TITLE 1NsukANc:B CO. AND ,Soorm. 5iiOiZr FEvk-KAL. tSAV4tjaz 4 L40At4 A'65'N. 4%4 409VBYCO a = MOtyUMENr MAY ZZA, 197$ 15Y f?-0P1M1C1c VAt4 T41`1., P- C, 54af�LEc Co. 'fsax No. �Ui'j�.�its, _l..e.�r� tvao — T3S- 8 � 41 �( LICEN�BC LAt4D 5csczv�roti5 — � y?oscS N.Y. „ =. Iry41 w .R E 3p f ` 'TOWN -' OF : SOUTHOLD PROPERTY R CARD Y CARD l OWNER STREET VILLAGEDIST a.; .. SUB. LOT , eeff FORMER OWNER N E ) '` ACR. a �rJ • S W TYPE OF BUILDING °RES/� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value .LAND IMP. TOTAL DATE REMARKS .3aoo a � L dan 8'0 SP o u/� ro JR ,c fys7 cln �AC.l�eu cf .4(�•` w� e x E- k r Tllicble FRONTAGE ON WATER oodiand FRONTAGE ON ROAD eodowland DEPTH Ouse PiotR<- I BULKHEAD t 'd�7 ��.,i� 'ffi xb.-:. .. "�.d.: +yi, ,`} ; .. x�;..p .�; �"3.. tF`A��i �"�' 1 Y .'lN;i�� •°— —_-._ I ri; +��+,��iA3 . ._ . �- Li sin= 5 �m LOCATION: /1` 1, SUBDIVISION NAME OF OWNER (s) OCCUPANCY ADMITTED BY: /h�Y1 KEY AVAILABLE"" SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 41'1 4*" _ CC75�0% er street municipality MAP NO. LOT(s) G� f ;ill _PATE: DWELLING: TYPE OF CONSTRUCTIION 4 9, 6 al STORIES_ # EXITS_ FOUNDATION I % CELLAR�rt�l� CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) C)N e_ UTILITY ROOM PORCH TYPE Q�� O DECK, TYPE /�, PATIO BREEZEWAY FIREPLACE 01V -4e- GARAGE DOMESTIC HOTWATER Oj TYPE HEATER AIRCONDITIONING TYPE HEAT ® l� _ WARM AIR Q - HOTWATER — OTHER:,� ACCESSORY STR1TC1nTRFS - GARAGE, TYPE OF CONST. r C' /¢ - ,. &)" ( 4' TORAGE , TYPE CONST.— SWIMMING ONST.SWIMMING POOL GUEST, TYPE CONST. OTHER: V—ID.LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE M LOCATION DESCRIPTION I -AF--LSSEC. b e-IIVS7�W CSC =ffi REMARKS: INSPECTED BY DATE OF INSPECTION 2 TIME START END