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Home My WebLink AboutZ-38573 Q�gUFFu4 I Town of Southold 10/11/2016 3 y 53095 Main Rd � Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38573 Date: 10/11/2016 THIS CERTIFIES that the structure(s) located at: 965 Pike St, Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-25 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- 38573 dated 10/11/2016 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 one family dwelling with covered front porch and accessory wood frame garage_* Note:BP 41042 boiler/gas hot water heater COZ-38572. The certificate is issued to Kelleher,Faye (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. �rh ' ed Signature l BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 965 Pike St,Mattituck SUFF.CO.TAX MAP NO.: 140.-2-25 SUBDIVISION: NAME OF OWNER(S): Kelleher,Faye OCCUPANCY: ADMITTED BY: Linda Burger SOURCE OF REQUEST: Kelleher,Faye DATE: 10/11/2016 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: concrete block&brick CELLAR: 1/3 CRAWL SPACE: 2/3 BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: enclosed porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: street gas AIR CONDITIONING: no TYPE HEAT: Gas/cast iron WARM AIR: HOT WATER: radiators #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 9/16/2016 TIME START: 10:20am END: 11:15am f Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. 9 /oZ XL New Construction: Old or Pre-existing Building: (check one) Location of Property:9 e-r .fit niz S J A Ki, S% T, j G h // Y House No. Street Hamlet Owner or Owners of Property: rs /K/K L L r X 2F✓t Suffolk County Tax Map No 1000, Section v Block '� Lot �Zl!r Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: I—., Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A L plicant Sig 41 CONSENT TO INSPECTION EAa+e 0Kf—J[Cif (- the undersigned,do(es)hereby state: Owner(s Name(s) That the undersigned (is) (are)the owner(s)of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map.as District 1000, Section 140 , Block �- , Lot . A', That the undersigned(has)(have)filed, or cause to be f ed,an plication i the Southold Town uilding Inspector's Office for the following: (.-,r� nc Te a r� - e i s S 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 in subsequent prosecutions for violations of the laws,ordinances, rules or regulations of the Town of Southold. Dated: J-q/ 0 I-II) l L (S�'gna ure) ,Y,ao LA r r Execu+or (Print Name) (Signature) (Print Name) N J TOWN OF SOUTHOLD PROPERTY RECORD CARD w r Q vi LI AGE DIST. SU B. LOT a OWNER STREET o_ FORM R OWNER E e � � &Jws t� TYPE OF BUILDING � St U, RES. /O SEAS. VL. FARM comm. CrB, MICS. kt.-Value o RES- - LAND IMP. TOTAL DATE R 5 i� �I 2 o ty 3 ao y�� r l -DL F- ✓ O y co ti LO 0 mBUILDING CONDITION q ::: AGE LnL ~ ABOVE NORMAL BELOW m NEW — `O —FARM Acre Value Per Value Acre IT Tillable •FRONTAGE ON WATER N _ FRONTAGE ON ROAD 00 Woodland @ — — DEPTH cN m ,Meadowland (30 !-louse Plot � BI�LKHEAD @ Total 1 DOCK LN V1 ■�■■■■■■■■■■■■■it■■■■■■■i■ Er_ :: �, } �■■■ilii■■■■■■■■■■■■■■■�■■ ■■ - ' f. ,- �` ■■■INN ■■■■■ ` ■■ii■�■■�liii ��ii■■■■■e■■■■■ ' . MEN SNEER■■■■iii■■■■i■■■■■■■■ ■■■■■■■■■■■■■MISS■■■iii■i . Roorns 2n.d Floor .. L ' ` '> . � - __ . . . ■n��!■■�af!la�a■�a■!■■moi■ - . , . ■■■■■!■!■■iii■i!■!!moi■ ■■ �fi�■i■i!!i!i!a■■■!■■■■■ii�!■ __fin - • ��aila■■!■!�l- �!!■!ia■■■■�■■■fi . . _. i��l��■■ilE�!■■��:7li■■!N■iii ■� «lr�� ln■��■Ni�sa�i � ■��i!■■ice ■!a■IM, ■■■■■■■!!i!■ ' �!! ■!!l��;i�li!!�!■ilii!!■■!!�! !� !■■■ �■■!E �1■aNiil�a■■■■ mill 11 1 Interior Finfsh Ist Floor ■!a!la��i�ii�.ii�■!,liN'�■NiN ia■i■�liiN! �!■��aiiNa■i■i■■■■■ltai■!�a ■■�■lai!■!■ia■!i■.■i■!f■�aii■ s • ' . Rooms ♦ Y LOT AREA = 11,066 SQ; FT. NOW OR FORMERLY CORNELIUS' WHALEN FD 82.00' MON o.5'S N 842430E FD 35'E 12.2'N gar 1.9'NI PIPE X FC'_ 1.9'N11.9 ~gar FC 0.1'W 1.0S a 0.8'S FD 0.5'E gar a? gar N MON Z 3.4'Em (!) O O z 16.4' FC--- ZE apron 0.4'E O O a0 P CL 00 O --� X* I ? I d O O O Q + N Fri m m walk slab �„ F patio r 11.7' 1 sty D > DFQ Ce 2 STY o m Z 0.2 E� 277' FR 6 4'� D Lu 6.2' DWELL —17.3' D —I I w Q 30.4' Iencl porch o FC 29.6' U 0.2'W I O r Z CD I I N ^' U • � N I V � V N I, 85.04' FCS FD FD 0,3'N PIPE 0S 4,26'00"W 82.00' MON .5'W PIKE STREET THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM,THE STRUCTURES TO THE PROPERTY LINES ARZ FOR A SPECIFIC PURPOSE ANO USE ANt)'THEREFORE ARE NOT ,JOB No. 16-205 FILE No 986 F INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLAN`RNG AREAS, ADDITION TO BUILDINGS OR ANY OTHER CONSTRUCTION. SURVEYED FOR ESTATE OF FAYE KELLEHER UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. GUARANTEES INDICATED HEREON SHAH RUN ONLY TO THE PERSON FOR WHOM THE SURVEY ISS PREPARED, ?.ND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL SITUATED AT MATTITUCK AGENCY AND LENDING INSTITUTION,USTED=HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION'GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. OR SUBSEQUENT OWNERS. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKS) SEAL OR SCALE 1" = 30' DATE 8-21-2016 EMBOSSED SEAL SHALL Nor BE CONSIDERED TO BE A VALID TRUE COPY FILED MAP No. DATE CERTIFIED ONLY TO: _ TAX MAP No. (REF ONLY) 1000-140-2-25 DISK 2016 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 �� 1866 WADING RIVER—MANOR RD. WADING RIVER, NEW YORK, 11792 )7_,;,., o. 048992 631-929-4695 HAROLD F. TRANCHOV•: ,d J. PE[ PI ,_.C. No.'2115—E SOUr�o Q o � E) G C 04ur 1t Cout TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: /nSV�lgiow 11�. � C��_ IA�v� A-C2 r . S o� DATE 14 1 I INSPECTOR I LOCATION: IK, (number &,street) municipality) SUBDIVISION: MAP NO.: LOT(S): ,S< NAME OF OWNER(S): °-srWr� ®!'FAeg, 14,&ft n-.x OCCUPANCY: t l fv V--A m w Ps t� (type) (owner-tenant). ADMITTED BY.: A6 4- r ACCOMPANIED BY: (S ) KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- 10 --- 2- 2-5'- SOURCE OF REQUEST: i 11 VA 'a Vra- _ DATE:Av c 01 a I DWELLING TYPE OF CONSTRUCTION: G . `� WIQ/ # STORIES: #EXITS: y FOUNDATION: i �ncr 'e .(v c .LBNAIASEMENT: l3 _'CRAWL SPACE: 3 # OF BEDROOMS: 1ST FLR: --f 2ND FLR�.. 3RD IrLR: � _ I BATHR V(S): TOILET ROOMS UTILITY ROOM PORCH.TYPE..,& DECK, TYPE: ATIO;TYPE: BREEZEWAY:7--�� FIREPLAC GARAGE: DOMESTIC HOTWATER: ?iS TYPE HEATER: .G� AIRCONDITIONING: A�D TYPE HEAT: Cf�ifb w WARM AIR: HOTWATER: i "may$ - �p# OF KITCHENS: FINISHED BASEMENT:- YES NO ✓ OTHER: ACCESSORY STRUCTURES f GARAGE, TYPE OF CONST.:Wot Fr4M.e,,,' STORAGE, TYPE CONST.: SWIMMING POOL:`_ . GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIONART. SEC. p m t s v . t--/ Cry tu- rus-11 be, 'v or v r. A� `G mow► r—g—mirva Go M -e 9 lilt I I4:�nivlrvac�'ak Km b r OIG %1 (!, s REMARKS: Dimoi r f INSPECTED BY: DATE OF INSPECTION: TIME START:,(C'. 1-0 p wl END: