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Home My WebLink AboutZ-26908FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26908 Date: 02/03/00 THIS CERTIFIES that the building DWELLING AND ACCY. GARAGE Location of Property 3625 PINE NECK RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 070 Block 0006 Subdivision Filed Map No. Lot No. SOUTHOLD (HAMLET) Lot 022 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26908 dated FEBRUARY 3, 2000 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 FRONT OPEN PORCH AND REAR ENCLOSED PORCH AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to FRANKLIN T MOUNTAIN & WF. (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. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 3625 PINE NECK RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ERANKTTN T MOUNTAIN & WF. OCCUPANCY: SINGLE FAMILY FRANKLIN T MOUNTAIN & WF. ADMITTED BY: FRANK MOUNTAIN ACCOMPANIED BY: SAME KEY AVAILABLE: SOURCE OF REQUEST: SUFF. CO. TAX MAP NO.: DATE: 02/03/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: -2, FOUNDATION: CONCRETE BLOCK _ CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: �. 2ND FLR.: 3 3RD FLR.: - BATHROOM(S): 2.0 TOILET ROOM(S): 0.5 UTILITY ROOM(S): PORCH TYPE: REAR ENCLOSED AND " DECK TYPE: BREEZEWAY: FIREPLACE: GARAGE: PATIO TYPE: DOMESTIC HOTWATER: X TYPE HEATER: OIL AIRCONDITIONING: YES TYPE HEAT: OIL WARM AIR: X HOTWATER: OTHER: GARAGE, TYPE OF CONST.: TWO CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY:or/ DATE ON INSPECTION: 02/03/00 M. BOUFIS it TIME START: 10:10 AM END: 10:40 AM Form No. 6 TOWN OF SOUTHOLD r' BUILDING DEPARTMENT TOWN HALL X443 765-1802 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 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 c6mpleted 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy : Residential $15.00, Commercial $15.00 Date......................................... New Construction........... Old Or Pre-existing Building... X............ Location of Property.. 3635.Pineneck Road,. Southold,_ NY ..1.1.9.7.1 .... .... ....... .... .............. ....... ... House No. Street Hamlet Onwer or Owners of Property..., Franklin Mountain and Harriet Mountain. .... ..... .. ... ... ....... . . . County Tax Map No 1000, Section.. 070.00. ,,Block. 06.00...., ,,,Lot..,022:000 ......... 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 Submitt d• $100.00 ....................... 710 -0- C409 0 9t C, bj q 15 t^ ^!l F�kou ain li...... APPLICANT CONSENT TO INSPECTION FRanklin Mountain and Harriet Mountain the undersigned, Owner(s) Names) j do(es) hereby state: � That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 3625 Pineneck Road, Southold, NY 11971 which is shown and designated on the Suffolk County tax map as District 1000, Section 70 Block 6 Lot 22 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: Pre—existing C.O. for a private one family dwelling with detached QaraQe. 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, irules 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: ex -z, (signature) Fianklih Mountain Franklin Mountain _ print name (signature) (print name) N m i a 7) a z H w `1 W H Lr) m m CD N .-I N m All'"4 k k IN 8 woJF KO t059 Al wolF PATXW� AW e i SURVEY OF PROPERTY ,.LOW -0 E OEC _ _ — — '1 AT SOUTHOLD _ _ �•,-, a . ��f TOWN OF SOUTHOLD ��ti c , . • �. �- ; ,, ..r. 20' ROW SUFFOLK COUNTY, NEW YOM _ 1 ' `� soon -70-06-22 • , ,_ -t,,rt e1 FFW- SCAM: V-30' JAW 10. 2000 AREA - 3ZOW sq. R Co b O e' �1'• i 11 0 � I it I � u. 111 i 1 I 1 {l• 1 174.59 01 1 Sol. w ROAD PINE NECK Zi : r a. ." ALAN L. BAN LMA 3t -LEA BAN HSBC AWTBASE CORP. LSA CCVAAV VEAL M LAAO nme NSL4VAACr COWANY /14� N. Y.$. LIC. NO. 49618 ANY ALrERAYI014 OR ADDITION 10 Tt*S SURVCY IS A WLAVON PCCONIC 1$ MORS, P.C. Or SCCTKIN 7209 Or Tot M• YORIN STATE EDUCATION LAW 6Jf 765 — 5070 FAX (SNI 763 -1 797 COUP? AS PER STCripDI v 7709-SUINS/ON 7 ALL MRT1f1CATICNS NCREON ARE VALO rOR TPOS MAC AND COPCS TMCRCOr ONLY K P. O. BOX 909 SAID YAP O► COPICS WAR W AIPRCSSCD SCA. Or 7NC SR4YDR 1230 TRAV[LfR STRCCT WVW SIQNATIARE APPEARS XrWON-- - SOUTHOLD, N Y. 11971 99--S, I BUILDING DEPARIMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: .� number & street . municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER ( s ) ,� � ��Q e t A ff .. OCCUPANCY �' �� type / 4�'00-011owner-tenant ADMITTED BY: Mk /i0ACCOMPANIED BY:% - KEY AVAILABLE ve SUFE. CO. TAX MAP NO 4 dA*V ^ 7,0 SOURCE OF REQUEST: DAIS: - --- DWELLING: n j/'' TYPE OF CONSTRUCTION STORIES 8 EXITS FOUNDATION I CELLAR /�'r CRAWL SPACE TOTAL ROOMS: 1STFI.R. 2ND FLR. 3RD FLR. BATHROOM (s) p< TOILET ROOM (s) may/ UTILITY ROOM PORCH TYP &A DECK, TYPE PATIO, TYPE ZFIREPLACE _ GARAGE �---- DOMESTIC HOTWATER `/ TYPE HEATER / AIRCONDITIONING es TYPE HEAT d / WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: j GARAGE, TYPE OF CONST. p? �/ g� STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------------------------------------------ ------- --------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. ffg_Y INSPECTED DATE ON INSPECTION TIME START /DND r jr,