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HomeMy WebLinkAboutZ-38859 2' Town of Southold 3/16/2017 53095 Main Rd co =` Southold,New York 11971 ��� PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38859 Date: 3/16/2017 THIS CERTIFIES that the structure(s)located at: 3850 Camp Mineola Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-5-18 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- 38859 dated 3/16/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling with concrete and Bluestone patio and accessory wood frame garage_* Note: BP 29462 alterations/additions, including front and rear covered porches COZ-38859 The certificate is issued to Wamback,Norman (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Vtorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3850 Camp Mineola Rd,Mattituck SUFF.CO.TAX MAP NO.: 123.-5-18 SUBDIVISION: NAME OF OWNER(S): Wamback,Norman OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Wamback,Norman DATE: 3/16/2017 DWELLING: #STORIES: 1.5 #EXITS: 5 FOUNDATION: poured concrete/block CELLAR: partial CRAWL SPACE: partial BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: concrete/bluestone BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: indirect AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: cast iron radiators #BEDROOMS: 4 #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: Violation: 8 x 10 accessory shed does not require a Building Permit or a Certificate of Occupancy but needs a minimum setback of 5' from the lot line in the rear yard. REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/21/2016 TIME START: 9:20am END: 10:25am Form No.6 �J r TOWN OF SOUTHOLD I 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 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. 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 $15.00 Date. 1202/& New Construction:! Old or Pre-existing Building: (check one) Location of Property: M,0 MIA 'k House No. Stre t Hamlet Owner or Owners of Property: Norman wambez_(14 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: IE FIVE > >cate Final Certificate: (check one) R9. e Submitted:$ — DEC - 9 2016 Applicant Signature BUILDING DEPT. UUU 111 TOWN OF SOUTTHOLD CONSENT TO INSPECTION the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (is) (are)the owner(s) of the premises in the Towno Southold, located at --Soca � i a YbI��1 Gc- Ak�� which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block S , Lot ) �( That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Build' g Inspector's Office for the following: Vne C/0 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: &W4040,4cz AJb j2(Signature)jj� o�/� W (Prinntl N`a'me) (Signature) (Print Name) 24 o Town Hall Annex �• Telephone(631)763-1802 54375 Main Road cn -(631)765-g5Q$ P.O.Box 1179 Go Q roger.richert fffow 1.soutFl0[[fl.ny us Southold,NY 1197I-0959 BUILDING DEPARTMENT ` TOWN OF SOUTHOLD ' 1 APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY: Date: t Company Name: . Name: i License No.: Address: Phone No.: JOBSITE INFORMATION (*indicates required information) ll *Name: K I *Address: *Cross Street: �►�u�� ���.� - - *Phone No.. 31- 9-4 -9W4 1E Permit No.: IP— G �+ Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: YES! NO Rough In Final *Do you need a Temp Certificate: YES! N(3 Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION c - � ,a .82-Request for Inspection Form a o o - a 3 _ . -- i TOWN OF SOUTHOLD PROPERTY RECORD CARD . ,��-- OWNER STREET ? VILLAGE DIST. SUB. LOT FORMER OWNER N 2 � E ACR.X /9, 73 lar R oveam C, p/ S I ' W TYPE'OFF UILDING /2 ,y r g^ ® SEAS. VL. FARM COMM. CB. MISC. .Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION IvQ r2, D NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 ;, of y Tillable 2 ' f Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH - `� i.. ®.. BULKHEAD Total DOCK �t tC•^a•3.'1j a,.,* Gi„"*,►. y-7J' •-G �.n.' ltx� � w� ■■■■■■■■■■��_ '_.I�■■■■■ 83 svi Q�^W 1 1`a.° �w A/✓an��'c�'�}��Mi . �Y� ,�+ �7 • r_ �i ' `u-"'�:. ■■■■■■■ `- !!` 1. :fit ate•-+rl•'`"Cqi1 17114 a'�'Fi . K7'n ` aa, r. 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SEDGE l.°,E 2 STORY FRAME NEW ROOM AREA= 158 S.F. '+. DWELLING EXISTING,CONSTRUCTION N 'A NEW COVERED PORCH -•-•- N N NEW LIVING ROOM EXTENSION �► REMOVE EXISTING STAIRS '? ,2' N NEW STAIRS QGE 1 A'W It 5` D NOW Chit FORMIi4ktY OF 009 eliARLES F. CAIN & MARY E. CAIN (~ -1 SURVEY ZO 1?4/29/2003 12:11 2126450380 DAVID BERS ARCHITECT PAGE 03 W 0 r Mme- 0,6,E .� o FRAME GaR GE Aa2•WE m AVE O N S 040491.00" o rn i 7- ;a 4.o E -1 r O LAND NOW OR FORMERLY F EDNA 13EIRNE d & MICHAEL E. PEIRNE "T1 2 STORY wur- Ew� . � • EN0.6'E ,t 5655 vj aN' c�a ♦ `N o� Ln do WAfMBACK RE DENCE "° °"'� "'��`"a` seas w.�.d•�., � � � mamiadq NY 11066 nr� srreo� . MC&M NOT TO 80AlE DAM Os 30.UZ URE �+rs.��erna ! •o n9ie Ml iflyl9.@ W1EOMofA�a[L `6�D C" din- I� C TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: (Dint 0004' 01✓ I-K 'moi 9jA'SGX46y-1 ?ftM;� Ay 'Ate )to Shy iRoo lot".e� DATE Yt INSPECTOR C min OE SOU TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: eASA a' '0A AY_ 0 -- DATE !o INSPECTOR . 4 •f f LOCATION: CAMP M I I ,44- � ___ ���✓./E-- (number & street) (municipality) SUBDIVISION: - MAP NO.: LOT(S): �7 NAME OF OWNER(S)': Oi(,rAoy%/ IrWI OCCUPANCY: It w (type) (owner-tenant). ADMITTED BY: i ACCOMPANIED BY: KEY AVAILABLE: _ SUFF. CO. TAX MAP'NO. I000-12,3 S / SOURCE OF REQUEST: tjorwiWev, 6ffk'fy DATE: I y11z -y 1. So. ,i DWELLING \ TYPE OF CONSTRUCTION: W�o(� � #STORIES: ` lip #EXITS: FOUNDATI Qev C.M-*&+7 6[949�ASEMENT: CRAWL SPACE: raA%J�� # OF BEDROOMS: IST FLR 2 PLR:' 3 _. 3RD F+LR: BATHROOMS'-__ TOILET ROOM(S): UTILITY ROOM: I'ORCH.TYPE: DECK, TYPE: PATIO;TYPK: Cyr%C_f4_2 + BREEZEWAY: Iv.0.. FIREPLACE: ?J5 ' GARAGE: . DOMESTIC HOTWATER TYPE HEATER: III %4&C AIRCON ITIONING: 0 TYPE HEAT: 01V WARM AIR: HOTWATER: # OF KITCHENS: 0Iff.Q/ I"'� FINISHED BASEMENT: YES NO OTHER: f • I ACCESSORY STRUCTURES GARAGE TYPE OF CONST.: STbRAGE,TYPE CONST.. SWIMMING POOL: © �► 4vto Ar ; GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. MAYI&VIIAT002 lvo Yow U v0s E)_ M mviL-e-' o r ' o ' l D d ino c WA CO o 0 < REMARKS: 7: 7cj� t�1 �'c ` ��,5 _AI� � INSPECTED BY: i DATE OF INSPECTION: C, yl 01 q-� TIME START: l END: ,(0'-);4-M