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HomeMy WebLinkAboutZ-39465 OFFpt,l c Town of Southold 8/24/2017 aGy 53095 Main Rd CM CM Southold,New York 11971 to p� PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39465 Date: 8/23/2017 THIS CERTIFIES that the structure(s)located at: 15705 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-1-2 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- 39465 dated 8/23/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with walk-up stairs to a nonhabitable attic(storage only), wood frame accessory garage and wood frame accessory shed.* Note: Replaces Pre-Existing COZ-10641 dated 8/20/1981 BP 31004 replace existing porch COZ-30861• BP 41877 alterations to existing accessory garage COZ-39163• BP 41895 "as built"alterations to existing;dwelling COZ-39164. The certificate is issued to McHeffey, April (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0017 ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15705 Route 25,Mattituck SUFF.CO.TAX MAP NO.: 115.-1-2 SUBDIVISION: NAME OF OWNER(S): McHeffey,April OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: McHeffey,April DATE: 8/23/2017 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: brick CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: no GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: oil indirect AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: wood frame SWE14MING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/19/2017 TIME START: 10:50am END: 11:50am Form No.6 D Rc[E0 V TOWN OF SOUTHOLD D [E BUILDING DEPARTMENT TOWN HALL 765-1802 JUL 1 7 2017 APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPT. This application must be filled in by typewriter or ink and submitted to the Building DepartmenT®ith th®1-oNo i�ng. 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. l 1 3� New Construction: Old or Pre-existing Building: (check one) Location of Property: l --7o A-11U 12-Q ,I myc1t- House No. Street /� Hamlet Owner or Owners of Property: Mckvp�!f APArL, 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: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ �� I J A licant Signatu goo-& �IaY�i�vc4� f � �PDI►f� L� 0 TOWN OF SOUTROLD 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: � rPr�'O MZ la . I �.. b �1�w• vu��4! R&AVIVOA— t'T� tSbV✓lCC t qC So I Ck C 41 iTl 4 to h� 6/ftg,� frr. *v,rv�� fs DATE �l�I1B1� INSPECTOR pF SO�lyolo '� #s m V TOWN OF SOUTHOLD BUILDING DEPT. 765-18®2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL), REMARKS: O-K Pov CdO 4&4,&?, &rYW4 1,9 ar,dou,8 �ID� DATE I ll-- INSPECTOR 8/09-085628 U �510 MpNOR ' BOIV3669 SVIL�p�E Fl�E NO e0.04 p SUF o07, 50" t • � t s a °` u, 0 2 1 Rl c- - o i i { \ i g0° 5 Unauthorizedetter•ettonorttddlontotftfe,UmWbavtofa• tion of section 7209 of the NawYork State Education Law t^ Copies of this survey map not bearing the land surveyor's 4 0� inked seal or embossed sesf shall not beeonsidered to he a o'r Q i ata 0 valid copy, � 5 630 Guarantees or certifications indicated hereon shalt rur.,rely i to the person for whom the survey is prepared,and on lila I behalf to the title company,govemmontal agency and lun- l�10 ding institution listed hereon,and to the assignees et the { A i lending institution Guarantees or certifications are not transferable to additional institutions or subsequent owners i /000- //5-O/- 02 ; SURVEY FOR REFERENCE ELAINE ROSS Q tIACOUEL/NE PLEET AT MATT/TUCK Nrz I TOWN OF SOUTHOLD Y SUFFOLK COUNTY, N.Y �P�OViLM A.Kq9 Opp CH/CR GO EEUARANT70 /NSURANCE COMPANY �l SCALE: l 30 # LA/NE ROSS @ ✓ACOUEL/NE PLEET ir= JULY 30, /9 Bl o 1yeoIS2allb J�J LAN0 SURVEYOR L AND'5") XYS LIC MG 28721 rfYcR tE tJ N Y ,rpm_ t rte _ ! TOWN OF SOUTHOLD PROPERTY RECORD CARD -1 OWNER — STREET �'" VILLAGE _ DIST. SUB. LOT (l ACR. REMARKS Liao TYPE OF BLD. PROP. CLASS rep lacm 11Pa 59!to 0 LAND IMP. TOTAL DATE �7 �� ��L ���� 7�l_�G Lo N D 1) 31;100 a 0 00sq oa4 JV '500 a co Lo m LD N m to v FRONTAGE ON WATER TILLABLE m FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND m m BULKHEAD i-IOUSEILOT CV -- 1 `D TOTAL m TOWN OF SOUTHOL'D P OPERTY RECORD CARD N /✓ r r; •- :s� - J f w OW d -t> STREET 16-7L')5VILLAGE DIST. SUB. LOT RME QWNFR N E ACR. n, - /.J � , e f 4it? �oSS f ' A1C cvt,(,n4-Y I S W TYPE OF BUILDING LO d I SFAS. VL. FARM COMM. CB. m[CS. Mkt. Value• f n LAND IMP. TOTAL DATE REMARKS IPF Y-j Lo Lo . ©O ! c a ©� � ka lie ic) lal�rf�.� �6� firrn�s �Q 6rs ��'1a2. TT r� / / p p df 4 -i s V Q •4 L'� C.) / 3 Gf 0 '7` /�.p, L�• ff O 9 J �'+�f Q J'.S .el; u f o ;`J 7 3v sS 5 114 QGv-� "SS GSAfL%r� PO o - f-' S00 300 y�po o t 3 °v k fly— L araa 7��� c�C_Lo r Jr LD AGE BUILDING CONDITION10 LO OSS X37:7 - NEW NORMAL BELOW ABOVE c-y_ `O FARM Acre Vo[ue Per Value Acre ( Tillabie FRONTAGE ON WATER 00 coWoodland FRONTAGE ON ROAD atMeodow[and DEPTH Q D m House Piot BULKHEAD Total DOCK i ,�J i' .�. ...•.I,y IN k' 1. .', 'J,' t oil- tr ■��■■■i■■�■■r�■NINE■■0■■■1 NOON N NISEN ME■■■■i■ NOON ■ . . sY:.:<... ■■■N�i7i�O! ■■■■■■C INS l�NIN No77, NOON moi■■■� 1■■`7■NEON jf ■■ ■■■ ■S■■■ : : N■■EE��EI■ ■�..■■■■■■■NONE - - -- • - -' -- - - �: .}._-- -. NOON IMENEM ■ ■■r��■ME SMEN■ i■ ■■L 1■O�iiii�ll ■0PAP i ■■■ ■ - tea■■■■L■w����..�iiO■■N■ N■i MEN • ■■■O�aMEEMEa■E■■E■N■■■E■■NNE ■ idation OWN Floors ■ f •.. Recreation •., .. r ■ kTrr ■ _ LL LOCATION: (number & street) (municipality) SUBDIVISION: A no . . MAP. ' .: LOT(S): .- NAME OF OWNER(S)': M V OCCUPANCY: 51NRiIL elle (type) (owner-tenant) ADMITTED BY: _ACCOMPANIED BY: KEY AVAILABLE: SUPF. CO. TAX'MAP'NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: STORIES: _!(�#EXITS: FOUNDATION: �rl�L' 8AS9MENT: CRAWL SPACE- 9 OF BEDROOMS: IST FLR: 2ND FLA: . 3RD FLR. ____::)� BATHROOM(S): y TOILET R'OOM(S): TILITY ROOIVt: . _q PORCH.TYPE DECK, TYPE PATIO;TYPE: • BI2EEZC�E�WREPLACE: /'� Al2AGE: DOMESTIC HOTWATER� TYPE HEATER: -(L' AIRCONDITIONING: TYPE HEAT: AIR: _ , HOTWATER: 4lAv'o,,/ # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: - ACCESSORY STRUCTURES \ GARAGE; TYPE OF CONST.: _ STORAGE,TYPE CONST.:woh F7� SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM PtRR PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: ( DATE TV1 yU1n rte' OF INSPECTION: TIME START:, 0 : 0 A'� END: