HomeMy WebLinkAboutZ-28283FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28283
Date: 03/15/02
THIS CERTIFIES that the building DWELLING
Location of Property 11255 MAIN RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 142 Block 0002 Lot 020
Subdivision
Filed Map No. 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- 28283 dated MARCH 15, 2002
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 COVERED FRONT PORCH AND ACCESSORY TWO CAR
GARAGE.*
The certificate is issued to MARGARET P MCCABE
(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.
At?thorizef Signature
Rev. 1/81
BUILDING DEPARTMENT
M 1Ci0lemH7RYo1(YY:(elf IU
HOUSING CODE INSPECTION
LOCATION: 11255 MAIN RD MATTITUCK
SUBDIVISION: NAP NO_: LOT (S)
NAME OF OWNER (S): MARGARET P MCCABE
OCCUPANCY: SINGLE FAMILY MARGARET P MCCABE
ADMITTED BY: ANNE LAWSON ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO_: 142.-2-20
SOURCE OF REQUEST: GARY FLANNER OLSEN DATE: 03/15/02
TYPE OF CONSTRUCTION. WOOD FRAME # STORIES: 2.0 # EXITS: 2
FOUNDATION: CONCRETE CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR_: 3 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: FRONT COVERED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: KEYSPAN GAS AIRCONDITIONING:
TYPE HEAT: YES WARM AIR: HOTWATER: X
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: TWO CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP#28172 GAS HEAT COZ28281
INSPECTED BY:
GARY J FISH
DATE ON INSPECTION: 03/05/02
TIME START: 9:45AM END: 10:15AM
TOWN HALL
765-L802
APPLICATION FOR CERTIFICATE OF OCCUPAa v
A. This application must be filled in by typewriter OR ink and s�111 tji
inspector with the following: for new building or new use: y.�
1. Final survey of property with accurate location of al 1 I ui Id�il-„ piF,�`)�artti1 iris
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sew i :I -? toim)
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used i.n system contain::
less than 2/10 of 12 lead.
5. Commercial building, industrial building, multiple residences and si.milai h,iil,ii
and installations, a certificate of Code Compliance from architect or en£;incr
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conformirn£; use,;, or huildinfl•
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, buildin£',;1od
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the opplicni
If a Certificate of Occupancy is denied, the Building Inspector shall <;tnr thf.
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $21,00,
Alterations to dwelling $25.00, Swimming pool. $25.00, Accessory bnildiul;
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Bui.ldi_ne - $100.00
3. Copy of Certificate of Occupancy - .25r
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Counnercial $15.tx)
D a t e ..90IN 4KY.26.9. 7007 .................. .
New Construction........... Old Or Pre-existing Building..% ..............
Location of Property... 1.1255.3Wji.}ioad,,Mattituck..... ,
House No. Street Hamlet
Onwer or Owners of Property....YSX"P.Pf.kf�pLrg4LTet.P,,Mgg4bq by Cathleen P,.,HohneF,,�@CUtr11
County Tax Map No 1000, Section..lk2......... Block...2............ Lot 70 .............
Subdivision....................................Filed Map ............ Lot .................
Permit No................Date Of Permit ................ Applicant ........................
Health Dept. Approval..........................Underwriters Approval ...... ..............
Planning Board Approval ........................
Request for: Temporary Certificate........... Final Certi.cate..._......_
Fee Submitted: $,.100.00 .
............... .
C C lap GARY PLANNER OLSEN APPLICANT
Main Rd, PO Box 706
Cutchogue, NY 11935
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET � �
VILLAGE
DIST.I
--- -
SUB. LOT
FOR R OWNER
N,
�j ,
ACR.
I/, / r 1 j �j�/
/ Vl �.... 1�1 ls' 0 /Cf'SU4i+f^.C.
'('�O i'_
W
�.,�p. �r't / 0 1 /1.
TYPE OF /BUILDIN�
I'\ i✓ f Q V / Y 1 Pyr �.
RES. a /U
SEAS.
VL.
FARM
COMM. C1(/ MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
3.3c
� /c,y-d 4o046..v— a4�6X11 70J
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
7i ;7
Meadowland
DEPTH
House Plot
BULKHEAD
Total
,�..�+
DOCK
�.
e ... _..
Y• Yt
r 1
s ri-"JI_ '�� �� ', 1.
. �. _ �� p,
�i
,_
� � � .,
' �
t -
O
rZ
AREA = 12,960 sq. ft.
CERTIF/ED TO#
JACK SAVARESE
COUNTRYWIDE HOME LOAN INC.
If's successors and / or assigns
PECONIC ABSTRACT INC.
ANY ALTERATION OR ADDITION TO THS SLRVEY IS A VIOLATION
QF SECTDN 7209 OF THE NEW YORK STATE MICA TION LAM.
E AFrT ASPER SECTION 7209 - SUBDIVISION 2. ALL CER TMA TIONS
MAPNOR CO PIES BEAR SS A FOR TNS AW AAV COPIES � Ott
`
WHOSE SANATURE APPEARS H]aEOM
�p pMALLY TO COMPLY WITH SAD LAM TERM 'ALTERED SY '
a AAJSHE USED BY ANY AH) ALL SURVEYORS UTLRM A COPY
ANOTMM StNVEYOR'S MAP, TEAMS SUCH ' NSPECTEO ' AND
EROI/GHT TO - OATE 'ARE NOT N COFpLIANCE NTTN THE LAW.
SURVEY OF PROPERTY
AT MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
VW — 142 — 02 — 20
SCALE 1" = 30'
FEB. 22, 2002
s
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5. 1 IC. A). Ltlyrt
ECONIC S I VF_YURSO P.C. F,
f631) 76r, -$ q20 FAQ (LS. l 6> t, ,
P. O. POh
1230 TRA
SOLIMOLD,
0? 1^7
CONSENT
TO ,{k
INSPECTION �— --- - --- -�
Gary Flanner Olsen, as attorney for the Estate of the undersigned,
Owncr(s) Name(s) Margaret V. McCaSe
do(es) hereby state:
That the undersigned (is) (are) the owner(q) of the premises in the Town
of Southold located at 11255 Main Road, Mattituck, RY
,which is shown and designated on the Suffolk
County tax map as District 1000, Section 142 Block 2 Lot 20
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in'the Southold Town Building lnspec:L., or.ri�- E-- +4.n fnllowina:
Two story frame house with covered wood porch and detached garage
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: February 26, 2002 f '�
(signature)
Gary Flanner Olsen
(print name)
(signature)
(print name)
LOCATION:
SUBDIVISION:
t
(number & street)
NAME OF OWNER(S):
OCCUPANCY:
(type)
M
MAP NO.:
(municipality)
LOT($):
(owner -tenant)
ADMITTED BY:ACCOMPANIED BY:
]KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST:
DATE:
DWELLING:
TYPE OF CONSTRU TION: # STORIXS: # EXITS:
FOUNDATION: CELLAR: r1h4 .4 CRAWL SPAC
TOTAL ROOMS: 1ST FLR: _ 2ND FLR: 3RD FLR:
BATHROOM(S): d'vLe— TOILET ROOM(S): _ UTILITY. ROOM:
PORCH TYPE: �Cti9-y��f,�iS DECK, TYPE: PATIO, TYPE:
BREEZEWAY: y FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER:&-� AIRCONDITIONING:
TYPE HEAT: 45w,6W Gg5 WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: c�- Gil b TORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
• •
MIS MEMO
004
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 3 /_C /
TIME START: ` T END: d=