HomeMy WebLinkAboutZ-28121FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 28121
I~ate: 12/17/01
THIS cKKTIFIES that the building DWELLING
Location of Property 1450 HORTON LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 063 Block 0001 Lot 012.001
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
~uPAN~ ~]~BER Z- 28121 dated DECEMBER 17, 2001
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.* (CORRECTED 8/31/10 FOR LOT NUMBER CHANGE ONLY)
The certificate is issued to THOMAS & SUSAN MCCARTHY
(OWNER)
of the aforesaid building.
N/A
N/A
N/A
Aut~rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTNOLD
HOUSING CODE INSPECTION REPORT
1450 HORTON LA SOUTHOLD
MAP NO.: LOT (S)
THOMAS & SUSAN MCCARTHY
F~EY A%~I~: ~'~FF. CO. TAX--NO.: 63.-1-12 (T,~)~- nllmh~r 4m nOW 12.1
SOURCE OF P. EQ~ST: THOMAS & SUSAN MCCARTHY 9/19/01 DAT~: 12/17/01
8/31/10)
ACCESSORY STRUCTURES:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P,/~: BP #10684Z-COZ10262 (ACCY 3 CAR GARAGE WITN NON-HABITABLE 2ND FLOOR
/M. BOUFIS ~ TI~E ST;~T: 9:20 RM ~D: 10:00 AM
' BUILDING DEPARTMENT ·
TOWNBALL tll III ,,,,. III I
' ' ' APPLICATION FOR CERTIFICATE OF OCCUPANCY/'.'~r~010
This appliealion must bo filled m by typewriter or ink and submitted to the BuildinE Department with th~
A, For new building or now uae:
' 1. Final. surv~ 9fpropct~y with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
.2. Final Approval t~m Health Dept. Of water supply and s~wera§e-disposal (S-9 form).
- 3. Approval of6lc~rical instaRafionTrom Board o£Fire Unde~ters.
: 4. Sworn statement fromplumber o~ffifying that the ~older used in system contains l~s than ~t0 of 1% lea&.
'5. Commeroial building, industrial build~ng, multiple residences and ~imil~ buildings and installations, a
of Code Compliance I~om architc~t. 0r engineer responsible for the building.
6. 'Submit planMn§ Board Approval or'completed site plan requirements.
B..For existingbuflding~.(prior to April 9, 1957) non-conforming uses,~ or buildings and ."pre-existing" land uses:
1. Aecuratc survey of property, showing all property lin~s struts, building arid unusual natural or topographic
2. A properly completed appli0atinn and cousent to inSpect signed by the applicant. If a Certificate of Occupancy is
den~ed, the Building Inspector shall state the re,sous therc£o~- in Writing to the applicant'
C. Fees
1. Cer(i~ate ~f ~upaney - ~qew dwe~ing $25.~ Additinns t~ dwe~ing $25.~ A~terati~ns t~ dw~ling $23.~'
Swimming pool $25..00, A. cceSsory building $25.00, Additions to aecessory building ~25.00, Businesses $50.00.
2. Certifie~ate of Ooeupaneyon.Pre~xisting Building - $t00.60
3. ' Copy of Certificate ofOeeupancy - $.25
4. Updated Certificate ofOecupancy - $50.00
5. TempoFa~,-y Certificate ofOcoupancy - Residential $15.00, Commercial $15.00
New Cofistractien: ' ' ' 'Old or Pre-existing Building:
·
Ho~e No. ' S~t
Date.
One)
Hamlet
Permit No. · -.
Health Dept. Approval:
Pi,..t.g Boara Approval:
Request for:
Fee Submitted: $
' :Dato'0fPermiL
Temporary Certificate
oo
Filed Map. , '
Underwriters Approval:,
Final Certificate:
' ~kone)
- ~icant Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28121
Date: 12/17/01
T~IS ~TIFIES that the building DWELLING
Location of Property 1450 HORTON LA SOUTHOLD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 063 Block 0001
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- 28121 dated DECEMBER 17, 2001
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*
(HAMLET)
~ot 012
The certificate is issued to THOMAS & SUSAN MCCARTHY
(OWNER)
of the aforesaid building.
SU~FFOLK COUITl~f DEPARTMENT OF ~T~{ APPROVAL
ELEt-£RICAL CERTIFICA~ NO.
PLUMBERS CERTIFICATION D~r~J3
N/A
N/A
N/A
*PLEASE SEE ATTACHED INSPECTI
Aut ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I~-ATION: 1450 HORTON LA
SUBDIVISION:
NAME OF OWNER (S): THOMAS & SUSAN MCCARTHY
OCC~3PANCY: SINGLE FAMILY
ADMI'I'r~ BY: RUTH LOVE
SOUTHOLD
MAP NO.: LOT (S)
THOMAS & SUSAN MCCARTHY
ACCO~PANI~) BY: SAME
~ A~.II~%BLE: &N3FF. CO. T~ ~ NO.: 63.-1-12
SOURCE OF P~EQUEST: THOMAS & SUSAN MCCARTHY 9/19/01 DATE: 12/17/01
DWELLING:
TYPE OF CONS~%~UCTION: WOOD FFJ~ME # STORIES: 1.5 # EXITS: 2
FODNDATION: BRICK C~J~%R: PART CRAWL SPACE:
· ~)TAL ROOMS: 1ST FI~.: 4 2ND F~.: 1 3RD FI.R.: 0
BA~OO~ (S): 1.0 TOII~T ROOM (S): 0.0 UTILIT"f RO(O (S):
PORCH TYPE: DECK ~YPE: PATIO ~"fPE: CONCRETE
BP. EEZEWAY: FIREPI~CE: NO ~GE:
DOMESTIC HOTW~r~: XX TYPE HEA'rF~: GAS AI~CONDITIONING: YES
TYPE HEAT: GAS WARM AIR: HOTWA'£~K:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P.]~KS: BP #10684Z-COZ10262 (ACCY 3 CAR GARAGE WITH NON-HABITABLE 2ND FLOOR
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-1823
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 18, 2001
Thomas & Susan McCarthy
46520 Route 48
Southold, N.Y. 11971
Re: Premises @ 1450 Horton La. Southold, N.Y.
Suff. Co. Tax Map #1000-63-1-12
Dear Mr. & Mrs. McCarthy:
As you are aware, the use of the accessory three car garage
is in violation of the Certificate of Occupancy.
The second story dormer addition can only be used for
storage. The sleeping quarters must removed.
If you have any further questions, do not hesitate to
contact me.
JMB:gar
Respectfully,
S~OLD TOWN BUILDING DEPT
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
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.
Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
Approval of electrical installation from Board of Fire Underwriters.
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.
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.
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 $25100, Additions to'dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses~$~.~.~
.Certificate of Occupancy on Pre-existing Building 45100.00
Copy of Certificate of Occupancy - $5.00 over 5 yea~.00
4.' Updated Certificate of Occupancy - $50.00
5. Temporar.y Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ................................. . ....
New Construction ........... Old Or Pre-existing Building..
Location of Property..L.~..~.. ........ ..Z~...~..M~../b~ .... .~--~/~.,.''':" .......... ~--~Lg7~v~P~ .
House No. Street Hamlet
Onwer or Owners of Property ...............................................
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 Certicate ...........
Fee Submitted: $ /O~. ~
............................ . ..
~'~. ~0~ APPLICANT
~DATION
(lst)
FOUNDATION
2.
ROUGH FRAMEa
PLUMBING
(2nd)
INSULATION PER N.Y.
STATE ENERGY
COpE
FINAL
ADDITIONAL COMMENTS'
TOWN
OF $OUTHOLD PROPERTY RECORD
CARD
SEAS.
,LAND
TOTAL
VL.
IMP. ,
AGE
NEW NORMAL
FARM Acre
Tillable
Woodland
MeadOwlond
House
,o,o,-
STREET
S
FARM
DATE
/
BUILDING CONDITION
VILLAGE
SUB. LOT
TYPE OF BUILDING
'DEPTH
BULKHEAD
DOCK
BELOW ABOVE
Value' per Value
Acre
.3? ~ ~ ~ d) FRONTAGE ON WATER
FRONTAGE ON ROAD
REMARKS
M. Bldg.
Exl~nsion
Extension
Extension
Parch
Porch
Breezeway
Garage - ,
O. B.
Total-
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room~
Dormer
Both
Floors
3~ inter!°~ Fihish~
Heat
'Rooms 1st Flor
Rooms 2nd Floor
Driveway
Dinette
DR.
· BR.
FIN~ B
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPE~
Map of Described Property
Situated at Southold
Town of Southold, Suffolk County, New York
District 1000 Section 63 Block 1 Lot 12
Certified To:
Thomas and Susan McCarthy
Fidelity. National Title Insurance Company
Bridgehampton National Bank (ATIMA)
ANTHONY ABRUZZO R.L.S
REGISTERED LAND SURVEYOR
1700 Hortons Lane
Southold, New York 11971
(516) 765-6242
SURVEYED: June 6, 2001
POOL LOCATION: September 18, 2001
-Scale: 1" --~T~0' '~'0. 2527
CONSE,';T
TO
INSPECTION
IDx~mcr (S) Namci:D
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premise:; in thc Term
of Southold located at /~'~3-~.) /'/~,~/--~/J-X ~v/ 'C~ 7~£/2
which is :~hox'.'n and dcsirmated on the Suffolk
County tax map as District 100n. Section ~ c~ , Block / , Lot
That the undersigned (has) (have) filed, or caused to be filed, an applies-
tion in the Southcld To~'n Building Inspector's Office for the followina: __
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southoldto 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 oCthe laws; ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understandin.g 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 thc Town of Southold.
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