The URL can be used to link to this page

Home My WebLink AboutZ-39330 S*Wktc Town of Southold 11/10/2017 019 °In 53095 Main Rd y Southold,New York 11971 o4,� PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39330 Date: 11/9/2017 THIS CERTIFIES that the structure(s)located at: 3825 Camp Mineola Rd., Mattituck SCTM#: 473889 See/Block/Lot: 123.-5-32 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- 39330 dated 11/9/2017 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 and accessory wood framegarage.* Note:BP 18655 foundation addition and alterations COZ-19363;BP 30400 additions and alterations COZ-31259 The certificate is issued to Brockbank, James (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Lk� Mthd Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3825 Camp Mineola Rd.,Mattituck SUFF.CO.TAX MAP NO.: 123.-5-32 SUBDIVISION: NAME OF OWNER(S): Brockbank,James OCCUPANCY: ADMITTED BY: James Brockbank SOURCE OF REQUEST: Brockbank,James DATE: 11/9/2017 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION: poured concrete CELLAR: CRAWL SPACE: x BATHROOM(S): 2 TOILET ROOM(S): 1 UTILITY ROOM(S): 1 PORCH TYPE: DECK TYPE: PATIO TYPE: paver/brick BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/8/2017 TIME START: 10:02am END: 10:55am F 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 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$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 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. November 3, 2017 New Construction: 'Old or'Pre-existing Building: X (check one) Location of Property: 3825 Camp Mineola Road Mattituck House No., Street Hamlet Owner or Owners of property: James E. Brockbank Suffolk County Tax Map No 1000,Section 123 Block 5 Lot 32 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: ' Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ Applicant Signature James E. $rockban CONSENT TO INSPECTION JAMES E. BROCKBANK ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is)tam)the owner(s)of the premises in the Town of Southold, located at 3825 Camp Mineola Road, Mattituck, New York which is shown and designated on the Suffolk County Tax Map as'District 1000, Section 123 ,Block 5 ,Lot 32 That the undersigned(has) (hav$) filed,or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Updated Certificate of Occupancy on Pre-existing Building 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: November 3, 2017 (Signature) James E. Brockbank (Print Name) (Signature) (Print Name) �[.Y = - � F 3 � . i[•Ny 1�-R.y�• .` 0*fii- Tvy TOWN- OF C ARD m' ,OWIaJEE2r- - - STREET VELGE DIST SUB. LOT , . .a, I - . e& bss a el/S 'A IL J�e F RM R QWNEc / N E rif J eity �r r 1 ,) S Y(/ ACR. ' d I x•l�,Sc�eralt w BU]LDING FRES. 4 SEAS. V!_. FARM QMlV4. CB. MISC. t. Value v -Y ; ?2X v . LAND IMP. TOTAL DATE REMARKS o . ui LO cn �r� D39 8ra 'a�,El�rs �� l,.i1zs�dQ. 3 s ' - V_11:11 gift 7-g T, �fR Mo ?' `3 ��►. o 2k dot I �.f��-t' d -� J 7S '. C ary Tr' J�wD, /o l tJ '.C�� 1� 7LO ItO S So L l S4 p. C R�S' Hi a /�. S N ' r�� 7 2 llaOAF? _ 9 AGES UILDING C D1TIQ s B� 3a`Joa •irons r�,(�-fil'a t+'DriS c.a� NEW clMAL BELOW A$ VE FARM Acre V�" a/2227 0 9 a c' 1 4(� -►fixdWdSld 41LLoDr Tillable 1 •-' 0 - til°l tr ceged 3 c� mTillable 2 1 2�v r , . `r-°Tillable 3 5 r2 iOWoodland Swampland FRONTAGE ON WATER -i3rushlond FRONTAGE ON ROAD T mHouse Plot DEPTH N Lo � BULKHEAD a m r'Cotal DOCK MENEM SEEN 10 ■MINIM■■■�■■■■■I� ■■■■■■■■■■■■ .■■■■■■ ■■®■■■■■■■■■■■EW■� •■ �� Foundation f :• Basement Interior Finish �� • .. Roorns I st R.. ecrection Roorr .. WAU .. , _. OEM ■MEN Emommom ■■t■■�■■■■■f■kali■■ MEN ME■�■!aa■■■i■i■l»■■al■■■f won on No r R mum MEN �y iii■■■l�w �■■ori■■!■■a�■■■o■ ■■■■l : �•�orr■ii■nm DwVis■■■ him i�■■!■ilii■�■ lr !■af■1R!■!■i■E■ rA ai■■■■Fif ■■� ■«i■!rNo BE mom r■■!!!ii■■! ■■!a!M■■iWIN NMI �aial ■■r� u■flil■a! ■a■■!��■■!■■■!!!�INN■N■!f■i■111N■■ OEM '00 mom _ _ !■�la■i!■!i!�!illi'i/■�C:1l�Jf■i�■ii ■■i:' MEMNO■�■lr�mama■WOMEN mom■1i■!!mom !�■aa■ais■as a!■!!■Iran' ■■■■OMMENMEi■■ Ext. Walls Fire Place • . s I1 • Dormert aths�t� PROPOSED IMPROVEMENTS DEPICTED ON THIS MAP ARE SURVEY OF BASED ON APPROXIMATE DIMENSIONS DERIVED FROM �a ,w CIIEN'rS DESIGN ANDPOSED DESCRI BED PROPERTY ARE SHOWN AS AN ACCOMODAT ON TO THE CLIENT ANDSITE PLAN, THE PIMPROVEMENTSVEMENT5 ESMuz- M ' RESPONSIBILITY IS ASSUMED BY THE SURVEYOR FOR CHECKING IMWT SITUA TE A T THE COMPLIANCE OF THE PROPOSAL WITH ZONING OR OTHER � .ro "° MATTITUCK REGULATIONS. -roiaa 3ra ��rt ®uumiwv TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ' roeevKPmtt CGYI, mrtaraswroaimaai wu� affirm nr rat ron�� S.C.T.M.DIST. 1000 SEC. 123 BLK. 05 LOT 32AmIum �.• �;�^��.� norms' ° i0 5 0 10 20 30 40 50 60 70 80 90 _ SCALE: I'=20' DATE:DECEMBER 11,2003 `�� ata°� z�, v• Po �( G-� Q \4 ��J� J I yQt J o�� 23 ti N o,& mo 'S m Z pot g t 0 7� �L�n FLOG s 1�•4�E ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM AND ev.e ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS. � NQ SNF , ti LOT AREA: 11,983 SQ.FT. =0.275 ACRE(AREA TO MEAN HIGH WATER MARK) 0- LOTARE4 TO BULKHEAD:9,151 SQ.FT. =0.210 ACRE $' ' ALLOWABLE LOT COVERAGE:2,397 SQ.FT. =20%(AREA TO M.H.W.) AT EXISTING LOT COVERAGE. 1,770 SQ.FT. =14.8% ti� c�9 PROPOSED ADDITIONAL LOT COVERAGE:214 SQ.FT. PROPOSED LOT COVERAGE(EXISTING&PROPOSED): 1,984 SQ.FT. = 16.6% '�� s ` CERTIFIED TO.HANS SCHEIDELER BRIDGET B. SCHEIDELER °►�ti 1� JOB NO. 2003-532 MAP NO. O< •'- �� FILED: REVISIONS:ADD EXIST.ELEV.HSE. CORNERS&FIN.FLOOR 51&2004 44ND SV 0�� Q c, V LICENSE NO.0 63 HANDS ON SURVEYING 46 NORTH ROAD V HAMPTON BAYS, NEW YORK 11946 TEL(63*723-1954-FAX.•(631)-723-1329 MARTIN D.HAND L.S SOF SO(/l�, C � o C*iy% 0 IY\04wl,- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 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: DATE INSPECTOR %iAn.. LOCATION: (number & sleet) (municipality) SUBDIVISION: M- P.NO.: LOT(S): NAME OF OWNER(S)-- OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ytr, �� "_ Af�_ACCONTPANIED BY: KEY AVAILABLE: SURF. 'CO. TAX MAP'Y O. 1000- _ SOURCE OF REQUEST: DATE: vjwk DWELLING � tt � � • TYPE OF CONSTRUCTION: tA�/ �� # STO•RIES: � # E TS: FOUNDATION: GK8AS9MENT: 'CRAWL SPACE: # OF BEDROOMS: IST FLS 2 FLA• 3RD PLA. BATHROOMS) ` TOILET R00 S): UTILITY R00'IVI: . � PORC•HT®PffA00A D'E'CK, TYPE: PATIO,TYPE: BREEZEWAY:' FIREPLACE: QARAGE: N, w'E g DOMES IC IIOT�VATER: TYPE NEATER: IAS AIRCO ITIONING: 1 — TYPE HEAT: 1p WARM AIR: PIOT'VVATER: o # OF KITCHENS: FINISHED BASEMENT:- YES NO ,V OTHER: ACCESSORY STRUCT US GARAGE; TYPE OF CONST.: fAi%Qi STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION A DESCRIPTION ART. SEC, REMARKS: INSPECTED BY: J0�i a/e P1YS ( DATE OF INSPECTION: ()1I g ii TIME ' [o� TIME START;. l� • �y � END;