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HomeMy WebLinkAboutZ-39425 Town of Southold 12/29/2017 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39425 Date: 12/29/2017 THIS CERTIFIES that the structure(s)located at: 6300 Wickham Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-10-9 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- 39425 dated 12/29/2017 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 covered porch, accessory wood frame garage(30.4 x 20.4), accessory wood frame barn(70.5 x 30.3), accessory wood frame barn dilapidated(17.7 x 50.5), accessory wood frame shed dilapidated(20 x 10)and accessory metal shed(8 x 6).* The certificate is issued to Mill Lane One LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 107-10-9 PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A th d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6300 Wickham Ave,Mattituck SUFF.CO.TAX MAP NO.: 107.40-9 SUBDIVISION: NAME OF OWNER(S): Mill Lane One LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Mill Lane One LLC DATE: 12/29/2017 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: brick CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: radiator #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: metal shed,wood frame shed SWEVIMING POOL: GUEST,TYPE OF CONST: OTHER: 2 wood frame barns VIOLATIONS: accessory wood frame barn 50.5 x 17.7 dilapidated accessory wood frame shed 20 x 10 dilapidated REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/13/2017 TIME START: 10:22am END: 10:45am B 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 plumbencertifying 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. If— �" f 7 New Construction: 6-50c> Old or Pre-existing Building: ) (check one)�/ Location of Property: I!V f G�C-h on f I e /�1 C[ i xk House No. Street I Hamlet Owner or Owners of Property: tM(�✓� i j yl l�ea,ck Suffolk County Tax Map No 1000, Section l0 7 Block l Lot q Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Z:," Age,5e iVJ CLca ) M_ew mac, pplicant Signature ct�v'n moo.:3' --,c 70- CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s Name(s) That the undersigned(is) (are)the owners) of the premises in the Town of LL Southold, located at 6 3 0c) [Al( ham lka which is shown and designated on the Suffolk County Tax Map as District 1000, Section lb'7 ,Block fes, Lot . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 9--192 AC'0 f7fh9 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: (Signature) (Print Name) (Signature) (Print Name) o��OF SOUryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q roger.richertA-town.southoId.ny.us Southold,NY 11971-0959 C®UNT`l,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mill Lane One LLC Address: 6300 Wickham Avenue (2230 Mill Lane) city:Mattituck st: New York zip: 11952 Building Permit#: Pre-CO Section: 107 Block: 10 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock F1 Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: Electrical Survey of Whole House, Including Service. Inspector Signature: Date: December 27, 2017 0-Cert Electrical Compliance Form.xls S i SO�r�, ,`o opo Town Hall Annex f Telephone(631)765-1802 54375 Main Road y d {631)765-gg5p2 P.O.Box 1179 G Q roaer.richert tOWn.SOUtl101tl nV Us Southold,NY 11971-0959 '� �O f ry�oUlm,� . BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY. Date: t Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: mPl( t-a n e 1 G10 i c ann �CV *Address: f ( Lane � *Cross Street: U)F'rL 0� w *Phone No.: 623 a W2(a w Permit No.: Tax-Map District: 1000 Section: Q Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) nL_uj sf na cz, -- (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough In Final *Do you need a Temp Certificate: YES/ NO j 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 0 � ; 82-Request for Inspection Form - m SCTM TOWN OF SOUTHOLD PROPERTY RECORD CARD Q DW-NE R; STREET VILLAGE DIST. SUB. LOT, IL Moo I ?? w ACR. r Z ARKS/ F-42-J_c + Mill ac !l1 J 7 TYPE OF BLD. I 31 , 1 ` � A 3a f PROP. CLASS 34 f to o LAND JMP. TOTAL DATE j cn coco co JL 3 f5 Kr o a L/ - �, ids ,a` - - co c a Pq Lo Lo m 0 LD r m Lo FRONTAGE ON (NATER HOUSE/LOT m 4�On4, m 1 o BULKHEAD m vn m m TOTAL r 7-7 co 00 a, Aa TOWN OF SOUTHOLD PROPERTY RECC�M CARD w OWNER M z STREET VILLAGE. DIST. -- LOT FORMERk NER N E AC �t 5 W TYPE OF-BUILDING r RES. / U SEAS. VL ARM COMM. CB. MISC. Mkt. Value LO LAID IMP. TOTAL DATE REMARKS r w A J 0 ,� o d d t1► sy1 �6q It B131L!?lNG CONDITION V-0em A42 w cr NEIN NOR SEL �V r AB VE /3c �T FARM Acre F'' Value Per ValueJ. Wf Acre 3 em G /92 i, rr r r LO Tillable 1 1U--� `S f 3 z f r r v a 14 m ca Lo Tillable rr 3 ,' i� , tv m Tillable 3 1<tJ4 Anrn 4D t/ Wood#and ,k, 0 ° GEI6N VATER f `f/�� � m Swamplon 7- Tir7 0r? Ce .WC1(0(6 A 5 Brusbland GPC F AGE ON ROAD G► 6b , gr 3 M House Pi q !1 `3 / d � o , 1600 QF 1 j! -A !i 1nG� It 4% '3 � m S` �- �a �i ?.S L FAD !r 10 J 1 s3�! f lI� t r �o 010 C7 3 A-- A b a Total � ..a i r� v.i • } MONOMER ■■■■■■■■■■■■■■ice■■■ !■■■■■ ■■■M■■■■■■■■■■■■■■■ ' " ■■■■■ ■■!I■I©■■■■■■■■■■■■■■ ■■■■E■ ■00I■AI'E■■■■t■■■■■■NEE ME ME MUMMIUMSENEEM ■■ - • ■■■■■MMM■■ t�l�ii�©�l�l�1■■■■■■■■■ - '' -, _(' ^ 1T � : . ■■■■■■!■■■■■�■sem■■■■■■�■■■ Foundation- 4nteri or Finish Rooms 2nd Floor • ■ ■ -J I � SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-107-10-09 SCALE 1"-100' OCTOBER 2B, 2017 AREA=1.204.247 99 ft 27 646— QQ�v v tib psS, CERTIFIED TO. '4a VINBAR REALTY CORPORATION !:. T70' ABSTRACTS.INCORPORATED Q R4 A o �1G��P� N�$tiyti 44,�� d tom'' Coll •'N ` S d�N� IXCW OED ARG �, (fiD,000 n0.11 J � �$• Tr !'s r a 9i EXCLUDED AREA � (3 e9re.> 0. 5� �A •P(1N, L95 J3 GSEDEM AREA �O! d u, solo' ��}m l 'PIP, �0, ss a` d� Q4. roti• �'�' CP� it, X10 0 Or a�> opt« �" yo•o NYS Uc NO 3UA67 Nathan Taft Corwin III Land Surveyor •v N 5utteeror Ta Ranr,bbyy J 4ebmN Jr LS J9xy6 A,_LS ifM Sweyrommil -SuOOnuro-S4e➢Me-CauNu'Von lnywf A PHONE(631)727-2090 Fm(6]1))27-1727 M OU91DC[CI PCM OF VARCii� �A! LL196'F AUURL56 Z G451[r4x1.pM—5" to Nev TerY�1191) —W.H. 119e) olumes/natha x M Gmail-RE:[FWC x [ Gmail-Camp tc x M Gmail-SALE OF x [� ACFrOgAamhOr x T Google Calenda x © ACFrOgA4oBflrf x (�[ Inbox(40,580)- s://doc-14-2o-apps-viewer.googleusercontent.com/viewer/secure/pdf/20gtg9j lDdp8g8iki3fo7g3lpLiq9332uv/lj7vs7t6j i7sm5cicimt25ekgdvbi-3nu/1509979125000/g ma i1/1812486654051 rted From IE Workspace Login . FedEx®Tracking-SI- 0 Office Supplies,Offic, ;q►` Southold,NY-Officio Suffolk County GIS Vi Io Town of Riverhead,N ® Greenport Village Ag Quo ✓ • Q � s b V 5 `9 o. 2n EXCLUDED AREA 'o °mac► `�° (80,000 sq. ft.) P� F��� '90111 i- -• o So bc \' y 40 001 JPS g EXCLUDED AREA e (3 acres) . .�- �il jilluji" �i:il , I I � Y V I�� • �V � ��OF SOUTyoI j� _ courm,� 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: �VNT A 1 W.6" DATE I INSPECTOR V/✓� WI�jY1� �e� pESOUT 0 �o �y00UHi'1�� 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: / f' fir, Ic Lj ,, WWI oefi�.eb�i� n�5 Y Smo o DATE 1 �' INSPECTOR W �OD nvl AX, SOF SO(/ly �� C 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) REMARK �20cn dl""S 15 "VYA &A'C. DATE INSPECTOR �aOF 80(/lyo Alt7 TOWN OF SOUTHOLD BUILDING DEPT. r 765-1802 1 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: _ &� kc--c L1 � ,qo DATE INSPECTOR LOCATION:W t4)jt ( gyyj �i�• (number & street) (municipality) SUBDIVISION: MAP�N'O.: _ LOT(S): ., NAME OF OWNER(S): favy, virvosylk OCCUPANCY: (type) t (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: I 09 - .I.D.- 9 KEY AVAILABLE: SUET. 'CO. TAX MAP=' O- SOURCE OF REQUEST: Yv v C. - DATE: DWELLING f TYPE OF CONSTRUCTIOT�-. -�.0�� I�Ari1Q/ # S O=S: # EXITS: FOUNDATION: r�. ,BASEMENT:l CRAWL SPACE: # OF BEDROOMS: IST FLR: 0 2ND FLR: ,�' 3RD FLA: BATHROOM(S):? . .- TOILET A.00M(S). '� , UTILITY ROOM: PORCH.TYPE 1 10 DICK, T'YPE: . PATIO;TYPE: BREEZEWAY:' FIREPLACE 0 QARAGE:� DOMESTIC HOTWATER: V TYPE HEATER: IRCONDITIONING: TYPE HEAT: 111 WARM AIR: HOTWATER:&KTYY # OF KITCHENS: FINISHED BASEMENT:- YES NO ' OTHER: ACCESSORY STRUCTURES m� GARAGE; TYPE OF CONST.: �#mto,-,O.STORAGE TYPE CONST.: Q yo• WdbO �A✓� 10. X0.3 SWIMMING POOL: - GUEST *TYPE NST: OTHER: r VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE IV it LOCATION i DESCRIPTION ART. SEC. -_ 5 Y fid• r= D tiIV V.w 1S x'"nu ivy (IQ -k- rpm N Al L REMARKS: 20 INSPECTED BY: A4 ,�, �TtOF INSPECTION: 9oqtM%6/ It jj�jJkJIME START;10:�y END: