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Home My WebLink AboutZ-27021FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27021 THIS CERTIFIES that the building DWELLING Date: 04/04/00 Location of Property 575 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 0002 Lot 011 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- 27021 dated APRIL 4, 2000 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 FLAGSTONE PATIO.* The certificate is issued to DIANA GUNTHER NOLAN & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3/27/00 Pendine PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 575 SIGSBEE RD LAUREL SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): DIANA GUNTHER NOLAN & ORS. OCCUPANCY: SINGLE FAMILY DIANA GUNTHER NOLAN & ORS. ADMITTED BY: LINDA MERCURIO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 143.-2-11 SOURCE OF REQUEST: GARY FLANNER OLSEN. ATTY, DATE: 04/04/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: _.k BATHROOM(S): 1.0 PORCH TYPE: BREEZEWAY: 2ND FLR.: TOILET ROOM(S): 0.0 DECK TYPE: FIREPLACE: 3RD FLR.: UTILITY ROOM(S): REAR - GARAGE: PATIO TYPE: SMALL FLAGSTONE DOMESTIC HOTWATER: YES TYPE HEATER: NAT, GAS AIRCONDITIONING: TYPE HEAT: GAS WARM AIR: FLOOR REG, HOTWATER: OTHER: BILCO ENTRANCE GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY: DATE ON INSPECTION: 04/04/00 M. BOUFIS r TIME START: 9:30AM END: 10:00AM TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN YAj r A. This application must be filled in by typewriter OR ink and u6itted to the buildir. inspector with the following: for new building or new use: ' t!g 20QQ 1. Final survey of.property with accurate location of all bit i gs, property line' streets, and unusual natural or topographic features. T - "-- -- i 2. Final Approval from Health Dept. of water supply and sew `-d is Oo 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 buildi 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 '--'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 a consent to inspect signed by the applicar. 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 - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .?'larch 8,.2000,,,,,,,,,,,,,,,,,,,,,,, New Construction........... Old Or Pre-existing Building..g one story frame residence Location of Property..575,S1gsbee,4d ..... Mattituck...............o................... House No. Street Hamlet Onwer or Owners of Property..Diana,Gunther Nolan, Diana Hynds Stopg,pp�l.tWrc.Villiam Symds County Tax Map No 1000, Section ... M ........ Block ... ?. ........... Lot..11............. Subdivision....................................Filed Map ............ Lot ................. Permit No................Date Of Permit ................ Applicant ........................ Health Dept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Cert cafe..:......... Fee Submitted: $...1QQ.QQ.. ...... .. ............................... (2-0 C' 6r) tog may FUNNER %SEN APPLICANT %k p4 PO -Sox 706 1:11.119Q6r THE NEW YORK BOARD OF FIRE UNDERWRITERS r" _ BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 1�FCF 3_ . �,. _ -) Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DTPA: GUNTHEi% `-7 SIGSBEE ROAD, 11ATTTTUCK, NY in n n ❑ 2nd Fl. `JUT Sectioni43 Block-- Lot 11 the following location- Basement lst Fl. i� KCI: 2-,.000 was examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. OUTLETS INCANDESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL I UNIT TRANS. HEATERS MULTI-OUTLET DIMMERS M S NOSYSTE. OF FEET AMT. WATTS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. H.P. SERVICE DISCONNECT NO. OF METERNO. EAUIP. S E R V I C E AMT. AMP. TYPE TO 2W11 0 3W130:3W 3 0 4W OF CC GOND. PER 0 A. W. G. OF CC. CON,. NO, OF M-LEG A. W. G. OF HI-LEG NO. OF NEUTRALS A. W. G. I OF NEUTRAL OTHER APPARATUS: ENT IF.E F`M IISE: - i `113 VI._,UAL DEFECTS: "An electrical urT;e�j ha b . LI Trade _If the eXPOsed el ek�tzical e_auiurcent ir. the Ficm7s s il-idi ate-t. 'N:> Obvious aL�sat:.afactory .:ur;ditien was found. G_VY riz iLNNEN OLSEN ESQ. P • D • L', 706 GENERAL MANAGER CUTTJE I M ; 11?35 LThIScate Per r must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.glujig COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION Gary Flanner Olsen as Attorney for Diana Gunther Nolan , the undersigned, Owner(s) Nnme(s) Ulana Hyffs zaMoWF-1ffd-PMrc 1alm HYnds do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 575 Sigsbee Rd., mattituck, NY which is shown and designated on the Suffolk County tax map as District 1000, Section 143 Block 2 Lot 11 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- i tion in-ths Southold Town Building lnspu(;Lw. orrL�� ra. +I,n fnilnwinLt: One story frame residence 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 prosef.E 'ons for vio- lations of the laws, ordinances, rules or regulations of t/,,trovn of Southold. Dated: march 8, 2000 s Gary Flanner Olsen (print name) (signature) (print name) z� N a 77E= 606.77'' N 20' 38' W 50' SI GSBEE ROAD SURVEY OF TAX MAP NO. LOT 93 SURVEYED 29 FEBRUARY, 2000 1000-143-02-11 /N SCALE I"=20* FM,y 801 AMENDED MAP OF PROPERTY ,000 SF FILED JAN. 12, 1926 OF AREA= 7,0 OR Guarantees indicated here on shall run MATTITUCK PARK PROPERTIES, INC. 0.161 ACRES only to the pers�n Ter y:h-.m the survey SIIVATE is r,rcpered, and on his beha.= to the t ! , < cn„ c o. _ MA TTI TUCK, TOWN OF SOUTHOLD .., �...,.ncy, rs^t tic it ; ;} r,o , and t tt: cs':3-nees c ,, i , 7 institution. SUFFOLK COUNTY, N. Y. SURVEYED BY Gucrcn:aes erg nct t ar._<<; rce; to additional insstuticns cr s_L'saquent ow VEYED FOR : VICTOR MARTEN STANLEY J. ISAKSEN, JR. GUARANTEED TO VICTOR MARTEN NELLA KHANIS CONCORD MORTAGE CORP. TOWN& COUNTRY ABSTRACT CO. L TD. FIRST AMERICAN TITLE INS. CO. OF NY TOWN OF SOUTHOLD NELLA KHANIS P.O. BOX 2.94 Unavthcrized alteration cr adr'ition to this NEW SUFFOLK, NY 1195 survcv vi t :S;cn c' v9 72' 0 t '4n %- t,ew ';o,:: cc'_"=ccn Law, 631 7341 35 �coies (-f this survey mnp not bear;ny - - t vc, c; „t_, sol ;,all lCENS'D LANDRVEYOR nct beco: s: axed to be a valid true NYS LIC. NO. 49273 .00R879 copy. BUILDING DEPAR111ENT TOWN OF SOUTHOLD ING CODE INSPECTION REPORT LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY r N/street MAP N0. cipality LOT (s) ADMITTED BY: /C//�/ �� L-,tz/O ACCOMPANIED ^BY: Doh -G - KEY AVAILABLE SUFF. CO. TAR MAP NO..1 -.- -..) " / SOURCE OF REQUEST: - !"/ DATE: 3 DWELLING: �/ TYPE OF CONSTRUCTION & R tL �.( # STORIES /�._ $ EXITS FOUNDATION e1A CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM TOILET ROOM (s) UTILITY ROOM PORCH TYPE - DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER _ TYPE HEATER A-7- ¢s AIRCONDITIONING TYPE HEAT WARM AIR F/O®z / iL/J�%' HOTWATER OTHER:l dp � , • < ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL �---- , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. INSPECTED BY: DATE ON INSPECTION . (-9/17/�� TIME START fEND 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET5;�- VILLAGE DIST. SUB. LOT ,:(N,QrC4-bUdher 1 01"Am, :,W1 FORMER OWNER N E ACR. S W TYPE OF BUILDING f�ES-.),2/0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1Z101 lwly I*qq-L 11 17 G"114) t. r -4 &I's - AGE BUILDING CONDITION Nr NORMAL BELOW ABOVE - F RM Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK v �� _, .. .. ._� a�_ ,a,... a.:" �^r.. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE A CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL IN 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ]FOUNDATION 2ND [ ]FRAMING [ J FIREPLACE & REMARKSO�'V ;l O� /44--palii [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL Va44'%t-- DATE o �- �,� 1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL REMARKS: DATE �� INSPECTOI