HomeMy WebLinkAboutZ-28392FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28392 Date: 05/06/02
THIS CERTIFIES that the building DWELLING
Location of Property 3500 COX NECK RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 0008 Lot 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
OCCUPANCY NUMBER Z- 28392 dated MAY 6, 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 ACCESSORY GARAGE *
The certificate is issued to VINCENT ONEILL & DONALD HAMILL
(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 RRPORT.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3500 COX NECK RD MATTITUCK
SUBDIVISION: NAP NO.: LOT (S)
NAME OF OWNER (S): VINCENT ONEILL & DONALD HAMILL
OCCUPANCY: RESIDENTIAL VINCENT ONEILL & DONALD HAMILL
ADMITTED BY: VINCENT O'NEILL ACCOMPANIED BY: SAME
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 113.-8-1
SOURCE OF REQUEST: VINCENT O'NEILL 4/15/02 DATE: 05/06/02
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3
FOUNDATION: STONE CELaF: PIT CRAWL SPACE:
TOTAL ROOKS: IST PLR.: 4 2ND FLR.: 3 3RD FLR.: 0
BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOK(S):
PORCH TYPE: DECK TYPE: WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: 1-BLOCKEDOFF GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTNATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 2 CAR STORAGE, TYPE CONST.: ATTACHED TO GARAGE
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: COAL BIN, DOCK BY WATER
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. SEC.
REMARKS: BP #26239 -Z -CO Z-28391 (DECK &
INSPECTED BY: ' DATE ON INSPECTION: 04/24/02
GARY IJ. 'ISH TIME START: 10:00 AM END: 10:20 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APR 46 Zoos
PDG. DEPT.
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 I% 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 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 $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. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,
New Construction:
Location of Property:
Old or Pre-existing Building:
3S—()61
Date. /!�(9-2
(cher one)
House No. / Streeter/Hamlet
ZX/Owner or Owners of Property: f �z
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
/ &UJ — Block I / 3
Filed Map.
Lot V_ r
Lot:
Date of Permit. Applicant: (,/, 0 ( e t'
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
L I.5G,3
�-ce, ia$3y�2
Underwriters Approval:
Final Certificate: (check one)
MAP
ED
L 77
6,1 -
A L
14
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CONSENT
TO
INSPECTION
the undersigned,
Owner!(s) Name(s)
44Z- _ I
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of thepremisesin the T wn
of Southold located at
which is shown and designated on the Suffolk
County tax mapias District 1000, Section Block // 3 Lot
That the unpdersigned (has) (have) filed, 'or caused to be filed, an applica-
a
tion in -the Southold Town Building inspeuw&orr!�, ro- +hA fnllowinLr:
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.
I.
The undersigned, in consenting to such inspactions,, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections maybe used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: / ,IIe�� �I�r1 / J/2✓
(sig ure)
(print name)
i
(signature)
lQo a — % _'� _ TOWN OF SOUTH L
PROPERTY RECORD CARD
OWNER
STREET
oG
VILLAGE
DIST.
SUB.
LOT
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D es c r
FORMER OWNER
teen
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TYPE OF BUILDING
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SEAS.
VL FARM,
COMM. CB. MISC.
Mkt. Value
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LAND
IMP.
TOTAL DATE
REMARKS
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C;7 .50 0
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AGE
BUILDING CONDITION
NE\y
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
'illable 1
iilable 2
i l fable 3
vampland
FRONTAGE ON WATER
•ushland
FRONTAGE ON ROAD
Ouse Plot
DEPTH
BULKHEAD
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DOCK
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LOCATION:
(number &
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT($):
(type) (owner -tenant)
• ��ADMITTED BY: � �iG ACCOMPANIED BY: �
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: 41,i�iG�7E # STORIES ��^� #EXITS:
FOUNDATION: CELLAR: i; CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: _3 3RD FLR:
BATHROOM(S): TOILET ROOM(S). I& UTILITY ROOM:
PORCH TYPE: DECK, TYPE: _ PATIO, TYPE: -------
BREEZEWAY: FIREPLA dam- GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT:AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: �' C'/ STORAGE, TYPE CONST.: /% l
SWIMMING P OL: r GUEST, TYPE CONST:
OTHER: CPO& Z.."I /r �
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY:
DATE ON INSPECTION: vt
TIME START: t1d ` C'_0 END: //0 ' AP