HomeMy WebLinkAboutZ-25676FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-25676 Date APRIL 24, 1998
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3320 OREGON ROAD MATTITUCK,
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 4 Lot 7.1
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-25676 dated APRIL 24, 1998
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 *
The certificate is issued to DAVID ORR & ELIZABETH SOUMAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 21. 1998
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3320 OREGON RD MATTITUCK
SUBDIVISION:
MAP NO.: LOT (S)
NAME OF OWNER (S): DAVID ORR & ELIZABETH SOUMAS
OCCUPANCY: SINGLE FAMILY DAVID ORR & ELIZABETH SOUMAS
ADMITTED BY: LINDA RIZZO ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 100.-4-7.1
SOURCE OF REQUEST: DAVID ORR MARCH 4. 1998 DATE: 04/24/98
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK & BRICK CELLAR: PART CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: _a
BATHROOM(S): 2.0
PORCH TYPE:
BREEZEWAY:
2ND FLR.: _A
TOILET ROOM(S): 0.0
DECK TYPE:
FIREPLACE:
3RD FLR.: 0
UTILITY ROOM(S): YES
PATIO TYPE:
GARAGE:
DOMESTIC HOTWATER: XX TYPE HEATER: OFF BOILER AIRCONDITIONING: XX
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
maaI : m.110 4Ky 0I*I0):�:1 NA :a ]iRvM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION 1 DESCRIPTION i ART ' SEC
i
i
i
i
REMARKS:
INSPECTED BY: �_ '' � '"' f ✓ �"��� DATE ON INSPECTION: 03/17/98
M. BOUFIS ITIME START: 10:10 AM END: 10:35 AM
c��
THE NEW YORK BOARD OF FIRE UNDERWRITERS =E 1
13070764 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date APRIL 29,1990, ,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
DAVID ORR, 3323 OREGON ROAD, PLATTITUCK, NY
in the following location; ❑X Basement ® Ist FL M 2nd Fl. Section Block Lot
was examined on APRIL 21 , 1998 and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES
SWITCHES
INCANDESCENTJ
FIXTURES RANGES COOKING DECKS OVENS DISH
WASHERS EXHAUST FANS
FLUORESCENT
OTHER AMT.
K.W. AMT.
K.W. AT.
K.W.
AMT.
K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
I SPECIAL RECTT. I TIME CLOCKSBELL
UNIT
HEATERS
MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET AMT. WATTS
AMT.
K.W. OIL
H.P.
GAS
H.P. AMT.
NO.
A. W. G.
AMT.
AMP. AMT.
AMPS.TRANS.
AMT.
H.P.
I E —
SERVICE DISCONNECT
NO. OF
METER
EQUIP.
S E R V I C E
AMT.
AMP.
TYPE
I 0 2W
1 0 3W
3 0 SW
3 0 4W
NO. OF CC COND.
PER 0
A. W. G.
OF CC. GOND.
NO. OF HI LEG
A. W. G.
OC HIAEG
NO. OF NEUTRALS
Of NEUTRAL
OTHER APPARATUS:
ENTIRE PREMISES-1
*NO VISUAL DEFECTS- "AT) electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
un.^atisf<1Ctory condition was found.
L L
DAVID ORR
P. 0. BOX 1186 GENERAL MANAGER
4ATTITUCK, NY, 11952
Per } 1
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
UUYY 1 -UH CUILUIN(d L)LVAHIMENI. IHI5 UL)VY Uf UEHIIFIUAIE MU61 NUI BE ALIEHED IN ANY MANNEH.
Form No. 6 q 0 - 5 LI/!
TOWN OF SOUTHOLD
n
BUILDING DEPARTMENT
TOWN HALL
765-1802 AAR q
APPLICATION FOR CERTIFICATE OF OCCUPANCY--�
r":c_0 3.
C TJW V GF 500�I�01
A. This application must be filled in by typewriter OF, 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.
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�l 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,
AdditiQn.9 to accessoryildjq $2_5._00. Businesses $_50.00.
Certif' to of Occu anc on Pre-existing Building - $lOQ
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential x$15. 0, Commercial $15.00
Date ..�[ ..� Q .,..........................
New Construction....... .. Old Or Pre-existingBuilding .................
Location of Property.. o.........2............T..*r•�
?J�K.......
House No. /1 n Street Hamlet
Onwer or Owners of Property.. .D�!v��/... � l`...... J..LL.�.�L10�13ejl.7.../5.q�M�� ..
County Tax Map No 1000, Section....`.....Block....✓...........Lot.... J ...............
Subdivision......— .......................Filed Map ............ Lot ......................
_ ---j �- oal�2
Permit No.................Date Of Permit................Applicant.. ......................
Health Dept. Approval ............. -:.......... Under -writers Approval.........................
PlanningBoard Approval ........................
G -Z
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $....�� .....................
1( 3,/:2—
?.:;
y:2—
?.:; 0'e)5� 76
.}! ...........................
APPLICANT
CONSENT
'1'O
INSPECTION
'/D 0/c%' t EL/ZAgC-77f YDVWI-Y ' the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at /QD.
/V1/� //�jS'o� which is shown and designated on the Suffolk
Counl.y tax map as District 1000, Section /,0 Block t, Lot �.
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the ']'own of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct: such inspections as they may
i
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 prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: --
cz;r� 4�
(signature)
i &zAe a92
(print name)
signature
,
.,rGON
RpA�
30581��E.
N6 2
19.9
TITLE NO. 82-52-386,12
82-52-38643
E� I
PARCim
NOTE; A -MONUMENT
SUFF. CO. TAX MAP- DIST. SECT. BLK. LOT
1000 100 04 07
1000 loo 04 Pro 06
TOTAL AREAT. 22,948 S.F.
63
.53 3
5.
SURVEY FOR
JOHN MARMARELLIS
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK. COUNTY, NEW YORK
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY 13 A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
* COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE COPY.
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED.
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
MENTAL AGENCYANO LENDING INSTITUTION LISTED
HEREON,ANO TO THE ASSIGNEES OF THE LENDING
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS.
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO.EXISTINO STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTION OF FENCES.
DATE 3 MAR. 26, 1982
SCALE- 1"s4O'
NO. 182-32
GUARANTEED T0:
USLIFE TITLE INSURANCE CO. OF NEW YORK
JOHN MARMARELLIS"
i t I t i f
1
4
YOUNG a. YOUNG
ALDEN W. YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
`400 OST ANDER AVENUE
RIVERHEAD, NEW YORK
„404— 60- y TOWN OF SOUTHOLD PROPERTY RECORD CARD
M-4
OWNER
STREET 320
VILLAGE
DIST.
SUB. LOT
ala; e. 5�u S
c e
7
FORMER OWNER
N
E
5
ACR.
►'gble- r45sc�C . J.Nlarmanll
l e 1-:' N i G, I AG 4 wF
-
W
von -ter
TYPE OF BUILDING
RES, /0
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
�oC.�
1,3 oo
4�o U
C. 7 7
�a//6 7 So LD ��000. 1AL'6rzK1 '- wf io /�r�/A(3Lb” ASsac. r 13:
t7
Z60
/0 0'
713172-
Re/ a/4 /o artnar�//s L 9/F J ►�o�.
p-ri-U
2
2, 0-v
��
s/���PL S So" fL;,f74o �2a noa//is � 915
Q
G G'x'aZQe
t o I
8 > s
�f - oa - ar b 4can lY e—
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
A, 996
House Plot
DEPTH
70
BULKHEAD
Total
r.
DOCK
-
ylo
,r yt.ti
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: ✓ 20 Q
number & street)
'4&11t7lz -
municipality
SUBDIVISION ��j MAP NO,
_ /J LOT (s)
NAME OF OWNER (mss) ^
-! .�u^` G'�'^"
OCCUPANCY
type (owner -tenant
ADMITTED.BY: 2,020 ACCOMPANIED BY:
KEY AVAILABLE SUFE. CO. TAX MAP NO.a,0 /Qd
SOURCE OF REQUEST: ! Q� DATE: -31
DWELLING:
TYPE OF CONSTRUCTION # STORIES
# EXITS 3
FOUNDATION 6-4 Q -1-6ZC& CELLAR R,2 ,, ' CRAWL SPACE
TOTAL ROOMS: IST FLR. ,�� 2ND FLR.
BATHROOM (s) CPI
PORCH TYPE., t&
TOILET ROOM (s)
DECK, TYPE
3RD FLR. o --'-
BREEZEWAY .WW -- FIREPLACE
DOMESTIC HOTWATER kl� TYPE HEATER%
TYPE HEAT
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
WARM AIR
UTILITY ROOM/f4d"
PATIO, TYPE �_•
GARAGE -
AIRCONDITIONING
TATER
STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
/1
INSPECTED BY:, DATE ON INSPECTION
jv TIME START �j++0 END
90