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Home My WebLink AboutZ-29176FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29176 Date: 01/08/03 THIS CERTIFIES that the building BUSINESS Location of Property 13100 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 0011 Lot 011.001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a BUSINESS STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29176 dated JANUARY 8, 2003 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 TWO STORY BUSINESS BUILDING WITH RETAIL FLORIST SHOP & TWO LIVING -ONE ON FIRST FLOOR, ONE ON 2ND FLOOR, & ACCESSORY GARAGE * The certificate is issued to HARRY M & ARLENE JACQUILLARD (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 REPORT. I Rev. 1/81 zed S F BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 13100 MAIN RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): HARRY M & ARLENE JACQUILLARD OCCUPANCY: BUSINESS HARRY M & ARLENE JACQUILLARD ADMITTED BY: ARLENE JACQUILLARD ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 114.-11-11.1 SOURCE OF REOUEST: HARRY M. JAQUILLARD, 10/22/02 DATE: 01/08/03 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EKITS: 1 FOUNDATION: BRICK CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: IST FLR.: 6 2ND PLR.: 4 3RD FLR_: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: UPSTAIRS (2ND FL.) APT. ALSO 1ST FL.APT WITH PANTRY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 1-1/2 CAR STORAGE, TYPE CONST_: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: 13P#5581Z-COZ-4662 (ADD)-BP#28730Z-COZ-29008 (GREENHOUSE ADD) INSPECTED BY: DATE ON INSPECTION: 10/24/02 reinspected on 1/7/03. GARY J. } I TIME START: 9:55 AM END: 10:30 AM UU11J/LLVV LLf Ntt ll'1L LVL TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of all buildings, property lineE 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 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 a '.'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 Buildine - $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 .,October 22, 2002 ................... New Construction........... Old Or Pre-existing Building .g -house 4 -detached garage Location of Property...... Main Road Mattituck House No. Street Hamlet Onwer or Owners of Property.. Harry M. Jaquillard and Arlene Jacquillard County Tax Map No 1000, Section.,114......... Block ... 11 ........... Lot.,11:1 .. Subdivision....................................Filed Map ............ Lot ................. Permit No................Date Of Permit ................ Applicant ........................ Health Dept. Approval..........................Underwriters Approval.................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $..100.00 ....................: Y .. PLI (9� ex. - G3 )� Qne.C6� 91i� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ FINAL /, C, [ ] FIREPLACE & CHIMNEY REMARKS: �'-� 0 DATE /o y d ` INSPECTOR 25) Pte.' (N -Y-5- 32° { office R w bldg. OAS MAIN �Se ' flor! tl I hse. vacant I g garden j shop -114-11-11.1 MAIN , 000 I Building Setback = 14 0. E. Average •g6 N. '0 _._. 76 -is r_—�11 SURVEY OF PROPERTY 7 A T MA TTI TUCK ° \11 TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-"4-11-11.1 -� Scale: 1.' = 30' T Oct. 30 2002 Nov. 5, 2W (revision) - Nov. 5, 2002 (se/boeks) m Nov. 19, 2002 (setbacks) A CERTIFIED TO: D JACK M. HAMILTON () DONNA P. HAMIL TON ° BRIDGEHAMPTON NATIONAL BANK C COMMONWEAL TH LAND TITLE N INSURANCE COMPANY AREA = 21,376 sq. ft. ANY ALTERATION OR ADDITION TO TMS SURVEY IS A VIOLATION OF SECTION 7209 OF THE A" YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SUIUMSON 2. ALL CERTIFICATIONS I AEON ARE VALD F TMS MAP AAD COPES THEREOF OHC_ Y IF SAD MAP 01? COPIES B&AR THE WRESSED SEAL OF THE SURVEYOR WHOSE SIBNATLwE APPEARS M69EON. ADDInOMALLY TO COMPLY WITH SAD LAW TEFi>al ' ALTEAED BY MUST BE USED BY ANY AAD ALL SURVEYORS UTLIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH ' ^WCTED ' AMD ' BROUGHT - TO - DATE ' ARE NOT NV COMIPLAMCE WITH THE LAW. 15.0 IOU N C0 lFOXE E. ,il` oa 7 s. 82•• 5'00" W. 39.58' N/O/f 4 1 Q P� e� STY. i a 2 l 3 FR. HSE- (FtaRlsr 1� 3. r cAOOt 1.5 SHOP) 1.0' 0. . 4.2, P V J 95,0' s. 's0'v0• W. g W E. J. ASSOciATES ig : ° T r rn v � "ON OF NEW,,, LIC. NO. 49618 1e Ic6- 0 0o�J � 1 , (63/) 765 -1797 P. 909- 123 REST SOOT .1 02-328 CONSENT TO INSPECTION Harry M. Jaqui11ard 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 Alain Road, Mattituck, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 174 , Block 11 . Lot 11-1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'the Southold Town 13miaing inspeaw, orri�� ro" +ha £n1lnwinL7: house and detached garage ' 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 prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: October 22, 2002 (s g e HarrM_ .Ta{iiillard (print name) (signature) print name A _ TOWN OF SOUTHOLD PROPERTY RECORD CARD WNER STREET" VILLAGE DIST. SUB. LOT )!JRONER N E }% ACR. S W TYPE OF BUILDING EAS. VL. FARM COMM. CB. MICS, Mkt. Value LAND IMP. TOTAL DATE RKS 4, o c> .3 � �- to�- 4 U 0-- % Y /x/68 .I Ga `/ ! �v. -E� J?v() AGE BUILDING CONDITION :'WNORMAL BELOW ABOVE SRM Acre Value Per Acre Value able FRONTAGE ON WATER odland FRONTAGE ON ROAD 3dowland DEPTH ase Plot BULKHEAD of� L -�+ DOCK nim^nCDTV RECORD CARD FA LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: (fie) (municipality) MAP NO.: LOT($): (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: fps-r�r C�xe�� /�t✓�•- DWELLING: TYPE OF CONSTR C�: W �nh—e_ # STORIES:a #EXITS: FOUNDATION: CELLAR: �� CRAWL SPACE: 4L�"- TOTAL ROOMS: 1ST FLR: 2ND FLR _ �G 3RD FLR: BATHROOM(S): CL— TOILEK ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: VeT TYPE HEATER: Sc AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: (sT' ACCESSORY.STRUCTURES: GARAGE, TYPE OF CONST.: Lk"-; 4 A+K1 t' STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: t VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE j t r' -,LOCATION I DESCRIPTION I ART. I SEC. I REMARKS: INSPECTED BY: / �`'�� DATE ON INSPECTION: ( t7 ) Y i TIME START: f END: _ 3