HomeMy WebLinkAboutZ-39850 L F04 Town of Southold 8/21/2018
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39850 Date: 8/17/2018
THIS CERTIFIES that the structure(s) located at: 770 Old Salt Rd, Mattituck
SCTM#: 473889 Sec/Block/Lot: 144.-5-14
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- 39850
dated 8/17/2018 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 screened porch and attached garage_*
Notes: BP 42920 "as built"alterations (including screened porch converted to unheated enclosed porch)COZ-39848.
Please note there are 2 separate shower stalls in the dwelling not cosidered a half bath.
VIOLATION:Two deck additions constructed without a Building Permit.
The certificate is issued to O'leary, Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 144-5-14
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A ho e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 770 Old Salt Rd,Mattituck
SUFF.CO.TAX MAP NO.: 144.-5-14 SUBDIVISION:
NAME OF OWNER(S): O'leary,Joan
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: O'leary,Joan DATE: 8/17/2018
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: slab CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 2 UTILITY ROOM(S):
PORCH TYPE: screened DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: yes
DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: electric wall h WARM AIR: HOT WATER:
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
Violation 144-8 of the Code of the Town of Southold for construction of two deck additions without first obtaining a
Building Permit.
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/27/2018
TIME START: 9:55am END: 10:56am
pow� 3 l 31*)l 313 l
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form No.6 fi
TOWN OF SOUTHOLD
BUILDING DEPARTMENT JUL 2 0 2018
TOWN HALL
765-1802
B=ING DEPT.
APPLICATION FOR CERTIFICATE OF OCCUPANCY TOIFRO 07, ROT OLD
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:
I. 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 Appioval 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
S. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. JUL'/ 00, 2 U I e
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 770 Old Salt Rd.'HAattitUCk
House No. Street Hamlet
Owner or Owners of Property: O'Leary
Suffolk County Tax Map No 1000,Section 144 Block 5 Lot 14
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ L o0 ►0
VA _%X+41"K _6� xa4
Applicant Sig ature
f
CONSENT TO INSPECTION
F,yWIA DC aM) O'Leary ,the undersigned,do(es)hereby state:
Owner(s)Names)
0,X t NEjV1tA1 d/7//5
That the undersigned (is)(are)the owners)of the premises in the Town of
Southold, located at 770 Old Salt Rd. Mattituck
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 144 ,Block 5 ,Lot 14
That the undersigned(has)(have)filed,or cause to be filed,an application in the
Southold Town Buiidin Inspector's Office for the following:
Pre-Co
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: TLA V 00.4 0
(Signat )
(Print Name)
(Signature)
(Print Name)
pF SOU��ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 roper.rich ert(-town.southoId.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. O'Leary
Address: 770 Old Salt Road city,Mattituck st: New York zip: 11952
Building Permit#: PRE-CO Section: 144 Block: 5 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor 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 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
Notes: Installation of Central Air Conditioner.
Inspector Signature: tz, Date: August 6, 2018
0-Cert Electrical Compliance Formas
00 0 7OWN OF SOUTHOLD PROPER RECORD CARD
OWNER STREET 7 2to VILLAGE DISTRICT SUB. LOT
Ala 1TA1=j-
A
FORMER OWNER N E ACREAGE
L4
os' S W TYPE OF BUILDING
/-
RES. J� -(j SEAS.
VL. FARM comm. I IND. I CB. I MV ISC.
LAND I TOTAL DATE REMARKS
no 0
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
Form Acre Value Per Acre Value
Tillable I
Tillable 2
Tillable, 3
Woodland
Swampland,
Brushland
House Plot
Total
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Extension 's �" Basement G Floors
Extension _ 3 Ext. Walls Interior Finish
Extension l , '"� f S Fire Place I Heait —
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Porch Rooms 1st Floor U L
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# TOWN OF SOUTHOLD BUILDING DEPT.
oourm, 765-1802 INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION .. ••'' [ ] CAULKING
REMARKS: 0 IV�1/lJPry
v �o� V&& Jlr 1 '. et.
V4k,-, 6-6
v►V-�
Ab!9 -1—o &m;-Vs e7mo AfrffwA
DATE INSPECTOR
V 50//T�°� _
f # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULAT ON
[ ] FRAMING /STRAPPING [ FINAL /'�� C
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
tai &000 - � o XA)
«�
DATE INSPECTOR
LOCATION: �� �IiI�- ,517 M&
(number & street) (municipality)
SUBDIVISION: MAP-N'O.: LOT(S):
NAME OF OWNER(:)':
OCCUPANCY: Sly► i -
(type) (owner-
tenant)-ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAPLo 1000- in —'J —
SOURCE OF REQUEST: DATE: 3 v(
DWELLING '
TYPE OF CONSTRUCTION: JU N STORIES: # EXITS:
FOUNDATION; $114� ;18A8-VMENT; 'CRAWL SPACE:
# OF BEDR 'M' -` 2ND FLR: !J 31-D FLR:
BATIRO`O ( )•: 0IL T ItibO UTILITY ROOM:
sem%�- ,� 11�` � .
PORCH YPE:� il/ ECIC, T'Y : ?!J !'°� PATTY p PJ-
BREEZEWAY:' IREPLACE: 1. wolk QA - GL: f k9tjVJKI
DOMEST C HOTWATER: . TYPE HEATtV. AIRCONDITIONING:
VAfiw
TYPEPE HEAT: IA/"'l� ��A
OARM AIR: HOTWATER:
# OF KITCHENS.
IVB
.
FINISHED BASEMENT:- YES NO ,
OTHER:
ACCESSORY STRUCTURES 15 -C.a
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: _ GUEST,'TYPE CONST: .
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE
LOCATION / DSC • PTION ART. SEC.
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REMARKS: �� p7e
C If
i - 4,4. Vl �
ori SOV 405 r'mi11 j
INSPECTS BY: 30%w J �f1 DATE OF INSPECTION: V
TIME START; . J END: :>�