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HomeMy WebLinkAboutZ-26485FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26485 Date: 05/28/99 THIS CERTIFIES that the building DWELLING Location of Property 1055 PT PLEASANT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 0001 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- 26485 dated MAY 28, 1999 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 ENCLOSED FRONT PORCH, OPEN REAR PORCH, AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to DOUGLAS & JANE SEETH, TRUSTEES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1055 PT PLEASANT RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): DOUGLAS & JANE SEETH OCCUPANCY: SINGLE FAMILY DOUGLAS & JANE SEETH ADMITTED BY: $IC ARD EHLERS ACCOMPANIED BY: SAME KEY AVAILABLE: - SUFF. CO. TAX MAP NO.: 114.-1-1 SOURCE OF REQUEST: DOUGLAS SEETH AS TRUSTEE DATE: 05/28/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: —.5_ BATHROOM(S): 1.0 2ND FLR.: —1 TOILET ROOM(S): 1.0 PORCH TYPE: FRONT ENCLOSED, REAR OPEN DECK TYPE: BREEZEWAY: FIREPLACE: 3RD FLR.: _I UTILITY ROOM(S): GARAGE: PATIO TYPE: FRONT SMALL SLATE DOMESTIC HOTWATER: GAS TYPE HEATER: L.P. AIRCONDITIONING: TYPE HEAT: OIS WARM AIR: X HOTWATER: OTHER: GARAGE, TYPE OF CONST.: TWO CAR WOOD STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INLi:�;lY.71 INSPECTED BY: DATE ON INSPECTION: 05/25/99 M. BOUFIS TIME START: 10:30 AM END: 11:00 AM I CONSENT TO INSPECTION s) Namels do(es) hereby state: 0; , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold(( located at M 4 �U C"Ic" WE= 0 which is shown and designated on the Suffolk County tax map as District 1000, Section, Block 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 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, 'k 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: VAignatureY (print name) TOWN OF SOUTHOLD , �' BUILDING DEPARTMENT __._ 76L WNHALL 802 I APPLICATION FOR CERTIFICATE OF OCCUPANCY Al --44s appliC2t dff-must be filled in by typewriter OR ink and submitted to the buildit inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property line: 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. CB-), Tor existing buildings (prior to April 9, 1957) non -conforming uses, or buildings e ,'-'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 - _ .25,,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,% ��Commercial $15.00 Date ... J 41. !.l ...................... New Construction........... Old Or Pre­--e-xistin Building. !! ...... Location of Property...�V� Jr�`�........:.? '..�left�� ..i..�. : • ..... ! 1��•'• :`•: House No. Street Hamlet Onwer or Owners of Property. U';' * * County Tax Map No 1000, Section... ....... Block...t............ Lot ... !.............. Subdivision....................................Filed Map ............ Lot .................. Permit No................Date Of Permit ................ Applicant ......................... Health Dept. Approval..........................Underwriters Approval..................... Planning Board Approval ........................ i Request for: Temporary Certificate........... Final Certicate..L- .. .. Fee Submitted: $...� .................... ........... �3 APPLICANT OWNER STREET VILLAGE DIST.1 SUB. LOT zoug as done, see 4*) --TY- 'b+ A ---� LA., -e-r�.2 et FORMER OWNER N E ACR. # ss� I W TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value -illable I "illable 2 illable 3 4, kodland & -;Ire wampland FRONTAGE ON WATER rushland FRONTAGE ON ROAD ouse Plot DEPTH ,v BULKHEAD )tal IDOCK 2 i _ 1 SURVEY OF LOT #3 E "MAP OF POINT PLEASANT" ► :tl' Z 7 1999 '� CERTIFIED TO: FILED MAY 1-71 I cI16 AS FILE # 120 Douglas 51 t BLDG. DE. Jane Seeth as G o-Trustees SIIVATE: MATTInUGK TOWOFS of the 5eeth Revocable Living Trust TOWN OF SOUTHOLD SUFFOLK COUNTY, NY C SURVEYED 05-13-qq � 9 c g+®e AMENDED 05-27-qq <41 1" e� lOJ SUFFOLK COUNTY TAX # Vv a A 1000 - 114 - I - attfitac ® 1pl .26' N'1901 1 11neeldn9 °pparent E10 hlgn Woter-/ ,UI. Y6 dL. 6 - f.L. �,h. ih. It 1 Tidal 'NaLIOnd gn13 49rtePted - I*I; 0 iz Fox 0, —r n 1 v+ n , I l �l O W O ESI,, t I e UV 2.3' 245' Ib.l' Fr i`2 Story O r�hed Frame 0 -U 1 5t. HOV5e 20.3' O- I � L 113' 16.I' 24.4' A Fr Q 1 GOr. :5 �O O Q (150Of o c T1 O O # Lot \# 3 °a �s A 60 s�o w --I N o P I n II m 9 I I 1 1 1 1 I 1 1 I I 1 � I '1 51. 0 02' S9301 ' „W I P11 I� �� 11 dirt road �� - — U.P. 9 � aBA �V V ��� �� "unautner,zee alterac,On or aemue, m a sur.ey ,as aIt an I a act an 7 lana sur.evors seal , o,at.on or aett,an ,zoo. s.U,z, of Me NOTES: ■ MONUMENT FOUND O` �� C.m"oNy Eh�F96� a �' �� xew vork state eeucat,en tae.' co'I rrem the Onpmal or tnls survey a am a onBlnal m the lana surveyor a scamoea seal snarl oe tona, err ea woe val true eealea -certir mac Ions Hereon angel ry tnac tms A STAKE FOUND (_.�_-I..i_l HEDGE y !� • ,I(j1 ' 1 ¢ 0 � N t`IS`cO prepared vey was Ir raved m o ordance with cne e I Isv ing cone er Fracelce lola'ttano surveys aouses o ne tae Neweye ynr. $tate rt IfliatlOn ar Prer pee, anal Lane surveyors. smo cwoo. lcauans anal run omy to the person ;or venom cne surrey ,s areaaree, and on his oenav to me tjt a tomaenv. am.nnman- cal agency arra lending lase ¢uuon llstm n reon ane o the a a„neva ar the land ny ,natltet,on. Oertlrlea- monssare net trans revamp to aodltronal Institutions WOOD FENGE o2 NOD AREA = 25,185 SF OR 0.5q AGRE5 JOHN C. EHLERS LAND SURVEYOR GRAPHIC, SCALE 1 "= 40 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 - RIVERHEAD, N.Y. 11901 - - -- -- --- -- 369-8288 Fax 369-8287 REF. E:UOBSl99-165B BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSINDE INSPECTION REPORT LOCATION: ©� — number & street SUBDIVISION MAP N0. NAME OF OWNER OCCUPANCY' ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: SUFE. CO. cipality LOT (s) U - p (owner—tenant) ACCOMPANIED BY: TAX MAP NO. 1 a' DATE or I DWELLING: ®, 1 h ot TYPE OF CONSTRUCTIONy(/ F,.,,� # STORIES # EXITS FOUNDATION (9jtCELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. '5 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) � UTILITY ROOM PORCH TYPE . �, DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTWATER OAS TYPE HEATER 4 j10 — ` AIRCONDITIONING TYPE HEAT / WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONSTX (:!4k STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPPECTION �� TIME START/l,,30