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HomeMy WebLinkAboutZ-26844FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26844 Date: 12/20/99 THIS CERTIFIES that the building DWELLING Location of Property 1250 CAPT KIDD DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 0002 Lot 045 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- 26844 dated DECEMBER 20. 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 The certificate is issued to JOYCE SMITH (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. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 1250 CAPT KIDD DR MATTITUCK SUBDIVISION: NAME OF OWNER (S): JOYCE SMITH MAP NO.: LOT (S) OCCUPANCY: SINGLE FAMILY JOYCE SMITH ADMITTED BY: MIKE HUSSNATTER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 106.-2-45 SOURCE OF REQUEST: CAMINITI & GIBBONS. ATTYS 10/28/99 DATE: 12/20/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 0 2ND FLA.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 PORCH TYPE: BREEZEWAY: DECK TYPE: 3RD FLR.: 0 UTILITY ROOM(S): YES PATIO TYPE: CEMENT FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: GARAGE, TYPE OF CONST.: WOOD FRAME -1 CAR STORAGE, TYPE CONST.: SWIMMING POOL: OTHER: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: ,�G / Z� DATE ON INSPECTION: 11/18/99 GARY J1 $TSH I TIME START: 10:45 AM END: 11:10 AM Form No. 6 TOWN OF SOU'THOLD BUILDING DEPAR'T'MENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR 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 )bard 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 butldings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirement �< 11. For existing buildings (prior to April. 9. 1.957) non -conforming uses, of buildings And "pre-existing" land uses: L 1. Accurate survey o£ property showing a.11. property lines, streets,Varimunusual natural or topographic .features. 2. A properly completed application and a consent to inspect signedj1f a Certificate of Occupancy is denied, the Building Inspector F41i�! o'! - 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 - .25t 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1.5.00, Commercial $15.00 Date ....Y'�..�.?.�.................... New Construction........... Old Or Pre-existing Building... n ^ ..... Location of Property............Y� .../�Q� f.. I . ........ !.. % .. House No. Street// Ilamlet Onwer or Owners of Property .... DJx �M / ..................Z./................ County Tax Map No 1000, Section.../.D w..... Block ... r........... Lot .... !............... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certifi.cnte........... Final Certicete...... .... Fee Submitted: $.. �D . 60 ................. cQ O � V?� PPLICANT ,76 / `.f Y TOWN OF SOUTHOLD PROPERTY RECORD CARD CK - VILLAGE DISTRICT SUB. LOT OWNER STREET / �� RMER OWNERMari vn SDmmGL, N n -4 i'.r S E W ACREAGE ` j -- TYPE OF BUILDING RES.� S. VL. FARM comm. IND. CB. MIS C. — LAND IMP. TOTAL DATE REMARKS C) b 1200 / O O -- / 60 b 66 /'�Q;} a D � \,00, ✓ f /o l0 30 7,/ UjL17t'--i' D d 0 .S -S`0 0 / 7Y 3 9 -L I �o�nma -4 aAz, 331M -41 7d 75-6 rne554 rd f, -V' - 04rm0t- - AGE NEW NORMAL BUILDING CONDITION BELOW 3i q ABOVE -,L.IJ 70l �/7rI- 6Dinm2� nlDce .Srr, � FRp N i �a N %o1a-_ /o _ -- GO -- Farm Acre Acre Value Per Acre Value Fl v. 17 e P 1-14 / 2 a 7 �( //i o� 5 � S – s Tillable 1 Tillable 2 Tillable. 3 Wcodland Swampland Brushland Housd4*ot*,. Tota I (2 D 16 )- Wl, fe IN 0 e. M. I Ext i n f� — ZQ q '396 6 f 3 X ld s zQ B 6 2 0 = 0 3 2625 Foundation Basement _ �� y Ext. Walls - --- i�_J'!,_ Bath Floors Interior Finish - rw Qa K /,�'a��' — — ---- y Exte �iorY s= Fire Place 0 h@ Heat Attic Q ' Porch Porch Rooms 1st Floor Rooms 2nd Floor Breezeway Patio wi4V ll ) GarageZ y 3 g y 1_ Driveway _ - -- O. B. �D eF i s) Name(s) do(es) hereby state: CONSENT TO INSPECTION i the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 570 C�qOTLI 'U Vhf 1Y1 -m 1-9jM-- , which is shown and designated on the Suffolk County tax map as District 1000, Section ���, Block cO , Lot 7 J� i 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: 7(jolwl tV ,-Diudl 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 ty Town Southold. Dated: 10 -da - 9% "/.. ro" Nl iCI��E� f%u�s Ma/ice ell I P,quZ A. (print name) Af+/KJ (signature) (print name) SURVE'I' OF L_OT # 151 "MAP OF GAPTAIN KIDD ESTATES" FILED JAN. Int, Ig4q AS FILE # 1672 S I TUA;TE : MA;TT I TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NY 1-7q.2-7' w kr) I M t 1� N 1 W v E S S86°00930" E timber -- �-'- wall tr i �1 L) J 201 — --- 19.7' 20.2' 19.6' - 15tory m = 6 Frame House T I6.0' 28.1' O 10.0' aspholt drive �l 60 0'30"W 100. 26 4' 9 l 0� 0 M O o oaw 0-0— Captain ludd ff-q% 0 Drive SURVEYED 04-12-9q SUFFOLK GOUNTY TAX # 1000-1Ob -2 -45 CERTIFIED TO: JOYGE SMITH NOTE5: auneutnanl[ae altered on or aedition toe trey off meq e[erme a licensed land nee, e v in ifsub -division z. or the or section )zo9. .State Education NewVork State EEV[et ion Lev.' • MONUMENT FOUND only comes mo. the orfgm:' m this s vey at...Ad ... ie shell 4eq considered reds loose validy [rue PIPE FOUND - �' t7 1 P�y...,C' .. a[rlfrfaatena ne noise careen comer toot sofa � .or.[y raa qr egaree to accordance rill, the a.- falmq code orac tics ror Lane I HEDGE - _ or Swaays eaogtee py [he Ne, York $lata .aso[fe[lon el or elea¢lonel ` - Lend Surveyor[. Sete certfrt ceteons shat] r only AREA = 12,000 5F OR 0.28 AGRE5 to the ga... n mr rhea the Surge fa gr:gerad. one an his behalf to ins title c:pony. governaen- let .qen" end ].nate, institution listed here.'. end to the aa•fgneef or the lenef np fnall tu[lon. [ertlflc@- [lons en net trend M1rebte to additional Institution@ JOHN C. EHLERS LAND SURVEYOR l= 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 GRAPHIC, 5C,ALE: I 501 -- -- — RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REF. E:UOBS199-154 T BU1LDIfiG 0heAR1MErNT TOWNS OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY (type) (owner -tenant) ADMITTED BY: M tk rJ��d4 ]'`J�fl� ACCOMPANIED BY: KEY AVAILABLE -7 CO. TAX MAP NO. SOURCE OF REQUEST: DWELLING: DATE: TYPE OF CONSTRUCTION k# STORIES # E%ITS ' FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OTHER: TOILET ROOM (s) �- DECK, TYPE UTILITY ROOM PATIO, TYPELL� FIREPLACE GARAGE TYPE HEATER AIRCONDITIONING WARM AIR - HOTWATER ACCESSORY STRUCTURES: t GARAGE, TYPE OF CONST. ✓t (,N, STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: ROUT -�!. aC.ICAA Ak. _ WMA 9S5? d &61 INSPECTED BY: DATE ON INSPECTION TIME START