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)
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W v E
S
S86°00930" E
timber -- �-'-
wall
tr i
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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
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.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