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Home My WebLink AboutZ-29778 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29778 Date: 10/21/03 THIS CERTIFIES that the building DWELLING Location of Property 15 THIRD AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 067 Block 0006 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- 29778 dated OCTOBER 21, 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE The certificate is issued to BERNARD M MACKAY (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. A/ioAd Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15 THIRD AVE PECONIC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : BERNARD M MACKAY OCCUPANCY: SINGLE FAMILY DWELLING BERNARD M MACKAY ADMITTED BY: GEORGE DEACON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 67.-6-1 SOURCE OF REQUEST: BARBARA DEACON 9/22/03 DATE: 10/21/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PIT CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 3 2ND FIR.: 2 3RD FIR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: YES FIREPLACE: ONE GARAGE: ATACHED DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: XX HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 09/23 03 Reinspected 10/20/03 GA F TIME START: 10:00 AM END: 10:20 AM c Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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 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 Approval 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, -treets, 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$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 Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. V?_2L0 3 New Construction: Old or Pre-existing Building: ✓ (check one) Af, Location of Property: —AArd -- n ioeC�}�1 (, House No. , L Street Hamlet Owner or Owners of Pr6perty: Mae Suffolk County Tax Map No 1000, Section 007 Block O (o Lot 00 Subdivision Pecxj /e fAores Filed Map. Lot: Permit No. Date of Permit. Applicant: �� brQ- 2)e,�M Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Q o Vo0 , �iut �o Qq 7 7R" 4 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET I GE DISTRICT SUB. LOT z /-Z FORMER OWNER N E ACREAGE s W TYPE OF BUILDING I I 11/x RES. SEAS. VL. FARM comm. IND. CB. misc. I —LAND /,- IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I 12-ei /f; Tillable 2 Tillable, 3 Woodland Swampland Brushland a- House Plot Tota I O r ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■All , 1 in ,41 EMMMMMMMMMMMMMMMMMME■■■■■■■■■■■■■■■■■■■■ " ■■■■■■■■M■■■■■■■■■■■ MEMMMEEMEEEMMMMMMMME 1jMMM54�il�i■■■■■■ffi■■■■■■■ M■■■■■■■■■MM■■■■■■■■ A■■NO■■■■■M■■■■■■■■■ UM■EM■■■■■E■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ I Interior Finish Rooms I st Floor i '- • ® •• • , kooms 2nd Fl •• CONSENT TO INSPECTION the undersigned, do(es) hereby state: Owner(s)Names) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at /� 7.7Lc� PC' 4n-C , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 06 , Block ®� , Lot OD/ That the undersigned (has) (have) filed, or cause to be filed, an ap lication in the Southold Town Building Inspector's Office for the following: P/2 C� 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: �� "16 3 41n (Signature) Ba r'h r-w b eg cen (Print Name) (Signature) (Print Name) + �3 90' SURVEY OF PROPERTY `�O Eop oL Z A T PECONIC TOWN OF SOUTHOLD o OZ SUFFOLK COUNTY , N. Y. WOO - 67 - 06 - 01 SCALE: 1" = 20" SEPT. 9, 2003 Q G 2 C tsiS, m �o No " N� \09 66 0- oz �z Ad e' SO \\ � 8 AREA = 10,800 s . ft. O 0 q g NOTE, L 0 T NUMBERS ARE REFERENCED 69 TO ' MAP No. 2 OF PECONIC SHORES FILED IN THE SUFFOLK COUNTY CLERK'S 60t 00_ OFFICE ON SEPT. 15, 1930 AS MAP E4F NEty No. 249 30a `�' y<<'o��,t.` EPeo r+r'�''4•'J T ANY AL TERA TION OR ADDI7'10N TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA TION LAW. �, p EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS t` ti 'y HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF CERTIFIED TO, y'rF 6` Y.S. LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR v WHOSE SIGNATURE APPEARS HEREON. ES TA TE OF BERNARD MA CKA Y ADDITIONALLY TO COMPLY WITH SAID LAW TERM " ALTERED BY - St/F{VEYORS, P.C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY (631) 765 - 5020 FAX (631) 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH . INSPECTED " AND P. 0. BOX 909 BROUGHT - TO - DATE " ARE NOT IN COMPLIANCE WITH THE LAW. 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 03 - 227