HomeMy WebLinkAboutZ-33126 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- 33126 Date: 06/30/08
THIS CERTIFIES that the building DWELLING AND ACCESSORIES
Location of Property 3375 INDIAN NECK LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 098 Block 0001 Lot 001.003
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- 33126 dated DUNE 30, 2008
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 AND FOUR ACCESSORY BUILDINGS.*
The certificate is issued to PHILIP R MARCO
(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.
"Z-4
//,*"Uthor' ed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3375 INDIAN NECK LA PECONIC
SUBDIVISION: NAP NO.: LOT (S)
NAME OF OWNER (S): PHILIP R MARCO
OCCUPANCY: SINGLE FAMILY PHILIP R MARCO
ADMITTED BY: ACCOMPANIED BY:
KEY AVAIIJTALE: SUFF. CO. TAB MAP NO.: 98.-1-1.3
SOURCE OF REQUEST: CHARLES CUDDY, ATTY DATE: 06/30/08
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK, BRICK, STONE CELLAR: 1/2 CRAWL SPACE: 1/2
TOTAL ROOMS: 1ST FLR.: 5 211D FLR.: 3 3RD FLR.: 0
BATHROOM(S): 1.0 TOILSP ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: PROPANE AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: X ROTN TER:
OTHER: MUDROOM
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 4 WOOD FRAME BUILDINGS
SW31BEING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART. I SEC.
OUTSIDE 2 ACCESSORY BUILDINGS IN NEED OF REPAIR
I I I
REIGU RS:
INSPECTED BY: DATE ON INSPECTION: 06/17 08
GARY J F H TIME START: 10:15AM END: 10:45AM
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 Departm it F{elf to ri���C
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, 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$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. June 2008
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 3375 Indian Neck Lane, Peconic, New York 11958
House No. Street Hamlet
Owner or Owners of Property: Philip R. Marco & Patricia Phillips Marco
Suffolk County Tax Map No 1000, Section 98 Block 1 Lot 1.003
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: $ 1QO • O
a�
Applicant Signature �_
CONSENT TO INSPECTION
Philip R. Marco & Patricia Phillips Marco, the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 3375 Indian Neck Lane, Peconic, NY 11958
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 98 , Block 1 , Lot 1.003
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: for a
pre-existing (prior to 4/9/57) building.
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, as in
effect and applicable to all buildings and structures existing prior to 4/.9/57.
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:
'Signatur )
Charles R. Cuddy
(Print Name)
(Signature)
(Print Name)
l
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TOWN OF SOUTHOLD PROPERTY RECORD' CAR®
OWNER STREETS j �j VILLAGE DIST. SUB. LOT
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FORMER OWNER ] / E ACR. q' e€ d
1 0ry R(Atj S. TYPE OF BUILDING
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.ES. SEAS. VL. FAR U �COMM. CB'. MISC. Mid. Value
LAND IMP. -TOTAL DATE REMARKS
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COND 1
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F Acre Value Per Value
Acre
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"illable 1 0 i
'illable 2
'illable 3
✓oodland
wampl,and FRONTAGE ON WATER
rushland .FRONTAGE ON ROAD
louse Plot DEPTH
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TO* 00 SOUTHOLD P'7-OPERTY 'RECORD C,,i.*'%.D
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LAND IMP. TOTAL DATE REMARKS
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Extension
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SURVEY OF
PROPERTY
N/O/F PETER R. STOUTENBURGH o A T IND/AN NECK-
F TOWN OF SOUTHOLD
�_ SUFFOLK COUNTY, NY
' 1000- 98-01- 1.1
' S 8p°445p-E 2_. 1
$ Scale: 1"- 100'
ti 241,67' N. 85-43,10, E. 031,86' NOV. 12, 1996
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R �3 CERTIFIED To,
L N-E C PHILIP R. MARCO
PATRICIA PHILLIPS MARCO
S 78-44'00- W' T1COR TITLE TITLE GUARANTEE CO.
^I D ' A NORTH FORK BANK
'• Cap, 01.me),ZQ
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A.VIOLA TION -° `W
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAWF
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERT/F/CA�7ONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR '"""
- NUMBERS ARE REFERENCED TO MINOR SUBDIVISION WHOSE SIGNATURE APPEARS HEREON. � y Ll bcN 49618
' THE D'KULA FAMILY ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' PECONIC S SpS. Z�
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY (516) 765
OF ANOTHER SURVEYORS MAP. TERMS SUCH AS'INSPECTED'AND BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH THE L P. O. BOX 909
AW. P. 0. TRAVELER STREET
SOUTHOLD, N.Y. 11971.
LOCATION: �j 7,e" . ) A,
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING: n
TYPE OF CONSTRUCTION: # STORIES: � P�1 XITS:
FOUNDATION: Uc LAR: CRAWL SPACE: "
TOTAL ROOMS: 1ST FLR: - 2ND FLR: 3 3RD FLR: �-
BATHROOM(S): &AQ, TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE: -
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: IRCONDITIONING: �-
TYPE HEAT �? C WARM AIR: HOTWATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE COW
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
f�
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: ld:/r _ END: `