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HomeMy WebLinkAboutZ-36063 fSU ptA Town of Southold Annex 11/28/2012 c°Gy 54375 Main Road Southold,New York 11971 �Ol V'r0l PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36063 Date: 11/28/2012 THIS CERTIFIES that the structure(s) located at: 3655 Wickham Ave, Mattituck SCTM#: 473889 See/Block/Lot: 107.-9-8 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36063 dated 11/28/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with enclosed front porch, accessory 1 1/2 car garage and seasonal accessor cottage with 2 bedrooms, toilet room, screened porch and outdoor shower.* NOTE: BP 37651 deck COZ-36062 The certificate is issued to Yousik, Rosemary&Yousik, Sharon Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. lAdoriz d Si ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3655 Wickham Ave,Mattituck SUFF.CO.TAX MAP NO.: 107.-9-8 SUBDIVISION: NAME OF OWNER(S): Yousik,Rosemary&Yousik, Sharon Ann OCCUPANCY: ADMITTED BY: Carol Bohn SOURCE OF REQUEST: Yousik,Rosemary&Yousik, Sharon Ann DATE: 11/28/2012 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 1 1/2 car STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: seasonal OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 10/1/2012 �2i� TIME START: 9:30am END: 10:15am Form No.6l l� TOWN OF SOUTHOLD. L1 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY E �' E This-application must be filled in by typewriter or ink and submitted to the Building Departmen 0th the following: A.- For new building or new,use: � S E P 2012 1. Final survey of property with accurate-location of all buildings,property lines, streets,and urF al-na ,j )- topographic features. B�u . � SDUTHDLD 2. Final Approval from Health Dept_of water supply and sewerage-disposal(S-9 form). TOWN OF 3. Approval of electrical installation from Board of Fire Underwriters. 4. 'Sworn statement from plumber certifying that the solder usedJn system contains less than 2110 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"Iand 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. Certificaie of Occupancy- New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50.00, t Swimming pool$50.06,Accessory building$50.00, Additions to accessory building$50.00, Businesses$50.00_ 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate o€.Occupancy-$25 4. Updated Certificate of Occupancy- $50.00 • 5_ Temporary Certificate of Occupancy -Residential $1._00,Commercial$15.00 Date. Iz 20170 New Construction: Old or Pre-existing Building: (check one) Location of Property:'3- (o SS W t C. ( po�yvl A U House No. Street Hamlet Owner or Owners of Property: 0 S e_Y►'i av k S k Suffolk County Tax Map No 1000, Sectiony'l 3 gg a Block Lot 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: $ 3a �` Applica S ature CONSENT TO INSPECTION -_q � ► ;�c the undersigned.,do(es) hereby state: wner(s)Name(s) . That the undersigned(is) (are)the owner(s)of the premises in the Town of Southold, located atv 6 515 .C-c1.vC ��� i9 vq 744'4 ccc k which is shown and designated-on the Suffolk County Tax Map as District 1000; Section, Block �� , Lot (9Q That the.undersigned.(has):(have)'fded,.or cause to.be filed, an application in the Southold Town Building-Inspector's Office for-the following: That the undersigned do es, .hereby-give ( ) y 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.inspectians.as they may deem necessary, with respect to the aforesaid application, including inspections to.determine that said premises complywith.'all of the laws, ordinances; rifles aiidreg' ations-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: -1 a(0 _ ,fie�eiyyt PriV'r ( i(Pri Certifications indicated hereon signify that this plat of the property depicted hereon was made in accordance with the existing Code of Practice for Land Surveyors adopted by the New York State Association of Professional Land Surveyors. This certification is only for the lands depicted hereon and is not certification of title,zoning or freedom of encumbrances. Said certifications shall run only to the persons and/or entities listed hereon and are not transferable to additional persons,entities or subsequent owners. G CREEK LAN •69 TIE SINE) E _ _ - (N 2701-,i APP OX AIM 1E A H GH WATER MARK MONUMENT WOOD FOUND WALL 'S PIPE CONCRETE FOUND WALL FE 0.3'N 0.6'S w L) W WALL I� ON LINE CONC. rr GAR w COVERS O� 0.2'S o (TYP.) 0 Ro oW It O 0o GAR ;m .33 ° 1 STORY BLDG 18.5' DWELLING ' 0.2'N dl 8.0' 8•. 8W CONCRETE 0 12.4U( COVER O wo p 3.0'^ ._ (TYP) a U a a n LDG LL 0 FE CONC. in 18.0' ON O ^ 0.9'S COVER UNE N (TYP.) J O x x a} M LL LLLI 12' W 2 t J O O Q I— Ld FE o N cc 0.7'S � 22.6' LL Y 0 o} �2.0' 3.1'. LLI to OW X : lug .2.0' �Q �mp °Z ri a 3.4' DO O O 6.1'_ 6.1 W X to J Z M C9 O 10.3' O> X 0 �:: 1-- ZW I � ° W °1 STORY Z I j� Z DWELLING M p °� No. 3655 M Q W n ON N z ° W DN > Na Q I a I l 0 Z MONUMENT o FOUND — � = WATER 301.43 FE IRON VALVE PIPE W 75.00� 0.6'E S 31-05040" W lCKH AM AVENUE vviEw. LOT AREA = 20,371 S.F. The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not Intended to guide in the erection offences,retaining walls, pools,patios,planting areas,additions to buildings and any other construction. Subsurface and environmental conditions were not examined or considered as a part of this survey. Easements, Rightsof Way of record,if any,are not shown.Property corner monuments were not placed as a part of this survey. © 2012 BBV PC VBarrett Tax Map: DISTRICT 1000 SECTION 107 BLOCK 9 LOT 8 BBonacci & Ma oF. DESCRIBED PROPERTY Unouthortzed alteration or addition to P this survey is a violation of Section j Van Weele, PC 7209 of New York State Education taw tt Civil Engineers 175A Commerce Drive Map Lot: --- Map Block: --- Hauppauge, 11 : --- o.: 1 11788 Surveyors r 631.435.1 Filed N -- County:C SUFFOLK y Planners F 631.435.1022 www.bbvpc.com Situate: MATTITUCK,TOWN OF SOUTHOLD Certified to: Title No.:381200077 Revision By Date ANTHONY & PATRICIA GALEOTTI opies of this survey map not bear- ing tng the land surveyor's embossed HICAGO TITLE INSURANCE COMPANY seal and signature shall not be con- ASTORIA FEDERAL SAVINGS&LOAN ASSOCIATION sidered to be a true and valid copy (its successors and/or assigns) Surveyed by: A.B. Drafted : G.C. Checked M.A.R. Scale: 1"= 40' Date: SEPTEMBER 14 2012 Project No.: A120463 G o _ ,o _ TOWN OF SOUTHOLD PROPERTY RECORD CARD ,�— OWNER STREETS VILLAGE DIST. SUB. LOT W.ic.K41 Av — IVA 7-0 e FORMER 0 NER N E ACR.A Du�� C�l1 S W TYPE OF BUILDING -A Z.,te Qas RES. ,�,9 1 ,0W SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS DD 71y Ov 1+ ma Yaw,) noh ,�, r1 �- an/ e�se� AGE BUILDING CONDITION y �— Ap%ffab&kjib NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 i Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ^ u _ �U v House Plot DEPTH BULKHEAD Total ✓ DOCK 44, 10 ■■■■■■ ■■■■■■■■■■■■■■■■■■■ 3` y, ,7 ,; ; a•�r • • ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ell I laps ► ° ■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■ W■■■■■■■■■■■■■■■■■■ ■■■■■iTi iiil■■■■■■■■■■■■■■■■ .... Y .. , c ■■■■■N ■■�!!■■■■■■■■�'�■■■�'■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■ Foundation Basement �Ext. Walls Fire Place M - .ti _. .. LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): , NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: 4=oZ___ KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: _ # STORIES: &LQ--#EXITS: 21. FOUNDATION: . BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): �� UTILITY ROOM: . PORCH TYPE: _ / �� DECK, TYPE: , PATIO;TYPE: BREEZEWAY: I(Jn , FIREPLACE: I A CO GARAGE: /l/e? DOMESTIC HOTWATER: S TYPE HEATER: PAXAIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS:— FINISHED BASEMENT: YES. NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: �?� STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: 6917*6 OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOC N D IPTION ART. SEC. REMARKS: .r INSPECTED BY: DATE OF INSPECTION: l /?✓ TIME START: i END: