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HomeMy WebLinkAboutZ-23238 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-23238 Date SEPTEMBER 20, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1275 MILL CREEK DRIVE SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 135 Block 3 Lot 41 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-23238 dated SEPTEMBER 20, 1994 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 WITH AN ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & MARIE MAC DOUGALL (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building InspG&tor Rev. 1/81 r BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1275 Mill Creek Drive Southold, NY number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) Thomas & Marie Mac Dougall OCCUPANCY Single family dwelling Owner type owner-tenant ADMITTED BY: Thomas D. Mac Dougall ACCOMPANIED BY: Same KEY AVAILABLE SUFF_CO. TAX MAP NO_ 1000-135-3-41 SOURCE OF REQUEST: Thomas D. Mac Dougall DATE: 7/19/94 DWELLING: TYPE OF CONSTRUCTION Wood Frame $ STORIES 1 1/2 # EXITS 1 FOUNDATION Cement Block CELLAR Full CRAWL SPACE Partial TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 1 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) 1 UTILITY ROOM PORCH.TYPE Rear enclosed DECK, TYPE None PATIO Small rear BREEZEWAY None FIREPLACE 1 GARAGE DOMESTIC HOTWATER Yes TYPE HEATER Electric AIRCONDITIONING No TYPE HEAT Oil WARM 'AIR Yes HOTWATER OTHER: Side Covered entry porch, outside cellar entrance. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 Car - Wood frame STORAGE, TYPE CONST. No SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP#22287-Z Alteration CO#Z-23237 . INSPECTED BY DATE OF INSPECTION 7/21/94 Jo M. Boufi TIME START 9:45 END 10:05 Form No. 6 1 �$ .7p ty 112L� Q�7 D [ 114 TOWN OF SOUTHOLD 91 BUILDING DEPARTMENT T014N HALL BLDG.DEPT. '7 6 5-18 02 TOWN OF SOUTHOLD 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 Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lewd. 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 "pre-existing" land uses: ) non-conforming uses, or buildings and 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . .��~ �� New Construction. . . . . ff Old Or Pre-existing Buil ingn. , . . . • . • . • • •• . • . . • . . . Location of Property. . . . . . >.. . . /..�..4 . .C . ;°�. . . . . . . . . . . . . . . . . . . . . . . House .No. Street Hamlet. . . . . . . • Onwer or Owners of Property. ./. !j.� ;' a�', , ;!J•. ./ � . . . . . County Tax Map No 1000, Section. . . � ~ . . .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 Certicate. . . . . . . Fee Submitted: $. . . .�,fl:Q.,� . . . . . . . . . . . . . . . . . . ACC L�4� 7` �o �✓ t APPLICANT ` . . A V CONSENT BL®G.DEFT. TO TOWN OF SOUTHOLD INSPECTION z the undersigned, Ovmer(s) Names) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 11 L - R which is ,shown and designated on the Suffolk County tax map as District 1000, Section Block Lot , That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's 'Office for th`e following: That the undersigned do(es) hereby give consent to the Building Inspectors of the. Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as .they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all•of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 441 (signa r (print name) (signature) (print name) 70 5�.•Q 9 CRF v- Q .. ',z . O •:`k I N AUTHOi:IZ:G ALTL'AiI_-N.!:r:.Ai)DIEION - .W TM THIS SURVEY IS A VIOLATION OF. / \ ••� Sl CTION 7209.OF THE NEW YORK STAT \63 (� El UCATION LAW. �. C DPIES OF THiSSUR'rEl' hP,AF 1iOT BEARING '9 T E LAND SU,.VF.O�:� E BOSSED.$EAt SHALL I::JiyE_ CONSIDERED T BE A VALID T.;UE C_-F7. •C 'ARANTE:S RUM -. cr i T• PRU AGED,.A:::. h T N VAS'C::r_ �i_ ••t-jD o 'TIOr.. GL'AS,:....___ .,. [h i. .--:i=.ABLE. - _ ___ -___- j d Off, 19� MAP of PROPEt�TY °•N4p :l { i 5URv1~Y50* FOR MAC DOU6 4 ,• AT A23 HAM,0MAQUE. 1"GVaN OF ZSOUTHOLD, N.Y. IGUAZAWMED r4 . : Opp SCALE : 30' z 1" CO. AND SourN_ .5.No1ZE F6DIZRA.L. :ZAVAW6z d L6-.4t A;6s'e+i:: P4A, .M 9yS �.Y 2OPi 1ZtcK VAi4 'rt�Yc_ P- C. - o Mb��Juf��ra•r _ _ a SuPFs41c Ca• rax4. No.._ / .i N X. L•icEtiz5FD LAND 5UTZVE•rG25 -- Z_to?4L'r N.Y. 17 TOWNOF . SOUTHOLD Q PROPERTY R ORDCA RDi m ?q OWNER STREET VILLAGE DIST. SUB. LOT 09C to; FORMER OWNER N E , ACR. Akaol — S WTYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value 7 LAND IMP. TOTAL r DATE REMARKS ,//-7,/7 a Z—/je.le R 2, e. c a 717/ P=eA� -1 c /;,o 0 Al 8' -0 0 14 X e A4 p 7-o- TO ^1,4ch o a 9 4 �2 7 c* 0 /OZ 7' 11 FRONTAGE ON WATER 1- 7 �.Woodland FRONTAGE ON ROAD r'"-Mea d o 6nd DEPTH �-.I-16usie,Plot' BULKHEAD r MENNEN mom 0111111 . ipv ..ter; :{,,.• ■■■■■■�■�y� �■1,■■■■ ■■■■■■■■■■ , . -;,: .. . ■■■ ■ir■iii■iii■■■i■■■■■■■■■■ ■ MEN_■■■■■■■■■■■■■■■■■■■■■■■i■ •• r • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■i■■■■i■■■■■■■■■■■N■■ IMMEMEMEMENMEMEMEMMEME■�■■■■■i■■■■■■■■■■■■■■■ MENNEN ■■MNON ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Foundation Both Dinette t. Walls Interior Finish Pre Place .. �l� .e Roof Rooms Ist Floor : • BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT f LOCATION: �p� �5el 'l Cl number street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ® tv OCCUPANCY type A owner-tenant) ADMITTED BY: All< ,[OA 'G� �� '!<l� ACCOMPANIED BY: � �' KEY AVAILABLE" v SUFF.CO_ TAX MAP NO. / SOURCE OF REQUEST: �� /�� r^��� DATE: / 7 DWELLING: TYPE OF CONSTRUCTION JQo �/�t� STORIES / �E%ITS FOUNDATIONS 1 - CELLAR �tt.�r� CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR.�^ 3RD FLR., BATHROOM (s) TOILET ROOM (s) C),Ve_ UTILITY ROOM PORCH TYPE QfJ/Z TAl. 0,5e'l - DECK, TYPE /1 J` PATIO BREEZEWAY A hl� FIREPLACE © /U e- GARAGE - DOMESTIC HOTWATER TYPE HEATER Cl�.� .AIRCONDITIONING TYPE HEAT / I WARM �AIIR �QS,'j - HOTWATER OTHER: ¢� -t S��f'11-a E " ©w4`�I ACCESSORY STRUCTURES GARAGE, TYPE OF CONST. C' �. (/E/fgq�STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: V_jaATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION SEC. Oc , ` . . V c,f • dam/ S' � - : � � - 3 �. 3� - REMARKS: INSPECTED BY / v DATE OF INSPECTION 2 l f TIME START �/ / END