HomeMy WebLinkAboutZ-40189 FGj,t Town of Southold 1/29/2019
53095 Main Rd
' Southold New York 11971
VA
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40189 Date: 1/29/2019
THIS CERTIFIES that the structure(s)located at: 580 Broadwaters Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-10-3
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- 40189
dated 1/29/2019 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 and accessory shed.*
Notes:BP 6802 addition to dwelling COZ-5818• BP 10004 addition to dwelling COZ-9609• BP 21317 addition and
deck additions to dwelling COZ-23444; BP 23115 addition to convert accessory shed to garage COZ-24100; BP 43417
"as built"central air conditioning COZ-40187.
The certificate is issued to Beebe, Luisa& Scofield, Teresa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
/'A4h d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 580 Broadwaters Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 104.40-3 SUBDIVISION:
NAME OF OWNER(S): Beebe, Luisa&Scofield,Teresa
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Beebe,Luisa DATE: 1/29/2019
DWELLING:
#STORIES: 1 #EXITS: 1
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: I #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/29/2019
TIME START: 11:00am END: 12:05pm
Form No b
TOWN Off'SOU'I'HOLD
BUILDl€NC DEPARTMENT
ENT
T0'Vi3N HALL
765-1802
APPLICAMON FDIC CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the building pcpartment with the following:
A. For new building or tim,use:
1. Final survey of property with accurate location of all buildings,ptoperty lines,streets,and unusual natural or
topographic features. '
Z. Final Approval fi-om Health Dept.of coater supply and sewerage-dit posal(S-9`forni).
3. Approval of electrical installation from Board of Fite Underwriters.
4. $warn statetrtent from plumber certifying that the solder used in system contains less than 2110 of 1%lead.
S. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Cornplianm from architect or engineer responsiWe for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April�,M7)non-conforming apses,or buildings and"pre-existing"Saud uses:
1. Accurate survey,ofpraperty showing all property fines,streets,building-and unusual natural or topographic
features,
2. A properly completed.applicattitin and consent to inspect signed bytlie applicant.If Certificate-of Occupancy is
denied,the BaUding Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New d%ve ing 5511.013,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00.Accessory building M.00,Additions to accessory bui Wing$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existingl Building- $l 00.00
3. Copy ofCertifleate of Occupancy-$.25
4. tlpdatedCcrtificatcofOccupancy- $50-00
5. Temporary Certificate of Occupancy-Residential S.I5.M.Commercial 515.00
Date.
New Construction: Old or Pre-existing;Building, `(check one)
Location of Property: c5 ® 7-e/�.0 61�5_
House No. Street Hanile;t
Owner or Owners of Property:_ Z U-15-.4 130'0-a JW -7_e_X G_s14 SC®ore-
Suffolk CmMty Tax Nfap No 1000,Section Block /90 Lot
Subdivision Filed Map, Lot:
Permit:No._ Datc of. ermit. Applicant:
Health Dept.Approval: _ f.bderw-riters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certi#ieate � (check one)
Fee Submitted.,
applicant Si a
r7 108(o
coNsENT TO INSPECTION
G-0 r"Jc�1E44:Rhe undersigned,do(es)hereby state:
0 - r(s)Name($)
That the undersigned (is)(are)the owners)of'the premises in the Town of
Southold,located at ,��,� i��®��Zile, ,- _
which is shown and designated on the Suffolk County Tax as.District 1000,
Section /O .Block O y Lot
That the undersigned(has)(have)fried,or cause to be filed,an application in the
Southold Town Building;Inspector's Office for ft following.
C''�oeT�,cf c�►-�� o f ��C u.�,9�V C
That the undersigned do(es)hereby give consent to tl Building-Ins tors of the
Town of Southold to enter upon the above described property,including any and all
buildings-located thereon,to conduct such irnspections as they may deem necessaty with
.respect to the afimrA id_applic ation including inspee#ions to determiW that saidpmn*es
comply with all of the laws,or ftianc+eso rules and regulations of the Town of Southold..
Th&uuders a4 in mrisenting to such i ections,,do(es)so with the knowledge
and understanding that any information obtained-in the conductaf such inspections may
be used in subsequent prosecutions for violations of laves aradinances,rulesbr
regulations of the Town of Southold.
Dated: �a2 .2 G �' 0
(Signature)
(Print N
{Si Lure)
(Print Name)
oo
G� �� h_ iv -3pre
oe souryo�
TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: [ 6✓VA we.., A�
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DATE INSPECTOR
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30Ulyolo
# * TOWN OF SOUTHOLD BUILDING DEPT.
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�ycou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING (�
REMARKS:
DATE l - INSPECTOR
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SUBDIVISION: MAP•N'p'.: LOT(S):
NAME OF OWNER(S vt 4- LSA )CO
OCCUPANCY: i I wt�1
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: 60, SUET, 'C0. TAX MAP'1g0. 1000- 0—
SOURCE
SOURCE OF REQUEST: DATE:
DWELLING P�
TYPE OF CONSTRUCTION: #STORIES: # EXI
rI4�1p i-3'tq
FOUNDATION: L : tA89MENTi v 'CRAWL SPACE:
# OF BEDRO,Oc r� 'To 2NDj NV FLR: ' / 3RD FLA: --E-�=--
o hal v y3,k-4
BATHROOM( j. Yol T I1:, T R(70M{S): D— ILITY ROOM:
PORCH-TYPE: (K) TY-k- )nVAdQjj40IOj TYPE:
$ c, fl
BREEZEWAY:' FIREPLACE: Ata GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: ` AYRCONNDITIONING: j&-
TYPE HEAT: WARM AYR: HOTWATER:
# OF KITCHENS- >
, FINISHED BASEMENT YES- NO
OTHER: ev W 0 M ' vvvtm
ACCESSORY STRUCTTJRES e� ���Fo
GARAGE; TYPE OF CONST.: 1' STORAGE, TYPE CONST.:
SWIMMING P'0-OL: GUEST,'TYPE CONST: _
OTHER:
VIOLATIONS:. CHAPTER 144 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE
LOCATION rJESCRIPTION ART. SEC.
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REMARKS:
INSPECTED BY:`_fo6T, J DATF, OF INSPECTION:
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TIME START: t�. END: