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HomeMy WebLinkAboutZ-40208 4 Town of Southold 2/14/2019 53095 Main Rd Southold, New York 11971 A PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40208 Date: 2/14/2019 THIS CERTIFIES that the structure(s) located at: 8745 Oregon Rd, Cutchogue SCTM#: 473889 See/Block/Lot: 95.-1-12 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- 40208 dated 2/14/2019 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.* Notes: BP 7435 addition COZ-7317; BP 13947 deck addition COZ-15695; BP 43457 "as built"window replacement COZ-40205. The certificate is issued to Domaleski HI Revoc Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. s uth d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 8745 Oregon Rd,Cutchogue SUFF.CO.TAX MAP NO.: 95.-1-12 SUBDIVISION: NAME OF OWNER(S): Domaleski HI Revoc Trt OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Domaleski HI Revoc Trt DATE: 2/14/2019 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: indirect oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 3 #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: 10/19/2018 TIME START: 10:15 am END: 10:37 am Form No.6 i l TOWN OF SOUTHOLD r BUILDING DEPARTMENT A C T 1 6 2018 �-- TOWN HALL 765-1802 D APPLICATION FOR CERTIFICATE OF OCCUPANCY r •a 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: I. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. /O' 12' New Construction: Old or Pre-existing Building: X (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: -26 p©yV\ ?I ccS LLN, Suffolk County Tax Map No 1000, Section 95 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted:$ I -/— ppli ant Signa re CONSENT TO INSPECTION 1 S j ,the undersigned, do(es)hereby state: O er(s)Name(s) That the undersigned (is)(are)the owner(s)of the premises inhe Town of Southold, located at �74r .-Q r✓u C/ , which is shown and designated on the Suffbill County Tax Map as District 1060, Section 9�2— , Block I Lot That the undersigned (has)(have)filed, or cause to be filed,an application in the Southold Town Building Inspector's Office for the following: C o 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. t o I Z �SLt w l Dated: 1 1 l ' (Sig ure 1rn (Print Name) (Signature) (Print Name) r TOWN OF SOTHOi}D kMIERTY ICORD CARD OWNER STREET L VILLA" r DISTRICT SUB. LOT Cl o e- V&R O NE / /�' N G E ACREAGE 4 '. /(/ Q 1. S W TYPE OF BUILDING RES. �/d I SEAS. I VL. I FARM comm. I IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS Y d 3 0 31 1A 0 &1 Je J'6h, - ` l o o �{ e o Gv 000' / Z� c-,), 42-00 1 >04 — P-Q Cl a2- 15w S- AGE BUILDING CONDITION O �3 L7/ Q �Z ��, �� 7716 NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 Tillable, a - TOWN OF SOUTHOLD Woodland - OCT - 2018 Swampland Brushland ` House Plot Tota I 0 , - ■■�i fi■Y■irr■■■�ICl�■J■■■ �A. Bldg. Foundation Bath :xtension 2 Basement IL Floors :xtensi ' - - �f X6 h , :xtension Fire Place Heat Porch Attic 2— Porch Rooms 1st Floor 3 Teway Patio Rooms 2nd Floor Sarage Driveway =- _® • + i I 0 Y➢ 0[0® Iy MEWL 1018 OAtJ91G t JOB MQ 11-11218 �,♦\` Certified to: SAFE HMOR TRLf AGENCY(SH178373S5) Michael W. Minto, L.S.P.C. PreITYses known os: , FIRST AMEKm TIRE INSURANCE COMPANY LICENSED PROFESSIONAL LAND SURVEYOR ,� �p9 Jt�. `♦\♦`\, NEW YORK STATE LICENSE NUMBER 050871 $8Q$ �f690n Rood, CUtChogUC ` 0 ♦ ` 87 Woodvtew Lane ti `�? `♦ ♦` C Area= 2.45 Acres 'o• ` ♦ entereach, N.Y. 11720 t^ `\ \` PHONE/FAX: (631) 580-1202 CELLULAR: (631) 766-9714 q* \\ ♦` EMAIL' mikamintOI5Pc0Qm0I1-c0M UNAUTHORIZED ALTERATION OR ADDITION 'F � i,�_``!Pjl \ \♦y TE\\ O/_ THIS SURVEY ISA VIOLATION OF SECTIONTHE NEW YORK S TATE EDUCATIONLAW. '�\•� ` \\"�`\ Of COPIES OF THIS SURVEY MAP NOT BEARING (O�T �• \\\ `\ \\ 10 E BOSSf SEALNOT RV SMALL INKED e CONSIDERED �y1' ♦` \♦ `\ O TO BE A VALID TRUE COPY. •}\ Q`o `\-'� �\ `\ \\ �a GUARANTEES INDICATED HEREON SMALL RUN •\ ,p'I -l3 \ O \\ Av \` `\` �Q ONLY TD THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE .y �t/�`♦ \` \, O TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND To THE AS`\`♦ \ V �� 9� `�\\ ``, TUTION. GUAGARANTEES NEES ARE NOT TPANSOF THE LENDINFERRAABLE. ♦\\\\ i , \ r-��� `\♦ `\\ THE EXISTENCE OF RIGHTS OF WAY �6`\\♦` „ �i ; `` \`` ♦` �j/� ,` •y AND/OR EASEMENTS OF RECORD IF if✓ ANY. NOT SHOWN ARE NOT (`/ �� ♦ !• \ 0,5GUARANTEED. \� \ , '♦ 1 ` as`, `\ `. \ i `` ;• \ �'o s \`\ _ Survey of Described Property ♦♦,;\♦ Mrj ��\,`\ `� ',}� +�YG 1 $ %� situate at iA \ \\` 90 1 `fid 1 N M Cutchogue 3 ,� tell \ ,�'? ,tip s���\ Town of Southold Suffolk County, New York 01 Q.o�a of NE{y District 1000 Section 95 Block 1 Lots 11.3 & 12 ♦ O\ Ar `" Scale I"= 501 Surveyed November 30, 2017 ���o,\♦ �"� OtP'� IK GRAPHIC SCALE /Y\\+, O x o os w too mo `♦\ LAND SJ ( IN FEET) 1 Inch - 50 IL ��pr on 6006 q.-, l — 1 1. , m (° pF SO�Th� # to TOWN OF SOUTHOLD BUILDING DEPT. 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: DQAeA-6MIAS 4,, "uow� 4pv") v 16 *: D�WIA► Q(Z MWWA DATE l0 lQ � • INSPECTOR?� �cl �yOF S ryo ?(t, 1. # # TOWN OF SOUTHOLD BUILDING DEPT. 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: iitb � Qiw�i� �l��v' �t��JS • 044 DATE l INSPECTOR LOCATION: y/ Nr 0 CI✓ l� ' (number & treet) unicipality) SUBDIVISION: P•N'0.: LOT(S): NAME OF OWNER(S)': ftVA OCCUPANCY: St It wAing (type) (owner- tenant)-ADMITTED BY: ACCOMPANIED BY: _ KEY AVAILABLE: SUET. 'CO. TAX MAP'lu 010. 00- SOURCE OF REQUEST: DATE: p. DWELLING .041(1:41c- 7�'?7��� TYPE OF CONSTRUCTION: 4 '' , �" QILTES: # EXITS: _ y FOUNDATION: . � � BASgMEN't: CRAWL SPACE: # OF BEDR ONv §: 1ST FLR: 2ND FLR: 3RD ELR: �� co � BATHRGOM(Sj: {� � TOILET AOOM(S): UTILITY ROOM: PORCH.TYPE: DECK, TYPE: . 1 0T 0000,0' . PATIO•TYPE: BREEZEWAY: FIREPLACE: QARAGE: DOMESTIC HOTWATER.: TYPE HEATER ION . . ,•T•�,,� AIRCONDITIONING: TYPE HEAT: _ O1V WARM AIR: HOTWATER: 1' # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: • ACCESSORY STRUCTURES ' GARAGE, TYPE OF CONST.: STORAGE,TYPE CONST.: SWIMMING POOL: GUEST)'TYPE CONST: OTHER: VIOLATIONS:. CHAPTER 144 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE LOCATION SCRIP ION A SEC. 1� MOT if Ili In RIO I W_ A- IMAVIg -4 A 1 W fL'y Lt REMARKS: INSPECTED BY: J pG►n�� DATE OF INSPECTION: , TIME START:Jo , �� � END: (�� �-