HomeMy WebLinkAboutZ-40309 �Ffa(K Town of Southold 4/11/2019
cGy 53095 Main Rd
ME Southold,New York 11971
o g
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40309 Date: 4/11/2019
THIS CERTIFIES that the structure(s) located at: 2490 Bray Ave, Laurel
SCTM#: 473889 See/Block/Lot: 126.-10-4
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- 40309
dated 4/11/2019 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 with enclosed porch.*
Note:BP 2680 addition to dwelling COZ-3085
The certificate is issued to Vickary, Margaret&Vickary, Sarah
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. t
V.0
ho ' e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2490 Bray Ave,Laurel
SUFF.CO.TAX MAP NO.: 126.-10-4 SUBDIVISION:
NAME OF OWNER(S): Vickary,Margaret&Vickary, Sarah
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Vickary,Margaret DATE: 4/11/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement CELLAR: partial CRAWL SPACE: x
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: enclosed porch DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: wall furnace HOT WATER:
#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:
J
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/4/2019
TIME START: 10:10am END: 10:35am
.f.-
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 Department with the following:
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$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. �!
New Construction: , Old or Pre-existing Building: v (check one)
Location of Property: �d 13r(�2--/
House No. / V\-V-\
Hamlet
ZOwner or Owners of Property: � 0o ���✓�
Suffolk County Tax Map No 1000, Section Block /0, 00 Lot 0 C� � 0 C'
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: $ l 0�!.C V
14
pl' t gnatur
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are)111 ,M�
e owner(s) of the premises in the Town of
Southold, located at � q . - /�:�
which is sh�w�fa!n_d designate on the SuffolkCounty T ap as District 1000,
Section Block 0:G(, Lot 0 6' (�-r--
That the undersigned(has) (have) filed, 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 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
r 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.
Dated: �/vs
S ature)
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD PatOPERTY RECORO7 __. — � �.
OWNER STREET --4,1 47 0 VILLAGE DISTRICT SUB.
LOTS jo, "4
FORMERJOWNER N E \v� ACREAGE
S W TYPE OF BUILDING
RES.�,6,9 SEAS, VL. FARM COMM-. I IND.' I CB. I
MISC. I Est. Mkt.. Value
LAND IMP. TOTAL DATE 'REMARKS
ao 4 71) 12
os—v v
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable I BULKHEAD
Tillable 2 DOCK
Tillable 3
` Woodland
Swampland
Brushland
;,House Not.
Tota I 7T
1.
I ( J
i ,j i
Ij
M. Bldg. ; $ ;" a Foundatign B'6th
Extension ✓ �` t /j i– — Basernent - - ---- ,' Floors
Extension I 4~l. E t. bValls '
° ;~ ! Interior Finish' '
� t _
Extension r. I ; Fire Place `7 Heat
Porch I `Roof Type j ; `
- � °-AL lV r 3� Porch ,. `�'�
.
Rooms 1st Floor
Breezeway Patio ) Rooms'2nd Floor
-------- - -
Garage ; Driveway ' �� - Dormer
0. B. ( ' !
SURVEY OF PROPERTY
PART OF LOTS 89 & 90 - MAP OF
PROPERTY OF GEORGE I. TUTHILL & At SECOND STREET
OTHERS, SEC. ONE (25'WIDE PUBLIC RIGHT OF WAY)
FILED: JAN. 15, 1929-MAP#:861
.SITUATE
LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
TAX MAP NO.: 1000-126.00-10.00-004 000
LOT AREA: 10,500 S.F. (0.241 ACRES)
a
` DATE SURVEYED:JAN. 15,2019
PART OF LOT 89 CL
N69013'1 0"E 150.00 °
CERTIFIED TO: Row of TREES ---------------`—
LYNN BOHLEN MON FND MON FND al N
BRIGHTWATERS ABSTRACT N)
CHICAGO TITLE INSURANCE COMPANY EARTH DRIVEWAY N O
O
EDWARD GIDSEG ANGE JOSEPH CECERE O PART OF LOT 89 off��H.AD�RE. °H °H p1
PROFES91ONAL LAND SURVEYOR O q _ —off
on 341 98 O C m
SCALE' 1 INCH = 30 FEET z 56.3' z m CD o
30 O 15 30 60 1= - - - - - - - -1-STORY— 0- — - - - - r �'
w In
FRAME v o o
LOT 87 N z w RESIDENCE A m
O° m c E #2490 = 49.8' o ) W
LEGAL NOTES ,�, O ,D Z
1 COPYRIGHT 2018 ANGELO J CECERE PROFESSIONAL LAND SURVEYING ALL RIGHTS RESERVED W -
2 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL 15 AVIOLATION OF SECTION 7209, * v
SU&DIVISION 2,OF NEWYORK STATE EDUCATION LAW V7 PART OF LOT 90 m 0
3 ONLY BOUNDARY SURVEY MAPS WRH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL O ,_. O m ;
-- WORKANDOPINION
4 CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF O Z 0
rri
PRACTICE FOR LAND SURVEYS ADOPTED BYTHE NEWYORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS INC THE CERTIFICATION 15 LIMITED O 'G,
TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED TO THE TITLE COMPANY TO THE GOVERNMENTAL AGENCY AND TO THE LENDING D
INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP O
5 THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE _____ j
6 THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY ----- PIPE FND
UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BYTHIS ROW OF TREE$ C
SURVEY 1 50.00 PART OF LOT 90 569°13'1 O"W o
7 THE OFFSETS(OR DIMENSIONS)SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND -
THEREFOREARENOTINTENDEDTOGUIDETHEERECTIONOFFENCESRETAININGWALLS,POOLS,PATIOS PLANTING AREAS.ADDITIONS TO BUILDINGS AND
ANY OTHER TYPE OF CONSTRUCTION LOT 91
B COPIES OFTHISSURVEYMAP NOT BEARING THE LAND SURVEYOR'S INKED OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID COPY 'n
9 PROPERTYCORNER MONUMENTS WERE NOT SET AS PART OFTHIS SURVEY UNLESS OTHERWISE NOTED
O
C4
N
U
A":JC; E-A ND-SLJ-RVEYI-1 hGPL -�
m
c
O
LAND SURVEYIN Be=Ph.LA�� �NI' "j
�► 77 S. COLEMAN ROAD., CENTEREACH;=N 20 0
I19—NE:,63".469973
r N
j-MAIL: C.-26�OPT0 LINE.NET
U
LOCATION: )-qqo rA4 AVL SV
(number & stre t) (municipality)
SUBDIVISION: LOT(S): ,.
NAME OF OWNER(S)': h O
OCCUPANCY:
(type) (owner-
tenant)-ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUEF, CO. TAX MAP•1 '0. 10 0. /)Z /o
SOURCE OF REQUEST: O -eLy DATE: '� Y+�
v� 01
DWELLING
J ` V•
TYPE OF CON'STRUCTI'ON: STOKES: - # EXITS: I�
v n_ � \' ( t(�
YOUNDATION: T $AVMENT: 'CRAWL SPACE:
# OF BEDROOMS: IST FLR: 3 2ND FLR.: 3RD ELR:
J
BATHRO"OM(S): TOILET AOOM(S): UTILITY ROOM: N� .
PORCH-TYPE AG�� S DECK, TYPE: .. . . PATIO;TYPE:
BREEZEWAY:' FIREPLACE:
I
DOMESTIC HOTWATER.: TYPE NEATER: L C.•ATRCONDITIONING:
TYPE HEAT:
WARM AIR: �I 9&OTWATER:
# OF KITCHENS:
FINISHED BASEMENT:, YES NO
OTHER:
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: STT'ORAGE, TYPE CONST.:
SWIMMING P'O-OL: OUEST,'TYPE CONST: _
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE°UNIFORM F;RE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
�ldv ono CiD oil¢. i h S G� '
REMARKS:
INSPECTED BY: J®hr►�S�rS�i DATE OF INSPECTION: bri-A. yep•q '
TIME START:,10", LO END; Lo •{�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. r� C
[ ] 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:
in "1411-- v 4t fel �a� litl
60 M WA+ rv, o vet th
DATE INSPECTOR