HomeMy WebLinkAboutZ-40432 r Town of Southold 6/5/2019
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¢' 53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY -
No: 40432 Date: 6/5/2019
THIS CERTIFIES that the structure(s) located at: 2290 Sigsbee Rd, Laurel
SCTM#: 473889 Sec/Block/Lot: 144.4-20.1
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-- 40432
dated 6/5/2019 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 unfinished basement and concrete patio and accessory shed.*
Note:BP 43775 "as built"windows COZ-40431
The certificate is issued to Goehringer Jr, Gerard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A tho ' e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2290 Sigsbee Rd,Laurel
SUFF.CO.TAX MAP NO.: 144.-1-20.1 SUBDIVISION:
NAME OF OWNER(S): Goehringer Jr,Gerard
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Goehringer Jr,Gerard DATE: 6/5/2019
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: concrete&accy slate
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: oil off boiler TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: radiator
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/6/2019
TIME START: 9:20am END: 10:00am
Form No.6
TOWN OF SOUTHOLD
7l
APP 1 2 2019 BUILDING DEPARTMENT
TOWN HALL
765-1802
TOWN OF PLICATION 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. 4 /
New Construction: Old or Pre-existing Building: 41"'- (check one)
Location of Property: z 2 �,a ��� r 3�£r
House No. treet Hamlet
Owner or Owners of Property:
U
Suffolk County Tax Map No 1000, Section 4'17 Block Lot 2!49-
Subdivision V/��5 Filed Map. if'0 Lot: - j
Permit No. �- Date of Permit. Applicant: - 2 106E
Health Dept. Approval: //2 Underwriters Approval:
Planning Board Approval:
i
Request for: Temporary Certificate Final Certificate: cs (check one)
i
Fee Submitted: $ f f
21 G�� �5 Lim Applicant Signature
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
Own r(s) Name(s)
That the undersigned (is) (me) the owner(s) of the premisess in the Town of
Southold, located at d =Gr� �r
which is shown and designated on t Suffolk County Tax Map as District 1000,
Section , Block , Lot
That the undersigned(has) (have) filed, or cause to be filed, an app ication in the
Southold Town BuildinVnspectof's Office for the following: • v Q�� ✓7e2��
(L L4.. 0�� �1 �� . 441- 00
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
pomply 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: Z�
(Signature)
(Print Name)
(Signature)
(Print Name)
TO WHOM IT MAY CONCERN: THE BUILDING INSPECTOR, TOWN OF
SOUTHOLD, FROM GERARD: P. GOEHRINGER, Owner of said home
DATE: May 7, 2019
RE: 2290 SIGSBEE RD. MATTITUCK,NY.
Be advised that I have been asked to inform the Building department of the Town of
Southold,the approximate date or dates of a renovation of front porch on said home,
From an open porch to an enclosure of windows installing them in the same location as
the screening that existed for many years.
This renovation on the front of this home was done in 1955,to the best of my knowledge.
Thank you,for your time!
GERARD P EHR1N
MAY e 7 2019
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NOTN-12, Publ fc-
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2.0a�k,
a0E 50UT,yo�
* TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802 P, C JV
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 VIOLATI [ ] CAULKING
REMARKS S�(f� li✓
1�II1ry--- 1 D
WPi �� �✓ l
01 4j
7
P. ndv OfNov
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DATE �(k INSPECTOR
CA 4%, 4 v-
a0f Sou �� I
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 x 'C to
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:
o
owl %-0001
DATE &Y INSPECTOR
TOWN OF SOUTHOLD PROPERTY �
I
OWNER STREET VILLAGE DISTRICT SUB. LOT ' _ I�
FORMER OWNER N E , ACREAGE `
r ! W TYPE OF BLJILDING�
r_� �-A -
,IlRES. , 4 SEAS. VL. FARM COMM. IND. ( CB. I MISC. i Est. Mkt. Value
1
----'-LAND IMP. TOTAL DATE REMARKS
C/,. d , . , � 4cs ►} �� ,u � �� s� �
F 4L!
V _
r2- v--ca ��,�� �'-�� �/�''�`� - 1 0 -��r.�:! /So c Q.,� a00 rte- ,�,,b7'��'�
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/7
-77
2� ko-0- Ge euv-d "16 �L&-/p e )0
AGE BUILDING CONDITION -)/
AGE - , ��t �s%�•, � -.����;� ��''r
I BELOW ABOVE NORMAL FRONTA AR
� r%r
— j/y .�eceu�ecf oG
Farm Acre Value Per Acre Value FRONTAGE ON ROAD ;
Tillable T BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland f"`
Brushland-,.i ✓ I
House Plot y�
,T4
h- I
Total
rl-
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r 1
0
I
a�
LO
M. Bldg. 02 y X 3 0 D Foundation Both /
Extension3x Basement _ Floors 17 O 6a
_
Extension X 10 _ p Ext. Walls Interior Finish —
_. --__.-..-_�._
Extension j Fire Place Heat
/— G�' —Porch - ---— - oof Type
Porch !Rooms 1st Floor /
I _
Breezeway Patio Rooms 2nd Floor
Garage Driveway Dormer
O. B.
i
SURLY OF LOT 47
I LOT NUMBERS REFER TO "AMENDED MAP OF MATTITUGK PARK PROPERTIES, Inc."
�I FILED IN THE OFFICE OF THE GLERK OF SUFFOLK GOUNTY AS FILE # 801 N
51TUATE: HATTITUCK
TOWN: 5OUTHOLD E
SUFFOLK COUNTY, NY
SURVEYED 02-28-201a ! S
SUFFOLK COUNTY TAX #
1000 - 144 - 1 - 20.1
CERT=TO: NJ
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NOTES: (11 F 4� (Tj a� A*3 = m prepares n a awmre
7 as.+y / ISf PrUctkH Far Lma Sixv
' -- O ',�nr".,. by"m New Y K State AswGlCicn HI ProFHaSionai
1} � l�Id Surveyors Sala CertlFknCWu shall run Hnly
MONUMENT FOUND
LOT COVERAGE:
50202 aWI
SHED 4.7 S.F. V E+ L
_,fr Area = -1,300 Sq. Ft. HOUSE �iq8 9.F. Q JOrlST l�l C. L� AND SURVEYOR
Area = 0.1676 Acres
EXISTING GOVERAGE 143%- 6 EAST MAIN STREET N.Y.S.LIC.NO.502M
ORAPHIG SGALE I"= 201 RPAME EAD,N.Y. 11901 631-369-8287
REF.C:\Users\dohn\Dropbox\19\19-115.pro
LOCATION: Alt
(numb r & street) (municipality)
SUBDIVISION: 4, MAP-N'O.: _ LOT(S):
NAME OF OWNER(S):
OCCUPANCY: Ig1 .0
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP' O. 1000-�
SOURCE OF REQUEST: ^,T! _ DATE:
DWELLING
TYPE OF CONSTRUCTION: r ##STORIES: Y #EXITS:
FOUNDATIOrit: �lU�j - , IRASgMEN�: f—CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 31tD FLA: .
,BATHROOM(S): TOILET RdOM(S): UTILITY ROO''M: N�
PORCH-TYPE: � D'E'CK, T"YfPE: .. . '
PATIO;TYP + %C rO S
BREEZEWAY: FIREPLACE 1
` GARAGE:
DOMESTIC HOTWA I�: 0 Pt EATER_: AIRCONDITIONING:
TYPE HEAT: CSI L/ WARM AIR: HOTWAT R: (��
'b
p
# OF KITCHENS:
FINISHED BASEMENT:- YES NOv
OTHER:
ACCESSORY STRUCTURES,
GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.:
SWIMMING P'O-OL: - GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER-144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION nDESMPTJON ART. SEC,
v
N 5
h/ PAW rk,
REMARKS:
INSPECTED BY:14V\ �S. ��Ay1k DATE OF INSPECTION:
' TIME START: END: O.