HomeMy WebLinkAboutZ-40459 gufFOt,r-rep,
Town of Southold 6/21/2019
�G53095 Main Rd
3 Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40459 Date: 6/21/2019
THIS CERTIFIES that the structure(s)located at: 5925 Nassau Point Rd, Cutchogue
SCTM#:, 473889 Sec/Block/Lot: 111.-13-6
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- 40459
dated 6/21/2019 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 two car garage under.*
Notes: BP 43695 electric service and survey COZ-40447; BP 43865 "as built"alterations COZ-40458
The certificate is issued to Emery Ellen F 1999 Rev Tr
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ut rized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5925 Nassau Point Rd, Cutchogue
SUFF.CO.TAX MAP NO.: 111.-13-6 SUBDIVISION:
NAME OF OWNER(S): Emery Ellen F 1999 Rev Tr
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Emery Ellen F 1999 Rev Tr DATE: 6/21/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): yes
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil/indirect AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: radiator and baseboard
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWE14MING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/4/2019
TIME START: 10:58am END: 11:25am
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL s
765-1802 �
APPLICATION FOR CERTIFICATE OF OCCUPANCY
MAR 2 6 2019
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
r,.
A. For new building or new use: a b.D �
I. Final survey of property with accurate location of all buildings,property lines,streets,and unusu `€aar�® ' :tea,.
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$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 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. March 22, 2019
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 5925 Nassau Point Road Cutchogue
House No. Street Hamlet
Ellen F. Emery and Mark J. Brosnan, as Trustees of the Ellen F.
Owner or Owners of Property: Emery 1999 Revocable Trust under agreement dated June 3. 1999
Suffolk County Tax Map No 1000,Section 111 Block 13 Lot 6
Map of Proposed Subdivision Section A, Nassau Point Club Properties Inc. and
Subdivision Amended Map A, Nassau Point Filed Map. 745 & 156 Lot: 41
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: $ 100.00
G Ci'-i) s 01 u
Applicant Signa e
Richard F. Lark, as attorney
CONSENT TO INSPECTION '
Richard F. Lark ,the undersigned, do(es)hereby state:
Owner('9)Name(
a for eyfor Ellen F. Emery, as Trustee of the Ellen F.
That the undersigned(is) 46)tie/owner(s• of the premises in the Town of Emery 1999 Revocable
Southold,located at 5925 Nassau Point Road, Cutchogue, New York Trust
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 111 ,Block 13 ,Lot 6
That the undersigned(has) (have)filed,or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre-existing Building
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.
7
Dated: March 22, 2019
(Signature)
Richard F. Lark, as attorney
(Print Name)
(Signature)
(Print Name)
LARK& FOLTS
Attorneys at Law
28785 MAIN ROAD
PO BOX 973
CUTCHOGUE,NEW YORK 11935
Tele.No.(631)734-6807
RICHARD F.LARK Fax No. (631)734-5651
MARY LOU FOLTS E-mail: Attys@larkandfolts.com
March 22, 2-0 V Er
�y' !
MAR 2 6 2019
Michael J. Verity, Chief Building Inspector
Southold Town Building Department
54375 Route 25 - P.O. Box 1179 T -1VN0F80U—
Southold, NY 11971
RE: Ellen F. Emery and Mark J. Brosnan, as Trustees
of the Ellen F. Emery 1999 Revocable Trust
(SCTM #1000-111-13-6)
Dear Mr. Verity:
In connection with the above-captioned matter, I am
enclosing the following:
1. Application for Pre-existing Certificate"
of Occupancy
2 . Consent to Inspection
3 . Survey of John C. Ehlers Land Surveyor
last revised 11-20-2013
ayca
4 . My Check No. 24256 payable to Town of
Southold in the amount of $100 . 00
Nicholas Planamento of Town & Country Real Estate will be
contacting your office to schedule a date and time for the
inspection.
Very truly yours,
ichard F. Lark
RFL/bd
Enclosures
5U RVEY OF LOT 41
MAP OF PROPOSED SUBDIVISION SECTION A, NASSAU POINT CLUB PROPERTIES INC., N
SITUATED ON NASSAU POINT, SUFFOLK COUNTY, NEW YORK. SAID LOT ALSO SHOWN•
ON "AMENDED MAP A, NASSAU POINT", FILED IN THE OFFICE OF THE CLERK OF SUFFOLK .
COUNTY ON 8-1 G-22 AS MAP NO. 15G 0 t'
51TUATE: CUTCHOGUE W o E
TOWN: 5OUTHOLD
SU FFOLK,COU NTY,"NY S
SURVEYED 05-14-2013
REVISED 10-23-2013, 1 1-20-2013
SUFFOLK COUNTY TAX#
1000 - 11 1 - 13 - G
CERTIFIED T0= .
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ELLEN EMERY 1 O�
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PROPERTY ADDRESS 30A ,A9 I0
5925 NASSAU POINT ROAD FENGe0.5 5 N
CUTCHOGUE, NEW YORK 11935 r
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NOTES:
BURIED RETAING WALL LOCATION PROVIDED BY CONTRACTOR
f 'Unoulhorrzetl alteration or addition to a survey
NOTES: KIi E jgi map bearing a licensed land surveyors seal is o
y(/ violation of section 7209 sub—division 2,of the
MONUMENT FOUND JOHN C E H LE RS LAND' S U RV EYO R ����� E"<�`® y Nfrom the ew York State
Education Lowy
C . ,p marked al h ll b con a the t land surveyor's
WOOD FENCE stamped seal shall be considered to be valid true _
copies"
,Area = 30,379 Sq. Ft. * 1 "Certdlcations mdicoled hereon signify that this
Area = O.G974 Acres G EAST MAIN STREET N.Y.S. LIC. NO. 50202 ' sting was prepared m accordance Survwitheys
the ted
ishng Code of Practice for Land Surveys adopted
L by the New York State Association of Professional
Q Land Surveyors Said certifications shall run only
GRAPHIC SCALE 1 "= 30' RIVERHEAD ,N.Y-. 1, 1901 3E9-8288 Fax 3G9-8287 o to the person for wham the survey is prepared,
7 L� �� and on his behalf to the title company, governmen—
5020 A total agency and lending institution listed hereon,and
1011 ISlandland5vrve Or.com tisF C to the assignees of the lending institution Cerbfico-
9 Y LAND tons are not transferable to additional institutions
1
/n r i�r I.� �° �H OF SOOT OL PROPERTY
OWNER- - STREET ` VILLAGE _ DISTRICT SUB. LOT
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-FORMER`OWNER -.- -N Ei� ACREAGE
, W TYPE OF BUILDING ,aS-� ;
'RES ,U 'SEAS. VL. FARM COMM. I IND.- I CB. 'I MISC. 2 � '
LAND IMP. TOTAL DATE REIv1ARKS _ -r
t�J-d- e✓ �° 6�' e �!� d7- y ?&O - E~� � za �,_'� > r�,
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I AGEBUILDING CONDITION -
NEW NORMAL I BELOW ABOVE _
L. Ia3r coo- rn - =aoc) cv�a, ,rt�sssrs_y� `
Farm Acre Value,Per Acre - Value ,f !'L �f �1 )-3��.C,t--/-/- , s- -
lJ-d _ ,4 e_1 1;/) 1
-Tillable 11l 7,.� 1.3'
Tillable 2 �1t9 3-7Y G '
Tillable, 3 , C3Y1
Wcodland I I
R' Swampland i
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House Plot '
Tota
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7-71
! _a �, rl'i��r 'h`'�r 5� ®*ter, _```rr{'➢ ��J
111:13-6 3/13 ;
T .
M. Bldg. I �• J—�Z �s'`/y Foundation C Bath �—
Extension �� ,z- :+` zt/_ Y Basement 1--U LZ_ Floors V
Extension ,rf—?T f� � ��3a, Walls���� � In Finish
Extension Fire Place Heat ,
- C i -5PO/ 0 0 Porch Attic,
Porch Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
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age i �C i`t rt I`14, 1111 Driveway
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# TOWN OF SOUTHOLD BUILDING DEPT.
u765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION Pre., D
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)- [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: i 9 _ - �� �
Q�afQo�VIStn
o 61 61AMA
DATEWLI >Mj INSPECTOR
LOCATION; _6Sok✓ Co Avo56 Q ��
(number & street) (municip lity)
SUBDIVISION: MAP-NO.: LOT(S): .,
NAME OF O'VwNER(S): ✓ irle
OCCUPANCY: i q k to '
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: UFF. CO. TAX MAPNO. 1000- --1 '5
SOURCE OF REQUEST: ovror. DATE: CA* y T_�R
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DWELLING
TYPE OF CONSTRUCTION: N STORIES: # EXITS:
FOUNDATION:-11 I I FASMENT: �CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLA.: N 3RD FLR:
,BATHRO'OM(S): TOILET nows): UTILITY ROOM:
Fypn 4-PORCH.TYPE: D K�, TY .�A� g0 PATIO;TYPE:
BREEZEWAY: FIREPLACE: W4 GARAGE:1/
DOMESTIC HOTWATER: TYPE HEATii:amoor CONDITIONING:
TYPE HEAT: _ OIL/' WARM AIR: _ HOTWATER: _eA
# 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 FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
CilVeWit.. in advS
�I q 055
0
--- Wict UMPYl rin
S a�
REMARKS;
INSPECTED BY:��11�1 J. Ffftk DATE OF INSPECTION: t �[
TIME START; O. �sS END;
.1 � .dam