HomeMy WebLinkAboutZ-40474 gU QL,f Town of Southold 6/28/2019
°may 53095 Main Rd
y x Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40474 Date: 6/28/2019
THIS CERTIFIES that the structure(s) located at: 650 Cedar Point Dr E, Southold
SCTM#: 473889 Sec/Block/Lot: 90.-2-17
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- 40474
dated 6/28/2019 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 attached garage as applied for.*
Notes: BP 5096 addition COZ-5450; BP 18748 alteration's COZ-23841; BP 24523 addition to attached garage
COZ-35602;BP 25648 inground swimming pool COZ-26917
The certificate is issued to Violett Ellen M Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A th e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 650 Cedar Point Dr E, Southold
SUFF.CO.TAX MAP NO.: 90.-2-17 SUBDIVISION:
NAME OF OWNER(S): Violett Ellen M Trust
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Violett Ellen M Trust DATE: 6/28/2019
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered/screened DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: yes
DOMESTIC HOTWATER: yes TYPE HEATER: 1 electric, 1 indirect AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 4 #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: 5/16/2019
TIME START: 1:03 pm END: 1:40 pm
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:
ith accurate location of all buildings, property lines, streets, and unusual natural or
1. Final survey of property w
topographic features.
2. Final-Approval-from-H-ca.lth 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- p
Date. 6 • ' tP • 1 -
New Construction: Old or Pre-existing Building: (check one _
Location of Property: ( a
House No. Street Hamlet
Owner or Owners of Property: IA amt e. ►�
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision �J'- 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: $
Applicant Signature
3)-2 31 qi5
CONSENT TO INSPECTION �vI
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the unders7,01
nzocli4�
Wre)) eowner s) of the premises in the Town of
Southold, located at �_ ', stru
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 00)® , Block�, 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: "T�e C.®
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.
Dated: ✓ F
(Signature)
(Print Name)
(Signature)
(Print Name)
D [ �
((� DD
MAY 1 7 2019
7.-, Tom, Ali d ti`D.1k,
B�ti[ciint,DenarfinenE tanlication_ TOWN OF SOUTHGUL
AXTHOR AVON
(Where the Applicant is not the Owner)
I,_ - �. :► - +- residing at 2' O a S
(Print property owner's name) (Mailing Address)
-'Z do hereby authorize V 'd �, Cj
=+••-=�•�•�u- - (Agent)
to apply on my behalf to the
Southold Building Department.
eot h; 511e-"41 5//4
(Owner's Signature) 642: 76 A (Date)
i
(Print Owner's Name)
E
k
# TOWN OF SOUTHOLD BUILD G DEPT.
urm, 765-1802 f�
INSPECTION- 'q
-
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATI N [ ] CAULKING
REMARKS: wk &"1,
- Cavae..
DATE INSPECTOR
Ito
5-0 1�4�
OF So IV/
# TOWN OF SOUTHOLD BUILDING DEPT.
Own��'' 765.1802 P�e
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:
x
DATE 'yO� INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET -=, f j VILLAGE DISTRICT SUB. LOT
-i� , _ V
FOj�MER OWNER /�/`'' Ire' Iqf N E ACREAGE. �J
Kin
'J ' S T( ,( I W TYPE OF BUILDING /t -
IA-
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ES. v SEAS. VL. �FkW comm.OM . ( IND. CB. I' MISC.
LAND IMP. TOTAL DATE REMARKS
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j Tillable 1
Tillable 2 - O 477- 1i 'Id P
Tillable 3
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Swampland
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Total_
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SURVEY OF LOT 105 -- -- - - -
°SUBDIV1510N MAP OF CEDAR BEACH PARK" N
FILED IN THEOFFICE OF THE GLERK OF SUFFOLK
COUNTY DEG.20,192"1 AS MAP NO,90
5ITUATEr BAWIEW W E
TOWN: SOUTHOI P
5UFFOLK GOUNTY, NY s
SURVEYED JAN.16,2015
SUFFOLK COUNTY TAX u
1000-90-2-17
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'f3 MONUMENT FOUND
ELEVATIONS REF.NGVD '29 DATUM
Area =25,215 5.F. ,� .- `»•'!^:,........ ...,
Area = 0,5„ ,Acro5 JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STRUT N.X.S.LIG NO.50202
GRAPNIG SCALE - 1"= 30' RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287
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LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP-No.: LOT(S): -
NAME
OT(S): -NAME OF OWNERS ; v
OCCUPANCY: w ,
(type) (owner-tenant)-
ADMITTED BY: _i� • 6 h ACCOMPANIED BY:
KEY AVAILABLE: _ SUFF. CO. TAX MAP'NO, 1000. •
SOURCE OF REQUEST: ��,(I�w , . DATE:
DWELLING
TYPE OF CONSTRUCTION: l I 9 STO-MES: # EXITS:
FOUNDATION, 41 : tAS-gMtNT: • ;'CRAWL SPACE:�o�T Pry
# OF BEDROOMS: IST FLR: 2ND FLIM: _ 3RD FLA:
BATHRO"Om(S): TOILET A'00M(S): UTI TTY ROOM:m-CID nn
PORCH,TY'Pst��- CK, TYPE: ' ' PATIO;T PE: AU �f4'0�-NOS
o
BREEZEWAY: C O- Y FIREPLACE: �� QQARAGE: PO
DOIvYESTTC�IIOTWATER: TYPE T�EA ER: I ATRCONDITIONING: _-
TYPE HEAT: WARM AIR: _ HOTWATER:
# OF KITCHENS:__,�ir,�
FINISHED„BASF,MFNT•- VF.0 \
NO
OTHER:
y .
ACCESSORY STRUCTTJRES,
GARAGE; TYPE OF CONST.: 09 STORAGE, TYPE CONST.:
SWIMMING FOOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS:. CHAPTER 144 &N.Y. STAT&UN.IFORM FX PREVENTION & BUILDING CODE
LOCATION DE5QRI1jION , ART. SEC.
y ,v
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: oq M END: 1 40