HomeMy WebLinkAboutZ-40581 OF t,fc Town of Southold 8/1/2019
53095 Main Rd
y Southold,New York 11971
u- 9
pyo �Vor
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40581 Date: 8/1/2019
THIS CERTIFIES that the structure(s)located at: 18275 CR 48, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 95.4-17.1
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- 40581
dated 8/1/2019 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 front covered porches, enclosed breezeway, concrete patio and attached garage_*
The certificate is issued to Gancarz Paul Incur Only Tr
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth 1 ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 18275 CR 48,Cutchogue
SUFF.CO.TAX MAP NO.: 95.4-17.1 SUBDIVISION:
NAME OF OWNER(S): Gancarz Paul Incm Only Tr
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Gancarz Paul Incm Only Tr DATE: 8/1/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: unfinished CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: 2 covered front DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: GARAGE: attached two car
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: radiator
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE:
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: 5/3/2019
TIME START: 9:36am END: 10:05am
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 q
Date. i c 2� I
New Construction: Old or Pre-existingBuilding: (check on
Location of Property: iS2-1
House No. Strfeet Ha et
Owner or Owners of Property:—ji, C76+,+,,,- ,�
Suffolk County Tax Map No 1000,Section ®cn( 1 Block O Lot P -7 .00
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: $
Appl- ant Signature
CONSENT TO INSPECTION
the undersigned;do(es) hereby state:
Owner(s)Name(s
That the undersigned (is) (are)the owner s)o the premises in the Town of
Southold, located at
which is shown and designated on the Suffolk Coy rity Tax Map as District 1000,
Section , Block d H , Lot
That the undersigned(has) (have) filed, or cause to be filed,an application in the
Southo d Buil g Inspector's Office for the following:
e,
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: /% t L01 9 ~
( A. e)
(Print Name) Ct,S
$ems.
(Signature)
(Print Name)
r
Gancarz smoke detector
installation , 7/29/2019
West bedroom Middle bedroom
Questions? Please contact John de Reeder.
Thank you all, as always, for your assistance.
Sincerely,
John de Reeder
631 2986161
2
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PRQPERT
SOUTH -R
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`OWNER STREET , ;°' ""'w� VILLAGE ; DISTRICT SUB. LOT:
FOM\AER OWNER N E , `.- ACREAGE `-
,
--- S ---
W +, ;, TYPE OF•BUILDING
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RES.-;4t' SEAS_ VL. FARM COM(vi: I IND. f CB. I MISC.,
A— — - —
UAND IMP. TOTAL — DATE REMARKS--- -^ a----�—
oma" s
-71/M1p�p*✓'�/
d P QA 60hwm RtYJ44
Mv
: ;zf1 �7f z vY • -
AGE ---- BUILDING CONDITION2l 7 _ �2-- C
NEW NORMAL--� BELOW ABOVE 1) d. s c "� .o c)
' Form R Acre ' Value Per Acre Value
Tillable 1
E
I -i
Tillable 2 1 }
Tillable, 3
Woodland
Swampland
Brushlond'�'
House Plot
Total — — _
.1 11N-
III
M: Bldg: I' ' ' w rs Foundation ' (. - (,,J- Bath
-Extension, Basemerifi' Floors
•Extension ry f ® - „. Ext<WQIIS / � � Interior Finish ----
Extension. Fire,Place,-; {! r Heat
fi
i Porch Attic --
,. Porch I Rooms 1st Floor
-`Breezeway , � 0- ,' ,y •. Patio Rooms 2nd Floor
Garages 'ri Drivewa`y�
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Lam;
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REVISIONS
YOUNG YOUNG
I \ O
i
PAPR 10,1989 400 t3�Z(3FsNUF(j A`Jkf�t1L .4;).:I�1CU�' YORK,
�� ® ALDEN W. YOUNG-
CD
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' _ `_ t'6d C1FE5510PoA� �tV�lr��EdB t,PoC) S.aRi 42 I.:Iib F_
LAND SURVEYOR. N-1
S LIC NO t a `�r d�Y;
SURVEY FOR. � �g �7
�,odfl,�Te,t IR,L€6 `Jl:'ERfl'•Up JG 6+riGl"f;LAN �: - ��#1�� Np�C RZ BERTHA K.
'h" 4U}i'.'E' 6 .e,r,�4"::fa CF F,, ',Po I �• V�1l7®/!�B®Afm
v
/i •SIE', �F THIS SURVE. UZI -:ClQl I,
- – --
NOTES r�®.e.sE r, s=� sww..: �+ } �sE d;�EQES —'
I. ®=FdiO6�lUVRRERIT vnp STAKE ifl' ,rr, WUF :cit 4� i r U e ;segs reEC j �C
2. SUFFOLK CO.TAX,MAP >4 E4e.OPJ 5H sy aUp _ - - - -
CUTCHOGUE ro
®IST.1000 SECT 95 BL 4 LOTS 16 17 - 1, c h Sc+ !!� ¢pJ� 1
�_ _ _ "_ ._ _ _ _ _ I` h. c'NF p�H;,C>d t_F W��.kr ••F � g��/ � 3®VTfI®L.D j .-
3. TOTAL AREA = 4.7917 ACNES NvE, @E'.'fP£U ardD ;,w OF '1•" - — 1 e e"
"{ THE � '. ,.91�r�N� GO'.E ato0.9EPJ Owe �s
SUFFOLK M. N. Y. 4L4L
-,a.,£.;,, LIAO r. :•tir a�• gra is ;�" ,w�
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T.
TOWN OF SOUTHOLD BUILDING DEP
•
765-1802 pnp, 0
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: Nolw, Af ww%r, l.Iv
l�
DATE �' INSPECTOR
L4
SOF SOUty
* TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 -p(e., 0,11 '
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (RO GH) ' [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL AT N [ ] CAULKING
REMARKS: SMA6
DATE Y�I INSPECTOR
LOCATION: 91
(number & street) V (municipality)
SUBDIVISION: MAP-NO. _ LOT(S):
NAME OF OWNER(S)': �
O-CCUPANCY: 510014
(type (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TjAX MAP' O. 1000- I?•4�
SOURCE OF UEST:, r haiiA/ DATE: fprij .
DWELLING
TYPE OF CONSTRUCTION: 1( #STO-=S:
FOUNDATION: P� �' . ]WgMENT: 'CRAWL SPACE:
# OF BEDROOMS: IST FLR:� 2ND FLA: 3RD FLA: ,. .
,BATHROOM(S): i ---.,,TO11,ET R0OM(S): UTILITY ROCFM:
; YPE
PORCH.TYPE:D�. D'E'CK, TYPE: PATIOT
.. .
BREEZEWA PM FIREPLACE:
L �. QAI2AGE:
DOMESTIC HOTWATER: TYPE HEATER: . �.t V' AIRCO ' ITIONING: _
TYPE HEAT: �� WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: CUEST,'TSi'PE CONST:
OTHER:
VIOLATIONS: CHAPTER]44 &N.Y. STATE UNIFORM FX PREVENTION & BUILDING CODE
L ATION DESCIRIPTIO ,N ART. SEC.
t p3
B� ovw%,
of 4
,
REMARKS:
/ w
INSPECTED By. J06 J -rs{�c DATF, OF INSPECTION:
TI14E START: END: V S�