HomeMy WebLinkAboutZ-40677 ��o�guFFOt,f�
Town of Southold 9/7/2019
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40677 Date: 9/5/2019
THIS CERTIFIES that the structure(s) located at: 32345 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-5-5
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- 40677
dated 9/5/2019 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 concrete patio.*
Notes: BP 8871 accessM garage COZ-8023; BP 43970 electric meter panel replacement COZ-40677; BP 44210 "as
built"AC unit and oil to gas convsersion COZ-40676
The certificate is issued to Doroski, Michael&Ors.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. •
AuV
Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 32345 Route 25,Cutchogue
SUFF.CO.TAX MAP NO.: 97.-5-5 SUBDIVISION:
NAME OF OWNER(S): Doroski,Michael&Ors.
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Doroski,Michael DATE: 9/5/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER:
#BEDROOMS: 4 #KITCHENS: BASEMENT TYPE:
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: 8/15/2019
TIME START: 11:16am END: 11:32am
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:
location of all buildings, property lines, streets,and unusual natural or
1. Final survey of property with accurate
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$15.0
Date.
New Construction: Old or Pre-existing Building: ` (c ck one
Location of Property: '32 � �^ ��'u_f � 2'5" /" �.��� l L/�
p Street Hamlet
House No.
Owner or Owners of Property: O Iia k c
Suffolk County Tax Map No 1000, Section —7 Block Lot J
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: $ �
y, p icant Signature
Dov
CONSENT TO INSPECTION i
JUL} 1 6 2019
B�J'��IU,, j N Ec
0`afit/,
,R/8h l�j�o��7 C r ( �� �e� , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 31-3 ,¢j- ko.j-e 2_r ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 7 , Block :r , 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: CV, q tJ 4
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. 1
a
D ted.
Sj nature)
T/,)- 0 r05A
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET '-?-- T
VILLAGE DIST.1 SUB. LOT
6,
L
Eb
FORMER OWNER N E ACR. I
9l TYPE OF BUILDING
J/
4
RES. SEAS. VL.
FARM COMM. CB. MICS. Mkt. Value
LAND i IMP. TOTAL DATEREMARKS
1 3/1 7 0 7- fZ r,
0 r) L)I
�3
j 0 411, "W7
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MIRThr—odofc- E, boYOSL; JkCe, Serj e.,)n)bl
L
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre I Value Per Vclue
Acre
Tillable I FRONTAGE ON WATER
Woodland I FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
DOCK
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SURVEY OF PROPERTY
AT CUTCHOG UE ,
TOWN OF SO UTHOLD
SUFFOLK COUNTY, MY
1000-97-05-05
_ COX'S LANE SCALE: 1'=20
JUNE 25, 2019
N/O/F
32495 MAIN ROAD LLC
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KEY &� N GARAGE N CE 26.9', m � 1 , ,
Q = REBARN
32.9' O
® = WELL $� _ �.�
A = STAKE r, < MONITOR
= 7Fsr HOLE N43'32'30"W 140.00' WELL �S®F NEpy oC?
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ANTHONY IMBRIANO
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LIC. NO. 49618
AREA= 12,000 SQ. FT. PECONI C SVRVEYO S, P.C.
ANY AL7FRA770N OR ADDI770 SURVEY IS A WOLA770N OF SECTION 7209 OF THE NEW YORK (631) 765-5020 FAX (631) 765-1797
STATE EDUCA77ON LAW. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS HEREON P.O. BOX 909
ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED
SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET 19-029
. SOUTHOLD, N.Y. 11971
OF SOUIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
i'ourm 765-1802
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:
V� Ick VA 6A_-1 -61 "Azan 6,
1e, kLce
DATE INSPECTOR
LOCATION: Aeft &o�<
(number & street) (munici ality)
SUBDIVISION: MAP-N'O.: _ LOT(S): ..
NAME OF OWNER(S)':
O'CCUPANCY: a/ lo.
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILA13LE: SUFF. 'CO. TAX MAP'N0. 1000-01 •�'
SOURCE OF REQUEST: DATE: b, Iq
DWELLING ,
TYPE OF CONSTRUCTION! 4V ST # EXITS:
FOUNDATION: �,�/W1.�+13�. .� . ; ASIV�EN�: 'CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR:
* '
BATHROOM(S): TOILET WOM(S)A UTILITY ROO''M:
PORCH,TYPE: DECK, TYPE: .. . PATIO;TYPE:
BREEZEWAY: FIREPLACE: Ao& GARAGE: CW:::2AZ_)0
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
0
TYPE HEAT: V,, ® ARM AIR: F HOT'WATER:
Alp,
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST. l;�Q ST'ORAGE, TYPE CONST.:WA
SWIMMING P;0-OL: GUEST,'T'YPE CONST:
OTHER:
VIOLATIONS: CHAPTER]44 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE -
LOCATION A D +1SC PTIONART. SEC.
t l ire, O�
REMARKS:
INSPECTED BY: � � J•�i DATE OF INSPECTION; kV -t lamq
TIME START;
END ���y