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Z-40709
f Town of Southold UFFOt�C 9/19/2019 53095 Main Rd y Southold,New York 11971 o � PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40709 Date: 9/19/2019 • THIS CERTIFIES that the structure(s)located at: 44335 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 75.-2-1 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- 40709 dated 9/19/2019 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 enclosed screen andlg ass porch with outdoor shower and accessory wood frame garage.* Note:BP 44113 "as built"electric COZ-40708 The certificate is issued to Bauer, Jacqueline (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A t ed Signature r BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 44335 Route 25, Southold SUFF.CO.TAX MAP NO.: 75.-2-1 SUBDIVISION: NAME OF OWNER(S): Bauer,Jacqueline OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Bauer,Jacqueline DATE: 9/19/2019 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed screen/glass DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: coal stove GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: street gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: i ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: r INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/27/2019 TIME START: 11:06am END: 11:25am SPIPeu 61 ke C 7 e?)s , 1- L Ll + Form No.6 cia"(60/Y\ M_O-Y"�1C I� TOWN OF SOUTHOLD �- AUG _ _ BUILDING DEPARTMENTS 2019 TOWN HALL 765-1802 b l -'r BUM' DI DTC D +I M C4\r\,W`t9'� �v S vf)U�,,moi APPLICATION FOR CERTIFICATE OF OCCUPANCY x 1 ave e_a CJA This application must be filled in by typewriter or ink and submitted to the Building Department with the following: h 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. OCertificate 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 �j �1 Date. O 1 I New Construction: Old or Pre-existing Building: (check one) Location of Property: 44535- Ma,Mo R)0.Q( House No. Street Hamlet Owner or Owners of Property:C—SngTS U F V ACQ N 1=Li ti E. Suffolk County Tax Map No 1000, Section Block Lot 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: $ A i ignature CONSENT TO INSPECTION s7�ar� pF Ltej IA)1✓ C• SNU���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 '{ 3 3 S NI rA t N IZOA 7 Ery to i C� N which is shown and designated on the Suffolk County Tax Map as District 1000, Section 7.� , Block ;Z , Lot I That the undersigned(has) (have) filed,or cause to be filed,an application in the Southold Town Building Inspector's Office for the following: 12 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: d" � (Signature) c-t s T. `5Acu E K.—J) (Print Name) ignature) J (Print ame) 5A-7 -7 �7/r� -101 TOWN OF SOUTHOLD PROPERTY RECORD- OWNER STREET VILLAGE DIST.1 SUB. LOT FORMEROWNERN % E AC yq S W Al-C TYPE OF BUILDING J 2 RES. 21D SEAS. VL. FARM COMM. CB. MISC. Mkt, Value LAND IMP. TOTAL DATE REMARKS -Z,- AGE BUILDING CONDITION NE\f NORMAL BELOW ABOVE FAT!A Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 i _ __. __ Woodland Swampland I FRONTAGE ON WATER Brushland FRONTAGE ON ROAD r J jo House Plot DEPTH BULKHEAD Total DOCK L s�a I COLOR TRIM I % M. Bldg. �t _ — .p—� Foundation Cc�t�iu_�r Bath Extension ,e z d? Basement � Floors ,. may /:cam�L K. Extension Ext. Walls f /' Interior Finish "' ''z ' L.R. Extension Fire Place �J C eat ` 1DR. iType Roof � ;�� Rooms Ist Floor , BR. &V Porch ,�( f, 1 © � p Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer B reezeway Driveway Garage Patio O. B. Total 6�,� -MAS? OF Au ,, � :Sect 1 e•'' �C� ���- - w WA 5.5Eaa 1'4C�"W. IS3,isJ°'"t•4 -5o0ik x,.08- Sottf+,t� - - - -' - •, ._ •, •• ., - , .. , ,� -- . . �• -�-..- - - _., - : -. : _ : � � ,- a.;, ' . : _ I - ~- �C�. :I Yaps OF SOUI'yo� TOWN OF SOUTHOLD BUILDING DEPT. � . c`ycouNr+��'' 765-1802 INSPECTION , [ ] 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 VIOLATIOt N- [ ] CAULKING Toat-ocIbIl ks MARK f ri mg DATE �' INSPECTOR LOCATION: Am4 (number & street) (municipality) SUBDIVISION: MA -NO.: _LOT(S): NAME OF OWNER(S)': Sl hUpy OCCUPANCY; to (type) (owner*,nant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFPF. 'CO. TAX MAP'NO, 10007 SOURCE OF REQUEST: DATE: o;r viola DWELLING TYPE OF.CON'STRUCTTON: �' 9 STO-MS: '# EXITS: FOUNNDATI04" : EASVI TENT: 'CRAWL SPACE: # OF BEDR0,0'MS: IST FLR:" 0 2ND FLR: ,�... . 3RD FLR: •BATHRO'OM(Sj: TOILET Bi00M(S): UTILITY ROOM: PORP r�D'ECKy TY 'E: .. . PATIO;TYPE: BREEZEWAY:' �. F �V�/ r"A]�AGE: 1 DOMESTIC HOTWATER: TYPt,HEATERK, AIRCONDITIONING: TYPE,HEAT: I/ WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES No OTHER: 4 ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: W � 'T-O•RAGE, TYPE CONST.: SWIMMING P'O-OL: GUEST,'TYPE CONST: . OTHER: VIOLATIONS: CHAPTER]44 &N.Y. STATE:UNIFORM F�R.E PREVENTION & BUILDING CODE OC TION A IMSCR.IPTION A ART, SEC, f-%) UAMM- W.- NWIA., t&vv,,_ - ! M (I( REMARKS: INSPECTED BW,4% ih �A�fSI� DATE OF INSPECTION: 6Av%".1 y, r TIME START; [l. END: r