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Home My WebLink AboutZ-40802 0�y FF pt/rc Town of Southold 10/24/2019 o a 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40802 Date: 10/23/2019 THIS CERTIFIES that the structure(s)located at: 26155 CR 48, Cutchogue SCTM#: 473889 Sec/Block/Lot: 84.-2-3.2 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- 40802 dated 10/23/2019 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 and rear covered porches and accessory stucco garage(D on survey), partitally open wood frame storage building(13 on survey, accessory wood frame shed(A on survey); tennant/worker quarters -3 rooms with no kitchen facilities (C on survey). Notes: BP 44300 windows COZ-40801 The certificate is issued to Siejka, Teresa Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 1 Yoho d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 26155 CR 48,Cutchogue SUIT.CO.TAX MAP NO.: 84.-2-3.2 SUBDIVISION: NAME OF OWNER(S): Siejka,Teresa Ann OCCUPANCY:' ADMITTED BY: SOURCE OF REQUEST: Siejka,Teresa Ann DATE: 10/23/2019 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: brick CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: front&rear covered DECK TYPE: PATIO TYPE: BREEZEWAY: I FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: eyes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam radiator #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: 1 ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: stucco garage STORAGE,TYPE OF CONST: 2 wood frame stge bldgs SWIMMING POOL: GUEST,TYPE OF CONST: 3 rm tenant/worker quarters OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/16/2019 TIME START: 11:25am END: 11:53am TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL { _ 765-1802 r` -�11�,f APPLICATION FOR CERTIFICATE OF OCCUPANCY SEP 2 4 990o E in b typewriter or ink and submitted to the Building Department with the fo1��Kng: ` This application must be filled y tyP A. For new building or new use: roe lines, streets,and uriusualinatii at r 1. Final survey of property with accurate location of all buildings, p p riy , topographic features. 2. Final Approval from Health Dept_ of water supply and sewerage-disposal(S-9 form)- ire Under-writers. 3. Approval of electrical installation from Board the solder used in system contains,less than 2/10 of 1%lead. 4. Sworn statement from plumber certifying that 5_ Commercial building, industrial building, multipeSronssble for hesimilar buildinguildings and installations, a certificate of Code Compliance from architect or engineer p 6_ Submit Planning Board Approval of completed site plan requirements. riot to April 9, 1957) non-conforming uses, org buildings and"pre-existing" land uses: B. For existing buildings (p P streets 1. Accurate survey of property showing all property lines building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.I£a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees Additions to dwelling$50.00,Alterations to dwelling$50.002 1. Certificate of Occupancy-New dwelling$50.00, building$50.00,Additions to accessory building$50.00,Businesses$50.00. Swimming pool$50.00,Accessory 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 ` y� 2,01C Date.�t7Te)YI�� 2 / --New Construction: Old or Pre-existing Building: (check one) -- Location of Property: Street Haml House No. Owner or Owners of Property: Cc-e--`' B lock ��. Lot Suffolk County Tax Map No 1000, Section �7 r�� ?f� --Z�3 2 Filed Map. Lot: Subdivision Date of Permit. Applicant: Permit No_ Underwriters Approval: Health Dept. Approval: Planning Board Approval: Final Certificate: (check one) Request for: Temporary Certificate Fee Submitted: $ 1 ��C� Applicant Signature CONSENT TO INSPECTION —TC-re–S ek An n 8' e_'k Vq , the undersigned,-do(es) hereby state: Owner(s) Name( That the undersigned (is) (are) the owner(s)of the premises in the Town of Southold, located at 2 6 I 5 Co Zu r)--,j Roe,C- Y i?, which is shown and designated on the Suffolk lCounty Tax Map as District 1000, Section,V73 Block , Lot 2-3- 2 . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: PR E - Co 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: ep�. (Signature) e_re Sq A. (Print Name) (Signature) (Print Name) 77 aC ,W, i5f �11 "J NIVI; oil' j WIT tais } , ow lap. YQ 2191 DIN J- S wi;'10,4a W NU7"Al IPA Oak in 4,011 1,6,-p , lilts jj --rioi or 'iop Nr*,'Y�qr, a i 3 tr n Z not pa :X, Cox WoIlk ail t' pv to C.'A-VA L tO"f rwL,O , t; -77-7-77 0 'AUAAANT1 pw Vii. wu: T�e to Is011yd 1141 41 T rr+ ijtfe-OBJ "t1 Y1 I'va,� 17 n"tom LFd 9j Was 11 3. 1 w F 777 4c x�p Zia. A its, t _ . j 1j, TOMNI OF SOUTHOLD PRRONERTYRECORD CARD OWNER STREET j VILLAGE DISTRICT SUB. LOT - .... _ — -- - -- — — -- ---- — - t¢ s Z t)R`v,1R OWNFR N E 1 ACREAGE � p- > _. ff S TYPE OF BUILDING t RES P SEAS. VL. FARiV, COMM. IND. CB. � MISC. LAND IMP. TOTAL DATE REMARKS E r ---- --- .. - -- > _ 1 a-11 � tr j p _ -- - --- pT ,� in '� t {, P j 73 .AGES COt li �V ' - t NEW >NORMAL 7/0 BELOW " A�OVE Fs - ---- - -- - ............. FarmAcre `VoiuPer A "��„� � cre = Value a '51004- 3A/1 Tillable 2 Tillable 3 Wcod land Swampland 1 Brushlcr d , House Plot J a LICENSE ` � SUSPEN6ED I i` - y t AFTER TWO C � - � WORK ZONE V� ol`� •.�` ''� r z:f ��. � t-� -- _. ._._ —. ,..,_-. SPEEDING TICKETS - ,r r ( 84.-2-3.2 03/05/2018741 _ - _ li Y _ tvl E(c7g Foundation Bath Extens on i Basement Floors .- ... ' Interior Finish Ct. '- Extension / Fire Place I �rs 1 Heat OIL,, �r Y"i f Porch ; Attic / Par c?. Rooms 1st Floor --, Brce-'4)ev atio Rooms 2nd Floor ' j 75 CarcaGisA ` ,,.' 1 ,triveway _ Pecos ( ��f•r Z — 3.Z -- - -_ i' o��pF SOUTyO # # TOWN OF SOUTHOLD, BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION-2ND [. ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE.& CHIMNEY - J- ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: DATE 0 INSPECTOR LOCATION; (number & street) (municipality) S•UBDIVISI& -I'- --- -MAPNO.: LOT(S): .. NAME OF OWNER(S)': OCCUPANCY: SI t 0 (type) J (owner-tenant)- ADMITTEI) BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. 'CO. TAX MAP'NO. 000-1 SOURCE OF REQUEST: DATE: Y DWELLING TYPE OF CONSTRUCTION: WiLoAl-f� twe / # STO.1UES: y 1 '# EXITS: FOUNDATION: ]WEIVIENT: 'CRAW' L SPACE: # OF BEDROOMS: 18T FLR: -_ 2N'D FLIT: 3RD FLA: BATHRO-OM(S): ' _ :I"C�1:,ET AOOM(S): _-`'+ UTILITY R00'M: PORCH.TYPE: V D'E'CK, TYPE: .. , - PATIO;TYPE: BREEZEWAY:'-,- FIREPLACE: GARAGE: CC, DOMESTIC HOTWATER: TYPE HEATER: V AIRCONDYTIONING: TYPE HEAT: WARM AIR: HOTWATER: 1 14 # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER' ACCESSORY STRUCTURES - -- s- -f�- GARAGE; TYPE OF CONST'-NS STORAGE,TYPE CONS SWIMMING P'O'OL: GUEST,'TYPE CONST: OTHER: 'Nb `�-C1�11 <�Q/Ip Taf1t__ VIOLATIONS: CHAPTER.144 &N.Y. STATE°UNIFORM P;RE PREVENTION & BUILDING CODE LOCATION D CRIPT ART. SEC. [ 1 i I REMARKS: INSPECTED BY: '�f�lln. Jij DATA 0F INSPECTION: 00"h' tv' 14TIME START: �. END: l�