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Home My WebLink AboutZ-40877 �oSUFFOtKco Town of Southold 11/20/2019 G 53095 Main Rd CR*m } Southold,New York 11971 y' Off, PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40877 Date: 11/20/2019 THIS CERTIFIES that the structure(s)located at: 1470 Jackson St.,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-10-11 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- 40877 dated 11/20/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory wood frame barn. The certificate is issued to Manning Crdt Shelter Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 riz d ignature Form No.6 -'Ff TOWN OF SOUTHOLD BUILDING DEPARTMENT '�� -h QC� 6 2019 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 / Date. /0 New Construction: ii Old or Pre-existing Building: (check one) Location of Property: I q70 0,--,1inVLj(eSQAIJ 91 , House No. /�r/ Street _✓� Hamlet Owner or Owners of Property:/y/U /`y l7" ,t-IT4 UY Suffolk County Tax Map No 1000, Section T 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. $ UaLgAft Applicant Signature CONSENT TO INSPECTION Li OCT 1 6 2019 the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (Axe) the owner(s)_of the premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District 1000, Section I1:F- , Block 10--,, Lot it That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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: (Signature) (print Name) (Signature) (Print Name) i� i on 9VO g � ; t� i� - io SUR.\/E--t' OF PROPERTY ra SITUATE: NEW SUFFOLK TOWN: SOUTHOLD w , ` E SUFFOLK COUNTY, NY s 51,if2VE1tiD 05-20-2OtO RE•Y15EV 0-7-22-2011, 0 -oq-2011. II-0ji-?01I, T D-tor* 01-14-2012 �,t','TeR :LJFFOLK COUNTY TAX N • '- ,...- 1000 - 11"1 - 10- 11 /��KSON STREET- #�yX r�zoPoseD SMPIO 5EPTIG ,- ' 1000 GAL.5.T. iX4 Tryst Hole #1 taj (1) LP 8'DiA. 12DEEP 5URVET'OR EI 3.2-9' R' w E�CCAYa1T10b1 I ,o Fop g (_ __ $YAt.TM lel► ' Li!te(5 nsPPOW By The Sty aork,CCU, with Servi 1' Sall 852�-`5�.5 :s 111 Advance, :µ. 1 .Q Vl+f{_...25. ,T l.�s�iVyti�1{v�7♦ � � �•.4 a� i ' PROPOSED :- 6 BEDROOM troll E SEPTIC f^ r ; - t` ' DvP T,i 7{�FF{�A1Tki S V{C�S j t 4 t �,�,S;i e rPi��t Z={�1"Et; n1' w i 1500 vat. 5,T, 10' PIA. T:. G7t .it i riA (3) LP 5'121A 6 DEEP Test Hole #2 G _ sc 14— 4WAAL 1 =Z.0 -- '-- - ---- e-.. _ R-w..-cn.Y;n. Q'� �,iSCHtc• O.9 \ • S " '" 09'W It 3 , 1 n NEPFLICE� a�� TTI P E. �" II fiiad:4 i$ F� i2i\-tt,JL'iicPFz"Nr, t17 col �.a.. 8AY pro NOTES. co01CIO MONUMENT FOND ` Y .,GREVISED1 caj �t1 ' FEMA FIRM MAP 3610501 N SEPT. 25,2 ��L J)_'.� TOWN OF SOUTHOLD 'PROPERTY RECORD CAR® OWNER STREET `� VILLAGE DkST. SUB. LOT jo I I /7 ��. M a n,4 / r�4-Vr, FORMER OWNER N E ACR, Td y/a per 4 Hen S ' W TYPE OF BUILDING e RES 2 1 o SEAS. VL. FARM COMM. CB. MICS. ' Mkt. Value LAND IMP. TOTAL DATE REMARKS �- ,1�6 710 a.i�L GO d U.f/ f I`I. d Pr 7�0 M. 760 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FAR_ M Acre Value Per Value e J - Acre Tillable FRONTAGE ON WATER �c�,� d d Woodland FRONTAGE ON ROAD l0 7 60 &v eadowland DEPTH /, House Plot BULKHEAD ! Total DOCK Y. ■■■■■■MEMO■MEN IN OMNI ■■■■MONONE■ENONE■■■ME M NMI MEMO IN I ■■ IN No ME 0 MEMO 0 f... ._ ` ' M! MEMEEME ■�■■■■M■EI■ ■1■ EEEE MNEME tnir ■- " %n 0 NONE OMEN 0 0 NEON ■■■■SEEN N■■M■Emom■■N■E■■■■ E ■■MM■OM■0OMM■rOM■■EMmom O.M■■ ■■■MEM■REE■■0■Q�E[nEMO■■■M ■ MEN■.MElm'EMmom M1l,Pyl2■■■■mom OEEM� ON ■■n MEN■tiOl■MEED■■■ON■No "in MEME MINUM ON MEMOMISImm"MEMME ON WEM SEEMS FiAM . ■■■■■M■ IMPM lM■MEMEMN■■■O■E■E ■■MNMM■O&Moi■EOOME■O■O■NDE Interior I Lt OF SOUTyOI # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ VJ PRE C/O REMARKS: DATE f i L Li -m q INSPECTOR Anikl\) L A LOCATION: S, (number & street) (municipality) SUBDIVISION: MAP-N'0.: LOT(S): .. NAME OF OWNER(S)': O-CCUPANCY: 1w (type) (owner*,nant)- ADMITTED BY: --ACCOMPANIED I3Y: KEY AVAILA13LE: SUPT. 'CO. TAX MAP'NO. 000- SOURCE OF REQUEST: DATE: ,T rq _ TYPE OF CON'STRUCTI'ON: � • STORS: # EXITS: FOUNDATION: IN QOM ]WgMENT: 'CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLIT: 31tD P'LA: . BATHRGOM(Sj: TOILET A00M(S): UTILITY ROOM: PORCH,TYPE: DECK, TYPE: .. . PATIO;TYPE: BREEZEWAY:' . FIREPLACE: QARAGE: DOMESTIC HOTWATER: Np TYPP, HEATER: , AIRCONNDITIONING: TYPE,HEAT: / WARN!AIR: _ , HOTWATER: 1 # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: , ll ACCESSORY STRUCTURES . GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING P'O-OL: _ GUEST,'TYPE CONST: J OTHER: VIOLATIONS: CHAPTER.144 &N,Y. STATE:UNIFORM F�R.E PREVENTION & BUI,LDING CODE LOCATION D4SQ1gPTION ART. SEC, REMARKS: w INSPECTED BY:� � 's. DATE OF INSPECTION: ,. ® END; TIME START; ;. c. 8