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HomeMy WebLinkAboutZ-41023 Town of Southold 1/29/2020 eaGy 53095 Main Rd N � Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41023 Date: 1/28/2020 THIS CERTIFIES that the structure(s)located at: 2055 Grand Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-8-5 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- 41023 dated 1/28/2020 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. Notes: BP 6364 addition with raised patio COZ-5778;BP 15047 accessory shed COZ-15150; BP 38812 accessory generator COZ-36877; BP 44568 gas burner COZ-41022 The certificate is issued to Deerkoski, Gladys (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ~ to d ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2055 Grand Ave,Mattituck SUFF. CO.TAX MAP NO.: 107.-8-5 SUBDIVISION: NAME OF OWNER(S): Deerkoski, Gladys OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Deerkoski,Gladys DATE: 1/28/2020 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished 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: 12/23/2019 TIME START: 10:36am END: 11:05am SN 6_4 Form No.6 TOWN OF SOUTHOLD lam ` NOV 2 1 2019 t BUILDING DEPARTMENT TOWN NALL 765-1802 �1APkICATION 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 compteted•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$15.00 \Date, tik"U c-ki-!may r- ZQI!l New Construction: Old or Pre-existing Buildings: V (check one) ,q Location of Property: ZcO�S'' g AU e- N _-�14u(rL House No. Street Hamlet Owner or Owners of Property: ot.� w, C_-Cy"le-0b)L , - Suffolk County Tax Map No 1000, Section '-C-1 j tag Block (d-„ Lot fSµS" Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ d O _ Applicant Signature CONSENT TO INSPECTION s) , the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned(is) ' f-re)the o Wr(s)of tUh pr &es the Town of Southold, located at aa55 �r_ ,.Lu . - U u� which is shown and designated on the Suffolk County Tax Map as District 1000, Section4-t32893 Block 10 10 ,Lot That the undersigned(has) (have)filed,or cause to be filed,an application in the Southold Tom Building Inspeor's Office for the of owin _ec�� e- Ue.c.u. ��,rc�.� �bs� �1�v�n� h.�, • �-�o�-e._. t=t� 1 a.l�(��l .-- 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 ofthe 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: � 1�ew ,�' ��7��� ��--\? -- (S' nature) e1W LO (Print Name) (Signature) (Print Name) i -7/6 / 1 S TOWN OF SOUTHOLD PROPERTY RECORD CARD ,1 OWNER STREET VILLAGE DIST.1 SUB. LOT -FORMER 6WNER N E l' ACR. r1w� Ya�, /� w � W—, 7 TYPE OF BUILDING RES. 2-16 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value v LAND IMP. TOTAL DATE REMARKS t7 fir-- 0ZZ D© i" '7 3 �l n 9- pz X. 6 3.1/ (3 U [),,L' !3 D o� %!o�,r �, �o o 9 0 ,s /a ;� �/ r 15� I r�-E � `21 elc. v as -a x �! r AGE BUILDING CONDITION ¢ NEW NORMAL BELOW ABOVE FARM Acre Value Per Value i Acre Tillable FRONTAGE ON WATER Woodland- FRONTAGE ON ROAD Meadowland DEPTH i House Plot BULKHEAD Total J I v DOCK � f ,.-"_:- gip`+v'l:•a;•e- - - - '_ - - _ , Ow i it.'< �':;,e,j�. ,r•' '! 4 ,s /13�•J�J-„-l "/ "� LOR !�`` \ TRIM `m ,' _�'� , -,'a,_ Yom• `�' ! r I _ � ! I r I \ J I IV 107:8-5 11/2014 I ! I i ( Lt M. Bldg. - _ 60 � .2 - $ 3 SD i '+ Extension ua Extension _ i I -� i i TTIT I Extension I I - r ' Foundation Lth l -i Dinette k _ `� :d" �- Basement I rll L L-1I/Floors G F� �� ' !I<. 'Ext. Walls I S Interior Finish (J` L �uR. Br Fire Place Heat 6,16 DR. Al Garage ° k� �-- ~ � � l Z !Type Roof i' Rcoms ist Floor IBR. tl�-�� Recreation Room Roorns 2nd Floor FIN. B AID I O. B. el Dormer ,, Driveway ! 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I`II-II-lI=11=11=11=il- i1=!+-11 souryO� * # TOWN OF SOUTHOLD-.BUILDING DEPT. co 765-1802 -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) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r� �iO ingom.�- yw9 Ln tw () cm w -fV�6 v In �WtVt..,, ely-+941SIV— IS DATE INSPECTOR # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm ' 765-1802 "1 NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING- [ ] FINAL [ ] FIREPLACE-& CHIMNEY [ "] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION, [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: DATE Z� INSPECTOR W. LOC ATION: 7�( (number & street) (municipality) SUBDIVISION: A. MAP•N,O.: LOT(S): ., NAME OF OWNER(S)': eewo s O'CC'UPANCY: ft1 www 0 (type (owner-tenant)- ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP . 1000. SOURCE OF REQUEST: DATE: NoV D WELLING TYPE OF CON'STRUCTI'ON: # STO'RTES: _'# EXITS: FOUNDATION: l • ; 18AS9MENT:' F\A� _'CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR.: _ 'oek_ 31-D FLR: . BATHROOM(s): TOILET I*OOM(S): ;JTILITY ROOM: PORCH,TYPE: D-ECK, TYPE: .. . PATIO;TYPE: 00S. BREEZEWAY: FIRLPLACE: QARAGE: orl DOMESTIC HOTWAT "AA t HEATER:DA�IRCONDITIONING: ONO.- TYPE HEAT: N' *WARM AIR: _ , HOTWATER: • E # OF KITCHEN.�' FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES l ..t�� GARAGE; TYPE OF CONST.:W0O,Q �ryI�VLQ�,J STORAGE, TYPE CONST.: _ SWIMMING POOL: GTJEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER.144 &N.Y, STATE:UNIFORM P;RE PREVENTION & 13UILDING CODE LOCATION DESoPTIO , RT. SEC. ' � o O Vt f I v., L� M.2 t - . REMARKS: INSPECTED BY: � DATE OF INSPECTION: , TIME START: 0� � _ END: �►��• �1