HomeMy WebLinkAboutZ-41394 Town of Southold 8/31/2020
c°Gy53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41394 Date: 8/31/2020
THIS CERTIFIES that the structure(s)located at: 250 Midway Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 90.-1-9
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- 41394
dated 8/31/2020 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 dwellinjz.*
Note:BP 3993 garage addition COZ-3367; BP 45110 "as built"mini-split COZ-41393
The certificate is issued to Schab,David&Kaminer, Ariel
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au ho ' e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 250 Midway Rd, Southold
SUFF.CO.TAX MAP NO.: 90.-1-9 SUBDIVISION:
NAME OF OWNER(S): Schab,David&Kammer,Ariel
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Schab,David DATE: 8/31/2020
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: pit CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil&electric WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 4 #KITCHENS: 1 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: 8/4/2020
TIME START: 9:21am END: 9:40am
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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:
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 j
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: `�S O m k ckvjw\ tl 0 tai l S a J
House No. Street Hamlet
Owner or Owners of Property: A J k f. LO,J A e A-e✓ l �GLV J
Suffolk County Tax Map No 1000, Section 0%0 Block l 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: $ I_lD
Applicant Si ature
CONSENT TO INSPECTION
INA A � ��2�' j TJC,V\.J S=-ti`�� ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) ofhe premises in Y Town of
Southold, located at 1-so /lAt AkWCU S D✓ 01 [1 ef-
which is shown and designated on the SuffoA County Tax Map as District 1000,
Section ,Block r , Lot 9 .
That the undersigned(has) (have) filed, or cause to be filed, an application,in
Southold Town Building Inspector's Office for the"following: GQ��� X
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:
Q(Sig aTe)
rignature)
me)
V�2(
(Print Name)
7
TOWl
N OF SOUTHOLD PROPS _ RD CARD
OWNER STREET %` VILLAGE DIST. SUB.
a illd Sc ?,�i/b f, r 16/1 14? 41e e1
�.
ORMER O NERN E ACR.
11 S W TYPE OF BUILDING
RES.716 1 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS C �
\7� � ,� � 6 Ct (� 1 � �4L! l� f/0/7 (C�.2'�r{� �,�i.`rV'�G'�- frC�d.�io,J- /vim�„/e//,.✓c. .1`-.C'.�rr�ao
3 , 0 6 - i�. e) ,v 0 - /��/�� l4 o -L Ia55 `.-3.25✓ Ch t,'s-h-e A sefle, 16P:, .LC,- 115.()QD
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Tota I
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TOWN OF SOUTHOLD iogOPERTY RECORD CARD
OWNER ' STREET VILLAGE DISTRICT SUB.
LOT
MER OWNER E ACREAGE
S W TYPE OF BUILDING
RES. SEAS. VL. FARM MM_ IND. CB. misc. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
�
3
NEW NORMAL BELOW FRONTAGE ON WATER
. ...
Acre Value Per.Acre Value FRONTAGE ON ROAD J-
Tillable 2 DOCK
Tillable 3 |
Woodland
Swampland
House Plot
Total
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Extension ! 4 ( t - 1Jry i Basement ! Floors
Extension l/ 3� f its } /e yn1 Interior Finish f p J
J ? Y t s'� ��� � E`,`c WQIIS Ill/( `-'ice' -1 1
Extension f a S ,S f I�Fire Place I� !He �� 1,r
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Porch iRoof Type 41,
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# TOWN OF SOUTHOLD BUILDING DEPT.
courm 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND. [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE &-CHIMNEY [` ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] Ti E RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O
REMAR S:
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a-"001)DATE INSPECTOR
LOCATION; SO Y OKE
(number & stre t) (municipality)
SUBDIVISION: AP•N' '.: LOT(S): ,.
NAME OF OWNER(S)'. t
OCCUPANCY:
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILA13LE: SUPT. 'CO. TAX MAP'NO, 1000- ►—
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTI'O14: _ 4 STOR ES:, 4 EXITS:
FOUNDATION: : PASVMENT: ,_'CRAWL SPACE:
4 OF BEDROOMS: 1ST FLR 2ND FLR: f 3RD FLA: .
•BATHRO`0M(S): TOILET PiGOM(S): UTILITY ROOM:
PORCH.TYPE: DECK, T''YPE: .. . PA:TIO;TYPE: •
BREEZEWAY:' FIREPLACE: QARAGE: Al
y VA I-w
DOMESTIC HOTWATER: TYPt HIAA R: , . , AIRCOlVNDITIONING:
TYPE HEAT: V11 V-tL, 14 WARM AIR: HOTWATER:
# OF KITCHENS':`
FINISHED BASEMENTr YES NO
OTHER:
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.: _
SWIMMING P'O'OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER.144 &N.Y, STATE:UNIFORM F;R.E PREVENTION & BUILDING CODE
LOCATION A DI�ISCRTPT Old A ART. SEC,
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REMARKS:
INSPECTED BY. J ..� WL DATE OF INSPECTION.
TIME START;IM 4A+ END: _
SURVEY OF
LOTS 141 , 142 & P/0 143
MAP OF
X0.4 CEDAR BEACH PARK
>?C LofFILE No. 90 FILED DECEMBER 20, 1927
SITUATED AT
A� BAYVIEW
TOWN OF SOUTHOLD
SUFFOLK CO LINTY, NEW YORK
S.C. TAX No. 1000--90-01 —
09
AV
"il 2.3 SCALE 1 "=30'
Xu l to I ROW '
TI 10NOVEMBER 8, 2007
X l MAY 16, 2012 ADDED CROSS SECTION
MAY 25, 2012 LOCATED WETLANDS
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:o CERTIFIED TO:
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M FIDELITY NATIONAL TITLE INSURANCE COMPANY
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o O BELLE VIEW, LLC
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SPOIL AREA 3
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'/ >43 1 / •. '•� SILT FENCE
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70. I 4 x DEWATERING BERM CROSS SECTION '�.
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�� • TO� ORIZED THISSURVEY IS RATION OR ON
VIOLATION OF
89. SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
S THE LAID SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
p W 7 TO BE A VAUD TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
N ITO THE
S
COMPANY, GOVERNMENTAL AGENCY AND
= LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
NOTES: ���\ ?� `�, JTI�N 6ER9n+^J1T'0NS ARE NOT TRANSFERABLE.
1. ELEVATIONS ARE REFERENCED TO HIGH WATER MARK DATUM •Ir�oo• THE EXISTENCE OF RIGHTS OF WAY
EXISTING ELEVATIONS ARE SHOWN THUS:�.a
EXISTING CONTOUR LINES ARE SHOWN THUS: —— ———s————— AND/OR EASEMENTS OF RECORD, IF
I
F.FL - ANY, NOT SHOWN ARE NOT GUARANTEED.
G.FL. - GGAA FLOOR ``` /�
RAGE FLOOR � I
-A PREPARED IN ACCORDANCE WITH THE MINIMUM
T BY THE LI FOR TIME SURVEYS AS ESTABUSbE� �lathan Taft Corwin III
'/`�/• BY THE LIALS. AND APPROVED AND A➢0 q,.eFOR i
TITLESASSOCIATION.� STHE NEW YORK � ''' �
�TCOil Land Surveyor
Successor To: Stanley J. Isaksen, Jr. L.S.
Joseph A. Ingegno L.S.
Title Surveys — Subdivisions — Site Plans — Construction Layout
a 7 PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAIUNG ADDRESS
N.Y.S. Lic. No. 50467 1586 Main Road P.O. Box 16
Jamesport, New York 11947 Jomesport, New York 11947
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