HomeMy WebLinkAboutZ-41529 e,tf Town of Southold 10/11/2020
53095 Main Rd
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Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41529 Date: 10/11/2020
THIS CERTIFIES that the structure(s)located at: 370 Hobart Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 62.-3-6
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- 41529
dated 10/11/2020 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonal wood frame one family dwelling with covered porch.*
Notes: 28103 additions/alterations, inc. cov. porch and 2nd fl. deck COZ-30202'BP 28178 accessM garage
COZ-30144;BP 30412 chimney COZ-30720.
The certificate is issued to Mosquera,Robert&Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 370 Hobart Rd, Southold
SUFF.CO.TAX MAP NO.: 62.-3-6 SUBDIVISION:
NAME OF OWNER(S): Mosquera,Robert&Donna
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Mosquera,Robert DATE: 10/11/2020
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: wood post CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER:
#BEDROOMS: 2 #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: 10/9/2020
TIME START: 10:58am END: 11:10am
Form No.6 I �;�6 �3 (� !
TOWN OF SOUTHOLD a LEJ lJ
BUILDING DEPARTMENT 1
TOWN HAIL OCT - 7 2020
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY EUITTIJING DEP 1T
TOT,-V - 1 rz'V Yt;:r rr;"
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.
0 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. 10[7 1,Q0
New Construction: Old or Pre-existing Building: �/ (check one)
Location of Property: 37 0 �t�3 �ca-�
House No. Street Hamlet
Owner or Owners of Property: 'Com--L- Q u_-e-
Suffolk County Tax Map No 1000, Section Block Lot 0
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: $ `0() - C7
Applicant Signature
E E
OIVLJ {�
CONSENT TO INSPECTION
OCT - 7 2020
BUMPING DEPT.
TkTYL (16— f �C7.��lx f-G� , 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--i-o— 4-cuh 4 , A ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section C*C�g , Block() , Lot ®® S�
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold To Building Inspector's Office for the following: C _
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: 4-7 Qxu�— HVtw,�,,,
(Signature)
onn6- H H Ds
(Print Name)
(Signature)
(Print Name)
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UAL
SURVEY OF PROPERTY
SITUATED AT
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No 1000-62-03-06
SCALE I"=20'
BER 11,
MAl1�S R
p,5) MAY 7. 2001 RE'A E9,M O SH OW
REVISED IC SYSTEM
PLADETAIL
'^ MA(28, 2002 UPDATE SURVEY&ADD ADDITIONS
ao MAY 12, 2004 FINAL SURVEY
Ns' AREA= 9,127 72 sq It
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3 S C D.H S REFERENCE NO R10-01-009 \
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TiD InMti�rtx�numr°9:1u r�miiwuuat
INE[sISTCNCE OF MONTS OF WAY ,\
ANDIN us[N[NTi OF 9ECOR0 IF
ANY T SxpWN ARE NOT OWRANT[[O
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Joseph A. Ingegno n mws z not s mm u ma
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mit As�spcumN I
Land Surveyor OF N
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PNONE(631)727-2090 Fp,(631)727-1727 i p gym •
OFFICES lWATED AT N
322 ROANOxE AVENUE P O B..1931 NYS Dc N, 49666
9NERNEAD Vn Tp 11901 N,,fixW 0-Yak 119CI-0965
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r TOWN OF SOUTHOLD PROPERTY RECORD
OWNER STREET VILLAGE T DIST. ' ^SUB. LOT
Loma lvlG�Luef-a
FORMER ,OWNER N
r 'I "D/Y7 P T`�P %��r ACR.
S
W TYPE OF BUILDING ✓-�=U-;'—���=?�'�•
RES. SEA! VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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(IM.40q on
Tillobie FRONTAGE ON WATER
j Woodland FRONTAGE ON ROAD �, U
Meadowkxtd DEPTH 7
House Plot BULKHEAD
Total
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Founclation
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# # 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) [ ] OCTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O
REMARKS:
f�
DATE INSPECTOR
LOCATION: ao 6wk &qtk- sale f
(number &,street) (municipality) ^'
SUBDIVISION: P M N'0.: _ LOT(S):
NAME OF OWNER(S)'; 4 ovmv 0 V.G✓
OCCUPANCY: n DU/"I o
(type) (owner-tenant)-
ADMITTED
owner-tenant)ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILA13LE: SUFE. 'CO. TAX MAP'NO. 1000- '
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CON'STRUCTI'ON!!: 9 ST
�Vl ORIES: 7�
--- -- _
FOUNDATION, �k P4 ^�o�-`
r EAS =LNT; Al 'CRAWL SPACE:
# OF BEDROOMS; 18T FLR: 2ND FLA: tii 3AD FLR.:
,BATHRO'O1vS(S)_ TOILET AGOM(S): UTILITY ROOM:
v
PORCH,TYPE: DECK, TYPE: .. . PATIO;TYPE:
BREEZEWAY:' PLACE: _ �1/,� /�� QARAGE: _
DOlVIESTIC.HOT�VATER: _ TYP9HEATER:1 - :7RCONDITrONING:
TYPE•HEAT:1. WARM AIR: HOTWATER: ~ -
4 OF KITCHENS: nP/
FINISHED BASEMENT:• YES NO
OTHER:
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: STT'bRAGE, TYPE CONST.:
SWIMMING POOL: GUEST,-TYPE CONST:
OTHER:
VIOLATIONS:. CHAPTER]4-4 &N,Y, STATE:UNIFORM FARE PREVENTION & BUILDING CODE
r
LOCATION DBSCRIPTION, ' ART. I SEC.
REMARKS:
INSPECTED BY. oo,ot J �AvS DATE OF INSPECTION. GAo x?
TIME START; D END: _, *,164n