HomeMy WebLinkAboutZ-41810 �o�gUfrF®(,rc4G�. Town of Southold 1/31/2021
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41810 Date: 1/31/2021
THIS CERTIFIES that the structure(s)located at: 50 Goose Creek Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 71.4-41
Subdivision: Fled 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- 41810
1
dated 1/31/2021 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 enclosed entry_porch and side enclosed porch and acces ory wood frame
garage.*
Notes:BP 7743 addition COZ-6907;BP 45693 "as built"alterations (windows and electric)and outdoor shower
COZ-41809; BP 45658 electric in accessory garage COZ-41808
The certificate is issued to 50 GCLPP LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
th ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 50 Goose Creek Ln, Southold
SUFF.CO.TAX MAP NO.: 71.-1-41 SUBDIVISION:
NAME OF OWNER(S): 50 GCLPP LLC
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: 50 GCLPP LLC DATE: 1/31/2021
DWELLING:
#STORIES: 2 #EXITS:
FOUNDATION: cement block CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: 2 enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: off burner AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 6 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/9/2020
TIME START: 9:43am END: 10:10am
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$50.00,3AdLtions 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. I iA-n e- 3Q 2-o L)
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 6 m e r O\ Bg,y Jc-ew Avc,
House No. Street Hamlet
Owner or Owners of Property: o —6a C L P P (—L G
Suffolk County Tax Map No 1000, Section�73cr 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: $_ \ 00 .0n &0_ 9 71
ApplicanSignature
CONSENT TO INSPECTION
1,(e— , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned(is) (are) the owner(s) of the premises in the Town of
Southold, located at o$b 4) Z&;4,rb . dzzl ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section y7 ,Block , Lot
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
fJ(� G.6-
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: 71� )o 41641�
(Signature)
/i ern W &
(Print Name)
l
(Signature)
(Print Name)
SOF SOUTy �o gvm,,Crate l t_-, SDLAgo le -
� o
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycnurm��'' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ :] FOUNDATION 2ND ; _ [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL=
[ ] FIREPLACE & CHIMNEY -' -[ ' FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [
[ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION PRE C/O
REMARKS: 0 CpAl+
Q� tip10,
t�i✓�n
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a/Llvl
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t'\,%
DATE INSPECTOR
r,jf So cveA..,/bApe/j�bA��
f # TOWN OF SOUTHOLD BUILDING DEPT-.
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) [rPRE
ECTRICAL (FINAL)
CODE VIOLATION C/O
REMARKS:
DATE_ INSPECTOR
? TOWN OF SOUTHOLD PROPERTY RECORD CARD
i
OWNER ISTREET E DIST. SUB. LOT
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Z/OR E
�MER OWNER N
ACR.
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leis i 66zlvev- is W TYPE OF BUILDING
01M
SEAS. VL. FARM COMM. CB. mics. Mkt. Value
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LAND IMP. TOTAL DATE REMARKS
3 l717 5- ::! 5 r sac d 6 5 rirw 7
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IS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
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Ac re
Tillable i r FRONTAGE ON WATER
Woodland r FRONTAGE ON ROAD
Meadowland DEPTH
House Plot J BULKHEAD o
Tota DOCK
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Patio CZ, Recreation Room Rooms 2nd Floor ' I FIN. B I
0• B. Dormer Driveway f
Total
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of AREA = 14694 Acres
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SURVEY OF
PROPERTY
A T ESA YVIEW
TOWN OF SOUTHOLD
SUFFOLK.COUNTY IVY
t 1000-71-01-41 '
C Scale: 1"=40'
Aug. 10, 1995
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Christian E. Burke,Jr
! , JAN 1 9 2021 M- 3 Raymond Lane
New Paltz, NY 12561
845-527-6539
Burke7195@aol.com
J
January 20, 2021
Re: 50 Goose Creek Lane,Southold
Dear Connie:
Enclosed please find the check for$100 for the pre-existing CO that we discussed on the phone. I also
just wanted to confirm that the check for$300 that we discussed is being returned as it was never
cashed to 715 Deep Hole Road in Mattituck?
Please let me know if you need anything else. The best way to get me is either by my cell or my email
which are both listed above.
Thank you for all of your assistance. It is very much appreciated.
Regards, � �5 `t � "- "'" `�. _
Christian "Ed" Burke,Jr. � ,�'
� 1 c rf
LQ,CATION; 0 C(' 1-Me' c�o� 4 Ids
(number & street) (municipality)
SUBDIVISION: _ MAP N'0.: LOT(S):
NAME OF OWNERS
O-CCUPANCY: t i W Ivry 'Vl�.
(type) t , (owner-tenant)-
ADMITTED BY: _ ACCOMPANIED BY: _
KEY AVAILA13LE: SUET. 'CO. TAX MAP' . 1000_I
SOURCE OF REQUEST: DATE: V( 21 r2.
DWELLING
TYPE OF CON'STRUCTI'ON: -SAL 0
a170� � # STQhTES:� .#N7
X.ITS:
FOUNDATION: 4/ ; �ASgMENT: 'CRA. , SPACE:
ACS.
# OF BEDROOMS: IST FLR:,—, v 2ND FLR:
BATHRO-OM(S), TOILET Ri00M(S): t _ UT LITY R00'M:
PORCH.TJ � : �i ��IA:TlOj TYPE:
BREEZEWAY:'_. FIREPLACE: ��RAGE: .
DOMESTIC HOTWATER.: TYPt HEAT1R,1 V P/j/ AIRCONDITIONING:
4✓r
TYPE.HEAT': OIL," WARM AIR: H`OTWATER:40 00
# OF KITCHENS: ► '
FINISHED BASEMENT YESNO_
0 WrDo,/�W'k I a�d 4-v (_-v(q546A1'3
ACCESSORY STRUCTURES
GARAGE; TY E W#L4jvoG1fjDM CONST.: WYVkritQ/ STORAGE, TYPE CONST.::t& M
SWIMMING POOL:
GUES'T,'T'YPE CONST: .
OTHER:
VIOLATIONS;. CHAPTER.144 &N.Y, STATE:UNIFORM F(RE PREVENTION & BUILDING CODE
LOCATIONllFrSC PTION ART. SEC.
� 6
14r-
REMARKS:
�i bin✓
INSPECTED BY, J0�v) . J rrs DATE� OF INSPECTION La'kV
TIME START;1:4_3 AN, END: O: