HomeMy WebLinkAboutZ-41993 Town of Southold
�OSUFE01�-c r� 5/1/2021
o Gym� 53095 Main Rd
Southold,New York 11971
4
PRE EXISTING
CERTIFICATE OF OCCUPANCY .
No: 41993 Date: 5/1/2021
THIS CERTIFIES that the structure(s)located at: 54305 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 52.-1-6
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- 41993
dated 5/1/2021 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.*
The certificate is issued to Rogers Grun, Susan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A hors ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 54305 CR 48,Greenport
SUFF.CO.TAX MAP NO.: 52.4-6 SUBDIVISION:
NAME OF OWNER(S): Rogers Grun,Susan
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Rogers Grun, Susan DATE: 5/1/2021
DWELLING:
#STORIES: 1 #EXITS: 5
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 3 #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: 11/12/2019
TIME START: 2:56pm END: 3:25pm
Corm No.6
TOWN®F SOUTI-I-IOLD
BUILDING DEPARTMENT
TOWN HALL nD L, moi .
765-1802
APPLICATION F,OR,CERTIFICATE OF OCCUPANCY JUN 7 7 201
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 1
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 I%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.
QBFor,eXisting buildings(prior to April9,1957).non-conforming uses,or buildings,and"pre-existing"land uses:
1. Accurate su gy•ofprop ort's�;�wiv gall prop lines,streets,building arrd ttnusual natural or t9pogr`apltic
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,
Swinnmingpool$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$15:00
Date-, "t
New Construction:- Old or Pre-existing Building: (check one)
Location of Viol
House o. n Street Hamlet
0".. er or owners gf?'roper`�S,t
Suffolk County Tax Map No 1000, Section _�� Block �_ Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant.
Health Dept. Approval: Underwriters Approval: _
Planning,Board Approval:
'Request for: -Temporary'Certificate- Final Certificate: (check one)
Fee Submitted:$ —, -- _ -- -- _
Applicant-Signatu e
CONSENT TO INSPECTION
, the undersigned, do(es)hereby state:
bvmer(s)Natne(s)
That the undersigned(is) (are) the owner(s)of the premises in the Town of
Southold,located,at � �F%l PDP�
which is shown and designated on the Suffolk°'County Tax Map as District 1000,
Section, 2 ;,Block ( , Lot (�
That the undersigned(has)-(have)=filed,or cause to be filed,an application in the
Southold Town,Bu,}ldmg'lnsped6?s Office for the following:,,
PO�SC---�x��/1V�
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 inspeetibns:to,determ:ine that said premises R
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.
S�_
Dated:
(Signatu
S05S" 1206L�S 6 � v
(Print Naive)
(Signature)
(Print Name)
OA�,`
y /
a,4 6
�yh�� r�PC�IC
o�ao uryD
* TOWN OF SOUTHOLD BUILDING DEPT.
• �Av
°`yrournv��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FI ESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ LECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
RE ARKS:
rani -
1��_ o
DATE IY INSPECTOR
SURVEY OF PROPERTY
Ile SITUATED AT ARSHAMOMAQUE
,N.# 0, Erx TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ap S.C. TAX No. 1000-52-01-06
SCALE 1"=20'
//y tiotl toNt6 / / / JANUARY 6,E EMBER , 199
tf2, 1997
DATA
,tel Yy/ /
Vol0.
AREA = 9,070.18 aq H
(TO TIE UNE)Q 208 O0.
cN
CERTIFIED TO,
�G]4 ly PETER CHEUCO
to y ALIN CHELICD
O / ddb •�` R� �'�'
NOTES,
I �` ,s✓ ' ',e. `� ELEVATIONS ARE REFERENCED TO N G V.D 1929 DATUM
K
I
EXSTING ELEVATIONS ARE SHOWN THUS.
T°5A v x c x map o ,o EXSTING CONTOUR LINES ARE SHOWN THUS -
Y a7R \ �au7 4a��0 FRET BOOR
-f�. .O IH - TOP OF BIIUNFIO
OF 6uuNE/O
T9°9irOF"9�YAu
2 FLOOD ZONE INFORMATION TAKEN FROM.
FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 OD76 E
ZONE V9(EL 13) AREAS OF loo_YEAR
COASTAL FLOOD WITH VELOCITY(WAVE ACTION),BASE
FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED
ZONE C AREAS OF MINIMAL FLOODING.
10
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ANY,NOT SROWN ARE NOT GUARANTEED
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E_ Joseph A. Ingegno
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•A T— �OSOFNN �U"° Land Surveyor
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C) X. Title S,ry -Subtlmamne-5,1e Plane- Cmeh Uw Loyoul
�Y PHONE(516)727-2090 FOR(516)722-5093
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19uebo9ue N.M Yo,Y 11931 R6-ad Ne Yah 11901
— A
TOWN OF SOUTHOLD PROPERTY RECORD C
OWNER STREET . VILLAGE DIST) SUB. LOT
FORMER OWNER0 N E ��/ �j j ACR.
S W TYPE OF BUILDING
Ila
RES. �4 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP TOTAL DATE REMARKS � ��
g-
= ►-11 (p a d��k t o.k
v
A B I G C NDITI L{ la pt, P,P
l (P o i " O(o oV�rcd en Orb)
N NORMAL '07 d _ s G {��"��
FARM Acre Value Per Value /Ks/
Acre - --- C/Ks/- /o� `( t�fl C)� a (`tCf� , S *_
Tillable 1 v� �D��' ►
Tillable 2 %-700 6 OO g l a 0 31t / /
Tillable 3 N
Woodland
2li
FRONTAGE ON WATER �'o l g
Swampland � � .�' r
Brushland FRONTAGE ON ROAD
House PIS, �... DEPTH -�
BULKHEAD t
Total `" +' DOCK
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WallsEMEMEM 01=
RM11 Foundation
Basement
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affa
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7
LOCATION: �-��,� 1^•CP
(number & street) (municip ity)
SUBDIVISION: MAP-NO.: LOT(S): .,
NAME OF OWNER(S)':
OCCUPANCY: to
(type) (owner-tenant),
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUPT. CO. TAX MA�W. 1000.
SOURCE OF REQUEST: DATE:
DWELLING
v
TYPE-OF CONSTRUCTION: # $TORTES: #EXITS 4:0
FOUNDATION: CASEMENT: ( 'CRAWL SPACE:
i"" .
# OF BEDRO,O S!, IST FLR 2ND FLR: _ 3RD PLR:
••BATHRAOM( ):_ TOILET RlOOM(S): UTILITY ROOM: _
P ZYP to 33 DECK T 'PE: P
y ATIO;TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONIN
TYPE HEAT; WARM AIR: HOTWATER: ,
# OF KITCHENS: OIV
FINISHED BA MENT: ES_ NO
OTHER:C
ACCESSORY STRUCTURES .
GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.:
SWIMMING P'O'OL: GUEST,'TYPE CONST: .
OTHER:
VIOLATIONS: CHAPTER-144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION D S- P I ART. SEC.
�- — 1/011w Moil
ON Yt 10
REMARKS:
4 \
INSPECTED BY: �lell . DATE OF INSPEVTN: .
' TIIw1E START: =�� END: •