HomeMy WebLinkAboutZ-43140 Town of Southold 9/17/2022
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ao� goy 53095 Main Rd
Southold,New York 11971
PREEXISTING
CERTIFICATE OF OCCUPANCY
No: 43140 Date: 6/10/2022
THIS CERTIFIES that the structure(s)located at: 4550 Stillwater Ave
SCTM#: 473889 Sec/Block/Lot: 137.-2-7
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- 43140
dated 6/10/2022 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 single family dwelling with unfinished basement and attached two cargarage.*
' Corrected 9/17/2022 for Certificate of Occupancy date only,
The certificate is issued to Annabel,Rose
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
l
d(utf6ized nignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4550 Stillwater Ave
SUFF. CO.TAX MAP NO.: 137.-2-7 SUBDIVISION:
NAME OF OWNER(S): Annabel,Rose
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Annabel,Rose DATE: 6/10/2022
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: attached 2 car
DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #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: 6/10/2022
TIME START: 11:42am END: 12:02pm
SUfF64 Town of Southold 6/10/2022
j riy� 53095 Main Rd
N x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43140 Date: 3/21/2022
THIS CERTIFIES that the structure(s)located at: 4550 Stillwater Ave
SCTM#: 473889 Sec/Block/Lot: 137.-2-7
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- 43140
dated 3/21/2022 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 single family dwelling with unfinished basement and attached two car arage.*
The certificate is issued to Annabel,Rose
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
th ri ed ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4550 Stillwater Ave
SUFF.CO.TAX MAP NO.: 137.-2-7 SUBDIVISION:
NAME OF OWNER(S): Annabel,Rose
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Annabel,Rose DATE: 3/21/2022
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE: attached 2 car
DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #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: 6/10/2022
TIME START: 11:42am END: 12:02pm
'o�SUFF�(d�Gy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P. O. Box 1179 South , lelg7 (II}IU�(I�11'/(/]
� 11 �/
-
Telephone(631) 765-1802 Fax(631) 765-9502 h s:// holdtoMM.szovEc
MAN 2 12022
BUILUI • i
NOF S
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPXD
OWNER(S)OF PROPERTY:
Name: Q_e►--_._� G�% h.aI -r Date
.
Physical Address: S" _- kfOL -_ p,. _AkA, _.-- - ,SCTM#1000-_ �_�-�a_a;- /. __-_•-__
Phone#: Email:
Mailing Address: �Gt-i')'j�_______---- __._-- --.---- ._��..-----•-----.------__.._.-.._ _._---
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email -_ Q I-C._Y.1 h.a..
To apply fora Pre,C..O.for an existing building(prior to April 9, 1957) provide the following:
• Accurate Survey
• Floor Plan
• $100 Fee
CONSENT TO INSPECTION
That the undersigned does hereby give consent to the Building Inspector 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.
���_2z
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at the above address,do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
too Owner's Signature Date-
12e�C, .
SO!/tyo 'D ' l Iwr .Pti a U�
# T WN OF SOUTHOLD BUILDING DEPT
cou631-765-1802 I Z� -2-
NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] *41
ELECTRICAL (ROUGH) [=CAL ECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O [ ] RENTAL
REMARKS: '• L(lil . y'-o'V Pn�
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DATE INSPECTOR
z _ , TOWN OF SOUTHOLD PROPERTY RECON
OWNER STREET VILLAGE DIST.I SUB. LOT
,fir s
7Z///W,,
,FORMER O N R,- N / E ACR.
S W TYPE OF BUILDING
} ��� I` t !
_.—_....._. f_ r + as a
RES; SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
q6o S/
kj.73l1(1Q,-LI Qr;)IQJ-54�2 Antlabd -1� A91161-M,
17 1
_
6700 6V 00 (o q 04 fep cel
i�a roo(A Amuw ciwgwd (de- 1�>,
t
NEW NORMAL BELOW BOVE
FARM Acre Value Per Value
Acre ---- ---
Tillable 1
Tillable 2 -
Tillable 3
Woodland
Swampland fR9N GE-E3Prt-"WAT—E-R-
Brushland FRONTAGE ON ROAD 15-2'
House Plot DEPTH 1
BULKHEAD
Total a DOCK
i
qq ,w i
'' I I
QLOR
R1M - —
—
+
y r
137.-2-7 1/06
M. Bldg. 'Foundation I ,� Bath t Dinette -----
--
Extension {Basement Floors K.
j amu.
Extension _- Ext. Walls ` ' Interior Finish LR. ��
Fire Place — Heat " DR,
iType Roof Rooms 1st Floc, ESR.
I
Parch jRecreation Room Roams 2nd Floor ;=iN. B. j
Porch
(Dormer
Breezeway Driveway
Garage
Pat'10
F I –
e
O. B.
i
A Total / _ i
Bunch, Connie
From: Regina Annabel <banannabel@aol.com>
Sent: Wednesday, June 08, 2022 11:11 AM
To: Bunch, Connie
Subject: Re: Pre-Existing Certificate of Occupancy for 4550 Stillwater Ave, Cutchogue
Good morning,
Please see photos below.
Smoke/CO2 detector in hallway next to bedrooms.
Smoke/CO2 detector in basement.
i
{ "GD
Please let me know if you need anything else.
Thank you,
Regina Annabel
On Jun 6, 2022, at 8:59 AM, Bunch, Connie <Connie.Bunch(a,town.southold.n y�us> wrote:
Good Morning,
The last item needed for the Pre-Existing Certificate of Occupancy are pictures showing the smoke
detectors and carbon monoxide detectors have been installed.You can email those back to me. (Please
send only 2 at a time in a pdf as our email system doesn't allow large files).
Best Regards,
Connie Bunch
Southold Town Building Dept.
2
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LOCATION: » 0 . �� ( Q/ S- oAve'..,
(number & street) (municipality)
SUBDIVISION: _ MAP•N'0.: LOT(S): ,.
NAME OF OWNER(S)-
-OCCUPANCY: 4 54 .ti D
(type) f (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUEF. 'CO. TAX MAP'NO. 1000-_.
SOURCE OF REQUEST; DATE:
DWELLING 7�
TYPE OF CONSTRUCTION: 64, STO'RYES; "# EXITS:
FOUNDATION: . �. � ASVMENT: ��� 'CRAWL SPACE:
# OF BEDROOMS: IST FLR: _ . 2ND- FLR.: �"'�— 3AD FLA:
BATHRO`O1vI(Sj: _
'1'000*' TOILET AOOM(S); �— UTILITYROOM
PORCH.TYPE: D-E•CK, TYPE: PATIO;TYPE: _
BREEZEWAY: F1 S'" LACI ;
A
DOMESTIC HOTWATER.; TYPP, HEATERoe A7 RCONNDITIONmICQ
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS;
J '
FINISHED BASEMENT:- YES NO
1�
OTHER: �! QJ v1, ?/
o t/
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.; _ STORAGE, TYPE CONST.:
SWIMMING P'0-OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS,. CHAPTER.144 &N,Y, STATE.UNIFORM FRE PREVENTION & BUILDING CODE
LOCATION. ,DIaSC PTTON ART, SEC,
REMARKS:
INSPECTED BY:/101 0- " {S _ DATD OF INSPECTION: AA1 {6 AYZ'
PalTIMEZTART: ��� END: :®