HomeMy WebLinkAboutZ-43402 F04 Town of Southold 9/13/2022
53095 Main Rd
y y� Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43402 Date: 9/13/2022
THIS CERTIFIES that the structure(s) located at: 2000 Jackson St.,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.40-17
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- 43402
dated 9/13/2022 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.*
The certificate is issued to Goggins,William&Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A t ed ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2000 Jackson St.,New Suffolk
SUFF.CO.TAX MAP NO.: 117.-10-17 SUBDIVISION:
NAME OF OWNER(S): Goggins,William&Donna
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Goggins,William DATE: 9/13/2022
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: brick and stone CELLAR: partial CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): I UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: HOT WATER: yes
#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: 7/25/2022
TIME START: END:
�S�FFU(�coG Town of Southold 9/13/2022
53095 Main Rd
y z Southold,New York 11971
�;'1101� �sr
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43403 Date: 9/13/2022
THIS CERTIFIES that the structure(s) located at: 2000 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-10-17
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- 43403
dated 9/13/2022 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 accesso , cottage_*
The certificate is issued to Goggins,William 8c Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
u or a Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2000 Jackson St,New Suffolk
SUFF.CO.TAX MAP NO.: 117.40-17 SUBDIVISION:
NAME OF OWNER(S): Goggins,William&Donna
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Goggins,William DATE: 9/13/2022
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: pit CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: steam
#BEDROOMS: 2 #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: 7/25/2022
TIME START: END:
dgos�"E'"`"� TOWN OF SOUTHOLD —BUILDING DEPARTMENT
oy _ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://Www.southoldtoDiny
APPLICATION`FOR PRE-EXISTING CERTIFICATEOF OCCUPANCY
OWNER(S)OF PROPEEtltlRTY//:,�,__ AN1
Name. Vvl�I 1A1{�l.l.. Date:
Physical Address: f SCTM#:1000- 10 —40— t`"7
Phone#: eOr' FEmail: "
as laid @
Mailing Address: _,
CONTACT PERSON:
Name: Vvla ��lG��'�l. C. k)
Mailing Address:
Phone#: Email:
To apply fora Pre C.O.for an existing building (prior to April 9, 1957) provide the following: 1D1
• Accurate Survey
• Floor Plan - MY 1 1 2022
• $100 Fee = BUILDING DEPT.
CONSENT TO INSPECTION TOWN OFSOUTHOLD
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. .
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.
Owner's'Signatur-e Date.
S.C.T.M. N0. DISTRICT: 1000 SECTION: 117 BLOCK 10 LOT(S):17
041 0
1
JACKSON STREET
EDEG OF PAVEMENT
S 83°48'00"E 1.4'N 101.44' 09'E
MON.
PROPOSED
4.0' 1POOL WASTE WATER N
26.2'/ DRY WELL 25.8' N
POOL EOP. 8'oO'DEEP O
TO 1000 GAL.)
BE LOCATED / m o
N GARAGE GARA/ 0 2 STY FRAME rT,
DWELLING
z
12 0' w A
6.4' 4.7' ``[
N
O
L/ ,R/
Cal Lj,
71
10' UZ LAND N/F OF !" // ""; UOND GRADE
POPOSED/
BRADD WILLIAMSON ''16x36'
POOL
14.7' p•,�
1.1'
� I BILCO
NWU 3
22.4'
W O
M
O N 1 STY FRAME, M
MDWELLING 0
0 PORCH �
O 13,1'
A
14.0' U.P.
3.3' CONC. WALL
I
N 83043'40"W 103.10' MON.
LAND N/F OF
DOMINIQUE RANDOLPH
TOWN OF SOUTHOLD
LOT COVERAGE
DWELLING W/COVERED DECK: 1064 S.F.
GARAGE: 480 S.F.
COTTAGE: 649 S.F.
EXISTING TOTAL: 2193 S.F. or 21.0%
PROPOSED POOL: 576 S.F.
PROPOSED TOTAL: 2769 S.F. or 26.5
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
REVISED 05-05-22 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:10,444.03 SQ.FT. or 0.24 ACRES EL£VA TION DATUM: _________________________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEI
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUETURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: WILLIAM GOGGINS;
MAP OF: ��OFNEwyo DONNA GOGGINS;
Q H M wo
FILED: y�F
= c
SITUATED AT:NEW SUFFOLK * x F
r �
TOWN OF:SOUTHOLD '' KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK I- 050882 Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-1588 FAX (631) 298-1588
FILE #222-25 SCALE:1"=20' DATE: FEB. 08, 2022
N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. Roychuk
S.C.T.M. NO. DISTRICT: 1000 SECTION: 117 BLOCK: 10 LOT(S):17
JACKSON (STREET
EDEG OF PAVEMENT
S 83048'00"E 1.4'N 101.44' 1.5'E
MON.
ro Ln
PROPOSED
4.0' POOL WASTE WATER N
26.2' DRY WELL 25.8' N
POOL EOP. 8'0x3'DEEP O C
�- (DDD GAL.) N C�
TO BE LOCATED N
m ` o
IN GARAGEGARAGE �„ m 2 STY FRAME rT,
DWELLING O1- �j P
nw
6.4' 4.7'
12.0'
O p 3 Q)
10. �•� a
LAND N/F OF iiiiiiiiiiii i o DECK
i i U ON GRADE
.PROPOSED 1 i N co o
BRADD WILLIAMSONJ 16006''" i
'.
14.7'
1.1'E
LS z
BILCO
o
22.4'
W O
M
O N 1 STY FRAME N 00
DWELLING a o
�D
O
PORCH �
O 13.1'
,Z 8.0' 4.7'
� m
a
14.0' U.P.
3.3' CONC. WALL
N 83043'40"W 103.10' MON.
LAND N/F OF
DOMINIQUE RANDOLPH
TOWN OF SOUTHOLD
LOT COVERAGE
DWELLING W/COVERED DECK: 1064 S.F.
GARAGE: 480 S.F.
COTTAGE: 649 S.F.
EXISTING TOTAL: 2193 S.F. or 21.0%
PROPOSED POOL: 576 S.F.
PROPOSED TOTAL: 2769 S.F. or 26.5%
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
REVISED 05-05-22 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:10,444.03 SQ.FT. or 0.24 ACRES ELEVATION DATUM: _________________________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: WILLIAM GOGGINS;
MAP OF: �EOFNEyr DONNA GOGGINS;
�P "Y\ M wolf-,
FILED: �� C,
= G
SITUATED AT:NEW SUFFOLK x r
r _ p
TOWN OF:SOUTHOLD ' KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK ��S 050852 Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-1588 FAX (631) 298-1588
FILE #222-2522-25 SCALE:1"=20' DATE: FEB. 08, 2022
N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy &Kenneth M. Woychuk
9'SZ
� r
o
N�_0�
0?213A03
m c ,9'0Z
_
�j 5 L
n
,91Z
�/J`r�j rj�^ �•i
V V O \NJ30. .9'OZ
03213A00
N
I.
MaAer-
P e� �C�O m co
o �
_ V
O
N
W
L �v� �� 96o
2e4noo m
26.2'
ou� T3v i, i k
Fo
u!
Oak -��,op
OFS00lyolo
# # TOWN OF SOUTHOLD BUILDIN DEPT.
courm��'' 631-765-1802 11r.- 10 - Iq---
1 NSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]/LECTRICAL (FINAL)
[ ] CODE VIOLATION [ PRE C/O [ ] RENTAL
REMARKS: J4
Sm • �� l�
0 lz
h6l(::M-
G�
svq ce..,
• �
geA. �iv V-eAlcjww
oa (91
6V ctrite-11
DATE INSPECTORen,OA
LOCATION: 'Iwo , IV QIW Av
(number & street) (municipality)
SUBDIVISION: - ..M P.N*O.-. LOT(S):
NAME OF OWN R(S)':
OCCUPANCY: VwWuj I Y1
(type) 3 (owner-tenant),
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILA13LE: SUEP'.'CO. TAX MAP'NO. 1000- t Io • l
SOURCE OF REQUEST: DATE:
DWELLING
Av ,
TYPE OF CONSTRUCTION: YY 9 5 O' TES: '�� # E STS,
FOUNDATION: ASEI�'1ENT, 'CRAWL SPACE:
# OF BEDROOMS.: 18T FLA: 2N`D FLR: 3I-D FLIM:
BATHRO'OM(S): TOILET Iti001wS(S): UTILITY R00'lVl: "�"
PORCH.TYPE: D'E•CKI TYPE: .- PATIO;TYPE:
BREEZEWAY;' FIREPLACE: QARAGE:INV
DOMESTIC HOTWATER.: TYPE HEATER: ASS► ,AIRCON xTIONIN :
TYPE.HEAT: WARM AIR: HOTWATER:
# OF KITCHE S.- .. ..
FINISHED BASEMENT:- YES. \". NO
OTHER:
ACCESSORY STRUCTC MS '
GARAGE; TYPE OF CONST.: STTbRAGE,TYPE CONST..: -
SWIMMING P'O'OL: OUEST,'TYPE CONST:
OTHER:
VIOLATIONS;. C14AISTER.144 &N.Y, STATla°UNIFORM F�RE PREV$NTION & BUILDING CODE
LOCATION 1S • PT ON ART, SEC,
i
0-- L o
I,EMARKS:
INSPECTED BY, h J JHV DATP, OF INSPECTION, ?ice
TIME START; I = END:
LOCATION: 1M�
f 1'
(number & street) (municipality)
SUBDIVISION: MAP-NO.: LOT(S):
NAME OF OWNS (S �-mz'
OCCUPANCY; . —
(type) (owner-tenant),
ADMITTED BY: ACCONTPANIED B Y:.
KEY AVAILABLE: SUt-F.'CO. TAX MAP'NO. 1000- 1 •- Q I
SOURCE OF REQUEST; DATE:
DWELLING
TYPE OF CON'STRUCTI'ON: 04
# 5T�RTES. _'4 EXITS:*
FOUNDATION: tAS�14�ENT: �� CRAWL SPACE:
r
# OF BEDROOMS: 18T FLR L 2ND FLR: ' 3A.D FLA:
BATHRO"OM(Sj� TOILET AoOM(S): UTILITY ROOM: ;
PORCH.TYPE: DECK) TYPE: .. PATIO;TYPE:
BREEZEWAY; FIRtPLACE: QARAGE:
DOMESTIC HOTWATEI�!.4 TYPt HEATER: AIRCONDITIONING:
TYPE,HET: 01 V WARM AIR: _ HOTWATER: ,
4 OF KITCHENS`
FINISHED BASEMENT:- YES NO°
OTHER:
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: _ `° STORAGE,TYPE CONST.:
SWIMMING P'0-OL: GUEST,'TYPE CONST: `
OTHER-
VIOLATIONS:. CHAPTER.144 &N,Y, S'IATB:UNIFORM FARE PREVENTION & BUILDING CODE
LO-CATIO SSC PTT N ART, SEC,
A Nib Ar voufv. afwl+
rn
REMARKS:
��� JS �t
INSPECTED BY. � bATSOF INSPECTION. A A'v WS. v'v
TIME START,. �'' END: V >>A1