HomeMy WebLinkAboutZ-43413 S�FF�k Town of Southold 9/15/2022
�Gy , 53095 Main Rd
N x Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43413 Date: 9/15/2022
THIS CERTIFIES that the structure(s)located at: 1980 Sigsbee Rd,Laurel
SCTM#: 473889 See/Block/Lot: 144.4-15
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- 43413
dated 9/15/2022 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 Crom, Steven
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A o iz d ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1980 Sigsbee Rd,Laurel
SUFF.CO.TAX MAP NO.: 144.4-15 SUBDIVISION:
NAME OF OWNER(S): Crom,Steven
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Bail, Samuel DATE: 9/15/2022
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): yes
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: oil 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: 8/30/2017
TIME START: 9:33am END: 10:23am
n
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 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.
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.
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. d `" R f t
New Construction: Old or Pre-existing Building: (check one)
Location of Property: �-
House No. U Street Hamlet
Owner or Owners of Property: SA d✓y VLA L - -A 6A ) L
�LSuffolk 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: $
X
A hcant Signature
CONSENT TO INSPECTION
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersi ned is (are)the owners) of the premises in the Town of
Southold, located at FD 1, 8 4�2- /V7 AT`^tet e-jC ,
which is shown and designated on tYie Suffolk County Tax Map as District 1000,
Section ` , Block I, Lot I Ll
That the undersigned (has) (have)filed, or cause to be filed.0 application in the
Southold Town Building Inspector's Office for the following: e 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: r�
KsiTturo ig)
(Print Name)
(Signature)
(Print Name)
1150 SINgL6� llc�
. (
TOWN OF SOUTHOLD BUILDING DEPT. .
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: v 1 T
pow
hY Fri,-nA -6 �41, 60 ukt ,rOel
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DATE INSPECTOR
�44
LOCATION: 1019D 11/f
(number V4 street) (municipality)
SUBDIVISION: MAPNO.: LOT(S): .. .
NAME OF OWNER(S)': kMV0i
OCCUPANCY: .G i
(type) (owner-tenant)-
ADMITTED BY: - --ACCOMPANIED BY:
KEY AVAILABLE: oc. SUET. CO. TAX MAP' O. 1000 111 It I
SOURCE OF REQUEST: r kVib a DATE: J �.
DWELLING
TYPE OF CONSTRUCTION: JMJ #STORIES: #EXITS: v
FOUNDATIONt�%yk CASEMENT; CRAWL SPACE:
# OF BEDROOMS: 1ST FLR. t/ 2ND FLR: _ 3RD FLA: .
BATHROOMo: I `,•,��5 '3OILET ROOM (S): UTILITY ROOM: y
PORCH-TYPE: DECK, TYPE: 60 PATIO;TYPE:
BREEZEWAY: FIREPLACE; _ .+��1� QARAGE:W *1Af
DOMESTIC HOTWATI;R.: TYPE HEATED.,,66 AIRCONNDITIONING: 43P '
TYPE HEAL' 61[l, WARM AIR: 'HOTWATER:
un/ i�SW°r
# OF KITCHENS:
FINISHED BASEMENT:- YES7 -nnr
_ NO ���A -�� re-
OTHER: LY4 t�r� ol pa ..�.
Odle h !�C(Sm
ACCESSORY STRUCTURESL
GARAGE; TYPE OF CONST.: fvr wV STORAGE, TYPE CONST.: w1A�i
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS:. CHAPTER 144 &N.Y. STATE°UNIFORM F;RE PREVENTION & BUILDING CODE
LOCATIONA IjESCRI- PTION ART. SEC.
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REMARKS:4�_
INSPECTED BY: J 0 --rr-- __ Q
n 1 DATf0F INSPECTION. � ��'
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TIME START: kK --END:
S•C.T.M. NO. DISTRICT: 1000 SECTION:144 BLOCK: 1 LOT(S):14
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PECONIC BAY BLVD. THE WATER SUPPLY, WELL$ DRYWFLLS AND CESSPOOL
LOCADONS SHOWN ARE FROM FIELD 08SERVA770NS
AND OR DATA OBTAINED FROM OTHERS.
AREA:7,244.20 SQ.FT. or 0.17 ACRES ELEVADON DATUM:
UNAUTHORIZED AL7ERA77ON OR AUDIRON 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 SURVEYORS 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 777LE COMPANY,GOVERNMENTAL AGENCY AND LENDING INS7ITU7lON
LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSD7U77ON, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE S7RUC7)R£S ARE FOR A SPECIRC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FEN=ADD17701VAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE S7RUCIURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 7H£PREMISES AT 7HE RME OF SURVEY
SURVEY OF:LOT 40 CERTIFIED TO: STEVEN EDWARD CROM;
AMENDED MAP OF PROPERTY OF
MAP OF: MATTITUCK PARK PROPERTIES, INC. SILBER FIN IKCAP CAPITAL GROUP LLC;
Fes: JANUARY 12, 1926 AS #801 FIDELITY NATIONAL TITLE INSURANCE SERVICES
SITUATED AT. MATTITUCK LLC;
TOWN OF: SOUTHOLD KENNETH Id WGYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORKProfessional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE IF 17-135 SCALE:1"=20' DATE AUG. 13, 2017 PHONE(831)288-1588 FAX(831)298-1588
N. USC. NO. 050882 8emow EL a�nnn
S.C.T.M. NO. DISTRICT: 1000 SECTION: 144 BLOCK: 1 LOT(S): 14
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Y LOT 39
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:,GARAGE::•::'o
CONC. STOOP
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1.5'4.115 56922'00"W WOOD RAIL FENCE 145.09' 1.2'W o
I LOT 41 a, La
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PECONIC BAY BLVD. THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
AREA:7,244.20 SQ.FT. or 0.17 ACRES ELEVATION DATUM:
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA71ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 70 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 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF 77-IE LENDING INS77TUTION, GUARANTEES ARE NOT 7RANSFERABLEE,
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY.LINES TO 7HE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDEd TO MONUMENT THE PROPERTY LINES OR TO GUIDE 77-IE ERECTION OF FENCES; ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE 77ME OF SURVEY.
SURVEY OF: LOT 40 CERTIFIED TO: STEVEN. EDWARD CROM;
AMENDED MAP OF PROPERTY OF SABINE NIKE BECKMANN•
MAP OR AMENDED
PARK PROPERTIES, INC.
FILED: JANUARY 12, 1926 AS #801 SILVER FIN CAPITAL GROUP LLC;
FIDELITY NATIONAL TITLE INSURANCE SERVICES
SITUATED AT: MA-MTUCK LLC;
TOWN OF SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Bog 153 Aquebogue, New York 11931
„ , PHONE (691)298-1588 FAX (691) 298-1588
FILE # 17-135 SCALE: 1 =20 DATE: AUG. 13, 2017 N YS LISC. No. 050882 maintaining the records of Robert L Hennessy & Kenneth M. Woychnk
N ls_
T'OVI�N OF SOU 'HOLD PROPERTY RE��ORD CARD �
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TRE ET V}LLAGE DIST SUB. L.OT
CL rnu� r
N E ACR.
FORMER OWNER
5 W TYPE OF BUILDING
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IMP. TOTAL DATE REMARKS
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phone: (631) 298-7116
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