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HomeMy WebLinkAboutZ-43532 gUfFO�Z l � Town of Southold 10/26/2022 53095 Main Rd oN Southold,New York 11971 44. 0 v PRE EXISTING CERTIFICATE OF OCCUPANCY No: 43532 Date: 10/26/2022 THIS CERTIFIES that the structure(s)located at: 3720 S Harbor Rd, Southold SCTM#: 473889 Sec/Block/Lot: 75.-8-2 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- 43532 dated 10/26/2022 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 seasonal single family dwelling with screened porch. The certificate is issued to Creecy, Susan&Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A thori ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3720 S Harbor Rd, Southold SUFF.CO.TAX MAP NO.: 75.-8-2 SUBDIVISION: NAME OF OWNER(S): Creecy,Susan&Ors. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: March Margaret M Liv Trt DATE: 10/26/2022 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: posts CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: screened DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: X GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: #BEDROOMS: 2 #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: 10/20/2020 TIME START: 10:06am END: 10:25am 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,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. Gj I26( 2.626 ,New Construction: Old or Pre-existing Building: V (check one) Location of Property: 3'l2_6 s TTa r 6— i?j Sd j�"dy House No. Street Hamlet Owner or Owners of Property: T 4,W A A.,,d L 1'v rod—Suffolk County Tax Map No 1000, Section —7c Block g Lot 12 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: $ 1©0 . D D PcL0c)' N-c)•b GL,� ,D„ C+ O9 I I C)? Applicant Sigafture CONSENT TO INSPECTION a P R 2 z zozo o-' 4 e 1 Nae, �•e ,the undersigned, do(es)hereby state: er(s)Name(s) That the undersigned(is) (are) the owner(s) of the premises in the Town of Southold, located at 3-1 act So u4-k �-,v h o-r P� ���ie� I Q, Mq f( ��� which is shown and designated on the Suffolk County Tax Map as District 10,00, Section 42575' ,Block -75- Lot g'-�? That the undersigned(has) (have)filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ���,�-��( Pyf'v►� } 40 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: (Signature) ` C!. . e C (Print Name) Gc r (Signature) (Print Name) o��OF SOUTyO �' ' �j, sot w- * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY'INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIR ESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 1 , [ is _ (y) qAAU1 DI& eA v1141 v Ni ' DATE /0/OIW*)O ANSPECTO ' (,7v1A J, LOCATION; 'ALO (number & street) (municipality) SUBDIVISION; MAP NO.: LOT(S): NAME OF OWNER(S)': OCCUPANCY: 0 (type) (owner-tenant). ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUET. 'CO. TAX MAP'NO. 1000- SOURC'E OF REQUEST; DATE: DWELLING TYPE OF CONST UCTI'ON: # STQITES; # EXITS: F'OUNDATIO'N: Q . : CASEMENT: _r 'CRAWL SPACE: # OF BEDROOMS: 1Sj FLR: 2ND FLR: 3A-D 1TLI2: . TOILET Iti00M(S): UTILITY ROOM. PORCH,TYPE,;Z S rf"e�" DECKI TYPL!.,=,;�M�w��/ ATIOr;TYPE: BREEZEWAY;' FIRLPLACE: Wvo ,� QARAGE; DOMESTIC HOTWATER.; TYPE HATER:' A'S AIRCONDxTIONING: TYPE HEAT: Iw m I�III I/1, WARM AYR: HOTWATER: r V 6 '. # OF KITCHENS:. FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: _ S'T'ORAGE, TYPE CONS, c� v SWIMMING P'O.OL; GUEST,'TYPE CONST: . OTHER: VIOLATIONS:. CHAPTER]4.4 &N.Y. STATE:UNIFORM FARE PREV$NTION & BTJI�LDING CODE LOCATION AA D +,SC I PTION ART. WC. int ov REMARKS INSPECTED BY; hJH5 DATA OF INSPECTION; I yO TIME START: iv, END: . .. . . . � oma" Y'.> 4TH 5 ; 12... r I _ Y ca 1� )b� SURVEY OF PROPERTY A T SO UTHOLD rn r TOWN OF SO UTHOLD N 1 o SUFFOLK COUNTY, N. Y. m4 1000-75-08-02 SCALE: 1'=40 CMF i 0 OCTOBER 21, 2019 1.1' NE 03 P , � OR � O - j� •�1.'� � op �7 1 �� �h� '�• m >0 PROPANE G�\� WOOD TANK DECK WOOD r' H CMF OH -'-BIN �6� `��• 39.8' WOOD PLAT. ' ?S•�ti ,LOO CMF Off' P P rbc �9 ,io BRADLEY MO ANDERSON h��9 FRANCESCA G ANDERSON SLA O STAKE ' DEC - 4 2019 SET :� ' REBAR N/0/F BRADLEY M ANDERSON FRANCESCA G ANDERSON 00 . 5l CMF ' „�liOff o5 'i FIELDSTONE FOUND ti o� a� —CMF KEY Q = REBAR t ,4` ® = WELL L r.. • ® = STAKE 9 = TEST HOLE -,..%,00 0 = FIELDSTONE L 1� ,; 4 r;��} ® = MONUMENT SET REBAR AREA . 1;3,4I 9 SQ. FT ( �,_. . LIC. NO. 49618 = WETLAND FLAG 'I.916ACRES PECONIC_°°SUR l/EYORS, P.C. q)-) = U71LlTY POLE ANY AL7ERA7)ON OR ADD/T10N TO THIS SURVEY IS A VIOLATION OF SEC710N 7209 OF THE NEW YORK STATE EDUCA710N LAW. � (631) 765-5020 FAX j631) 765-1797 EXCEPT AS PER SEC710N 7208—SUBDIVISION 2. ALL CER17RCA77ONS HEREON ARE V/AUD FOR THI'S MAP AND COPIES THEREOF ONLY /F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909 i T SOUTH D, N.Y. 11971 19-051 1