HomeMy WebLinkAboutZ-44986 �Qg�FFOI,t-D Town of Southold 2/10/2024
53095 Main Rd
H x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY d9
No: 44986 Date: 9/28/2023
THIS CERTIFIES that the structure(s)located at: 1875 Cedar Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 77.-1-27
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- 44986
dated 9/28/2023 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, covered entry and attached lean-to shed and accessory
metal shed.*
The certificate is issued to Citera,Jeffrey&Angela
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
f
t ori *Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1875 Cedar Dr, Southold
SUFF.CO.TAX MAP NO.: 77.4-27 SUBDIVISION:
NAME OF OWNER(S): Citera,Jeffrey&Angela
OCCUPANCY:
ADMITTED BY: Patricia Moore,Atty.
SOURCE OF REQUEST: Citera,Jeffrey DATE: 9/28/2023
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): in basement
PORCH TYPE: covered entry DECK TYPE: fron PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: oil furnace AIR CONDITIONING:
TYPE HEAT: baseboard WARM AIR: oil HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: metal shed
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: NANCYD DATE OF INSPECTION: 10/3/2023
TIME START: 11:37am END: 12:1Opm
Oct 3rdt
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
EP 21%V4111 Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephp. a-(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtownny.gov
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY
OWNER(S)OF PROPERTY: t�
Name: An9��Q.d'.cJe- 1r VI�.{'(/ Date:
Physical Address: SCTM#1000-
- - - -- 1075--NOY -C�Y_IVe SOV1 101.- - -- - - - - - _ _ _T7-- 1 -27 _ -
Phone#: Email:
Mailing Address: Road e-su-tho1-d.--.----._ _-----
CONTACT PERSON:
Name: P0tV1C.1A —
Mailing Address:5i020--Mal -ftad d__ ._ _. -. .
Phone#: Cb'�)_)7b `.`��. .-.._.-.... __ ._. Email_ RG mub y eM Dun 1 _ .-S-C_O►�
To apply for a 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.
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I,a�Q1ai3ffff ,U Cl+Cyd residing at the above address,do hereby authorize
PnWcla C� Move to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
ell Owner's Signature Date
- - ---- - —
Jp 2z I? �
/61-61 17 f �z .r TOWN ..OF SOUTHOLD PROPERTY RECORD
-W.NEf ��� �td � STREETVILLAGE DISTRICT SUB. LOTS
1, a /�J� �) Jj t ,. p�n
/�c�°�t;r Pia� ��l..s�� 1 r 1_i'�w. t� ®'�:.=t-�<x4.. �j'X:-�'.... _/� � ��f .'°�`'�''�y C`,� �..C,�.
;.FORMER OWNER a N E / ACREAGEf.f } / -
%d
FJ�4 '
S W TYPE OF BUILDING
RES. a�d SEAS. VL. FARM i COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE i REMARKS
oZ v o c)- v v l v/1��'/� 'or _L �L-
O i-era �D (-4 130.00 0 tJ o_
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
70r
-6
Tillable 1 BULKHEAD t
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushland
i
fHouse Plot
Total
1
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7-7iy
!— 1
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M. Bldg. S 3 Foundation B i Bath
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Extension X _ S Q1 I S�, I �� i Floors !
I I Basement ( ;1 r I j
Extension ! j Ext. Walls I Interior Finish
I
.Extension � ( � Fire Place � � ` 5 ; Heat
! Porch i Roof Type i
f I i
n-D j Porch I Rooms Ist Floor
Breezeway j Patio Rooms 2nd Floor
i
I
Garage f Driveway ! I Dormer
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OF SOUTyo�
* # TOWN OF SOUTHOLD BUILDING DEPT.
�ycouur+, 631-765-1802
"- '-0"7 INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ villp'RE C/O [ ] RENTAL
REMARKS: F30 lclih94f+ e r YLeB( vale- a:5- bii i 1+
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DATE a92 INSPECTOR
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hF`` Jol / SURVEY OF PROPERTY
tii P AT SOUTHOLD
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TOWN OF SOUTHOLD
SUFFOLK COUNTY NEW YORK
'9L Q 1000-77-01 -27
F� SCALE: 1 '=20'
MAY 9, 2023
'so AUGUST 8, 2023 ( REVISIONS)
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NOTE- NO WATER ENCOUNTERED WELL
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AREA= 9,376 Sq. Ft. 54.6 `
ELEVATIONS REFERENCED TO NA VD '88
LOT NUMBERS REFER TO 'MAP OF GOOSE
BAY ESTATES' FILED IN THE SUFFOLK
COUNTY CLERK'S OFFICE ON NOV. 13, 1934 \•"\.;, �;.` rr.
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AS MAP NO, u76. UTILITY POLE
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ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ® = WELL W a'a&*YS.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. �CIN.Y.S. Ua N0. 49618
HEREON ARE VALIDEXCEPT AS PER CTION FOR THIS9MAPBANDISION 2. ALL COPIES THEREOF ONLY IFONS — TEST HOLE `/B�IC GPECOWC �c NO. 051132-01
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR = MONUMENT '�rE/� (631) 765 020 FAX (631) 765-1797
WHOSE SIGNATURE APPEARS HEREON. ErnaA: peconksurwy®uptonitne.net
P.O. 80X 909
1230-TRAVELER STREET 23-013
SOUTHOLD, N.Y. 11971
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS \1 4V2�_
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DATE INSPECTOR
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PRE C/O INSPECTION SURVEY
LOCATION: t)ie-, 15ou ICL SCTM#:1000-
SUBDIVISION: MAP#: LOT(S):
NAME OF OWNER(S):
P
NCY TYPE: G� It_ �� c1p, ID BY: NWOeACCOMPANIED BY:LABLE: SOURCE OF REQUEST:Wog �� DATE: .�,g'J!
STRUCTURE: o(a oft-
TYPE OF CONSTRUCTION:' 100oat ft�e, # STORIES:, #3F
FOUNDATION:b BASEMENT: 160 ACE:
# OF BEDROOMS 1sr FLOOR: S2ND FLOOR: :
• TOILET ROOM(S):. UTILITY ROOM:
BATHROOM(S): �7ase
PORCH, TYPE: Cov�,r2 DECK, TYPE: PATIO,TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOT WATER: TYPE HEATER: 01 /L(/�L
A/C:
TYPE HEAT: �V&C Ogoe m WARM AIR: of HOT WATER:
# OF KITCHENS: I FINISHED BASEMENT:
OTHER:
ACCESSORY STRUCTURE:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: ,Add - k4t
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS: CHAPTER 144& NYS UNIFORM CODE:
LOCATION: DESCRIPTION: ARTICLE/SECTION:
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REMARKS: P bI��- i kLA 6 G► �t �- cte-Ck eje-C7in' et1 cVV
INSPECTORS: DATE:
TIME START:I�,�1 TIME END:
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$25.00, Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00, 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. Aril 23, 2004
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 1875 Cedar Drive
House No. Street Hamlet
Owner or Owners of Property: John A. Citera and Jeffrey A. Citera
Suffolk County Tax Map No 1000, Section 077.00 Block 01.00 Lot 027.000
Subdivision Goose Bay Estates Filed Map. 1176 Lot:
Permit No. Date of Permit. Applicant: William D. Moore
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 100.00
Applicant Signature
CONSENT
TO
INSPECTION
William D. Moore the undersigned,
Applicant Ckwmvs (N* Name(s)
do(es) hereby state:
applicant
That the undersigned (is) 6avakthe o eri a) of the premises in the Town
of Southold located at 1875 Cedar Drive, Southold, New York
which is shown and designated on the Suffolk
County tax map as District 1000, Section 77 Block 1 Lot 27
That the undersigned (has) *kw . filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office-for the following:
pre-existing Certificate of Occupancy -
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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: April 23, 2004
(sign pure)
William' D. Moore
(print name) .
(signature)
(print name)
LOCATION: �� D
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: L —��/7;?_/9AL_ ACCOMPANIED BY: � t
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 000-
SOURCE OF REQUEST: o/� ,; � i'l�rpk'�.. DATE: 4
DWELLING: //' l
_ &—*-(- -# STORIES:TYPE OFCONSTRUCl/�TION: &7L,--- #EXITS:
FOUNDATION: L CELLAR: ��CRAWL SPACE: �-
TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM
PORCH TYPE: - DECK, TYPE: PATIO, TYPE: —'
BREEZEWAY: — FIREPLACE: GARAGE: -�
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: C WARM AIR: HOTWATER:
OTHER: I !L1-
0 If
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST(TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE
LOC N DESCRIPTION ART. SEC.
.h•�� � oa!> Gel
ee, 9�
REMARKS:
INSPECTED BY: �G+'� !/ DATE OF INSPECTION:
TIME START: Tv END: