HomeMy WebLinkAboutZ-45220 �Qs�Fp t Town of Southold 5/29/2024
o oy� 53095 Main Rd
a
CO ; Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 45220 Date: 5/29/2024
THIS CERTIFIES that the structure(s)located at: 4980 Stillwater Ave,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 137.-2-12
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- 45220
dated 5/29/2024 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 attached garage.*
Violation: Persuant to Section 144-B of Town of Southold Code, a Building Permit is required for the"as built"newer
windows,upgraded electrical panel and central air conditioning.
The certificate is issued to Zarzecki,June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Autl� riz Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4980 Stillwater Ave,Cutchogue
SUFF.CO.TAX MAP NO.: 137.-2-12 SUBDIVISION:
NAME OF OWNER(S): Zarzecki,June
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Zarzecki,June DATE: 5/29/2024
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: block CELLAR: lox 10 CRAWL SPACE: yes
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): in basement
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: attached
DOMESTIC HOTWATER: TYPE HEATER: furnace,radiators AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: yes
#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:
Pursuant to Section 144-B of Town of Southold Code,a Building Permit is required for the"as built"newer windows,
upgraded electrical panel and central air conditioning.
REMARKS:
INSPECTED BY: NANCYD DATE OF INSPECTION: 5/15/2024
TIME START: END:
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
o�a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631)765-9502 hhtt s://www.southoldtoM=. ov
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY
OWNER(S)OF PROPERTY:
Name: Date:
Physical Address: Q, _j Q SCTM#1000- ( 3Z
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
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To apply for a Pre C.O.for an existing building (prior to April 9, 1957) provide the following:
e Accurate Survey
• Floor Plan
• $200 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, 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 Signature Date
Of SOUlyolo
* # 'TOWN OF SOUTHOLD BUILDING DEPT.
�ycoo 631.765-1802INSPECTION
[ ] 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 [ �RE C/O . [ ] RENTAL
REMARKS: gom 2 0/<_ ;,R- y9m-G.d•
T kwltA 5 uyJ / be k2 J -9
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DATE 5'is.�� INSPECTOR
•
PATIO
31'4"x 13,:Y
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BAT. .o
KITCHEN H '
BEDROOM
0 10'4"x'10'4"
r
w.
:.
5'
GARAGE3w x 3'2
9'4"�(19'5" mom
..
D1 NINGAREA' ' .LIVING ROOM J .
.. 6'9'!'x 12'4„. . 8-T'x.12'4".
. PRIMARY.
BEDROOM
13'
91,-x 8'9" .
r7
Floor plans prgyided'iri.our listings arc.Cor rcfcrcnSc only..77ic mcasuremerits;dimensions,specifieatiogi4 and other data shown on th&- '
floor,plan are approximate and may not tie to scale.Floor plans arc not intended,and shall not be'constryed o bq.a.represeniation,
warranty;or contract.:All information on floor plans should be indedperidcntly.vciifi..d.
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x" TOWK F-O --PROPER Y.": C OR. - SOUTHO.L.D. T RE
SUb LOT
� 'OWNER. ISTREET VILLAGE DIST.
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RES" SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
. 7
�LAND. Imp'.. TOTAL DATE -REMARKS
4 do,
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73 AAA 4
AGE BUILDING CONDITION
NORMA
L AL BELOW ABOVE
AM Value
Acre Value Pe'
Acre
9 C%A%t,6 -4- L-DW144 Wj'n
;Tillable 2
--d41 C,4� LO
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Si�asnpl.arzd
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FRONTAGE ON 'ROAD DEPTH
BULKHEAD -
DOCK
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w / L COLOR — - - -
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A TRIM
- -
-
-' - - -
-
-
M. Bldg. Foundation . Bath , Dinette -
Extension I Basement Floors K.
Extension I I Ext. Walls Interior Finish LR
1 _ r
Extension Fire Place Heat ,. DR,
Type Roof -��— Rooms t st Floor _ i BR. —
Porch ! Recreation Room Rooms 2nd Floor FIN. B,
Porch Dormer
Breezeway Driveway
Garage
Potio
O. B.
�' Total
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Note,:ALL SUBSURFACE'STRUCTURES' UNAUTHORIZED ALTERATION OR PDDITION
�. �u' ,o�R �� WATER SUPPLY,'SANITARY SYSTEMS, .TO THIS SURVEY.IS A VIOLATION OF
DRAINAGE,:L)RYWELLS AND UTILITIES,. .SECTION 7209 OF THE NEW'YORK STATE .. ..
'"SHOWN-ARE FROM FIELD'OBSERVATIONS. EDUCATION'LAW. -
OapE6� APn12024 COPIES OF THIS.SURVEY MAP NOT.BEARING.' ..
AND OR •OBTAINED'FROM OTHERS. THE,LAND,SURVEYOR'S INKED SEAL.OR •• ,,
oNm�n 24/SbNater EMBOSSED SEAL SHALL NOT BE-CONSIDERED
.. .. THE EXISTENCE OF RIGHTS OE WAY '"TO.BE VALID7RUE:COPY..• I.
. .. AND/OR EASEMENTS'OF RECORD 4F
Area- ANY, NOT-SHOWN ARE NOT GUARANTEED., . GUARANTEES INDICATED'HEREON SHALL RUN
.. ONLY TO THE•PERSON FOR.WHOM THE SURVEY -
6 540 sq ft. IS PREPARED, AND ON HIS BEHALF TO THE'
�, Premises'kntlwn TITLE,COMPANY, GOVERNMENTALI AGENCY AND as:' LENDING INSTITUTION LISTED HEREON, AND
' Stillwoter Ave - "Q49B0 70 7HE.ASSIGNEES OF THE LE DING IN571
,0.'1� aches TUTION. GUARANTEES•ARE NOT IYRANSFERADLE.
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Survey of Ptoperty
sittigte at'
. . • : ' •.:' : .' Fleets Neck n'Cutchogue . :. • . ;. ..
LAND SURVEYING T O'W n. 'of: Southold
Mintoville@aol:com Suffolk :C;0 U
ty, New n :-York.
.SUBDIVISIDNS .. .. - T _ �Z7_ _ .2 .
TITLE&.MORTGA&E SURVEYS I Qx. 'Mqp:'•#,1:000 1 37 02.•1
12;' ?o i 20' .
„TOPOGRAPHIC SURVEYS• .. _ .. ..
" SITE PLANS : : April 24' . . Scale
John MLnto,'L.S. Jac4uelirie'Marie Minto; L.S.• ..
GRAPHIC ,SCALE .
LICENSED'PROFESSIONAL•LAND SURVEMR LICENSED0FE6510NAL LAND.SORVEYOR 20 'p ,10' 20 40 '' 60- '
NEW YORK'STATE LIC.NO.,49565 'NEW PORK STATE PC.NO,51055'
Phone:{6.31)72448324.
.'. :
P.O,. Box .1408: Smithtown, N.Y., ,11787.. (.IN FEET )
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� + J Town Hall Annex
Town of Southold 54375 Main Road
.: PO Box 1179
Pre CO Inspection Survey Southold,!NY 11971-1179
Tel: 631-765-1802
P rope rty>Info., s`'
SCTM # ,?j _a.. a Date
Address y910 S17 1WA44-Q, Hamlet j
Property Type Q Occupied
Prior Permits / Inspector
'Structure
Type of Construction: W Number of Stories.
Foundation Type.-- 10elk. Exterior Access:
Full Basement: (��o Crawl Spac Finished:
Garage: � ( Breezeway: Entry Porch:
Exterior Deck: Patio: Mudroom:
UtCt Building Systems
Heat Source: 1 *,*,V o Fuel Type: 01
Hot Water: c� �, Electric Panel:
AC Fireplace: �.
Condition of'Pro,perty
Building Interior: Building Exterior:
Property clean, maintained &safe: �/ Fencing:
Interior Components
Rooms/Floor Levels Sub;' 1 2 3 Safety Items:
Kitchen / Number of Exits: '
Living Rooms Smoke Detectors:
Bedrooms Carbon Monoxide:
Bathrooms Guards& Handrails:
Toilet Rooms X Egress within Bedrooms:
Utility Rooms Fire Extinguishers:
Entry Areas
OTHER
Accessory Structures:
Garage: Construction: Foundation:
Barn: Construction: Foundation:
Shed: Construction: Foundation:
Sleep Quarters: Kitchen Facilities: Plumbing:
Swimming Pool:
Comments:
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Violations:
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