HomeMy WebLinkAboutZ-45244 xr"
Z?.. 6/3/2024
g�Ef01�c L Town of Southold
yt. 53095 Main Rd
y x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 45244 Date: 6/2/2024
THIS CERTIFIES that the structure(s)located at: 645 Fishermans Beach Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-1-33
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- 45244
dated 6/2/2024 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
Original portion of a seasonal wood frame single family dwelling.*
The certificate is issued to Goeller, John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au on Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 645 Fishermans Beach Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 111.-1-33 SUBDIVISION:
NAME OF OWNER(S): Goeller,John
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Goeller,John DATE: 6/2/2024
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: piers CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: wood DECK TYPE: on grade PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: none WARM AIR: . HOT WATER: electric tank
#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: NANCYD DATE OF INSPECTION: 5/29/2024
TIME START: END:
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MAY 1 O
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Town Hall Amex 54375 Main Road P. 0. Box lI79 Southold,N0, ll97l-0959
Telephone (631) 765-1802 Fax(63l) 7M5-95O2
J .Date:
Mailing Addres
et
Phone#: Email:
'
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following:
* Accurate Surveyre S200 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 xvithnespecttotheafonesaida |ication including inspections to determine that said premises comply
with all of the la s, rdinances, rules and re a ions of the Town of Southold.
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION
y (Where the applicant is not the owner)
�lJ
�'LY
|, residing at the above address,do hereby authorize ~~] /�� /^~� �
vc��~��i� � `� � �
to apply onmmy behalf to the Town of Southold Building Department for,
of SOUTyO�
* # TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
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 [ �4RE C/O [ ] RENTAL
REMARKS: 0 111 uav fole—
DATE " �o?ti1- a�� INSPECTOR �_
r 1, DINING ROOM
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BEDROOM 01 :�'i:. STH X00$01 tt OYER� / O. I/!
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STORAGE
13d X 13-2
LEGEND
COMBINATION SMOKE AND
CARBON MONOXIDE DETECTOR �t'�y^
i
PROJECT DRAWING SCALE 1/8"= V-0"
645 FISHERMANS BEACH ROAD EXISTING FIRST FLOOR PLAN DATE 03.12.24 Formworks
TMUN OF SOUTHOLD PROPERTY ECORE
-------------
' STREET VILLAGE DISTRICT �)u L5.
-2 -
E ACREAGE
r0'Rt-..!tEF,' OWIER..
S w TYPE OF BUILD.LNG
RES. SEAS. VL. IND.FARM COM.M. CB. misc.
LAND I IM P. TGIAI DATE RENAARKS
2
13
J
6
A
-7
AGE BUILDING CONq.iTION
17-
X_
Tillable I I m D C✓C>
1p
Tillable 2 1
T:!Ic,ble 3 C
Wcodland
---------- .......
swarnplano
L;rL:Sl-.Iond
_1j14-o
House Plot
NOE !
PC CB
OTHER
NEE I
COMBO
:ji�IAWL PARTIAL
Finished B. SLAB
Fire-Place mom
HIM =0
HIM Study_
HIM
FAMILYx IV-7
13-Y X16-3'
ROOF
DECK
SAT ROOM
e'n.x r-0
� tt
FAMILY ROOM Q
13+8'X 13-0'
LEGEND
COMBINATION SMOKE AND
-� CARBON MONOXIDE DETECTOR
ppPyyP .y�J 1 f� ••;�
DECK
PROJECT DR
'� }^ Y- SCALE 1/8"= T-0"
645 I HERMANS BEACH ROAD EX STING SECOND FLOOR PLAN /� ^ DATE 03.12.24 Formworks
5URVEY OF LOT 10 4 PART OF LOT cl N
MAP OF PEGON I G E3AY PROPERTIES, I NG.
FILED AS MAP # lb
S I TUATE: NA 55AtU POINT W � � E
TO iN: SOUTHOLD
SUFFOLK GOUNT'Y, NY s
SURVEYED 08-21-03
PROPOSED ADDITION Oq-lq-03
REVI5ED 10-28-05, II-25-03, 0I-14-04, 0I-22-04
PROP05ED AGTION5 05-25-04
5UFFOLK GOUNTY TAX LOT x
# 1000 - III - I - 35 G
APPL I CANT:
JANE P. 60ELLER
645 F15HERMANS BEAGH ROAD
GUTGHOGUE, N.Y. IIg35 o`° ��Ory SEo�e
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�j LOT GOVERAC
EXISTING
HOUSE 1480 5F
DEGK 46'7 5F
TOTAL EXI5TING GOVERAGE Iq47 5F OR 5.4%
��� PROP05ED
NOTES: ADDITION (additional) 165 5F
®� TOTAL EXISTING B PROP05ED 2,112 5F OR q.1% TOTAL LOT GOVERA6E
O PIPE FOUND of NEB,
'VrimthorizeC alterollon or°tltlltlon to a survm/
rmp bot- ' Ilce 1- lab—ol—'l seal Is a
lolatlan°f sec[lon 1209,aW-tlNlslon.,of the
AREA = 23,Ig5 5F OR 0.53 ACRES �NC. / O Now York S n[o Etl cation Law'
5 �o
PROPERTY FALLS ENTIRELY WITHIN Only apl°°tram Nea goal al hl5w-1
kotl wltn ll o,o-1 or d o b surveyor•
FEMA FLOOD ZONE AE (EL=B) A5 SHOWN ON �' .tampetl5ealsholl eansltleretl Pwa
FIRM MAP No. 36103G0164 G DATED MAY 4, IggB `°r" ^`"°"°` "°`°°^^'T`y
wrvey noc preparetl In aecaremce with tho ox-
Isnng Loa°of 1 =tico for Lab'xxveys otlopte°
j bN the Now York State A^so—tlon of fM01-1°nal
PROPERTY ZONE D15TRIGT R- 40 �� ®� °"°hl' . 5°' ° 't"°`1on5S"° "°"ly
to tho por on For whom the elx,.ey�p opa�raq
�w/ ontl on hl5 bohalf to the title campary,
"N NQ tal°gercy antl Ienovg mxrzuelan usme�o^.mw
LOGATION OF EXI5TIN6 GE55POOLS BY FIELD ��O othe ,s-S et of the 1-9 MnstlWtbn.Lert111c°-
CqND �� Lions aro rot tronsfaroblo to otltliGoml InstlW[lon5
OE35ERVATION AND INFORMATION FROM OTHERS
JOIE N Ca EHLERS LAND SURVEYOR
GRAPH IG SCALE 1 50 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-292.pro
b/3rJCOf -]V] a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 645 Fishermans Beach Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 111.-1-33 SUBDIVISION:
NAME OF OWNER(S): Goeller,John
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Goeller,John DATE: 6/2/2024
DWELLING:
#STORIES: 1 #EXITS:
FOUNDATION: piers CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: Wpp DECK TYPE: pn g jeA4g, PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER: electric tank
#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: NANCYD71&1 DATE OF INSPECTION: 5/29/2024
TIME START: END:
Town Hall Annex
Town of Southold 54375 Main Road
o - PO Box 1179
Pre CO Inspection Survey Southold, NY 11971-1179
Tel: 631-765-1802
P , Y �.
I?ro a
SCTM # Date
Address ��. � i-t� j, s Hamlet ]
Property Type >7/1AJVVU Occupied
Prior Permits ��(, 10 Inspector
Structure r °'
Type of Constr ction: Woo& Number of Stories:
Foundation Type:DiQ,a6 . Exterior Access:
Full Basement: Crawl Space® /•\ Finished:
Garage: Breezeway: Entry Porch: P
Exterior Deck: WOOdL. Patio: - Mudroom:
r 13ullding 5y5tenlS,
_ti '4yt ,. ..
Heat Source: .. Fuel Type: i
Hot Water. Electric Panel:
AC / � Fireplace:
_ S.onditioh of Property-
Building Interior: Building Exterior:
Property clean, maintained &safe: Fencing:
:Interior Components.- ,
Rooms'/Floor,L'evels=- Sub. 1'_} '` ' ;2"r, 3 Safety Items:
Kitchen ` Number of Exits,
Living Rooms Smoke Detectors:
Bedrooms Carbon Monoxide:
Bathrooms Guards & Handrails:
Toilet Rooms Egress within Bedrooms:
Utility Rooms Fire Extinguishers:
Entry Areas
OTHER (1 flij �l. V V% r2.,Pv(M..
Acces,'sory'Structu res:
Garage: Construction: Foundation:
Barn: Construction: Foundation:
Shed: Construction: Foundation:
Sleep Quarters: Kitchen Facilities: Plumbing:
Swimming Pool:
t�-rue yw•t,m -i
I�'�l_33 — Dooms
. _����e.R-�,e`l con✓a
Violations:
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