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Home My WebLink AboutZ-30538FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30538 THIS CERTIFIES that the building DWELLING Location of Property 240 WICKS RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 0008 Lot 019 Subdivision Filed Map No. Lot No. Date: 11/05/04 NEW SUFFOLK conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 30538 dated NOVEMBER 5, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ENCLOSED UNHEATED FRONT PORCH AND REAR COVERED PORCH.* The certificate is issued to WILLIAM & VIOLA M SUMPTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. thorized ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 240 WICKS RD NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): WILLIAM & VIOLA M SUMPTER OCCUPANCY: SINGLE FAMILY DWELLING WILLIAM & VIOLA M SUMPTER ADMITTED BY: VIOLA SUMPTER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAIL MAP NO.: 110.-8-19 SOURCE OF REQUEST: WILLIAM & VIOLA SUMPTER DATE: 11/05/04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: 3 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED REAR PORCH AND * DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR. HOTWATER: OTHER: *ENCLOSED AND UNHEATED FRONT PORCH ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. REMARKS: BP30750 HEAT SYSTEM COZ30537, BP22797 SHED COZ24121 INSPECi'ED BY: MICHAEL J DATE ON INSPECTION: 10/26/04 TIME START: 10:20AM END: 11:10AM FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30750 Z Date NOVEMBER 4, 2004 Permission is hereby granted to: W & V SUMPTER PO BOX 634 NEW SUFFOLK,NY 11956 for : INSTALLATION OF A HEATING SYSTEM "AS BUILT" AS APPLIED FOR at premises located at 240 WICKS RD NEW SUFFOLK County Tax Map No. 473889 Section 110 Block 0008 Lot No. 019 pursuant to application dated NOVEMBER 4, 2004 and approved by the Building Inspector to expire on MAY 4, 2006. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 - 3 ! 4 TOWN OF SOUTHOLD 7.2 -,� V i z BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC12 2 200;1 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. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 2 df o d f!9, House No. Street Hamlet Owner or Owners of Property: W % ..K S v �. a t rte.,.�V;015 /4 S v a. o ,s. r Suffolk County Tax Map No 1000, Section / j o c,.a_ Block _ p V a Lot o / 1_0 0 0 Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ 100. O 0 Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check one) �� l Applicant Signature Boulevard Planning East, PC. Architects • Engineers • Construction Management Internet: www.blvdplan.com 32645 Main Road Cutchogue, N.Y. 11935 VA PHONE: 631.734.2011 November 3, 2004 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 Re: Sumpter Residence, 240 Wicks Road, New Suffolk To Whom It May Concern, As per your inspection notice of October 27, 2004, I hereby certify to the Department of Buildings of the Town of Southold that I have inspected the above locations; and I have determined to the best of my professional knowledge and belief that Furnace & Hot Water Heater in question in the cellar of the residence was installed in conformity with the manufacturers specifications, the New York Residential Building Code, and generally approved construction practices. If you have any further questi at any time. CONSENT TO INSPECTION W; t I;.^ 41j#11 Al. 5�..the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at Z yo Wic rc R.1 a Ad e4j S a f ro/K which is shown and designated on the Suffolk County Tax Map as District 1000, Section 11060 , Block D W , Lot a / t Dav That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C r+i P. -c., 1� M lore-- L-46 Fig V JI 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 m -ay 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: /O'x o otf (Sj tur TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 2qo VILLAGE DISTRICT SUB. LOT .111" rn 4 n .X6 a I MISC. Est. Mkt. Value &XC IMP. FORMER OWNER N *I t ,rad�O €l E /j, �� , �Yfd ACREAGE � J� l D!� 0 +l?! . `W, W TYPE OF BUILDING a✓�o r D /I:.,I:T,T, �S' C v..,,,..:q s RES.' SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS L 7 o, o a rl A r e 27"' D!� 0 +l?! ��d (� a✓�o r D /I:.,I:T,T, �S' C v..,,,..:q s v� 74C es S, S6J eZiN-C q0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROADo Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Piot Total GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INS77TUTIONS OR SUBSEQUENT OWNERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLAT70N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. WICKS ROAD I SURVEYED: 27 SEPTEMBER 2004 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL SCALE I"= 20 NOT BE CONSIDERED TO BE A VALID TRUE COPY AREA = 7,500 S.F. SURVEY OF OR DESCRIBED PROPERTY 0.172 ACRES TM# 1000-110-08-019 SITUATE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: WILLIAM SUMPTER VIOLA M. SUMPTER SURVEYED BY STANLEY J. ISAKSEN, JR. GUARANTEED TO: P.O. BOX 294 WILLIAM SUMPTER NEW SV FFOLK. N.Y. 11956 VIOLA M. SUMPTER ASTORIA FEDERAL SAVINGS BANK 63-7 4-5835 STEWART TITLE INSURANCE CO. ---- C ENSED ND SUR EYOR NYS Lic. No. 49273 04R1351 LOCATION: (number & street)(manic 1p iai ity) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: _eo NO.. LOT(S): hype) v U (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- // O — B — SOURCE OF REQDATE: /%eAd DWELLING: TYPE OF CONSTRUCSIqN: _��tf....e # STORIES: 2 # EXITS:oe OR 2 FOUNDATION: - CELLAR: CRAWL SPACE: "- TOTAL ROOMS: 1ST FLR: _ 2ND FLR: 2.01 3RD FLR: BATHROOM(S): / TOILET ROOM(S): — UTILITY ROOM: PORCH TYPE:' .w— DECK, TYPE: PATIO, TYPE: --�► BREEZEWAY: FIREPLACE: GARAGE: ---- DOMESTIC HOTWAT + R:TYPE HEATER: AIRCONDITIONING: -- TYPE HEAT: MARMAIR: HOTWATER: OTHER: 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 LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY:DATE OF INSPECTION: TIME START: 1D.' 20 END: