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Home My WebLink AboutZ-33921FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33921 Date_ 08/26/09 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 50 MAIN RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 127 Block 0002 Lot 008.001 Subdivision Filed Map No_ Lot No_ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 33921 dated AUGUST 26, 2009 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 COVERED PORCHES, WOOD DECK WITH RAMP, ACCESSORY 2 CAR GARAGE AND ACCESSORY SHED.* The certificate is issued to EDNA V MCNULTY (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. Auf2horized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 50 MAIN RD LAUREL SUBDIVISION: MAP NO.: IAT (S) NAME OF ONNER (S): EDNA V MCNULTY OCCUPANCY: ONE FAMILY DWELLING EDNA V MCNULTY ADMITTED BY: JOHN DILLER ACCOMPANIED BY: EBY AVAILABLE: SUFF. CO. TAX MAP NO.: 127.-2-8.1 SOURCE OF RBOUEST: JOHN DILLER DATE: 08/26/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 2.0 # EXITS: 4 FOUNDATION: BRICK TOTAL ROOKS: IST FLR-: 6 BATiR20O1(S) : 1.0 PORCH TYPE: 2 CELLAR: FULL CRANL SPACE: 2ND FLR.: 4 3RD FLR.: 0 TOILET ROCK(S): 1.0 UTILITY ROOM(S): YES DECK TYPE: WOOD DECK WITH RAMP PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DORLSTIC HOTKNTER: YES TYPE BEATER: OIL AIRCONDITIONIPG: TYPE BEAT: OIL NIUM AIR: HOTWATER: YES OTHER: RADIATOR ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: 9.9' X 7.2' SHED SWRMIIiG POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: GEORGE DATE ON INSPECTION: 08/26/09 TIME START: 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: I . 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 I. 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 ns to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin - $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: ,' 40 IW1,J Ieugr7 House No. Street Hamlet Owner or Owners of Property:��fr/j �% L�7%N/� /� CN "L ni Suffolk County Tax Map No 1000, Section Block Z Lot 90.1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ �O 0 '00 l� 2-- eb vzc, -j In Final Certificate: (check W. Co-e1r&6TV1_ Signature�� fA �c N 11 `1' i 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: I . 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 I. 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 ns to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin - $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: ,' 40 IW1,J Ieugr7 House No. Street Hamlet Owner or Owners of Property:��fr/j �% L�7%N/� /� CN "L ni Suffolk County Tax Map No 1000, Section Block Z Lot 90.1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ �O 0 '00 l� 2-- eb vzc, -j In Final Certificate: (check W. Co-e1r&6TV1_ Signature�� fA �c CONSENT TO INSPECTION A-rf� (t1 ell�'clfy 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 1640 r1 .-r Z s which is shown and designated on the Suffolk County TaY Map as District 1000, Section 1z 7 , Block &L Lot V- ( . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: 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: 1U- Of (Signature) (Print Name) Llfif7C� Z /n7 /-( `'V �7 ,. _ . _ TOWN OF SOUTHOLD PROPERTY RECORD CARD �' O _ r b.A - v v o - � Q 11 DIST. SUB. LOT OWNER r STREET VILLAGE ' ' C i n F q / G ezCr/Ie0(, T11 ORM10 OWNED N /� }}TYPE 112 S bl OF BUILDING -� + l_ 6 l t tdlz C ,ES..2f16 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS / a0 h� +deco i- a/c a/ t? / r 2., 3 j �o O D / f�1 p %/ F�-o cM, 1606 236Q 3? d0P 72 4- X61 lq 0.7 33"1 3 A —fin. � c Nu.l 9 l 3 zona - �P� u c S Pad cl✓G B 47 - M� ed M� I c seoL do 6 a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 l0A/ ky, Fillable 2 ��/(6 l�L - La ' Tillable 3 Moodland swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD Z �� -louse Plot DEPTH W/5 fr2 . G G sr rs Total DOCK SURVEY OF PROPERTY SITUATE LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-127-02-8.1 SCALE 1 "=20' AUGUST 19, 2009 AREA = 55,893 sq. ft. 1.283 aa. a: y� Y 9 o�Eo 0� O kp 1-3LA 0, t� / THORALTERATION OR ADDITION ° \ L CU 1 V v TO SUR THIS SURVEY IS A VIOLATION OF ° V V y V SE SECTION 7209 OF THE NEW YORK STATE .° tOaQZ 6 \ ♦ X94/ y'L C e 5122 j / 1. c+ CID 9 V31 Title Surveys - Subdivisions 0� 9 o�Eo 0� O kp 1-3LA 0, t� / c7 N do \ 0 0 0 c� PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.LS AND APPgpyQ AND ADOPTED FOR SUCH USE BY NEW, YORIF-$TATE LAND TITLE ASSOCIATIO r iy� fl, �_ t � 1 �,N.Y.S. Lfc. No. 50467 THORALTERATION OR ADDITION L CU 1 V a TO SUR THIS SURVEY IS A VIOLATION OF ° V V y V SE SECTION 7209 OF THE NEW YORK STATE .° LA EDUCATION LAW. ,° COPIES OF THIS SURVEY MAP NOT BEARING a.A CID THE LAND SURVEYOR'S INKED SEAL OR Title Surveys - Subdivisions 1px. c7 N do \ 0 0 0 c� PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.LS AND APPgpyQ AND ADOPTED FOR SUCH USE BY NEW, YORIF-$TATE LAND TITLE ASSOCIATIO r iy� fl, �_ t � 1 �,N.Y.S. Lfc. No. 50467 THORALTERATION OR ADDITION L CU 1 V 1- V 1FV TO SUR THIS SURVEY IS A VIOLATION OF V V y V SE SECTION 7209 OF THE NEW YORK STATE LA EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Title Surveys - Subdivisions - Site Plans - Construction Layout EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. PHONE (631)727-2090 Fax (631)727-1727 CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY TITLE COMPANY, GOVERNMENTAL AGENCY AND 1586 Main Road P.O. AND/OR EASEMENTS OF RECORD, IF LENDING INSTITUTION LISTED HEREON, AND Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. To THE ASSIGNEES OF THE LENDING INSTI- Jamesport, New York 11947 Riverhead, New York 11901-0965 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. LOCATION: (number & street) SUBDIVISION: MAP NAME OF'OWNER(S): IV.a OCCUPANCY: (municipality) LOT(S): (type) 0' (owner -tenant) ADMITTED BY:ACCOMPANIED BY: _ �— KEY AVAILABLE: --- SUFF. CO. TAX MAP NO.1000- 1 W-7—,2 SOURCE OF REQUEST: DATE: DWELLING: TYPE OYCONSTRUCTION: �'�''� � # STORIES: cP— : # EXITS: t� FOUNDATION: 51 ,q CELLAR: SPACE: TOTAL ROOMS: 1ST 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: •--s TYPE HEAT: L WARM AIR: HOTWATER: y OTHER: i Alak ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I. DESCRIPTIONI ART. I SEC7 z . t J�� I�r`d\v' t i t� p � K-�� ' �t P �r _'"�'�?... "� .4`�.�' d' '� ate• 4 _ XUJ �-t "•� f ��6 w- 7 rte: L`n: c"S-`�� 3?•- . INSPECTED BY:DATE OF INSPECTION:as TIME START: END: