HomeMy WebLinkAboutZ-35225No: 35225
Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
9/20/2011
9/19/2011
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
130 ROGERS ROAD, SOUTHOLD
66.-2-17
Filed Map No.
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35225
dated 9/19/2011 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 one family dwelling with covered porch, attached two car ~arage and brick patio.*
BP 877 addition, COZ-682
The certificate is issued to
Marie Carrig
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 130 ROGERS ROAD, SOUTHOLD
SUFF. CO. TAX MAP NO.: 66.-2-17
NAME OF OWNER(S): MARIE CARRIG
OCCUPANCY:
ADMITTED BY: Marie Carrig
SOURCE OF REQUEST: MARIE CARRIG
SUBDIVISION:
DATE: 9/19/2011
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: IST FLR.:
BATHROOM(S): 2
PORCH TYPE: yes
BREEZEWAY:
DOMESTIC HOTWATER: yes
# STORIES:
cement block CELLAR:
2ND FLR.:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE: 1
TYPE HEATER: oil
2 # EXITS: 2
3/4 CRAWL SPACE: 1/4
3RD FLR.:
UTILITY ROOM(S):
PATIO TYPE: brick
GARAGE: attached two car
AIR CONDITIONING:
TYPE HEAT: nil WARM AIR: X HOT W~TER:
# BEDROOMS: 4 # KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
SWlMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: 9:00am
9/9/2011
END: 11:59am
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. Commemial 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.
Bo
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 properly 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. q/~O/Tf)l/
Old or Pre-existing Building: ~,_ (check one)
Street Hamlet
~ b Block ~ Lot / ~
~i~0~ ~ FiledMap. 1~ ~ Lot: ~ /~[0~
Date of Pe~it. Applicant:
New Construction:
Location of Property:
House No.
Owner or Owners of Property: _~['1
Suffolk County Tax Map No 1000, Section
Subdivision ~'~0,p 0~c
Permit No.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for; Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
~ ~0,~li ca~nt -S ig~at ur e
CONSENT TO INSPECTION
· the undersigned, do(es) hereby slate:
That the undemigned (is) (are) the own.er(~) of the premis,es in~h~ Town of
Southold, locatedat I~c) · [~6~/~ (~'[ , /~,~'~/[.&(~(
which is sh? twn and designat~ed on tho~luffolk.Coun/y Tax Map as District 10~0,
Section ¢¢ ,Block ~ ,Lot ~-7 .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southo!d Town Building Inspector's Office for.the following:
I
That the undersigned do(es) hereby give con~ent to ~he 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 South61d.
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, roles or
regUlations of the Town of Southold.
Dated: '~- ~e ' 2~/!
(Signature)
(Print Name)
'(Signature)
(Print Name)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL ~,~__ ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
~- z _/?TOWN
OF SOUTHOLD
PROPERTY
RECORD
CARD
OWNER
FORMER OWNER
LAND IMP.
AG[
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
House Plot
Total
STREET / ;_~ ,
S
TOTAL
~ooooV
FARM
DATE
BUILDING CONDITION
NORMAL
Acre
VI LLAGE
W
DISTRICT SUB.
/t:~C R EAG E It 1
TYPE OF BUILDING
BELOW ABOVE
Value Per Acre Value
M. Bldg. J ?,~-i .~'"-7..2 I Foundation J
'--7 I [ Basement
Extension 2. ~',' ~; ,)e
Extension ~-".-' ~: ~go ~.r,J( ~.~ ~4~ i ~t. Walls
Extension ~ * Fire Place He~
Porch
Attic
/ Porch Rooms 1st Floor
Breezewa ~ Patio Rooms 2nd Floor
Garage ~ O ~.E~: :: ~ h ~ /~ ~ ~? ~ Driveway
O.B.
N
,%
JOHN C. EHLERS LAND SURVEYOR