HomeMy WebLinkAboutZ-35232Town of Southoid Annex
54375 Main Road
Southold, New York 11971
9/22/2011
No: 35232
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
9/22/2011
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
1135 Calves Neck Rd, Southold
63.-7-33
Filed Map No.
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35232
dated 9/22/2011 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
one family dwelling with covered front porch and attached one car garage.*
The certificate is issued to
Bjerknes, Clara
(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: 1135 Calves Neck Rd, Southold
SUFF. CO. TAX MAP NO.: 63.-7-33
NAME OF OWNER(S): Bjerknes, Clara
OCCUPANCY:
ADMITTED BY: Mc~ihy Management
SOURCE OF REQUEST: Bjerknes, Clara
~UBDIv1sIoN:
DATE:
9/22/2011
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: I # EXITS:
FOUNDATION: cement block CELLAR: 3/4 CRAWL SPACEi
TOTAL ROOMS: IST FLR.: 2 2ND FLR.: 3RD FLR.:
BATHROOM(S): 1 TOILE~ ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front DECK TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC HOTWATER: TYPE HEATER:
TYPE HEAT: WARM AIR:
# BEDROOMS: 2 # KITCHENS: l
OTHER:
PATIO TYPE:
1 GARAGE: one car
offboiler AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: unfinished
3
1/4
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY: ~Z~ /~/
DATE OF INSPECTION: 6/13/2011
TIME START: 9:00am END: 11:59am
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPA
This application must be filled in by typewriter or ink and submitted to the Building Del
[
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.
New Construction:
Location of Proper~y:
House No. Street
OwnerorOwnersofProperty: ~'~4~ tS~ff
P___-ls ca_ e,,c4 neq
Suffolk County Tax Map No 1000, Section ¢3/ Block- q
C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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.
Old or Pre-existing B.u'iMiag~ X _ (.cheek one)
Hamlet
8ubdivisi0n
Permit No.
Health Dept. Approval:
Date of Permit.
Filed Map.
Applicant:
Underwriters Approval:
ot33
Planning Board Approval:
Request for: Temporary Certificate
Foe Submitted: $
Final Certificate: (check one)
~]~ . c,~Apl~icagt Signat.~en
. piy.w~.~l: of.tl/e lav~, ~ m~ ~ill~ons of the TOWn of ,~out~o. ld.
rzgu~i°ns ofttm Town of Soufhold.
~ Nam~
TOWN OF SOUTHOLD ~OPERTY RECORD CARD
OWNER
FORMER OWNER
RES. ~/~)~A/ SEAS.
LAND IMP.
AGE
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
VL.
TOTAL
NORMAL
Ac re
Woodland
Swampland
Brushlond~,
House Plot
Tetol
STREET " - "
trw
DATE
VI LLAGE
BUILDING CONDITION
BELOW
Value Per Acre
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
LOT
COMM. JIND. ICB. I MISC.
REMARKS
ABOVE
Value
rxter'si°r' 17X/i, : a_?'~,', ~o'eme"tf.// F'°°rs
..... //~k~[C~ >~0 ~ 6 fO /-~, ~y ~ ~/~r~h ~0 ' Rooms 1st Floor__
Garage ~ ~ /fl ~2~ / ~F[ /~riveway /~.~,,..
O.B.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [,~ _] INS~JL~A~ION ~_,~
[ ] FRAMING/STRAPPING [~"~Jl.~'~.~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS: r~) ~ ~''"~/~
DATE
INSPECTOR
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [~I~AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE -~ __ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
~xf2.~ # EXITS:
CRAWL SPACE:
3RD FLR: ~
BATHROOM(S):
PORCH TYPE:
TOILET ROOM(S):
DECK, TYPE: "
BREEZEWAY:
FIREPLACE:
DOMESTIC HOTWATER: 7~ofl TYPE HEATER:
TYPE HEAT: ~ WARM AIR:
# OF KITCHENS:
FINISHED BASEMENT: YES
NO
UTILITY ROOM:
PATIO, TYPE:
GARAGE:
~)tf Ak~i RCONDiTiONiNG:
HOTWATER:
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMINGPOOL:
OTHER:
STORAGE, TYPE CONST.: ~'~4'¢,'~&'
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
DATE OF INSPECTION:~'-
INSPECTED BY:
TIME START: ~l~ END:
x~2~2 ~/j
x,
TEST HOLE DATA
SURVEY OF PROPERTY
SITUATE
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-63-07-33
SCALE 1"=20'
NOVEMBER 1, 2010
TOTAL AREA 29,810 sq. ff.
(TO TIE LINE) 0.684 ac.
UPLAND AREA = 27,082 sq. ff.
0.622 ac.
NOTES:
1. ELEVATIONS ARE REFERENCED
EXISTING ELEVATIONS ARE
EXISTING CONTOUR LINES
TO N.A.V.D. 1988 DATUM
SHOWN THUS:~
ARE SHOWN THUS:
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 56103C0166H
ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN.
ZONE VE: COASTAL FLOOD WITH VELOCI~ HAZARD (WAVE ACTION),
BASE FLOOD ELEVATIONS DETERMINED
3, MINIMUM SEPTIC TANK CAPACITIES FOR A 8 BEDROOM HOUSE
1 TANK; 5' DEED 10' DIA.
4-. MINIMUM LEACHING SYSTEM FOR A 8 BEDROOM HOUSE IS 600 sq ff
2 POOLS; 12' DEEP, 8' dia.
EXPANSION POOL
LEACHING POOL
SEPTIC TANK
O PROPOSED
PROPOSEB
IS 2,000 GALLONS.
SIDEWALL AREA.
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND
REMOVED IN ACCORDANCE WITH S.C.D.N.S. STANDARDS.
LOT COVERAGE DATA OVER UPLAND AREA
UPLAND AREA = 27,092 sq. ft.)
DESCRIPTION AREA % LOT COVERAGE
HOUSE & ROOFED
PORCHES 1,820 sq. fl. 6.7%
METAL SHED 9o sq. ff. o,3%
TOTAL 1.910 sq, f~. 7.0%
ZONING DA TA
(27,092 sq, ft, NONCONFORMING LOT IN R40 ZONING USE DISTRICT)
REQUIRED
MAXIMUM LOT COVERAGE 2O ff.
MINIMUM FRONT YARD DEPTH 4O ft.
MINIMUM SIDE YARD WIDTH 15 ff.
MINIMUM BOTH SIDE YARDS, TOTAL WIDTH 35 ff.
SOUTHOLD TOWN TRUSTEES JURISDICTION lO0 ff.
FROM WETLANDS
NYS Lic No 50467
Nathan Taft Corw n III
Land Surveyor
Successor To: Stanley J, Isaksen, Jr, LS. Joseph A Ingegno L.S.
PHONE (631)727-20g0 Fox (6~1)727 1727
30-25?