HomeMy WebLinkAboutZ-35245Town of Southold Annex
54375 Main Road
Southold, New York 11971
9/28/2011
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35245 Date: 9/28/2011
THIS CERTIFIES that the structure(s) located at: 195 Oak Dr, Cutchogue
SCTM #: 473889 Sec/Block/Lot: 104.-5-16
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- 35245
dated 9/28/2011 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 flame one family dwelling with attached one car garage.*
The certificate is issued to
Parker, Audrey
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TO~q'q OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 195 Oak Dr, Cutchogue
SUFF. CO. TAX MAP NO.: 104.-5-16 SUBDIVISION:
NAME OF OWNER(S): Parker, Audrey C
OCCUPANCY:
ADMITTED BY: Wayne Walker
SOURCE OFREQUEST: Parker, Audrey DATE: 9/28/2011
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: 1 # EXITS: 2
FOUNDATION: cement block CELLAR: 3/4 CRAWL SPACE: 1/4
TOTAL ROOMS: IST FLR.: 2 2ND FLR.: 3RD FLR.:
BATHROOM(S): TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: attached one car
DOMESTIC HOTwAT~R: ~ TYPE HEATER: propane AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: x HOT WATER: yes
# BEDROOMS: 2 # KITCHENS: I BASEMENT TYPE:
OTHER:
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:
TIME START: 9:00am
9/20/2011
END: 11:59am
TOWN OF $OUTItOLD
BUILDI]'JG DEPARTMENT
TOWN HALL
765-1802
SEP 16 201 i i1 1L /wI
BLDG DEPT. /
IOWN OF SOU[HOLD I
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 9fpropetty with accurate location 0fall building% property lines, streets, and unusual natural or
topographic features.
2.Final Approval from Health Dept. of water supply aad sewerage, disposal (S_9 form).
3.Approval of electrical installation from Board 6fFiro Underwriters.
4. awora statement from plumber certifying that the ~older used ia syatern contains leas than 2/10 of 1% lead.
5. Commercial building, industrial building, maltiple reaidanee~ and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the builcUng.
6,Submit Planning Boant 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 sh?wing all property lines, streets, building and:unusual naturai or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate o£ Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
· Swimming po01 $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 Ccrtificat~ of Occupancy - $50.00
- 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property:.
8nffolk .County Tax Map No 1000, Section
Peamit No.
Health Dept. Approval:
Planning Board Approval:
Request for:
Old or Pre-existing Buildiag: ~/~ (check one)
on -l;>g. . ¢ otc..
Stree{ Hamlet
Foe Submitted: $
· Date of Permit.
Temporary Certificate
Block
Filed Map.
. Applieane
Underwfitem Approval:
Final Certificate: /
(check one)
Lot
Lot:
CONSENT TO INSPECTION
Owner(s) ~ame(s)
· the undersigned, do(es) hereby state:
Ttfat the underaign?d_(i.s~(are) the owner(s) of the premises in the Town of
Southold, located at l ¢~ (~ O,& ~- ~) ~
which is shown and flesignated on the Suffolk County Tax Map as District 1000,
Section /~ 4 , Block 2.~'"' , Lot /~'
That the undta'signed (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Ins~pector's Office for. the following:
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, includiag inspections to determine that said premises
COmply with all of the laws, ordinances, rules and'regulations of the Town of South61d.
The undersigned, in ~onsentirlg 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 8outhold.
Dated:
(Print Name)
'(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD ,"'~-~
FORMER OWNER, ~, E ~-~ ~'~,~ ~//~o ~ ACR.
TYPE OF BUILDING
~ND -IMP. TOTAL DATE
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
~FARM Acre Value Per Vclue
Acre
Tillable FRONTAGE ON WATER
House Plot BULKH~D
Total DOCK
M. Bldg.
Extension
Extension
COLOR ~ ,'C'2/: TRIM
Foundation
Extension
~ ,~,. Bath / //,~ Dinette
Porch iBasement /~/~/__ Floors 42 ~/(, K.
Porch J Ext. Walls Interior Finish
Breezeway Fire Place
:Garage
Patio
Heat
DR.
BR.
' /,5'-X~3 = ,~ z.'j-- / ~ ,~,,c,- ype Roof Rooms 1st Floor
Recreation Room Rooms 2nd Floor FIN. B
O.B. Dormer Driveway
Total
S.C.T.M. NO. DISTRICT: 1000 SECTION: tO4 BLOCK: 5
/
LOT(S): 16
OF
CHARLES MARKS
HAINLINK FENCE
LAND ~/F
OF
KATHU:EN CULVER
PIPE
LAND N/F
OF
BRIAN & ELLEN GALLAGHER
75.83'
STY. FRAME
DWELLING
35.7'
GAR.
IRON PIN
LAND N/F
OF
THADDEUS SHELTON TRUSTEE
75.83'
~ENT
AREA: 11,351.79 SQ.FT. or 0.26 ACRES
THE WATER SUPPL Y, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
ANO OR DATA OBTAINED FROM OTHERS.
ELEVATION DA TUM: .........................
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YC'RK STATE EDUCATION LA~ COP/ES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S Et,IBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP~ GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR J4'HOM THE SURt~--Y IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, COV~RNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOI~I HEREO~! FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A 5'PECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRU~URES RECORD~.D OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY
MAP OF:
FILED:
S~TUATED AT: CUTCNOGUE
TOWN OF: SOUTHOLD
SUFFOLK COUNTY, NEW YORK
FILE # ? 1--79 SCALE: '~"=20' DATE: /IUG 25, 2011
N. Y. S. L!C NO. 50227
CERTIFIED TO: NEVEN BLACE;
FIDELITY NATIONAL TITLE INSURANCE COMPANY;
CAPITAL ONE BANK, NA;
KENNETH M. WOYCHUK L.S.
Land Surveying and Design
P.O. Box 3, Mattituek, New York, 11952
PHONK (631) 298-1588 FAX (631) 298-1588
maintaininI the records of Robert J. Hennessy
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: W~c../,J~:
KEY AVAILABLE: [
SOURCE OF REQUEST:
(owner-tenant)
~t,,/~,~ ~C~¢_.~,CCO m PAN 1E D BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: ~ ~_# STORIES:
FOUNDATION: C~'~,,..t~.,,o?-' ~ BASEMENT: .~//
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: '""'"-
BATHROOM(S): ~ TOILET ROOM(S):
PORCH TYPE: ~ DECK, TYPE: '
BREEZEWAY: "-"--" FIREPLACE: ~
DOMESTIC HOTWATER: ~ TYPE HEATER:
TYPE HEAT: ~ WARM AIR:
# OF KITCHENS: ~
FINISHED BASEMENT: YES
NO
OTHER:
~ # EXITS:
CRAWL SPACE:
3RD FLR: --
UTILITY ROOM:
PATIO, TYPE:
GARAGE: /¢ ~
AIRCONDITIONING:
HOTWATER:
ACCESSORY STRUCTURES
GARAGE, TYPE OFCONST.:
STORAGE, TYPE CONST.:
SWIMMING POOL:
GUEST, TYPE CONST:
OTHER:
CHAPTER 144 & N.Y. STATE UNIFORM~TION & BUILDING CODE
RF~ARK~: ~.,~~'
INSPECTED BY: ~
DATE OF INSPECTION: ~
TIME START: ~'/1~ END: //~5°'~