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Home My WebLink AboutZ-35381Town of Southold Annex 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 35381 Date: 1/26/2012 1/11/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a 33195 Route 25, Cutchogue 97.- 1-4 Filed Map No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIHCATE OF OCCUPANCY NUMBER Z- 35381 dated 1/11/2012 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 enclosed porch and accessory one car garage.* The certificate is issued to Thompson, Bertha (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ~A th)rlz~Si~at ure BUILDING DEPARTMENT TOWN OFSOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 33195 Route 25, Cutchogue SUFF. CO. TAX MAP NO.: 97.-1-4 SUBDIVISION: NAME OF OYVNER(S): Thompson, Bertha OCCUPANCY: ADMITTED BY: Frederick Charnews SOURCE OF REQUEST: Thompson, Bertha DATE: 1/11/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 1 PORCH TYPE: # STORIES: 2 # EXITS: 2 cement block CELLAR: CRAWL SPACE: 2ND FLR.: 3RD FLR.: TOILET ROOM(S): UTILITY ROOM(S): DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: yes # BEDROOMS: 2 # KITCHENS: I BASEMENT TYPE: partial OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: accessory 1 car garage STORAGE, TYPE OF CONST: wood frame shed GUEST, TYPE OF CONST: VIOLATIONS: NOTE: Garage Roof Needs Repair: Section 3~- Property Maintenance Code of New York State. REMARKS: INSPECTED BY: / ' / T1MESTART: ~(~;~) Ei~D: /'/.'~ APPLICATION FOR CERTIFICATE OF OCC! rPANCY 8tDG. DEH I TOWN OF SOUI'HOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Form No. 6 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 thc 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 $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. New Construction: Old or Pre-existing Building: Location of Property: ~'~'~>QI~ /~rt'~ ~:~ ~Q.~. House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 77 Subdivision Permit No. Health Dept. Approval: Planning Board Approval: 'Request for: Temporary Certificate Fee Submitted: $ /~ ~ Date of Permit. Block O ( Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) ~,,~amlct~"-~' Lot 0 y Lot: (check one) CONSENT TO INSPECTION , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) ofthe premises in the Town of Southold, located at which is shown and designated on the Suffolk County Tax Map as District I000, ' Section. ~ , Bloek_~] ,Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Soutohold Town Building Inspect,or's~ffice for-the g~ ~(, 5-~% ('/~/ ~'~ following: That the undersigned do(es) hereby give consent to ~he Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to e0nduet such inapeotions 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 South01d. 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: (,-.~ '(Silage) / (Print Name) /4-/? TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~1 ~? ~-,~ VILLAGE DIST SUB. LoT FORMER OWNER N E ~,t~s ~v,~'~z,~ ~.~. . -'~ ~~- , :~'-:~ . .~ S W TYPE OF BUILDING . /0 ~ND IMP. TOTAL DATE RE~RKS AGE BUILDING CONDITION NEW NOR~L BELOW ABOVE ~FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER wo~,,.~ ~ON~ ON House Plot BULKH~D ~ DOCK Total ~ ~ COLOR 'M. BId~. Extension Extension Extension Porch Breezeway Garage Patio aa B° Total Foundation /2-0 ?ire Ploce " Type Roof ~- Recreation Room Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway ,>;" ~6 I Dinette rx,4 </LR' SURVEY OF PROPERTY $ITUA TED A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-97-01-04 SCALE 1 ":-20' MARCH 12, 2005 SEPTEMBER 16, 2005 REMOVED FENCE & ADDED CESSPOOL DECEMBER 8, 2010 STAKE EAST PROPERTY LINE MARCH 27, 2011 UPDATE SURVEY AREA = 10,788,:59 sq. ff. 0.248 cc. CERTIFIED TO: DOROTHY J. BOYD CHARNEWS JEANNE CAROZZA TERRY A. GORGA THOMAS E. THOMPSON BERTHA G. THOMPSON N.Y.S. Lic. No. 50467 UNAU~ORIZED ALTERATION OR ADDmON TO 3HIS SURVEY IS A ~OLATION OF SECTION 7209 (~ 3HE NEW YORK STAT EDUCATION LAW. COPI~ OF 3HIS SUI~/EY I4AP NOT BEARING THE !.AND SURV~I~R'S INKED SEN_ OR E~IBOSSED SE~N. SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHN. L RUN ONLY TO 3HE PERSON FOR '~I~-IOM THIF SURNEY IS PRE33ARED, AND ~ HIS BEHAL~ TO TH£ T~ COMPANY, GO~NMENTAL AGENCY AND LE~IDING INSTITtlTION USTED H£REDN, AND TO 3HE AS~GNEES OF THE LENDING k'~STI- TUTION. CERTIFICATIONS N~E NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corwin III Land Surveyor Successor To: Stenley J. Isoksen, Jr. L.S, Joseph A. Ingegno L.S. Title Surveys -- Subdivisions -- Site Plans -- Construction Layout PHONE (631)727-2090 Fox (6,31)727-1727 OFFICES LOCATED AT MAIUNG ADDRESS 1586 blain Rand P.O. Box 16 Jamespor[, New York 11947 Jomesport, New York 11947 ~B-O7 TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [ ] FINAL/P/~: ~ I ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION []Ff, ZRES~STJ.'r~ [ ]F~E~,ES~STA.TPB~E'rR~"nO. REMARKS: /~ /d} CC~'.-d~' DATE SUBDMSION: MAP NO.: - -p. ~_£~-p'L~ ' ~-~f(~__ OCCUPANCY: (type) ADMITTED BY: ~~ ~~CCOMP~IE ~-~ ~Y AVA~LE: SUFF. CO. T~ ,,~ .... SOURCE OF ~Q~ST: DATE: ~E OF CONSTRUCTIOn.. ~ ¢_ ~ STOmES: FO~DATION: ~~ '~ CELL~: ~ C~WL SPACE: TOTAL ROOMS: 1ST ~R: ~ 2ND ~R: 7~ 3~ ~R' BAT ~ . ~ · ~ 2 HROOM(S): ~ ~ROOM(S~ UTILITY ROOM' PORCH ~PE. ' ~ ' B~EZEWAY. 2 ~. ~LAC] ~ ~-'~ G~GE: ~OM~SrIC aO~WST~R. ~ rYe~ a~ ¢E~: ~ ~mcosm~~ ~E HEAT: ~ F WA~ AIR ~ HOTWATER: OTHER: x ACCESSORY STRUCTU~S: GAUGE, TYPE OF CONST.: '-;-/~ STOOGE, TYPE CONST.: SWlMM~G POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: DATE OF iNSPECTION: '~/~/?" 'I EST T: END: