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Home My WebLink AboutZ-35460Town of Southold Annex 54375 Main Road Southold, New York 11971 3/8/2012 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 35460 Date: 2/29/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to thc requirements for a 4595 Skunk Ln, Cutchogue 103.-6-3 Filed Map No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35460 dated 2/29/2012 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 wood frame dwelling and accessory two car wood frame garage (in disrepair) and accessory wood frame storage shed.* NOTE: BP 3695 addition to dwelling COZ3033. Also note the 2 fireplaces are blocked off. The certificate is issued to Waitz L Family 2011 Irrev Trst & Waitz (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autl~rized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4595 Skunk Ln, Cutchogue SUFF. CO. TAX MAP NO.: 103.-6-3 NAME OF OWNER(S): Waltz L Family 2011 Irrev Trst OCCUPANCY: SUBDIVISION: ADMITTED BY: Sarah Benjamin SOURCE OF REQUEST: Waltz L Family 2011 Irrev Trst & Waltz A Family 2011 lrrev Trst DATE: 2/29/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: 5 OTHER: 1ST FLR.: 2 # STORIES: stone and concrete CELLAR: 2ND FLR.: TOILET ROOM(S): DECK TYPE: FIREPLACE: 2 TYPE HEATER: yes WARM AIR: # KITCHENS: 2 # EXITS: 4 CRAWL SPACE: 3RD FLR.: UTILITY ROOM(S): washer and dryer PATIO TYPE: GARAGE: off boiler AIR CONDITIONING: HOT WATER: X BASEMENT TYPE: unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING FOOL: OTHER: 2 car wood frame STORAGE, TYPE OF CONST: garage & shed GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: DATE OF INSPECTION: 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: 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. 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 New Construction: Old or Pre-existing Building: ~// (check one) Location of Property: ~'~ ~ ~ ~ O ~.¥, ~2.'~. CLfik- t.~t~ C~O~-~ ~ House No. Street {~ l-]amlet OwnerorOwnersoferoperty: ~.,_ott.O,,t~C.~L,'T'Xa,)o~¥t~ atme[ p~.0, ~.,.~ ~t.~o. i l~. Suflblk County Tax Map No 1000, Section ~ 3~ ~ Block [0~ Lot - ~ ' ~ Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: v (check one) J X-~Applicant Signature / k' u CONSENT TO INSPECTION SO~a ~ B~--.V'X'~~'x~ r), ~<o~, e undersigned, do(es) hereby state: -' Owner(s) Nakne(s) That the undersig, ne~d ~are) ¢% owner(~ o(the premises in th~ Tqwn ,of Southold, locatedat t47~O~1~'~ ._c'D[K'Ov~.~ ~.O.4&.0_~ (~c~~~,O, which is shown and designated on the Suffolk County Tax Map as District 1000, [~ Section __., Block , Lot 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: g,natureD 5D(/~ cd", ~>o_v~ (Print Name) (Signature) (Print Name) Wood Destroying Insect Inspection Report Nofise: Pleaseread important consumer information on page 2. Section I. General Information Compmy's Business Uc No. Dateoflnepe~m Inspection Company, Address, & Phone 14318. 11/28/2011. North Shore Exterminating L LC. ~dress of Property Inspected P.O. BOX 851. "~5~ 95 Skunk Lane. SOUTHAMPTON, NY 11969. 631-287-5551. Cutchogue,NY 11935. Inspecto¢s Name, Signature & Certilication, Registreti~;-er Uc # Structure(s) thspec~ed Craig Roseneberg. /~ dwelling. c1830149. Section II. Inspection Finding'= 'l~is repo~tisindicaliveofthecondit(;noftheaboveinenfiled struct~e(s) on the dale of Iteinspectlon andisnot to be construed as a guarantee ~ warranty against intent, c=~cualed, or future infesteti~ns or defects. Based on a careful visual ir,~pecl]on of ~e readily accessible areas of the structure(s) inspected: [] A. NovisibleevidenCeofwo:xldestr°Ymginseciswasobse~ed. [] B. Visible evidence of wood d~troying insects wes observed as follows: [] 1. Live insects (descriptionand IocaSon): [~ 2. Dead insects, insect pats, frass, shel~' tubes, exit holes, or staining (bescnptim and location): inactive powder post beetles scattered throu.qhout partial basement, small and la~e crawl, inactive carpenter ant fins and bodies rear of la .rf~e shed and d~lht wall. [] 3. Vislbindamagefl~mwo~d besfroyingir--=ectswasnctedasf~llows(descripf~x~andlccalion): termite damafle small ama new part bottom left of steps. NOTE: This Is note structural damage repm't. If box B above is checked, it should bo understood that some degree of damage, including hidden damage, may be present, if any questi~'~s a~ise regarding damage indicated by this report, it is reccmmended that the buyer or any interested paties ~ontact a qualified structural professional to determine the extent of damage and the need for repaim. Yes [] No [~ It appears that the strucfu~e(s) or a po~tian thereof may have been previously treated. Visible e~idence of possible pre~i~us treatment: The inspecting company can give no assurances with regard to wok done by ether =ornpanies. The compmy that perforated the tre~ment should be centacted for ~formation ce trestment and any warranty cr senice agreement which may be in pisce. Section Itl. Recommendations {~ No tm. atment recommended: (E~lain if Bas B in Section II is checked) not active at this lime. [] Recommend tmatmant for the control of: Section IV. Obsbuctions & Inscceasibio Ama,= The inspector may w~e om obe~ucU~ The following areas of the stnJcture(s) inspected we~ obstructed or inaccess~)le~ or use the following optional key: [] Crawlspace 2. Suspended ce,lng ~4. [] M,,,nCevel 1,3~4~6~7~8~9. $.Fb~',,~=ve~in; t5. Ste,xt~waer [] Garage back brickslab 10. 6. caunets~,,h~,m 7. Stored items 19. Wood pile [] Exterior 8. Funtishin~s 20. Snow [] Addition laroe shed and small she¢111,14. ~0. Noacc~ o~try 22. R~mboa~ Section V. Additional Comment'= and Attachments(these ;re an integral pa;t of the report) Aitachments Signature of Seller('=) or Owner(s) if refinancing. Seller Signature of ~uyer. The undersigned hereby acinlowledges ackno#ledges that au infon~ation regarding W.D.I. infestation, damage, rece~ of a copy of both page I and p~ge 2 of this report and repe~r, and treat~.ect history has been disclosed to the buyer, um/e~stands the information repo~l. X X LOCATION: (number & street) SUBDIVISION: - MAP NO.: . NAME OF OWNER(S): OCCUPANCY: ] (type) t7 ' 6/ (owner-tenant) ADMITTED BY: P~ ACCOMPANIED BY: KEY AVAILABLE: . r y ~_ S~UFF. CO. TAX MAP NO. 1000- SOURCE OF REQU~ST.~~-,~.~-~-~ DATE: DWELLING TYPE OF CONSTRUCTION: FOUNDATION: ~A,J~--.- q~(~~ BASEMENT: # OF BEDROOMS: 1ST FLR: ~ 2ND FLR: BATHROOM(S): ~LJ ¢-/ ~ # STORIES: ~ # EXITS: .~ CRAWL SPACE: 3RD FLR: TOILET ROOM(S): UTILITY ROOM: DECK, TYPE: FIREPLACE: ~O~C ~jOr-GARAGE: TYPE HEATER: ~]~~IRCONDITIONING: PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: WARM AIR: # OF KITCHENS: HOTWATER: J FINISHED BASEMENT: YES NO OTHER: /~ c~r~-'- ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: ~ SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE L~jATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: ,/~//D''''~ END: TOWN OF SOUTHOLD ~ROPERTY RECORD CARD~/ 5t3( Lc(FORMER OWNER , ~ :2~ +~s~ LAND SEAS. IMP. /?~o I7OO 1700 AGE NEW NORMAL FARM Acre Tillable Woodland Meadowland House Plot Total VL TOTAL ~666 v ¥ooo ,/ --/ W TYPE OF BUILDING ' .' . ~ -- ,-.~ - .... ~ ~, '~, FARM CO . CB. /MICS. Mkt. Value ~:- DATE RE~',RKS ~I/.zI((~/~,~ f,,,,~op:/d'~~'~, ~/d~ ~ 1]/~ ~,l BUILDING CONDITION BELOW ABOVE Value Per Vclue Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK :OLOR ~ I.' I 103.-6-3 4/11 ~ Extension ~ ~.a~/~ ~ 7 ~ / J I Porch Basement j ~ Floors + ~,J, ~na, ~K. Porch ~t. Walls ~(, Interior Finish P*~sfc v LR. Breezeway Fire Place Heat ~ '/" 1~ DR. Garage ~0 ~0 = ~ ~ ,~O ~6b ~ype Roof ~/~ Rooms 1st Floor ~ ~BR. Patio ~ ' Recreation Room Rooms 2nd Floor ] FIN. B O.B. 7~ /~ ~ /~ ~ ~ ~ Dormer Driveway