HomeMy WebLinkAboutZ-35739Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35739 Date:
6/7/2012
6/7/2012
THIS CERTIFIES that the structure(s) located at: 325 Dogwood Ln, East Marion
SCTM #: 473889 Sec/Block/Lot: 37.-1-22.1
Subdivision: Filed Map No.
conforms substantially to the requirements for a
APRIL 9, 1957
Lot No.
built prior to
pursuant to which CERTIHCATE OF OCCUPANCY NUMBER Z-
35739
dated 6/7/2012 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with attached one car garage under and brick patio.*
NOTE: BP 4615 addition COZ-3964
The certificate is issued to
Wingett Janet Cooper Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIHCATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED iNSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 325 Dogwood Ln, East Marion
SUFF. CO. TAX MAP NO.: 37.-1-22.1
NAME OF OWNER(S): wingett Janet Cooper Trt
OCCUPANCY:
ADMITTED BY: Roger Wingett
SOURCE OF REQUEST: Wingett Janet Cooper Trt
SUBDIVISION:
DATE: 6/7/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: electric
# BEDROOMS: 2
OTHER:
cement block
2ND FLR.:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE: 1
yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1 BASEMENT TYPE:
# STORIES: 1 # EXITS:
CELLAR: CRAWL SPACE:
3RD FLR.:
1 UTILITY ROOM(S):
PATIO TYPE: brick
GARAGE: one car under
electric AIR CONDITIONING:
HOT WATER:
80%
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
2
2O%
REMARKS:
INSPECTED BY:
GARYF ~
DATE OF INSPECTION: 6/6/2012
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: I. Final survey of property with aceumte location of ail buildings, property lines, streets, and unusual natural, or
topographic featur6s.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation from Board 0fFire Underwritem.
4. Sw. om statement from plumber certifying that tho 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" la~d uses:
I. Accurate survey of property showing all property lines, streets, building and unusual naturai or topographic
features.
2. A properly ~:~mpleted 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. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimmitig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~
Ce[tifieate bf 0ceupancy on Pre-existing Building -~
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property: ~a'q, ~
House No.
- Owner or Owners o£Property:
Old or Pre-existing Building:
Street
· Suffolk County Tax Map No 1000, Secti0n
Subdivision
Peiadt No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Date of Permit.
Foe Submitted:
Block /
Filed Map.
Applicant:
Undemvriters Approval:
_ Final Ce~ificate:
(check one)
Hamlet
.7o7. /
(check one)
Applicant Signature
CONSENT TO INSPECTION
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
S That the undersign? (is) (~e) the owner(s) of the premises in the Town of,
outhold, located at .~'~. 2~,~oog /~t~/~-- ~>><P$'F- Z4A~/o~J
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section ~7 , Block [ , Lot ,,g~, / .
That the und~rsigued (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for.the following:
That the understgned do(es) hereby give eon~ent to ~e Building Inspectors of the
Town of Southold to enter upon the above described propetW, including any and all
buildings located thereon, to COnduct such inspections as they may deem necessary with
respect to the aforesaid application, ineludiag 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 insubsequent prosecutions for violations of the laws, ordinances, roles or
regulations of the Town of Southold.
/ '-'/~ (~iguature)
(Print Name)
'(Signalure)
(Print Name)
TOWN
OF $OUTHOLD PROPERTY RECORD CARD
FORMER OWNER 0 iN
]
/~ S
RES9 ~ f ~ sE~S. b VL.
LAND
IMP.
TOTAL
FARM
DATE
~ /'~- ~/7 o
% ,'/) 5' :':'.
BUILDING CONDITION
BELOW ABOVE
AGE
VILLAGE
COMM. CB. MICS.
REMARKS
't ·
TYPE OF BUILDING
Volue
NEW ~ NOR/v'~AL
FARM ~ Acre
Tilloble ' ,! FRONTAGE ON WAI;R
Woocllond FRONTAGE ON ROAD
Meadowland DEPTH
Housed~lae,--. BULKHEAD
Vo[ue Per Velue
Ac re
Total
DOCK
COLOR
I!
II
Extension
Extension
Extension
Porch
Porch
Dreezeway
Garage
Foundation
J Ext. Wails
· jFire Piace
jType Roof
!Recreation Room
i Dormer
I: U L-L
!B=th
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd FJaor .
Driveway
BR.
FIN. B
SURVEY OF PROPERTY
AT
EAS T MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 37 - 01 - 22.1
Scale: 1" = 30'
JUNE 4, 2012
AREA = 1 7,514 sq. fL
LOT NUMBERS ARE REFERENCED TO "MAP OF SECTION TYlO:
GARDINEK/S BAY ESTATES, SITUATE A T EAST MARION,
NEI¢ YORK' FILED IN THE OFFICE OF THE SUFFOLK
COUNTY CLERK ON SEPT. 23, 1927 AS MAP NO. 275.
ANY AL TERA TION OR ADD/T/ON TO THIS SURVEY IS A VIOLA T/ON
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209 - SUSD/VI$10N 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONLY IF
SAID MAP OR COPIES SEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE S/GNA TURE APPEARS HEREON,
~ECONIC ~N~YORS, P.C.
(631) 765 - 5020 FX (631) 765 - 1797
P.O. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N.Y. 119Zl 12-184
LOCATION:
(number & street)
(municipality)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
LOT(S):
(type)
ADMITTED BY: ~tO C~,f _/,_]~ crg~F
KEY AVAILABLE: ' t
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
# OF BEDROOMS: 1ST FLR:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: ~--C.~- WARM AIR:
.l~'-a4~__ # STORIES: ~ # EXITS:
BASEMENT: ~WL SPACE:
2ND FLR: ~ 3~ FLR:
TOILET ROOM(S):
DECK, TYPE:
FIREPLACE: ~
TYPE HEATER:~r_~
PATIO, TYPE:
GARAGE: ~
AIRCONDITIONING: r
HOTWATER: r
# OF KITCHENS:,
FINISHED BASEMENT: YES
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.: f~)c~2C%...~ f
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ] ART. SEC.
REMARKS:
INSPECTED BY:
TIME START: ~ / ~ND: t/O: ct"O