HomeMy WebLinkAboutZ-35774Town of Southold Annex
54375 Main Road
Southold, New York 11971
6/26/2012
No: 35774
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
6/23/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
3040 Great Peconic Bay Blvd, Laurel
128.-6-10
Filed Map No. Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35774
dated 6/23/2012 was issued and conforms to all the rcquriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with rear screened porch and accessory wood flame two car garage.*
The certificate is issued to
Stark, Jane & Stark, Ors
(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: 3040 Great Peconic Bay Blvd, Laurel
SUFF. CO. TAX MAPNO.: 128.-6-10
NAME OF OWNER(S): Stark, Jane & Ors
SUBDIVISION:
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST:
Stark, Jane&Stark, Ors
DATE: 6/23/2012
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS: 1ST FLR.:
cement block
# STORIES:
CELLAR: 1/3
2ND FLR.:
2 # EXITS: 3
CRAWL SPACE: 2/3
3RD FLR.:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HO~WATER:
TYPE HEAT: oil
# BEDROOMS: 5
OTHER:
2
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
WARM AIR: x
# KITCHENS: 1
UTILITY ROOM(S):
PATIO TYPE:
I GARAGE:
electric AIR CONDITIONING:
HOT WATER:
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
2 car garage
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION:
TIME START:
4/26/2012
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 dwelIing $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
Date. April /~ 2012
New Construction: Old or Pre-existing Building:
LocationofProperty: .3080 Peconic Bay Blvd.
(check one)
Laurel
House No.
Owner or Owners of Property: Jane
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 100.OO
Date of Permit.
Street Hamlet
Crabtree Stark
128 Block 06 Lot 010
Filed Map. Lot:
Applicant:
Underwriters Approval:
Final Certificate: X (check one)
fi~ Applicant Signature
CONSENT TO INSPECTION
APR 2 0 ,:Lh
Jane Crabtree Stark
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat 3080 Peconic Bay Blvd., 5aurel
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 128 ,Block 06 ,Lot 010
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: Certificate
of Occupancy for older or pre-existing buildings
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: April /'~ 2012
t
(Signa.tureS-"
(Print NameS'- ' '-
(Signature)
(Print Name)
Si~ITti, FINKELSTEIN, LUNDBERG, ISLER AND YAKABOSKI, LLP
April 18, 2012
Town of Southold
Attention: Building Department
54375 Route 25
P.O. Box 1179
Southold, NY 11971
RE: 3080 Peconic Bay Blvd., Laurel, NY
SCTM: District: 1000; Section: 128; Block: 06; Lot 010
To whom it may concern:
Our firm represents Jane Crabtree Stark, the owner of the above referenced premises. It
has come to our attention that a Certificate of Occupancy has never been issued as the buildings
date back to the 1920's.
I have enclosed the Application for Certificate of Occupancy, the Consent to Inspection
form, a copy of the survey and our check for your fee of $100.00.
If you have any questions, please feel free to contact me.
Very truly yours
Debra Frederick
Legal Assistant
/df
Enclosure(s)
cc: Jane Crabtree Stark
APR 2 0 20i2
~1 DC, DEPT.
IO~.'¢rq OF ~OllTIqOI D
SMITH, FINKELSTEIN, LUNDBERG, ISLER AND YAKABOSKI, LLP
ATTORNEYS AND COUNSELORS AT LA~V
May 2, 2012
Town of Southold
Attention: Building Department/Sue or Gary
54375 Route 25
P.O. Box 1179
Southold, NY 11971
RE: Jane Crabtree Stark, 3080 Peconic Bay Blvd., Laurel, NY
SCTM: District: 1000; Section: 128; Block: 06; Lot 010
To whom it may concern:
As per our conversation, enclosed please find an original survey that has been corrected
to show the residence as a 2 story frame house.
As soon as Ms. Stark has the smoke and carbon monoxide detectors installed, we will
arrange for another inspection.
Thank you for your cooperation in this matter. If you have any questions, please feel free
to contact me.
Very truly yours
Debra Frederick
Legal Assistant
/df
Enclosure(s)
cc: Jane Crabtree Stark
/~o~- /;~.. ~-/~ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER. STREET ~,~(~ ~ 0 VILLAGE DIST. SUB. LOT
~PB OF
RES.~I~- S~S. VL FARM / COMM. CB. MISC. Mkt. Value
~N~ IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
N~ NO~L BELOW ABOVE
FARM Acre V~lue Per Value
Acr~
Til~ble 2
~ill~ble 3 ,
~oodbnd
SwompIond FRONTAGE ON WATER ~ff , ~ ~ ~ ~ ¢ ~
3rushlend FRONTAGE ON ROAD ~
~ouse Plot DEPTH ~ ~
BULKH~D ~
total DOCK
COLOR
M. Bldg.
Extension
Extension
Extension
Por~:h
Porch
Breezeway
Garage
Foundation
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Patio
Total
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Dinette
BR.
FIN. B.
N
W
S
E
5,URVE"r' OF PROPERTY
51TUATE, LAUREL
TOINN, Ex:DUTHOLD
E~=t=OLK C, OUNTY, NY
.SURVEYED _LILY -/, 2OII
UPDATED APRIL ~2, 2OI2
E, UFF:OLI< GOUNT~ TAX #
IOOO- 12~-6- IO
CERTIFIED TO:
JANE C. STARK
EL. IZAE~TH C,.. RICHARD
,JUDITH G. ~
CLAIRE M. GRABTREE
F
r
NOTES:
· HONUN~NT PC~N~
Arec~ = 2~4~5.~6 ~(~ FT
®RAPHIC, %ALE I"= 40'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVE~, N.Y. 11901 369-8288 Fax 369-8287
REF. C:\UsersUohn~ropbox\ 11 \ 11 - 130.pro
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type) (owner-tenant)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING ~
BATHROOM(S): ~ TOILET ROOM(S): ~ UTILITY ROOM:
BREEZEWAY:
FIREPLACE:,
.. TYPE HEATER: ~._..~
WARM AIR:
DOMESTIC HOTWATER:
TYPE HEAT:
PATIO, TYPE:
GARAGE:
AIRCONDITIONING:
HOTWATER:
# OF KITCHENS: ~
FINISHED BASEMENT: YES
No
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
DATE OF INSPECTION:
TIME START:
END: