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HomeMy WebLinkAboutZ-35817Town of Southold Annex 7/16/2012 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 35817 Date: 7/11/2012 THIS CERTIFIES that the structure(s) located at: 820 S Smith Dr, Southold SCTM #: 473889 Sec/Block/Lot: 76.-3-21.3 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- 35817 dated 7/11/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with screened porch, cellar entrance, concrete patio and accessory shed.* NOTE: BP 3834 addition and attached two car garage addition COZ-3199 The certificate is issued to 02qeill, Louise (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: 820 S Smith Dr, Southold SUFF. CO. TAX MAP NO.: 76.-3-21.3 NAME OF OW2NER(S): O'Neill, Louise OCCUPANCY: ADMITTED BY: John Bischoff SOURCE OF REQUEST: O'Neill, Louise SUBDIVISION: DATE: 7/11/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: IST FLR.: BATHROOM(S): 2 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: OTHER: cement block yes WARM AIR: # KITCHENS: 3 2ND FLR.: TOILET ROOM(S): DECK TYPE: FIREPLACE: TYPE HEATER: # STORIES: 1 # EXITS: 5 CELLAR: full with cel CRAWL SPACE: 3RD FLR.: I UTILITY ROOM(S): PATIO TYPE: cement 1 GARAGE: oil AIR CONDITIONING: HOT WATER: yes BASEMENT TYPE: unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: GEORGEG DATE OF INSPECTION: 6/14/2012 ~)~ ~~n.-.~_ TIME START: 9:00am END: 4:00pm Form Nm 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled m by typewriter or i.nk and submitted to the Building Departmenl 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. Conunercial building, industrial building, multiple residences and similar buildings and installations, a cei~ificate of Code Compliance fi-om ardhitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. l.or (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: existing buildings Accurate survey of property showing all property lines, streets, building and unusual natm al or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupaacy 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 $5000. 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. TempolalT Certificate of Occupancy - Residential $15.00, Conmmrcial $15.00 Date. ¢-It-2 tz. New Construction: Location of Property: House No. Owner or Owners of Property: _ &J_J _k]~_~ Suffolk Count5., 'Fax Mai* No 1000, Section "7 Pennil No Dale of Peitmt ltealth Dept. Appioval: _ Pla~ming boa~cl Approval: Old or Pre-existing Building: (check one) Street icL._ Block Filed Map ~ Applicaut: Hamlet Undem, riters Approval: Request for: Ten~poraU' Ce~Silicate Fee Submitted: $ Final Certificate: (check one) Applicant Signatu~ CONSENT TO INSPECTION Owner(s)Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the, owner(s) of the premises in the. T~wn of Southold, located at ~5~0 303 t~lq ~trl Ve ~_~Dt~,13/ ~© c,'q-Cqo/t4~ ~y /lq'7~ which is shown and designated on the Suffolk County Tax Map as District 1000, Section -~a ,Block '~5 ,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 ihe 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, roles 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, roles or regulations of the Town of Southold. Dated: JU, J~ t(, 20~"~ ] P (Signature) (Print Name~' '~'- '" (Signamre) (Print Name) / ~. ,~/_ .~. ~, =fOWN OF SOUTHOLD PERTY RECORD- CARD OWNER FORMER OWNER STREET N VILLAGE W DISTRICT SUB. ACREAGE TYPE OF BUILDING LOT SEAS. VL. FARM COMM. j IND. CB. MISC. Est. Mkt. Value IMP. TOTAL DATE · /7° o NEW Farm Tillable 1 'Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total BELOW ABOVE Acre J Value Per Acre Value FRONTAGE ON WATER /~..-~ ' ~:~ /4 ~--~ FRONTAGE ON ROAD /(~ o ' BULKHEAD DOCK NORAAAL .% Bath Foundation M. Bldg. Extension Extension Extension Breezeway Garage O.B. J[xt. Wails ~5 ~'- interior Finish Fire Place 7~ S Hoot .......... ~c~ Porch Roof Type ~ Porch Rooms 1st Floor Patio Rooms 2nd Floor Driveway ~ Dormer TOWN OF SOUTHOLD PROPERTY REI~.OKI~ ~AKU ---- OWNER STREET VILLAGE DIST. SUB. LOT-~ ..~ ~) ,- ~,..~ S W ~PE OF BUILDING S~S. VL. FARM COMM. CB. MICS. Mkt. Volue RES. ~ ~ Q ~ND IMP. TOTAL DATE RE~RKS AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE ~FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Wo~lond FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK 06/11/2012 02:25 63i76§27§2 RBRUER PAGE 02/02 51.~VE¥ OF LOT5 5'3, 54, 5.5 MAP-OF E~OSE NECK-. _f ~OHN C. ~/LBRS LAND 06/11/2012 02:25 6317652752 RBRUER PAGE 01/02 FAX TRANSMITTAL RUDOLPH H. BRUER, ESQ. 55000 MAIN ROAD P.O. BOX 1466 SOUTHOLD, NEW YORK 11971 (631) 76~-1222 FAX: (631) 76S-2504 TO: FROM: FAX NO.: DATE: RE: }PAGES: MESSAGE: This me-sse~e is intead~d only for the use of the individual o~ entity to which it is ~d~ ~ may ~n~n info.on ~ is p6vil~ c~fid~ti~ and ~ ~m di~l~m u~ ~pli~le I~. lf~e ~r of~is me~ is n~ the int~d~ ~i~ ~ ~ h~ ~ifi~ ~t my dia~min~ion, disvi~tion or ~ying of ~is ~mmun~ion is ~y prohibit, ff~ ~ve ~ei~ ~is com~ni~i~ in ~, p~ notify us imm~J~ly by tel~hone ~d ~mm ~e O~nal m~ge ~ ~ ~ ~e ~vc ~d~s via the Unfl~ Sta~ P~I Se~ce_~ ~k you. LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: ~ LOT(S): NAME OF OWNER(S): ' ~' ~ OCCUPANCY: ] j~ '~'~~'~~ (iype) t57 (owner-tenant) ADMITTED BY: ~a~w ~ACCOMP.4iED By: KEY AVAILABLE: SOURCE OF REQUEST: ~ SUFIL CO. TAX MAP NO. 1000- · tO \ ,/~t.p~ DATE: . DWELLING TYPE OF CONSTRUCTION: FOUNDATION: ~ ~ BASEMENT: # OF BEDROOMS: 1ST FLR: ~ 2ND FLR: BATHROOM(S): ~ TOILET ROOM(S): PORCH TYPE: ~ DECK, TYPE: -- BP,.EEZEWAY: ~' FIREPLACE: ..... DOMESTIC HOTWATER: yl~fi TYPE HEATER: TYPE HEAT: t9//~. WARM AIR: # OF KITCHENS: FINISHED BASEMENT: ~ NO OTHER: N~-~ ~t~q~'~;cQ/~ ) ACCESSORY, STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: #STORIES: # EXITS: CRAWL SPACE: 3RD FLR: ~ UTILITY ROOM: ~ PATIO, TYPE: C22a~v~ GARAGE:( oq- AIRCONDITIONING: HOTWATER: ~.Y STORAGE, TYPE CONST.: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: · ~' ~DATE OF INSPECTION: TIME START: END: