HomeMy WebLinkAboutZ-35949Town of Southold Annex
54375 Main Road
Southold, New York 11971
9/13/2012
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35949 Date: 9/13/2012
TltlS CERTIFIES that the structure(s) located at: 1110 Gillette Dr, East Marion
SCTM #: 473889 Sec/Block/Lot: 38.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the requireanents for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35949
dated 9/13/2012 was issued and conforms to aH 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 two car garage and cement paver patio.*
NOTE: BP 769 enclosed porch COZ-411; BP 37389 foundation repair COZ-35948
The certificate is issued to
Cook, Walter & Cook, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF llF, ALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
lll0 Gillette Dr, East Marion
SUFF. CO. TAX MAP NO.: 38.-2-12
NAME OF OWNER(S): Cook, Walter & Cook, Barbara
SUBDIVISION:
OCCUPANCY:
ADMITTED BY:
SOURCE OFREQUEST: Cook, Walter & Cook, Barbara
DATE: 9/13/2012
DWELLING:
# STORIES: 1.5
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 1
OTHER:
# EXITS: 3
cement block
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
CELLAR: 3/4 CRAWl, SPACE: 1/4
UTILITY ROOM(S): washer/dryer
PATIO TYPE: cement pavers
GARAGE: two car
AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: unfinished
WARM AIR:
#KITCHENS:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING FOOL:
OTI~ER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
small shed
VIOLATIONS:
INSPECTED BY:
/GARYF
DATE OF INSPECTION: 8/16/2012
TIME START: 09:30 AM END: 10:00 AM
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 Dopa~aa,eat with the following:
A. For n~v 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 fi.om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation fi.om Board of Fire Underwriters.
4. Sworn statement fi.om 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 fi.om architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey ofpropealy showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the apphcant. Ifa 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:
Location of Property: II]0 ~'i [ 1 ~-E~._..
House No. Street
OwnerorOwnersofProperty.OOok; ~L)fcl'/Cff q-
Suffolk County Tax Map No 1000, Section ~ t~
Subdivision
Permit No.
Health Dept. Approval:
Date of Permit.
L~ (check one)
Hamlet
Bilk ~ Lot ~ ~
Filed Map. Lot:
Applicant: 3 03> t;Ub{ ~--~V~--~ ~
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ /~O, ~/f,r~
Final Certificate: (check one)
(..J Applicant Signature
CONSENT TO INSPECTION
owns(s)
. , tho undersigned, do(es) hereby state:
That the undet~p~, .ed (is) '(a}-o). glo. owner(si) ol~the preqlisos in the Town of
,,o.. o,-,,,,,
Is. sno.~wnnn ana_.a~.!gnat~ .'on tho SUff'olI,C/,~Co. unty Tax Map as District I000;
~ecuon .o~' ,Blook ~ ,Lot /~ '
That thc undt~igned (has) (have} filed, or ~aus¢ tobe tled~ an application in the
That the undersigned do(es) hereby give con~ent to ~be Building Inspectors of the
Town of Southotd to.enter UPon the.above deacribed property, including any and all
· buildings located thereon, to cbnduct such in.sl~,X~ons as they may d~m necessar~ with
respe~ to the afore~dd application, including in~pec, tions to
· c0m '1 '. · .. · ..
. p y with.all of the laws, ordinances; roles and regidations o£ the Town of Southo'ld.
The undersigned, in ~onsenting to suoh inspections,, do(es) so with the knoWledge
and understanding that any im~onnation obtained in the condu~t of such inspections may
.. be u~ed in.subsequent prosecutions for violations of Ge laws, ordinances, rule~ or
regulations of the Town of Southold:
Da~ed:
(Print Name)
PROPERTY CARD
TOWN
OF SOUTHOLD
RECORD
FORMER OWNER
S
VILLAGE
W
DISTRICT SUB,
ACREA, G£ ,~.. ~
TYPE OF BUILDING
LOT'
RES.
LAND
AGE
NEW
Form
TiJlabJe 1
Tillable 2
Tillable 3
Woodland
SEAS.
IMP.
NORMAL
Acre
VL
Swarnpland ,
Brush]and~,~ ,~
House Plot
Tctal
TOTAL
FARM
.DATE
BUILDING CONDITION
B6LOW
Value Per Acre
COMM.
REMARKS
~ 77.7
,.: y,_: /~
ABOVE
Value
~tensi~ Fire Place ~ ¢ H~ ¢ ~ / ¢~
Porch Attic
I
Porch I Ro~s 1st Flor
Er~ Patio Ro~s 2n6 F~r
TOWN OF SOUTHOLD BUILDING. DEPT.
768.180~
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FliAMINGISTI~NG
[ ] FIREPLAOE&CHIIMEY
[ ] ROUGH PLBG.
[ ] INSULATION
['] FINAL ~
[ ] FIRESM:ETYINSPEL~I~
[ ]FmERE~TANTCOmll{UC110fl [ ]FInEnES~rANT~
[ ] E~ICAL (ROUGH) [ ] ~:, ~:~AL (FINAL)
REMARKS. ~' /~ ~
DATE~INSPECTOR__~~'~'/
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S): ,
OCCUPANCY:
(type)
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
(municipality)
MAP NO.: LOT(S): . .
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX 1VLa. P NO. 1000-
DATE:
DWELLING
FOUNDATION: G,-~,~.~..,J? ~CJC5. BASEMENT: ,,,
# OF BEDROOMS: 1ST FLR: ~'~ 2ND FLR:., ~
BATHROOM(S): , ~ _ TOILET ROOM(S): '--'"'
~DECK, TYPE:. ~
B~EZEWAY: ..., ~ FIREPLACE:
DO~STIC HOTWATER: ~ TYPE HEATER: _
TYPE HEAT:. ~ WA~ AIR:
~ OF ~TCH~S:
~ # EXITS: _--~
CRAWL SPACE:,, t,~
3RD FLR:
UTILI~I Y ROO~
PATIo, TYPE:
GARAGE: ~
AIRCONDITIONING:..
HOTWATER:. Y
FINISHED BASEMENT: YES
OTHER:
NO v
ACCESSORY STRUCTUR~.~
GARAGE, TYPE OF CONST.:.
SWiMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST: ...
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVEN'EION & BUILDING CODE
DESCRIPTION . ART. SEC.
LOCATION
INSPECTED BY:.
DATE OF INSPECTION:
TIME START: