HomeMy WebLinkAboutZ-35937Town of Southold Annex
54375 Main Road
Southold, New York 11971
10/1/2012
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35937 Date: 10/1/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot: 61.-1-8.1
Subdivision: Filed Map No.
conforms substantially to thc requirements for a
53245 Route 25, Southold
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35937
dated 10/1/2012 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 front enclosed porch and back entry and accessory two bedroom cottage.*
NOTE: BP 14242 convert barn to dwelling COZ-14752; BP 14664 swimming pool COZ-14753;
BP 36965 bathroom COZ-35923; BP 37497 swimming pool fence COZ-35936;
The certificate is issued to
Bums, Margery
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
61-1-8.1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 53245 Route 25, Southold
SUFF. CO. TAX MAP NO.: 61.-1-8.1
NAME OF OWNER(S): Burns, Margery D
OCCUPANCY:
ADMITTED BY: John Nicoi~, Real Estate
SOURCE OF REQUEST: Burns, Margery
SUBDIVISION:
DWELLING:
DATE: 10/1/2012
# STORIES:
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 4
OTHER:
2 # EXITS: 4
brick
2 TOILET ROOM(S):
front enclosed/back entry DECK TYPE:
FIREPLACE:
CELLAR: ~11 CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE: around pool
GARAGE:
AIR CONDITIONING:
HOT WATER:
1 BASEMENT TYPE: unfinished
1
yes TYPE HEATER:
WARM AIR:
# KITCHENS:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
accessory cottage
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START:
1/5/2012
END:
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY I 1971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
roger r chert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Burns
Address: 53245 RT 25 City: Southold St: NY Zip: 11971
Building Permit#: Section: 61 Block: 1 Lot: 8.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: defects removed DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~] Bacement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 100a overhead service, 1-paddle fan
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixture! I I CO Detectors
Fluorescent FixtureR Pumps
Emergency Fixtures~.~ Time Clocks
Exit Fixtures L.~ TVSS
Notes:
Inspector Signature:
Date: Sept 24 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (63 l) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Repairs to be made to Bums residence at 53425 Rt 25 Southold
Repairs to be made on Bums property before electrical certificate can be issued-
1-electrical fixture missing from wall in kitchen must have ends of wire covered with
wire nuts or tape and enclosed in an electrical box so they cannot be touched
2-deteriated florescent fixture in basement must be repaired or replaced
Roger Richert
Electrical Inspector
I~o- ~/_/.-£/TOWN OF SOUTHOLD PROPERTY RECORD CARD '~,, :~ ~.,
OWNER STREET ~_) ~"~ -~ C/~.~ ¥1LLAGE DIST. SUB.
S W ~PE OF BUILDING
RES.~I~ S~S. VL FARM COMM. CB. MISC. Mkt. Vo~u~
LAND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION ~)1~0~ ~~
N~ NORMAL BELOW XBOVE e~0~ani~r~ ~ -
FARM Acre V~lue Per Value
Acre
Tillable 1
~illoble
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brus~l~nd FRONTAGE ON ROAD
House Plot DEPTH
BULKH~D
Total D~K
COLOR
Foundation //~,_~ ~ Both ~.~ ~. Dinette
Basement ~'0 ~/ F,oors ,~','
~-~ K.
Ext. Wails Interior Finish LR.
Extension
Extension ~//d~ 7J~ ~0'0~ j.~3 Fire Place
Type Roof
rcn
Porch
Breezeway
Garage
Patio
Total
Heat
Rooms 1st Floor
DR.
BR.
Recreation Roo Rooms 2nd Floo~ FIN. B.
Dormer
Driveway
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ~) ~-/~ ~ ~0 ~-~ ~..~ /~ '~///
/
DATE / ~r~~ INSPECTOR /~.~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (63 l) 765-9502
September 11, 2012
Margery Burns
4135 Brasher Dr
Marietta, GA 30066
To: Margery Burns
BUILDING DEP~R-T-MEbt-T--~
RE: Pre-~ Certificate of Occupancy for 53245 Route 25, Southold.
Before the Pre-E~r~ng Certifcate of Occupancy can be issued, a re-inspection is
required by our Elect 'h~pector, Roger Richert.
He can be reached at the Buil~qg Department office or telephone (765-1802)
between 8:00am and 9:00am. ~ ,\
Respectfully,
Southold Town Building Dept.
Connie Bunch
Bank of America I Online Banking [ Transaction Image Print Page 1 of I
BankofAmerica'~l
Online Banking
Regular Checking - 9366: Check image
Check Image:
20008744621
idq~la~Pton, NY
https://~n~in~east2~bank~famerica.c~m~cgi-bin/ias/A/5/Acc~untDetai~sC~ntr~~?mya~ti~n=... 1/22/2012
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: & O
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY:
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
"~.OF'BEDROOMS: 1ST FLR:
# EXITS: ~
BASEMENT'S.' /~ CRAWL SPACE: --
2ND FLR: ¢ 3RD FLR:
UTILITY ROOM: ' ~-'
GARAGE:
BATHROOM(S)."'"w ~' TOILET ROOM(S):
PORCH TYP~: ~ /.~/x? DECK, TYPE:
BREEZEWAY:' "~' / FIREPLACE:
DOMESTIC HOTWATER:
TYPE HEAT:
TYPE HEATER:
WARM AIR:
AIRCONDITIONING:
HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: ~/C~.~fi /~ GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: END:
Robert D. Bums, Jr.
4 t35 Brasher Drive NE
Town of Southold
Builai.~ Dept.
~Road
So~'hn~l, NY 11971
To Whom It May Concern:
Enolosed is ~ application for a pre-~ CO for the house loeated at 53245
~ Southold. ~ ~ modification to the house was ~hat one of~ ~ on ~he
1~ ~ a ~a'oke~
Please te~me knowifany further informalionis needed. You may also reaehms at 770-
853-3964.
Robezt D. Bums, Jr.
Executor of/he Estate of Margery D. Bums
TOWN OF SOUTHOLD
BUILDING DEFARTMENT
TOWN HALL
765-1802
APPLICATION FOR CEI~I~IFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building D~e~t with the following:
For new bMlding or ~ew use:
1. Final sorvey of property with accurate location of all buildings, property lines, streets, and tmnsual n~mral or
2. Final A~,~val from He~ Dept. of wa~r sui~ly and sewerage-disFo~ (5-9 form).
3. Approwfl of electrical in~nlin~on from Bontd of Fire Underwrite~.
4. Sworn statement f~om plumber ce~dfying ~hnt the solder u~ed in system co~min~ loss than 2/! 0 of 1% le~d.
5. Comme~inl buiM!ng, indns~nl building~ mu~pin reside~c~ nnd similar buildings and insmlinliom, a certificate
of Code Compliance f~om architect or e~eer responsible for the building.
6. Sulxnlt plnm, ing ~ A~toval of ~,,u~leted s~te plan requirements.
For exis~g bmlMings (prior to April 9, 195/) non-~gformJng ~ or buildings and ~pre-exisUng
I. Accun~ ~rvey of property showing all px, operty lin~, sm~els, building nnd unns'unl natund or ~opographic
f~*~.
2. A Ix~operiy completed application nnd eonse~ to iml~et signed by the npplieam. If a Ce~fic~e of Ocoupnncy is
dcnind, the Buildln~ Inspector shall sta~ the reasons therefor in wrtting to Ibc applicant.
1. Ce~ificate of (~ - New dwellinE $25.00, Addi~on~ to dwelling ~?.5.00, Altemtiom to ~ ~.~,
Swlmmin~ pool $25.00, Accessory buildi~ S25.00, Additio~ m accessory buildin~ $25.00, Bnsinesse~ $$0.00.
2. Cea~f~ateof(~onP~Building- $100.00
3. Copy of Cmtflc~e of O~upancy - $~25
4. UpdntedCe~i~_~e~'ofO~xtpansy- $50.00
5. Temporn~CertificateofOccupancy -Residenlinl$15.00, CommercialS15.00
N~ Construction: Old or Pm-existi~ Building: ~ (check one)
LocntionofPmpe~y: 5~ ~OUT~_ ~ ~-~C~'~O C
~ No. S~
Hnml~t
Owner or Owne~ of Pmf~-~: E~7 A7 f
Suffolk County Tax Mnp No 1000, Section
Subdivision
Pen~t No. Dnle of Pem~
Hezlth Dept. Approval:
Planning Board APlXOvnl:
Request for: Temporary Ce~ificate.
Film Map.
Underwrilers AlYl~oval:
Lot I ' ~', I
Lot:
FinalC~ificatc: X (check one)
APPLICATION FOR C'Elti*IIFICATE OF OCCUPANCY
This npplicnfion must be filled in by Ojpewriler or ink and submitted to the Building Depn~ment with the following:
1. Finnl survey of l~ope~ty wi~h accurate location of all buildln_on, pl~ ~ ~r~ ~ ,m,nqltl ~ Of
topo~q~c f~
2. Final A~,,vai from Heallh De~ of wa~' sul~y and sow~r~ (S-9 r~m).
3. Al~ov~l of eiectria~ inn~llnl~n fxom Board of Fire Unde~vfite~.
4. Sworn ~n.h'~em from plumber ~tifying that the solder used in ~ystem comnins !~ ~ ~10 of 1% 1~,
5. Cominco, iai building, indmtrbl buildifl~ multiple residences and similar buildings and ins~dlatimn, a eefli~e~_e
of Code Compliance fl~m archilmt or engineer n~zponsible for lhe buil~n~
6. sub~t ~ntn~ nord A~o~ of comp~__~ ~te ptnn ~pizemen~.
B. For elbflng buJidinp (prior to ~ 9~ 19S7) Mn-conforming uses, or bu~dinp smd "pre. e~bthh~' land usm:
1. Accurate storey of~ showing all l~Ope~y lines, sln~s, building and unusual n~vn~l o~ topographic
2. A lX~ oompleted q~ nnd aonzenl to inspect signed by the al~ If a Cefl~fiea~ of Oeeupancy is
denied, the Bl~ldin~ ]J],q~O~ P-i~l ~ n~ate ~he reasoml lhe~for in writing m ~he ~lig~t.
C.
1. Ceflif;_,~*- of Occupancy - New dwelling S25.00, Additions to dwelling $25.00, ~ to dwellln_o S25.00,
Swimming pool S25.00, Aocessmy building S25.00, Addifio~ to neees4~,ry buiidin~ S25.00, Bmines~ ~50.00.
2. Certifio~e of Oo~i~'y on Pre-exi~ng 8uildin~ - $100.00
3. Copy of CedilLas_ e of O~cul~mcy * $.25
4. Upda~d ~ ofO~o~.~'y- $~0.00 -
He~h Dept. Al~ovnl:
Planning Board All-/oval:
(check one)
~t I - ~. l
]~Ued Map.
Date of Permit ~l~'}o(~ Applicant: A4,q.Qf~P-_.U
Underwriters Approval:
~ sut~t~ $ ~ .~) ~
Final Cmific~te: ',~'(ch~. k one)
CONSENT TO INSPECTION
Own%r(s)
· the undersigned, do(es) hereby state:
Tliat the undersigned (is) (are) ~o owner(s) ortho premises in the Town of
Southold, located at ~'~'2-~4~7 ~e' ~3~ .?~OTI4vJ~O
which is shown and designated on tho Suffolk County Tax Map as District 1000,
Section ~, [ , Block ] , Lot 8. i
That the undid'signed (has) (have) filed, or cause to be filed, an application in the
SouJ~hold Town B.ui,lding.Inspeotor'$ ~.ffiee for.the following:
That the undersigned do(es) hereby give con§ent to ~e 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, includiag inspections to determine that said premises
comply with ail of the laws, ordinances, rules and'regulations.of the Town of South61d.
The undersigned, in ~onsenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used insubsequant prosecutions for violations of the laws, ordinances, roles or
regulations of the Town of Southold.
Dated:
igffatu;
~ · (Print l~lamq~ ,
'~'~igna~e) '
(Print Name)
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANt
JAN 3 2012
¥ BLDG DEPT.
TOWN OF SOUTHOtD
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 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 pltunber 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 ceflifleate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buiMings (prior to April 9, 1957) non-eonforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly eampleted applieation and consent to inspect signed by the applicant. If a Certifieate of Oceupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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 Oceupancy 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
Oate. I'd 71//
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: -fi3 ~ L] ~
House No.
Owner or Owners of Property: ~ fi-7 ~
Suffolk County Tax Map No 1000, Section _
Subdivision
Street H~let
~ , Block { Lot
Filed Map. Lot:
Permit No. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 1(~ ~'* ~A
Applicant:
Underwriters Approval:
Final Certificate: X (check one)
Receipt No. 81055
TOWN of SOUTHOLD
Fee for Fee for Fee for
[] Sign [] Flood Development Prat. [] Building Permit
[] Cash
'"/100Dollars
Fee for
Certificate
[~of Occupancy
Electrical
[] Inspection
Building Department