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Home My WebLink AboutZ-36023Town of Southold Annex 54375 Main Road Southoid, New York 11971 10/25/2012 No: 36023 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 10/24/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a 6955 Route 25, Laurel 122.-6-36 Lot No. built prior to Filed Map No. APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36023 dated 10/24/2012 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 commercial building, handicap ramp, pergola, concrete patio and second story wood deck with exterior staircase. * NOTE: BP 23794 alter existing building to retail sales COZ24846; BP 22258 handicap ramp COZ23254 The certificate is issued to Coudrey Laura MD PC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signature LOCATION: 6955 Route 25, Laurel BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SUFF. CO. TAX MAP NO.: 122.-6-36 NAME OF OWNER(S): Coudrey Laura MD PC SUBDIVISION: OCCUPANCY: ADMITTED BY: Greg Williams SOURCE OF REQUEST: Coudrey Laura MD PC DATE: 10/24/2012 DWELLING: # STORIES: 2 FOUNDATION: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: liq propane # BEDROOMS: OTHER: # EXITS: 4 cement TOILET ROOM(S): DECK TYPE: FIREPLACE: x TYPE HEATER: WARM AIR: x # KITCHENS: CELLAR: partial (1/3) CRAWL SPACE: UTILITY ROOM(S): PATIO TYPE: concrete GARAGE: gas AIR CONDITIONING: HOT WATER: BASEMENT TYPE: yes 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: TIME START: 10/24/2012 END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANI This application must be filled in by typewriter or ink and submitted to the Building Depa 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. 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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. September 25, 2012 New Construction: Location of Property: Old or Pre-existing Building: 6955 Main Road, Laurel X (check one) House No. Owner or Owners of Property: Laura Coudray, Suffolk County Tax Map No 1000, Section 122 Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. N/A N/A Temporary Certificate Street Hamlet MD, PC by Gregory Williams, Contract Vendee Block 6 Lot 36 Filed Map. Lot: Applicant: Underwriters Apl~roval: N/A Final Certificate: X (check one) Fee Submitted: $ 100.00 Applicant Signature Gregory Williams, Contract Vendee CONSENT TO INSPECTION Gregory Williams, Contract Vendee 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 6955 Main Road, Laurel, Mew York 11948 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 122 Block 6 Lot 36 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-¢erttffeate of Occupancy 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, roles or regulations of the Town of Southold. Dmed: September 25, 2012 (Signature) Gregory Williams, Contract Vendee (Print Name) (Signature) (Print Name) ~ ~ ~ OF, ~ .~. TOWN' SOUTHOLD OWNER FDRMER OWNER ....... RES. ,.,4",,~ / SEAS. VL FARM LAND IMP. TOTAL DATE Ti Ti Til W{ Sw J3rL He Tot AGE NEW FARM PROPERTY--RECORD 'CARD W .. ' { ZYPE OF BUILDIN~ ~/~ /' FRONTAGE ON--~- DEPTH BULKHF_AD - COLOR TRIM M, Ext~nsio~SZ Extens or~ ~ Extension Porch ,~orch Breezeway Garage Patio" ,~.g..B. '-' Foundation Basement Ext. Walls Fire Pioce Type Roof Recreation Room Dormer Driveway Bath' Floors lntertor Finish Heat Rooms 1st Floor Rooms 2nd Floor GOGGINS & PALUMBO ATTORNEYS AND COUNSELORS AT LAW P.O. Box 65 13235 Main Road Mattituck, New York 11952 Phone: (631) 2984200 Fax: (631) 298-4214 October 3, 2012 Southold Town Building Department P.O. Box 1179 WILLIAM C. GOGGINS, ESQ. ANTHONY H. PALUMBO, ESQ. TRACY L. KARSCH, ESQ. DONALD A. MATES, ESQ. Of Counsel DONNA M. PALMER Paralegal S°uth°ld' New Y°rk ] 197 ] Re: Premises: 6955 Main Road, Laurel, New York 11948 SCTM No.: 1000-122.00-06.00-036.000 Dear Sir or Madam: . Ip~;p~incna~;inOnfoTi~he trtih~icaabteOVoefr;~ecruet~aCnecd;ad~erc, oennsC)nOtS~od;nlse~Se .find th~,.,.ection' together with a check in the amount of $100.00 as and for the application fee. If you have any questions, please do not hesitate to contact the undersigned. Thank you. WCG/dmp enclosures GOGGINS AND PALUMBO Attorneys and Counselors at Law 13105. Mai~ Rea, d; P.O. Box 65 Mattituck, New York 11952 FACSIMILE TRANSMISSION COVER sHEET DATE: FROM: William C. Goggin~.__ Anthony H. Palumbo~_ DonnaM. Pal~er ~ Elaine T. ¥illano ~ TO: Total number of pages in this transmission inoluding cover sheet IF yOU DO NOT RECEIVE ALL OF THE PAGES PLEASE CALL OUR OFFICE PROMPTLY AT (631) 298-4200 COMMENTS: DOCLrMENTS ENCLOSED: CONFIDENWIALIT~ NOTE: The documents accompanying this facsimile tr~nsmissiou contain confidential and/or legally privileged information. The information is intended only for the use of the individual or entity lamed on this transmission sheet. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT October ,15, 20,12 TOWN OF' SOUTHOLD 10: William Goggins, Atty. FROM: Connie Bunch, Southold Building Dept RE: Pre G/O inspection for Laura Goudry, 6955 Route 25, Laurel set for Wednesday, October ,17th, 20'12. I tried to leave a message for you but your mailbox was full. We need to re- schedule the inspection for another day. Please give me a call 765-1802 LOCATION: number & street) (municipality) SUBDIVISION: ~ NAME OF OWNER(S): OCCUPANCY: , . . . LQT(S): . (type) ADMITTED BY: ~~, KEY AVAILABLE: SOURCE OF REQUEST: ~ ~ DATE: TYPE OF CONSTRUCTION: FOUNDATION: (ownerltenant) ACCOMPANIED BY: ------- SUFF. CO. TAX MAP NO. 1000- # EXITS: BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: BATH~: l PORCH TYPE: ~ BREEZEWAY: --'-- DOMESTIC HOTWATER: V// TYPE HEAT: 2ND FLR: '---- 3RD FLR: TOILET ROOM(S): - UTILITY ROOM: - -d~~ ';' '-, CATiO, Ty__~pE: C,M~ DECK, TYPE: oo~.~ '~'~5~ £~ FIREPLACE: ~~ GAUGE: ~ TYPE HEATER: AIRCONDITIONING:. HOTWATER: ~" # OF KITCHENS: ~ FINISHED BASEMENT: YES OTHER: ~ ~ ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: STORAGE, TYPE CONST.: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENT. ION & BUILDING CODE LOCATION' DEscRIPTION ART. SEC. REMARKS. INSPECTED BY: ~ DATE OF INSPECTION: TIME START: END: