HomeMy WebLinkAboutZ-36019Town of Southold Annex
54375 Main Road
Southold, New York 11971
10/22/2012
No: 36019
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
10/22/2012
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot: 44.-1-15
Subdivision: Filed Map No.
conforms substantially to the requirements for a
55755 CR 48, Greenport
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36019
dated 10/22/2012 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 enclosed porch.*
BP 19356 roof repair COZ-19469; BP 19504 fireplace and chimney COZ-19611
The certificate is issued to
Dietrich, Virginia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
LOCATION:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
55755 CR 48, Greenport
SUFF. CO. TAX MAP NO.: 44.-1-15
NAME OF OWNER(S): Dietrich, Virginia
SUBDIVISION:
OCCUPANCY:
ADMITTED BY: Real Estate
SOURCE OF REQUEST: Dietrich, Virginia
DATE: 10/22/2012
DWELLING:
# STORIES: 2
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Nat. Grid Gas
# BEDROOMS:
OTHER:
# EXITS: 3
brick and cement
1 TOILET ROOM(S):
enclosed DECK TYPE:
FIREPLACE:
X TYPE HEATER:
WARM AIR:
# KITCHENS: 1
CELLAR:
1
full CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
Nat. Grid Gas AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION:
TIME START: 10:00am
10/11/2012
END: 10:30am
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ltALL
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:
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.
Be
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 nalural 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 masons therefor in writing to the applicant.
New Construction:
Location of Property:
Fe~s
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 Pm-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. Itg/,/~.Z~ ! ~
I-!
(cheek one)
Old or Pm-existing Building: x
55755 County Route 48, Greenport
House No.
Owner or Owners of Property: Estate
Suffolk County Tax Map No 1000, Section
Subdivision n/a
Permit No. n/a
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
n/a
n/a
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Street Hamlet
of Virginia L. Dietrich
44
Block 1 Lot
n/a
Filed Map. Lot:
Applicant:
Underwriters Approval:
n/a
15
x
Final Certificate:
(cheek one)
Applicant Signature
Deborah Doty, as attorney for the
Estate of Virginia L. Dietrich
CONTACT: Nancy Cervelli
899-0614(o); 680-2296(c)
CONSENT TO INSPECTION
Estate of Virginia L. Dietrich
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 55755 Route 48, Greenport
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 44 ., Block 1 , Lot 15
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Application for a Certificate of Occupancy on Pre-Existing Building
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: f ~/~'/~..-.-~
(Signature)
Deborah Doty, as attorney forthe
(Print Name)
Estate of Virginia L. Dietrich
(Signature)
(Print Name)
AFFIDAVIT
STATE OF NEW YORK )
) SS.
COUNTY OF SUFFOLK )
DAYSMAN MORRIS, being duly sworn, deposes and says:
1. I am over the age of 18 and reside at Southold, NY.
2. I was born in the Town of Southold and have resided here all of my life except for the
time during which I served in the US Navy during World War II.
3. I am familar with the house located at 55755 County Route 48, Greenport, Southold,
NY (SCTM # 1000-44-1-15) which was owned by Robert and Virginia Dietrich.
4. I know that the house was built prior to 1957. Before establishing Morris Cesspool
Service, I collected refuse from various of the houses on Route 48 in the vicinity of what
became the Dietrich home.
Sworn to before me this
14th day of September, 2012
Notary Publi}
DEBORAH DOTY
Notary Public, State of New York
No. 02D04829478 - Suffolk County t
Commission Expire~ February 28. 20 ~
DAYSMAN MORRIS
/d6d '- ? V-/-/~-- TOWN OF
SOUTHOLD
PKOPERTY
RECORD
CARD
OWNER
STREET''5 '7 ~.~i" C~i
VI LLAGE
DISTRICT
ACREAGE
SUB,
LOT
TYPE OF BUILDING
~s. ~ ,o VJ
LAND
)I0o
x ~, oA~E
Farm
SEAS. VL. FARM COMM.
":'~ '; " " ' :::::Y""/-' 5: hZ-' '" "q -,' """~ ' t "g:~'"'~ ,~,,,"r-, L.---,~.~,~.~ /]~o 7'"~,,,.,~
/ -/ ~.~ . / - _ / - '--
ORMA~~'k~ BELO OVE
Acre Value Per Acre Value
Tillable 1
Tillable 2
Tillable, 3
Woodland
Swampland
Brushland ~ ~ *'~ '"~
House Plot
Total ,,i ,,,i.
44.-1-15 4/12
~ ~ .~" ~,oL"'/~ ~F, oundation 0...~, Bath
Extension !3 X ~5 ~i'. _.,/~' ."~1 ~ ~" Basement m ~oo~s
Extension /~3 ~/~~ ~..5 ~ ~t. Walls ~,~ _ Interior Finish
~ ~ire Place // Heat
Extension
~'~~/'~ ~~ Porch Attic
. r ~5 ~ Porch Rooms 1st Floor
Breezeway. -~ Patio ~.tx.~.t~ ~..~ ~ ~ R~ms 2nd Floor
Garage d/~ ~'~ '~ ' kx.C, Driveway
O'B'
~SS~ ~ SHA~ NOT ~ C~
O~Y TO ~E FER~N ~R WHOM
i~E CO~A~. ~V~TA/A~
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY:.~'¢~:-F~ -. . _ _
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY: .
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION: ~~_ .~'~t~. ~ STORIES: ~ # EXITS:
FOUNDATION: .~ (.--/L ~Q~~~EMENT: '~c~ CRAWL SPACE: __
# OF BEDROOMS: 1ST FLR: ~ 2ND FLR: ~-~ 3RD FLR: ''
BATHROOM(S): /~ TOILET ROOM(S):
PORCH TYPE: ~ b"~-DECK, TYPE: ~
B~EZEWAY: - FIREPLACE:
DOMESTIC HOTWATE~: ~ ~ TYPE HEATER:/~
TYPE HEAT: ~~} WARM AIR:
# OF KITCHENS: ~
FINISHED BASEMENT: YES
OTHER:
UTILITY ROO'M: ' --
PATIO, TYPE: -~
GARAGE:
AI~(~NDITIONING:
HOTWATER: ~
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENT. ION & BUILDING CODE
LOCATION -"', DEscRIPTIO~--> ART. SEC.
REMARKS:
INSPECTED BY:
TIME START: i0 '~ (~ END.