HomeMy WebLinkAboutZ-36020No: 36020
Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
10/23/2012
10/23/2012
THIS CERTIFIES that the structure(s) located at:
SCTM ti: 473889 Sec/Block/Lot:
Subdivision:
conforms substantially to the requirements for a
APRIL 9, 1957
1130 Little Peconic Bay Rd, Cutchogue
111.-14-17
Filed Map No.
Lot No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36020
dated 10/23/2012 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 flame one family dwelling.*
Replaces Pre C/OZ-7705, dated 6/7/77.
BP 12375 addition COZ-12285; BP 20878 addition COZ-21166
The certificate is issued to
McFarland Living Trust
(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: 1130 Little Peconic Bay Rd, Cutchogue
SUFF. CO. TAX MAP NO.: 111.-14-17
NAME OF OWNER(S): McFarland Living Trust
OCCUPANCY:
SUBDIVISION:
ADMITTED BY: Carol Szynaka
SOURCE OF REQUEST: McFarland Living Trust
DATE: 10/23/2012
DWELLING:
# STORIES: I # EXITS: 4
FOUNDATION: cement block
BATHROOM(S): 2 TOILET ROOM(S):
PORCH TYPE: DECK TYPE:
BREEZEWAY: yes to storage room FIREPLACE:
DOMESTIC HOTWATER: ~ TYPE HEATER:
TYPE HEAT: oil WARM AIR: X
# BEDROOMS: 4 # KITCHENS: i
OTHER:
CELLAR: 1/3
CRAWL SPACE: 2/3 with slab
UTILITY ROOM(S):
PATIO TYPE:
I GARAGE:
oil AIR CONDITIONING:
HOT WATER:
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
REMARKS:
INSPECTED BY:
GARYF
DATE OF INSPECTION:
TIME START: 10:15am
10/16/2012
END: 10:45am
Form blo. 6
TOVqN 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 Department 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 naturat or
topographic features.
2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board Of Fire Underwriters.
4. Sw. om statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead..
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance'from architect or engineer re~onsible for the building;
6. Submit planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming us~s, 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 c~mp!eted 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.
C. Fees
1. Certiflca[e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimmifig pool $50.00, ACcessory building $50.00, Additions to accessory building $50.00, Businesses
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:.
Location of Property: /(
House No.
Owner or Owners o£Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building: ~ (check one)
Street
Block Iff
Ham'°et
Filed Map.
Permit No. Date of Permit.
Health Dept. Approval;
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Applicant:.
Underwriters Approval:
Final Certificate:
CONSENT TO INSPECTION
Own s) N'an (s)
, the undersigned, do(es) hereby state:
That the undersi~n~ed.~ (is), (a~e) the ownS) of the pr?aiseA in the Toym of ~
wmcn ~s ShOWn ann aes~gnated on the Suffolk County Tax Map as I~rrict 1000,
SeotionJ// ,Block/a/ ,Lot /-7
That the undersigned (has) (have) filed, or cause to be filed, an application in the
South?ld Tfi~vn Building Inspector's Office for the following:
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, includiag inspections to determine that said premises
comply with all of the laws, ordinances, rules and'regulations.of the Town of South01d.
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.
o ed: 10 - / 59 / 2
(P nn'n'n'n'n'n'n'n'n'n~am e)
'(Signature)
(Prim Name)
GO-
. SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD CARD
LAND
IMP.
TOTAL
TYPE OF BLD.
DATE
VILLAGE
SUB.''---'~ LOTT~ ,~: ~:~
REMARKS
FRONTAGE ON WATER
BULKHEAD
HOUSE/LOT
TOTAL
TOWN OF SOUTHOLD PROPERTY RECORD CARD
' '
FORME~OWNER ~,~1~ E
' ' S W ~PE OF BUILDING
~ES~2o w~s~s, v~. ~M COMM. CB. MISC.
~ND IMP. TOTAL DATE REMARKSi~/~7,,,~, ~??y~Z/~ ~(~. g .;",,'¢:,:; (~e:~,<~ z~, ~ '"
~ NO~AL BELOW ABOVE ~ ' Z-e~p~O~7~ -
FARM Acre Value PerVabe jf~-/
Tillable 3 ~//JOfi-LIaSI, I~
s~,ond ~o~*~ o~ w**~
~r~s~d ~0~*~ O~ ~0.~
~ou~ ~o~ ~E~T~
BULKH~D
~ ~ ~ ~ n~ IV ~
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S): ,
(type) (owner-tenant)
ADMITTED BY: BY:
KEY AVAILABLE: / SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: k)~ # STORIES:
FOUNDATION: ~/~"~q.~.P~-'~ C/c~ BASEMENT: ~
# OF BEDROOMS: 1ST FLR: ~TO 2ND FLR: ~
BATHROOM(S): ~ ILET ROOM(S): ~
UTILITY ROOM:
PORCH TYPE:
'" DECK, TYPE:
BREEZEWAY: ~:~<- -~'o£,¢~-~FIREPLACE: ~
DOMESTIC HOTWAT,E,R!? ,]g ~-z- TYPE HEATER:
TYPE HEAT: ,~ WARM AIR:
# OF KITCHENS: ~
FINISHED BASEMENT: YES
NO
PATIO, TYPE: -
GARAGE: ~"
AIRCONDITIONING: ?~)-
HOTWATER:
STORAGE, TYPE CONST.:
SWIMMING POOL:
GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
~LOCATION DESCRIPTION ART. SEC.
INSPECTED BY:
DATE OF INSPECTION:
TIME START:/~"/~ END:,