The URL can be used to link to this page

Home My WebLink AboutZ-36200Town of Southold Annex 54375 Main Road Southold, New York 11971 No: 36200 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 4/19/2013 4/10/2013 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: Filed Map No. conforms substantially to the requirements for a 56365 Route 25, Southold 63.-3-13 Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36200 dated 4/10/2013 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 covered front porch, side entry and two accessory sheds.* The certificate is issued to Ryan, Janet (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: 56365 Route 25, Southold SUFF. CO. TAX MAP NO.: 63.-3-13 NAME OF OWNER(S): Ryan, Janet OCCUPANCY: ADMITTED BY: Dennis Toivonen SOURCE OF REQUEST: Ryan, Janet SUBDWISION: DATE: 4/10/2013 DWELLING: # STORIES: 2 FOUNDATION: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: Nat'l G-rd Gas # BEDROOMS: 4 OTHER: # EXITS: 2 stone CELLAR: 1/3 CRAWL SPACE: UTILITY ROOM(S): PATIO TYPE: GARAGE: Nat'l Grid Gas AIR CONDITIONING: HOT WATER: X BASEMENT TYPE: unfinished 1 TOILET ROOM(S): front covered DECK TYPE: FIREPLACE: 4 closed off yes TYPE HEATER: WARM AIR: # KITCHENS: I 2/3 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SW1MMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: DATE OF INSPECTION: 4/16/2013 TIME START: 09:30 AM END: 10:30 AM ~orm No. 6 ToWN OF SOUTHOLD. BUILDING DEPARTMEbFF 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: i or new use: A, For new build ng ..... : .... Irmntlon of all buildings, property lines, st~ets, and unusual natural' or 1. Final survey o~ prope~y wun accu~t~ ......... : .... topographic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical in,tenet(on from Board O.f Fire. ynde~.rite"'. 4. sw.om statement from p|Umber ~rtifying that the sotoer uses m system contains less than 2/10 of 1% lead. . · ......... and installations, a certificate 5. Commercial building, industrial bufldmg, multiple residence~ and stonier buflthngs of Code Compliai~ceTrom architect or engineer responsible for the building~ 6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exlstmg ISnd uses'; 1. Accurate survey of property showing alt property lines,' streets, building snd unusual natural or topographic features. 2. A properly ~pmpleted 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. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, SwimmiBg pool $50.00, Accessory building $50.00, Additions to accessory building $$O00, Businesses $50.0(~. ~ 2. Certifie, ate of Occupancy on pre-existing Building - $100.00 3_ Copy of Certificate of.Occupancy - $:25 4. Updated Certificati: of Occupancy - $50.00 · 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or pre-existing Building: Hous~ No. Street (check one) Hamlet . owner or Owners of PropertY: C,~ t"O/ · Suffolk County Tax Map No 1000, Section Subdivision Block __ tS/~ Lot ?J Filed Map. Permit No. _ Health Dept. Approval: Date of Pcrmit. Applicant: Planning Board Approval: Request for: Temporary Certificate _ Foe Submitted: $ /ff"ff' '~ Fina} Certificate: (check one) Applicant Signature CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: Tlfat the undersigned (is) (sro) the owner(s) of tho premises in the Town of 8outhold, located at ~ 30 .~ ~',,~ ,,~.~' which is shown and designated on the Suffolk County Tax Map as District I000, Section ~ Block 6Lr , Lot /j . That the undSrsigned (has) (have) filed, or cause to.be filed, an application in the 80uth01d Town Building Inspector's .Office for.the following: ~ _ That the undersigned do(es) hereby give con§ent to the Building Inspectors of the Town of Southotd 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, roles and' regUlations.of the Town of South61d. The undersigned, In consenting to such inspections, do(es} so with the knowledge and understanding that any itfformation 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 8outhold. Dated: ~= ?~ -/3 ~3/- ~/6- .Y.:t 03. (Print Name) / '(Signature) (Print Name) / OWNER FoR~ER OWNEI~." ' TOWN STRE~ N OF SOUTHOLD PROPERTY RE( VILLAGE :ORD CARD SUB. LOT TYPE OF BUILDING RES. ~1~ sEAs. LAND IMP. AGE NDN FARM Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total NORMAL Acre VL~roTAL FARM COMM. CB. MISC. Mkt. Value DATE REMARKS I BUILDING CONDITION BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK .SUt~ OP PI~OPFRT'r' 51TUATE: .50UTI~I.Z~ 5UTTOLK (_X::)UN"Ff', W"~E S N~'7o5~'50"~. qO.IO'--- CRAWHIC 5(.7,AL.E I"= 58,5o5~,,,4o.m ,~o._~oo' S.~. 25 JOHN C. EIqI~RS LAND SURVEYOR 6 BA~T ~]N ~'I~T N.Y~. L/C. NO. 502~2 ~, N.Y. 1/901 ,:~!~B288 ~ ~ Rl~.C:~,Us~oha~Drol~x=k13%13-113s,pm LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: ;[~ (type) ADMITTED BY: -~O! t~/O.¢;~] KEY AVAILABLE: SOURCE OF ~QUEST: MAP NO.: (municipality) LOT(S): . (owner-tenant) ACCOMPAN'IED BY: ~ SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: ~tYt~ ~ # STORIES: ~ # EXITS: FOUNDATION: ~- .~'~ afl~-- BASEMENT: ~ C~WLSPACE:~ ~ OF BEDROOMS: 1ST FLR: [ 2ND FLR: ~ 3~ FLR: ~ BATHROOM(S): ~ TOILET ROOM(S): ~ UTILITY ROOM: PORCH TYPE: ~ ~ *~ DECK, TYPE: ' --~ PATIO, TYPE: ~ BP~EZEWAY: ~ 2 FI~PLAC~ ~ ~J~~GE: DOMESTIC HOTWA~R: ~ TYPE HEATER:~ ~ AIRCONDITIONING: TYPE HEAT: ~C ~ARM AIR. HOTWATER: ~ ~ OF ~TCHENS: FINISHED BASEMENT: YES NO ACCESSORY STRUCTU~S GAUGE, TYPE OF CONST.: STOOGE, TYPE CONST.~ SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENZION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: DATE OF INSPECTION: TIME START: /'~'" ~ END;