HomeMy WebLinkAboutZ-36208Town of Southold Annex
54375 Main Road
Southold, New York 11971
4/30/2013
No: 36208
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
4/30/2013
THIS CERTIFIES that the structure(s) located at: 19855 Route 25, Orient
SCTM #: 473889 Sec/Block/Lot: 17.-1-11.4
Subdivision: Filed Map No.
conforms substantially to the requirements for a
Lot No.
built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36208
dated 4/30/2013 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 l~ame one family dwelling with unfinished basement, covered concrete porch.*
NOTE: BP #11897 garage with roof top deck addition to dwelling COZ-11648; BP #16819 second story addition over
existing attached garage; BP #37916 hot water heater, boiler and generator COZ-36207.
The certificate is issued to
Thompson, Lucy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
17-1-11.4
BUILDING DEPARTMENT
TOVCN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 19855 Route 25, Orient
SUFF. CO. TAX MAP NO.: 17.-1-11.4
NAME OF OWNER(S): Thompson, Lucy
OCCUPANCY:
ADMITTED BY: William Gessell
SOURCE OF REQUEST: Thompson, Lucy
SUBDIVISION:
DATE: 4/30/2013
DWELLING:
# STORIES:
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: oil
# BEDROOMS: 4
OTHER:
1.5 # EXITS: 3
block/concrete
4 TOILET ROOM(S):
covered with conc patio DECK TYPE:
FIREPLACE:
oil TYPE HEATER:
WARM AIR:
# KITCHENS: 1
CELLAR: full CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
3 GARAGE:
baseboard AIR CONDITIONING:
HOT WATER: oil
BASEMENT TYPE: unfinished
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
VIOLATIONS:
INSPECTED BY:
MIKEV
DATE OF INSPECTION:
TIME START: 9:45am
3/13/2013
END: 10:35am
~_------- ~_~-~'--T~-~ TOWN OF SOUTHOLD
I'"i~5'5'~ ',? ", :; ',,[], ',,i ~// ~// BUILDING DEPARTMENT
2 -/ g~~AP LIC T1ON FOR CERTIFICATE OF OCC~CY
. . ~ . ¢~3~ ¢~, · . .....
~ a writer or ~ and su~tt~ to ~e Bml~ng D~a~ment wi~ &e following:
A. For new buRding or new use: 1. F~ ~ey of pro~ with accurate l~tion of all buildings, pmpe~ I~es, s~ets, and unmual na~mt or
to~phic features.
2. F~al Approval from H~I~ Dept. of water supply ~d sewerage-disposal (S-9 fern).
3. Approval ofel~tfical im~llation ~m Bo~d of Fire Unde~tem.
4. Sworn stm~ent from plum~r cenif~ng ~at the solder m~ in systm contains 1~ than ~10 of 1% l~d.
5. Comm~iM buil~g, indm~al building, multiple ~iden~ ~d simil~ buildings ~d installations, a c~ficate
of Code Compli~ce'fmm ~t~t or engineer r~nsible for ~e buil~g;
6. Submit Pl~ning Bo~d Approval of complet~ site pl~ mqui~ments.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
t. Accurate survey of property showing all property lines, streets, building and unusual natumi or topographic
features.
2. A properly completed app}ication and consent to inspect signed by the applicanL If a Certificate of Occupancy ~s
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
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 Off
Ce~lificate of Occupancy on Pre-existing Building $10000
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50 00
Femporary Certificate of Occupancy - Residentml $15.00, Commercial $1500
Date. 3/4/2013
New Construction: __ __ Old or Pre-existing Building:
Ix>cation of Property: 19855 Route 25, Orient, NY 11957
x ___(check one)
House No. Street
Owner or Owners of P[operty: Estate of Lucy G Thompson
Suffolk County Tax Map No 1000, Section 17
Hamlet
Subdivision
Permit No.
Date of Permit.
Block 1
Filed Map.
Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate ....
Fee Submitted $ 100.00
Undcrwritem Approval:
Final Certificate:
Lot 11.4
Lot:
x ~ (check one)
Applicant ~gnatme
William Gesell, Executor
11 Hardson Ave
Red Bank, NJ 07701
732-616-9005 (cell)
CONSENT TO INSPECTION
Estate of Lucy G Thompson
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 19855 Route 25, Orient, NY 11957
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 17 · Block 1 , Lot 11.4
That the tmd~rsigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: 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, roles and'regUlations of the Town of South61d.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and m~derstanding 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: 3/4/2013
(Signature)
William Gesell, Executor
(Print Name)
-(Signature)
(Print Name)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer.richert~.town.southold, ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Estate of Lucy Thompson
~,ddress: 19855 Main Rd City: Orient St: NY Zip: 11957
3uilding Permit #: 37916 Section: 1 7 Block: 1 LOt: 11.z
WAS EXAMINED AND FOUND TO SE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Resider~tial ~ Indoer ~ Basement ~ Se~viceOnly ~
Commedcal Outd~er 1st Fl~or Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panet NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~[~ HiD Fixtures
Wall Fixtures L I Smoke Defecters
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture U Pumps
Emergency Fixtures Time Clocks
Exit Fixtures [~ TVSS
electrical survey whole house, to include service panel, generator, mechanical
systems. No defects found
Inspector Signature:
Date: April 30 2013
Elect rical_Certificete.xls
Town of Southold
Building Department
53095 Route 25
Southold, New York 1197~1
March 4, 2013
My realtor informed me that in order to sell my mother's home I will need to obtain a
Certificate of Occupancy.
I am enclosing application and check. If a review of your records indicates that a Certificate of
Occupancy is not needed please let me know.
Since I reside in New Jersey, I will need a day or two advance notice so that I can arrange to
have home open for your inspection. To schedule, please contact me at the address and/or
telephone numbers shown below.
Sincerely,
£xecutor
11 Harrison ^ye.
Red Bank, NJ 07701
732-616-9005
732-758-8012 (home)
TOWN OF SOUTHOLD' PROPERTY
VILLAGE
RECORD CARD
, ACR. J
TYPE OF BUILDING
RES. ~/~ t s~Sl V~. F^m :COMM. CB.
LAND IMP. TOTAL DATEREMARKS
AGE I
Tillable I
BUILDING CONDITION
BELOW ABOVE
Acre Value Per
Acre
Till,~ble 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
JBULKHEAD
DOCK
Total
I'L-I-II.4 ~/11
V,. Bldg.
~ctension
~tens[on
:xtension
~o rch
L
Foundat ion
3orch ~-~
~otia
3,j
/£o ,
Ext. Walls
Fire Place
Type Roof
Recreotion Room
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd
Dormer
Driveway
CERTIFIED TO~
CHARLES W, THOMPSON
0
0
AREA = 0.919 ACRE
N' 85°O0'O0~'W' 104.14' -----------
MAIN ROAD ¢ S,R. 25)
/ (
SOUTHOLD, N.Y. 11971
N.Y.S. LIC. NO. 49668
ENGINEERS
SURVEY OF PROPERTY
AT
OR '1 EN T
TOWN OF SOUTHOLD
S*U FFOI_ K COUNTY, N. Y.
I000 - 017 - OI I0
SCALE I"= 40' ~
MAY 7, 198 7
f~r ~uml~ m by I~B 14Ww Yd Ik~ I.o~
(number & street)
(municipality)
SUBDIVISION: MAP NO.:
NAME OF OWNER(S):
OCCUPANCY: ~ ~ ~-~...~-~
?type) C
ADMITTED BY:
KEY AVAILABLE:
SOURCE OF REQUEST:
LOT(S): ,
(owner-tenant)
ACCOMPANIED BY: ~
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUC~TION: ff, O~-~ _~.~ # STORIES: /~'~-' # EXITS:
~ OF BEDROOMS: 1ST FLR: ~ 2ND FLR: ~ 3~ FLR: .
BATHROOM(S):
PORCH TYPE:
TOILET ROOM(S):
UTILITY ROOM:
DECK, TYPE:
BREEZEWAY: .....
DOMESTIC HOTWATER:
TYPE HEAT:
#OF KITCHENS:
FIREPLACE:
~TYPE HEATER:
WARM AIR:
FINISHED BASEMENT: YES
NO
PATIO, TYPE:
GARAGE: ,
AIRCONDITIONING:
HOTWATER: ~
OTHER:
ACCESSORYSTRUCTURES
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSPECTED BY: ~~7~, DATE OF INSPECTION:
TIME START: ~, '~Y-~ END: