HomeMy WebLinkAboutZ-36268Town of Southold Annex
54375 Main Road
Southold, New York 11971
No: 36268
5/30/2013
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date:
5/21/2013
THIS CERTIFIES that the structure(s) located at: 325 Bay Ave, East Marion
SCTM #: 473889 Sec/Block/Lot: 31.-10-11
Subdivision: Filed Map No.
conforms substantially to thc requirements for a
APRIL 9, 1957
Lot No.
built prior to
pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
36268
dated 5/21/2013 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 pantry off kitchen, front covered wrap around porch and rear covered porch and
accessory two car garage, garden shed and outhouse.*
BP 24467 repair and renovate accessory building COZ-25458
The certificate is issued to
Baker, George & Baker, June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A~p(~zed S{gnatdre
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 325 Bay Ave, East Marion
SUFF. CO. TAX MAP NO.: 31.~0~1 ~UBDIVISiON:
NAME OF OWNER(S): Baker, George & Baker, June
OCCUPANCY:
ADMITTED BY: June Baker
SOURCE OF REQUEST: Baker, George & Baker, June
DATE: 5/21/2013
DWELLING:
# STORIES: 2.5 # EXITS: 2
FOUNDATION: stone CELLAR: ~11 CRAWL SPACE:
BATHROOM(S): I TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: covered ~ont and rear DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: none GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: Nat'l Grid Gas AIR CONDITIONING:
TYPE HEAT: Natal Grd Gas WARM AIR: steam HoT WATER:
# BEDROOMS: 4 # KITCHENS: I BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER: outhouse
two car garage STORAGE, TYPE OF CONST: garden shed
GUEST, TYPE OF CONST:
VIOLATIONS:
REMARKS:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: 10:10am
5/29/2013
END: 10:30am
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
977-
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, properly 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.
B. 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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
l. 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.
New Construction:
Location of Properly:
Old or Pre-existing Building: I, (check one)
32. 5- A va
'Street
House No.
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Date of Permit.
3/
Block I 0 Lot [ /
Filed Map. Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ / ~ (7 . ~'~ 0
Underwriters Approval:
Final Certificate:
(check one)
,/,~_~licant Signature
CONSENT TO INSPECTION
l~. civid ~7'cl r~Co ~{. ~ct [(CC, the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat32-ff ~&~. Av'~ . ~cl. sF b4oritg~'~ ~y'
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 31 ,Block ID _,Lot il
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town 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, 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:
(Signature)
(Signa
(Print Nme)
TOWN OF SOUTHOLD ~/- V~.
OWNER STREET
PROPERTY RECORD
VILLAGE
CARD
~,,~ST.I SUB.
LOT
~ FO~AER OWNER
':, / ,~
RES. o~ J O
LAND
AGE
NEW
FARM
Tiltable
Woodlond
Meadowlond
Hguse Plot
Toto~ '~
SEAS.
VL.
IMP. TOTAL
FARM
BUILDING CONDITION
NORMAL BELOW ABOVE
Acre Value Per Volue
Acre
DATE
- ACR.. J
E ~ '?'/"~/~' ( ~'~ ~PE OF BUILDING
W
CO~d. ~B. MICS. Mkt. Value
REMARKS
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
~00'
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Patio
Total
COLOR
Foundation
Basement
? dj Ext. Walls
Fire Place
Type Robf
Recre~ion Room
Dormer
7.~ J Dinette
~-(,ff. K.
,~/,,~ ¢?Z,~. LR.
, DR.
BR.
J FIN. B j
Beth
Floors
~,,,~¢ Interior Finish
/P~o Heat
//~/Z) Rooms 1st Floor
Rooms 2nd Floor
Driveway
TRIN~ 6,2 L,~
N
AREA=20,265 SO, FT,
,=MONUMENT
· =PIPE
ANY' ALTERATION OR ADD/nON TO THIS SURVEY IS A ViOLATION
OF' SECTION 72090F THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
IS'HOSE SIGNATURE APPEARS HEREON.
SURVEY OF PROPERTY
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-31-10-1I
SCALE: 1'--30'
MARCH 28, 2013
~.¢cY/~//f'/.~i.~t. N.Y.$. LIC. NO. 4961~
/PECONIC~ SL/~VEYORS, P.C.
(631) 765-5020 FAX (631) 765-1797
P.O. BOX 909
LOCATION:
(number & street)
SUBDIVISION:
NAME OF OWNER(S):
OCCUPANCY:
MAP NO.:
(municipality)
LOT(S):
(type)
ADMITTED BY: e-~'-~.~3,~,.~ ~ ~k_.~.-~
KEY AVAILABLE:
SOURCE OF REQUEST:
(owner-tenant)
ACCOMPANIED BY: (_fx~
SUFF. CO. TAX MAP NO. 1000-
DATE:
DWELLING
TYPE OF CONSTRUCTION:
FOUNDATION:
ti OF BEDROOMS: 1ST FLR:
~-'~.vt~ ti STORIES:
BASEMENT: Vo.-~ ~-
2ND FLR: eTt~
BATHROOM(S~ ,: ~ TOILET ROOM(S):
~c:~,,~' ~aO ~& -~r'
PORCH TYPE:~ ~_ DECK, ~P~:
B~EZEWAY: ' FIREPLACE: ,~
DOMESTIC HOTWATER: ~a TYPE HEATER:fl~C
TYPE HEAT: ~ ~'a Xan AIR:
ti OF KITCHENS:
FINISHED BASEMENT: YES
~.. ~r~.... # EXITS:
CRAWL SPACE: -
UTILITY ROOM:
PATIO, TYPE:
GARAGE: --
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER: OtO'- /'/Ox~,.C~ /
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARK S:
INSPECTED BY:
DATE OF INSPECTION:
TIME START: