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Home My WebLink AboutZ-36254No: 36254 Town of Southold Annex 54375 Main Road Southold, New York 11971 5/29/2013 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 5/23/2013 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to thc requirements for a 5020 Oregon Rd, Mattituck 95.-3-4.1 FfledMap No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36254 dated 5/23/2013 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 fi.amc one family dwelling with front covered brick and concrete porch.* Note: Special Exception and "as built" permit required for accessory apartment. BP 7090 addition to dwelling COZ-5920 BP 7597 accessory garage COZ-6237 BP 30611 adds/alts to accessory garage COZ-30707 BP 38047 hot water boiler/water heater COZ-36253 The certificate is issued to Shipman, Joseph & Shipman, Cathleen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 5/9/13 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5020 Oregon Rd, Mattituck SUFF. CO. TAX MAP NO.: 95.-3-4.! NAME OF OWNER(S): Shipman, Joseph & Shipman, Cathleen OCCUPANCY: ADMITTED BY: Richard Lark, Atty. SOURCE OF REQUEST: SUBDIVISION: Shipman, Joseph & Shipman, Cathleen DATE: 5/23/2013 DWELLING: # STORIES: 1.5 FOUNDATION: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil baseboard # BEDROOMS: 4 OTHER: # EXITS: 2 ¢~m~nt block I TOILET ROOM(S): covered fi'ont DECK TYPE: FIREPLACE: CELLAR: full CRAWL SPACE: UTILITY ROOM(S): PATIO TYPE: GARAGE: AIR CONDITIONING: HOT WATER: BASEMENT TYPE: unfinished yes TYPE HEATER: ~il WARM AIR: # KITCHENS: I ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: Special Exception and "as built" permit required £or accessory apartment. REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 3/18/2013 TIME START: 10:00am END: 11:05am 02/25/2013 15:24 FAX 6517345B51 LARK $ FOLT$ ~005/008 l%rm No. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ?g5-1~02 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted t~) the Building Department with the following: For new b~ildi~ or new 1. Final survey of property with accurate loc~tion of all buildings, property line~, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of~vs~r supply and sewersge-disposal (S-9 form). 3. Approval of el~lrical installation from Board of F/r~'Underwriters. 4. Sworn sta~ment from plumber certifyin~ that the solder used in system conlalns less than 2/10 of 1% lead. $. Comme~ial building,/ndustdal building, multiple rasi~nces and simihr buildinEs and installations, a certificate · of Code Compliance from ar~hit~t or en//neer re~po~sible for the building. Submit Plaan/~ Board Approyal o£~ompleted site plan requirements. For existing ba/ldings (prior t~ April 9, 1~7) non-conforming uses, or buildings and "pre-exlsting~ lalad uses: I. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic 2. A properly completed application snd consent to inspect signed by the applicant, i denied, the Building Inspector shall state the masons th~rvfor in writing to the apt 1. Certificate of Occupancy - New dwelling $50.00, Add/tinns to dwelling $50.00, t Swlmr~i.ng pool $50.00, Accessory building $~0.00, Additions to accessory build 2. Ce~t. ificate of Occupancy on Pre-existing Building- $100.00 Copy of Certificate of Occupancy - $.25 4, Updated Certificate of Occupancy, $50.00 $, Temporary Certifica~ of Occupancy - Residential $15.00, Commemial $15.00 .lt~ons to dwelling~'~'~.00,[ n~ $~_ .00, Bnsines~ $50.00i Date. 2/~ /20Z3 New Const~uotion: Old or Pre-existing Building: Lo~atinn of Property: 5020 OREC, OI~ House No. Stxect Owner or Owners of Proporty: 30SEPH & CAI'HLEEN SItZPI, IA~ Suffolk County Tax Map No'I000, Section 95 Subdivision P~nnit No. Date of Permit. Health Dept, Approval: Planning Board Approval: Request for: Temporary Certificate Fec Submkt~d: $ 100.00 (~heck one) CWI~CHOGUE Block 03 Lot Filed Map, . . Lot: Applicant: Underwrifers Approval: Final Certificate: X (check one) ,{~ph t~h:l_p~an .aq~plicafl~ignalum Hamlet 4.1 02/25/2013 15:25 FAX 8317345551 L^RK & FOLT$ []008/008 CON~ENT TO INSPECTION JOSEPH SHZFMAI~ o.n s) , the ~i~ued, ~(ee) hereby state: That the undersigned (is) (~me) the owner{{) of the p,'eudscm in the Towu of Southold, located at which is shown aud deai.mmatcd on the S%~olk County T~x Map a~ D~rict 1000, Sectiou o~ . Block 03 Lot ~. i Ti~t the undemigued Osas) ~ filed, or caus~ to t~ filed, an applic.~u in Southold Town Bufldiug Inspector's Offic~ for the Ce~cificate of Occupancy on Pre-existiu~ Buildiu~ Th~ tim uudc~igued do(es) hereby 8irc cogent to the Buikl~ Inspectors of the Town of Southold to enter Upon the above demcn"oed property, including any and all buildin~ located thereon, to conduct such inspections es they may deem nece~sat7 with . re~I, ect to thc aforc~id ~plication, including inspcctio~ m deter~e thst said prcmniscs comply with ~ll of the lsws, ordimmces, rules aud ~k, ulatiom, o.f the Town of Southold. Thc undc~igncd, in consenting t~ much iuspcctions, do(es) so with the lmowl~lg¢ and ~ that any ~ormation obt,,i,,-d iu the conduct of such inspections may be used in subl~xluunt prosecutions for violalious of th~ laws, or~i---~es, rule~ or regulations of the Town of Southold. Dattxl: February~7, 2013 JOSEPH SHIPMAN (lhint Nam:) (m4m N~) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 119714~959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer, richert~town.southold.n¥.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Joe Shipman Address: 5020 Oregon Rd City: Cutchogue St: NY Zip: 1193! Building Permit #: Section: 95 Block: 3 Lot: 4.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE ~ontractor. DBA: Sabat Electric License No: 4204-me SITE DETAILS Office Use Only Residential ~ Ind°°r ~ Basement ~ Service Only ~] Corn m edcal Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service I ph I I Heat Se~ce 3 ph ~ Hot Water Main Panel A/C Cond~mser Sub Panel NC Blower Transformer /~ppllances Disconnect Switches Olher Equipment: INVENTORY GFCl Recpt Single Recpt Dryer Recpt Twist Loci( Ceiling Fixtures Wall Fixtures Recessed Fixtures Fluorescent Fixture Emergency FixflJres Exit Fixtures HID Fixtures Smoke Detectom CO Detectors Pumps Time Clocks TVSS inspection of garage apartment, and electrical survey of main house, added 2 smoke/co det,~d~ ~ and 4 smoke detectors in main house .above count Is ~r t~,~,~ apartment, and also includes, 2-paddle fans, 2-ce detectors and 2 smoke detec~om Inspector Signature: Date: May 9 2013 814~ert Electrical Compliance Forrn.xis LARK & FOLTS Attorneys at Law 28785 MAIN ROAD PO BOX 973 CUTCItOGUE, NEW YORK 11935 Tele. No. {631) 734-6807 Fax No. (631) 734-5651 E-mail: LarkandFolts@aol.com RICHARD F. LARK MARY LOU FOLTS March 8, 2013 Mr. Michael Verity Southold Town Building Department 53095 Main Road Southold, NY 11971 RE: 5020 Oregon Road, Cutchogue, (SCTM %1000-95-3-4.1) Dear Mr. Verity: In connection with enclosing the following: 1. o Kindly give me inspection. RFL/bd Enclosures New York the above-captioned premises I am Application for Pre-existing Certificate of Occupancy Consent to Inspection Survey of John C. Ehlers Land Surveyor last dated 09-23-2004 Check to Town of Southold in the amount of $100.00 a call so a date can be scheduled for the Very truly yours, Richard F. Lark LARK & FOLTS Attorneys at Law 28785 MAIN ROAD PO BOX 973 CUTCHOGUE, NEW YORK 11935 Tele. No. (631) 734-6807 Fax No. (631) 734-5651 E-mail: LarkandFolts@aol.com RICHARD F. LARK MARY LOU FOLTS April 18, 2013 Mr. Michael Verity Southold Town Building Department 53095 Main Road Southold, NY 11971 RE: 5020 Oregon Road, Cutchogue, New York (SCTM #1000-95-3-4.1) Dear Mr. Verity: As a follow-up to the Pre-existing Certificate of Occupancy application, copy enclosed, I am enclosing the New York Board of Fire Underwriters Electrical Certificate Number 2027911 and Plumbing Certification of Joseph Zuhoski dated 4/17/13. If all is in order, please issue the Pre-existing Certificate of Occupancy at your earliest convenience. Very truly yours, RFL/bd Enclosures OWNER TOWN ,.~/,? SEAS. LAND IMP. ~'0 ~ '3>~ VL. OF SOUTHOLD PROPERTY RECORD CARD (~ N~ FARM Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot (~r~ ~-c~o 0 Acre VILLAGE FARM TOTAL DATE B~I L~l~h S V~lue Per volU~ Acre W SUB. LOT ACR. I TYPE OF' BUILDING COMM. CB. MISC. Mkt. Value REMARKS /~ ) I~'~ ~o0 ' ~ ~,,~ FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK 95.-3-4.1 3/05 Extension ./ ,~'X/~ = ~-'"~ Bosement F~4 [/ Floors ~ 1~ K. Extension ~/V = ~ ~ ~ 3Po // ~O ~t'Walls ~ ~ 'lnteri°rFinish ~ ~ LR' ..,- Extension Fire Ploce ~G Heet ~ e~{ t~tI DR. Type Roof ~t: ~ Rooms ]st Floor BR. Recreotion Room Rooms 2nd F[~r FIN, B. Porch ~ Dormer Porch t~ Driveway 51TUATE~ I~IATTI"ruc~ TOi~',h ~LD 51,,'I'T', OLK COUNTY, SURVEYED 00-1"/-2004 5Ut:~=OL.K, GOUNT¥ TAX # N E NOTES~ MONUMENT FOUNP AREA = Iq,q2~5 5.F. or 0.46 ACRE ~P-.APHIC SCALE I"= ~O' JOHN C. EHI.ERS LAND SURVEYOR 6 FAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERI'IEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\~Ip serve~lWROS\04-218.pro LOCATION: (number & street) (municipality) SUBDIVISION: ~, ~MAP NO.: LOT(S): NAME OF OWNER(S); OCCUPANCY: ~ *" (typ ~"f "~ ~ (owner-tenant) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: FOUNDATION: ~ # OF BEDROOMS: 1ST FLR: BATHROOM(S): / BREEZEWAY: BASEMENT: ~ CRAWL SPACE: __ 2ND FLR: "2 3RD FLR: - ' TOILET ROOM(S): UTILITY ROOM: DECK, TYPE: -- PATIO, TYPE: FIREPLACE: · GARAGE: ~¢ AIRCONDITIONING: '-'-- DOMESTIC HOTWATER: ~.'-*--- TYPE HEATER: TYPE HEAT: ~ WARM AIR: # OF KITCHENS: / NO FINISHED BASEMENT: YES HOTWATER: OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMINGPOOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPECONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDINO CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: ~ ~ DATE OF INSPECTION: ~ '/~) "20/3 ! TIME START: /t9 .'O O END: //.-' ~...'.N