HomeMy WebLinkAboutZ-36319 t "'+~F~~''°~> Town of Southold Annex 6/26/2013
a,+~ys* 54375 Main Road
~ ~ Southold, New York 11971
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~
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36319 Date: 6/26/2013
THIS CERTIFIES that the structure(s) located at: 155 N Smith Dr, Southold
SCTM 473889 Sec/Block/Lot: 76.-1-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements fora built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER ~ 36319
dated 6/26/2013 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 front open porch and rear cement uatio.*
The certificate is issued to P & G Holding Corp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
r
Aut ~ ed Si ture
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 155 N Smith Dr, Southold
_ _ - _ _
SUFF. CO. TAX MAP NO.: 76.-1-22 SUBDIVISION:
NAME OF OWNER(S): P & G Holding Corp
- - _
OCCUPANCY:
ADMITTED BY: Glenn Heidtmann
SOURCE OF REQUEST: P & G Holding Corp DATE: 6/26/2013
DWELLING:
# STORIES: I # EXITS: 2
FOUNDATION: cement block CELLAR: CRAWL SPACE: X
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front open DECK TYPE: PATIO TYPE: rear cement
BREEZEWAY: FD2EPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: Natl. Grid WARM AIR: X HOT WATER:
# BEDROOMS: 2 # KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST:
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER: - _
VIOLATIONS:
REMARKS:
INSPECTED BY: ~YF DATE OF INSPECTION: 6/26/2013
~ ~ TIME START: END:
Form No.6
TOWN 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:
I . Final survey of property with accurate location of all buildings, property 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 Tess than 2/10 of 1 % lead.
S. 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:
I. 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. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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 - $.2S
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy -Residential $15.00, Commercial l
Date. ~ ~ ~1~, ~~'t ~ I
New Construction: Old or Pre-existing Building: (check one)
Location of Property: _ ~ ~ ~r~1 i~« l -~t i y{,' D C ~ ~~0 L~f ~ c~
House No. ~ Street Hamlet
Owner or Owners of Property: ~ ~J ~ i ~ ~ -
Suffolk County Tax Map No 1000, Section ock ~ Lot .Z~~
Subdivision ~ ~ Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: ~l~,sta((ec~ I ~{'f`f~~ Underwriters Approval: _ ~ ~Q1~~ ~~I ~ (~~7(o~C/jp~
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ~ (check one)
Fee Submitted: $ ~ ~-C~ ~ ~ t' ~ ~ G^/ -
Applicant Signature
CONSENT TO INSPECTION
~~i ~ ~ ,the undersigned, do(es) hereby state:
Owner(s) Name( )
That the undersigned~is) are) the o~ner(s) of tlpe premises i the Town of
Southold, located at ~ ~ ~ ~ ~~,,,t{ (L ~ ~c,~~t '~S`o~4-GI ~lG~
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section '7 l0 ,Block ( ,Lot Z Z-
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: Pv`EI~1 C~~C_ c"~
c'~.t~~~ ~J
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 ofthe laws, ordinances, rules or
regulations of the Town of Southold.
Dated: U tti ~ 72~ t~7 ~~-i2c ~ w
(Signature)
~i~/9'l EL ~ I~~~,Ohh~3,CJ~
(Print tat e)-~
(Signatur
r.t ernes f-}~,~ r.L~u h ~
(Pant Name)
~ ; , _ ~ L TOWN OF SOUTHOLD PROPERTY RECORD CARD i~J-/
OWNER STREET ~5" VILLAGE DISTRICT SUB. LOT ~ ~ .
a.,
FORMER OWNER `'s N E - ACREAGE
a r,_ ~ I~ 'i~wsk, r, Vdn, burr v~r_ f"'
S W TYPE OF BURDiNG
RES. a/+D SEAS. VL. FAR,4l COMM. 11ND. ~ CB. ~ MISC. Est. Mkt. Votue
LAND 1MP_ TOTAL .DATE 'REMARKS
v 1 ~ .
r, O J ~ ~ Y _ 1 o a ~ ~ c-, 7 0 4rlwC 5r f,~~ O v ? s v +-e- 4`t cr,-,r-- ~
rr - 1~_Y_
YEH ~ C - ~ ~ 7
- ~ t t Y i Y/'t'
i ~
I ~ i l _ -
~r'7c/- R,'~ of fo s(c~, a ~
AGE BUILDING CONDITION ~ r~yQ~(jydWS~,~rJ ~CUt'rf,~ ~ylF{ ~LL
NEVI NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD 7 S ° ` t ~ ~ ~
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3 - _ ~ D ~ t 1.~ I ~7 ,
Woodland
Swampland
Brushland
House Plot
Total
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- i ~ Fou ;Fiaors J_
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! ~ ~ Basement ~ Interior Finish
!v1. Bldg 7 S L Y L 1 ~
- - ~ ;
f act. Walls
Extension ~ . ',heat
I I 1~
~ , -
;Fare Ploce
f Type ,
Extension ~ - ~ Rco J
, ,
Porc'n ,I
Extension ' `r ' ,~~Rcoms 1st Ffoor
_ ~ Porch ~ ~ i -
i i
-l' i ~ Rooms 2nd flcor
~ •I z i ! ' ~ '
T 3
,E Patio
I>?ormer ;
1 I~.j ~r~ I ~ ' ~ I
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Breezeway ; I
;ara9e ;I , i
~ _ - -
,~oV SURVEY OF
LOT 4 & P/0 LOT 5
MAP OF
5 0"' ~ s GOOSE NECK
~ ~~'~5 s~• FILE No. 1663 FILED NOVEMBER 22, 1948
~1ti~~ti°~ ~~"OO,, SITUATED AT
F BAYVIEW
~ , ~ ~ ,y/ ~p TOWN OF SOUTHOLD
~ \ SUFFOLK COUNTY, NEW YORK
0
o~' ~~'0 S.C. TAX No. 1000-76-01 -22
b~ ~ SCALE 1"=20'
\ tp ptpa / NOVEMBER 1, 1995
wooDRAMP~ `~'L~','t~~~,y\~ ~ AREA = 11,164.07 sq. ft.
~ .r!`i// 0.256 ac.
~ as oy2 ~ / a '~j, CERTIFIED T0:
s~'p y a ~ Q`' COMMONWEALTH LAND TITLE INSURANCE COMPANY
O~ wp ~ y~" / TITLE No. RH95-1263
lp~ O'• ,~o~°J.°j" ~ ~ ~'a SUFFOLK COUNTY NATIONAL BANK
O ~y y o ~ ~ P.dc G. HOLDING CORPORATION
~ ~
h / `/-~y,~~ ~ ` d
/ p A~ M
\ \ PREPARED IN ACCORDANCE WRH THE MINIMUM
`p e/ \ ~ \ STANDARDS FOR TRLE SURVEYS AS ESfABIJSHEO
~'O S~ \ ,e O BY THE LIALS. AND APPROVED AND PDOPiED
\ \ 1} ~ e • • O YYY BY THE NEW YORK STAiE UND
p i \~O' ~4t• eP~ ~j.#~,~aM1' ~ O~ 5~~~,~~PpN1 ~k,
ICI ~o,),~ / ,SO• \ \ ~ art; . a ~ * Y'
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tp~ O~' / - e ~ ~ _N_Y S_ Lic Na. 49688
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5
ATE Joseph A. Ingegno
EDUCATION LAW.
/ COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS INKED SEAL OR Land Surveyor
r EMBOSSED SEAL SHALL NOT BE CONSIDERED
/ ~ TO BE A VALID TRUE COPY.
~ GUARANTEES INDICTED HEREON SHALL RUN
Q ONLY TO THE PERSON FOR WHOM THE SURVEY
° 15 PREPARED, AND ON HIS BEHALF TO THE idle Surveys -Subdivisions - Site Plans - CanStNCtion Layout
°O TITLE COMPANY, GOVERNMENTAL AGENCY AND
fax (516)722-5093
ToNna~ASK~N~EES~Gr~IEN~DIrGic'Irsn- PHONE (516)727-2090
O ~ TUTbN. GUARAMEES ARE NOT TRANSFERABIF.
THE EXISTENCE OF RIGHTS OF WAY OFRCES LOCATED AT MAiIING ADDRESS
I AND/OR EASEMENTS Of RECORD, IF Ooe l; r!o^. Square P.0 Box 193'
ANY, NOT SHOWN ARE NOT GUARANTEED. Aq.~ebogue. New York 193! r^.iverneud. -Vew York 11901
I
y~i .i
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
~ (type) (owner-tenant)
ADMITTED BY: l9-(~/.~J f(f~j/~i~?A..k~ ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: # STORIES: # EXITS:
FOUNDATION: ~~g \ / BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: y 2ND FLR: 3RD FLR:
BATHROOM(S): -lL~L TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWAT--/ER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: ~ P~ ' RM AIR: - HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO /
OTHER: '
ACCESSORY 5TRUCTU 5
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
OLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
1 LOCATI DESCRIPTION ART. SEC.
-
REMARKS:
INSPECTED BY: ~ DATE OF INSPECTION:
TIME START: END: