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Home My WebLink AboutZ-36547 ~~J9~FFp~~ Town of Southold Annex 10/1/2013 ',~T 54375 Main Road Y ~ Southold, New York 11971 w f• ':::,t~,.n PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36547 Date: ]0/1/2013 THIS CERTIFIES that the structure(s) located at: 1165 Founders Path, Southold _ SCTM 473889 Sec/BIocWLot: 64.-4-19 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 ~ 36547 dated 10/1/2013 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 cement ratio and attached two car ~,arage The certificate is issued to Prince, Helen (OWNER) - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATEll *PLF,ASE SEE ATTACHED INSPECTION REPORT. ~ Aut { S' nature - BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1165 Founders Path, Southold SUFF. CO. TAX MAP NO.: 64.-4-19 SUBDIVISION: NAME OF OWNER(S): Helen Prince _ _ _ OCCUPANCY: - ADMITTED BY: SOURCE OF REQUEST: Prince, Helen DATE: 10/1/2013 DWELLING: # STORIES: I # EXITS: 3 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: covered cement BREEZEWAY: FIREPLACE: 1 GARAGE: two car DOMESTIC HOTWATER: yes TYPE HEATER: Natl. Grid AD2 CONDITIONING: yes TYPE HEAT: Natl Grid WARM AIR: HOT WATER: X # BEDROOMS: 3 # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: - _ SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 9/26/2013 TIME START: 10:00am END: 10:30am lam 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: 1. 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 less than 2/10 of I % 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. y B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 71. 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 [o 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 Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $ 15.00, Commercial $ 15.00 ~ n, Date. g rS ~J New Construction: / Old or Pre-existing Building: ~ (check one) Location of Property: IIIOS FDU,~DERS ~{qlk{ ~~7}fo c-~ House No. Street Hamlet Owner or Owners of Property: ~ ' ~ ~ ?I L~ ~y y ~ Suffolk County Tax Map No 1000, Section 'Block Lot Subdivision Filed Map. Lot: Permit No. Dale of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ - Appli a t Signa Ire I CONSENT TO INSPECTION ~ ~ ,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, located at l S ~ivO~~LS ~p~ S e ~ ~ ~ ~ which is shown and destgnated on the Suffo County Tax Map as District 1000, Section ~ ~ ,Block Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Ofiice for the following: L'E~TjGje/~j~ d ~ dG~.v ~~I ~ c7 - L%X/S7~'6 Si~z~c-Pz~F ~/1F 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 wmplywith 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 insubsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: I' I i 3 ( gnature) r ~ (Pt'nt Name) (Signature) (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD Zy i - ~ - i OWNER STREET / VILLAGE DISTRICT SUB. LOT ~4~~ / ' ~ ~r ~~n ~ FO R OWNER N E ACREAGE /Y ~i TYPE OF BUILDING ~P~~ l C l / 1~~ ~ ~ S W - RES. SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS C ~ ~ ~ ~ ~D y lL -L /zoo 570~r~ii r~ .tm ~ ~ ~i ~ 5 s ~ ~ rTO - ~-l~l~ nC r° F 2s ~sfa Vie. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD DSO' X ~ J b ~ ' 1! i,i u Tillable 1 BULKHEAD Tillable 2 DOCK ~2 ~ ~ Tillable 3 Woodland Swampland Brushland House Plot Tota I ~ ~ I i _ s - , i i ' i i j I I ~ ~ ~I i CD ° g at " ~ t6 i yS, , i ~ a ~ , QN _ I i - - ~ i, Y ~ ' - - I M. Bld ~ io X ~ c ~ o ~ I i _ Foundation 9• ~ G ~ Bath ~ j I I Basement txtension ~ 9X.22, = L_ w t ~ Floors ~ ,q,k Extension ~ ~p ~ 'Ext. Walls ~ ~ 5~ Interior Finish t,~pt.t t3~ 6' ~ I Fire Place I H.eot Extension ~ & X ~ 3 > _ ~ 3~~0 .a2s ' C S . w , - ~ Porch Roof Type ~ GARLE}_ F, ~ ~ ~ , 0 _ ~ ~ I s ° ~ ~ Porch i Rooms 1st Floor ~ Breezeway Patio Rooms 2nd Floor jOfOge ~ ~V J U : `S d / p p ~ - Driveway Dormer D. B. i N Q«~ SURVEY OF PROPERT Y ~ o~ gOAD ~ AT SOUTHOLD ~Fb TOWN OF SOUTHOLD ~P~s 1y. SUFFOLK COUNTY, N. Y. SON ~kg' ~ ~ 1000-64-04-19 yAN ~ ~ a o~ ag SCALE.• 1'=30' ~ ~ e~'~y`N `N~~~ "B N~ SEPTEMBER 17, 2013 ..(1'~ ~E' 234 , "x O~ 5' ~ ~ N6~.0 e s• o 8~ S ~~1, ~,0 Ems`" ~ zp i d~ ~ 'goo o ~ ~ o L~ o . "o ~ ~ °o. i O 4 ~6 i / G ~ n / o, / / F i .a O~ ~ J r cf 7 3 1 ~ I ~ it i I 1 3k' t ~ ~ ~S ~ ~ tq^ ~ _ 9~~ 4by, 00 ~ ~~t 8 ~ 56 t~. i LOT NUMBERS REFER TO "SUBDIVSION MAP OF FOUNDERS cy ~~rt ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MAY 10, 1927 AS FILE N0. 834. .Y. S. L/C. N0. 49618 ANY ALTERATION OR ADDITION TO 1N/S SURVEY lS A NOLA1/ON ECON/C S YORS, P. C. OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBD/V/S/ON 2. ALL CERTIFICATIONS ~r~ HEREON ARE VALID FOR 7N/S MAP AND COP/ES THEREOF ONLY lF P. O. BOX 909 AREA-21 VJ5 SQ. SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. ¦=MONUMENT SDUTHOLD, N. Y. 11971 13-242 r~ LOCATION: ~r ~ (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING ~ TYPE OF CONSTRUCTION: 1~~`~~''-a~'STORIES: EXITS: FOUNDATION: ~....~,c,~'-" ~ ct~ BASEMENT: r ~ CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): ~ TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: _ BREEZEWAY: FIREPLACE: GE: DOMESTIC HOTWATER: ~ TYPE HEATER:/ ~ ~ ~ A NDITIONING: --f'== TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES ~ GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: Q INSPECTED BY: \ DATE OF INSPECTION: l v~~ /'--3 TIME START: END: