HomeMy WebLinkAboutZ-36564
Town of Southold Annex
,A 10/15/2013
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36564 Date: 10/15/2013
THIS CERTIFIES that the structure(s) located at: 1360 Bay Ave, East Marion
SCTM 473889 Sec/Block/Lot: 31.-8-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36564
dated 10/15/2013 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 unheated sunroom and accessory one car garage and accessory shed.*
The certificate is issued to Stan, Harold
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. t rize) d Si ature
8n
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1360 Bay Ave, East Marion
SUFF. CO. TAX MAP NO.: 31-8-21 SUBDIVISION:
NAME OF OWNER(S): Stan, Harold
OCCUPANCY: - - - -
ADMITTED BY: Harold Stan
SOURCE OF REQUEST: Stan, Harold DATE: 10/15/2013
DWELLING:
# STORIES: 1.5 # EXITS:
FOUNDATION: cement block CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: X HOT WATER:
- -
# BEDROOMS. 3 # KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST: accy one car STORAGE, TYPE OF CONST: shed
SWIMMING POOL: GUEST, TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GA~RYq}F DATE OF INSPECTION: 10/1/2013
TIME START: END:
i,", 71D
Form No. 6 ~ i SEP 2 3
TOWN OF SOUTHOLD UU 2013
BUILDING DEPARTMENT
TOWN HALL FI'i" D=T.
765-1802 -_:n[D
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 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. 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 9- n )_3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 13~ p N) I iR N ~e- ~AA ,e, l p o
House No. Street Hamlet
Owner or Owners of Property: iJ S fl +
Suffolk County Tax Map No 1000, Section 3 ` Block g Lot I
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: e)
Fee Submitted: $
Applicant Signature
CONSENT TO INSPECTION
1'11L1~L.~ S~ , 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 ~J.oO ~A q ItVt-- i AS i I,-Ire t 0 0 ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section ~3 k, Block , Lot a-1
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Sou old Town Building Inspector's Office for the following:
t e C --C>
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)
\~A2o~~ S~TAiJ
(Print Name)
(Signature)
(Print Name)
_ TOWN OF SOUTHOLD PROPERTY RECORD CARD M ^ yl
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER PWNER N E ACR.
S W TYPE OF BUILDING
RES. j / b SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKSf/ r~/ of - • 1Y2
3 O D > D O 6 D {9~i 7 c~ 'Ll Gt'/ 5 5 6 D• J~uwa a TO 5t -r
!qQ d- y ~j o0 7B~ 3 a C. loj3ll7
a
(5 t)
AGE BUILDING CONDITION
N NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD 7.
~lo d
r
House Plot DEPTH
BULKHEAD
Total DOCK
i V
COLOR
Wh ~ ~e
T+H+~
TRIM
SA,f A-v
I 'LL
i
M. Bldg. 2.Z/ X y _ s~ Al p o y Foundation Bath Dinette
Extension Basement Floors K.
Extension Ext. Walls /}g Fj Interior Finish LR.
Extension Fire Place Heat f/{ 9 DR. VYCA Type Roof ( Rooms 1st Floor BR.
u~. .
Y` Recreation Room Rooms 2nd Floor FIN. B.
I Porch g _X J d
Porch 8 X/ o go / p Q Dormer Z a~
Breezeway Driveway
Garage Z K ~3 /z o d
Patio
O. B.
Total j
S.C.T.M. NO DISTRICT. 1000 SECTION: 31 BLOCK: 8 LOT(S.21 & 22
MAIN ROAD
LAND N/F
OF
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LAND N/F
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HALINA SIEMASZKO
THE WATER SUPPLY, WELLS. DRYW£LLS AND CESSPOOL
LOCA 77ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:18,000.00 SQ.FT. or 0.41 ACRES ELEVATION DATUM:
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY oe DESCRIBED PROPERTY CERTIFIED TO: JOSEPH VANDERNOTH;
MAP OF, RHONA VANDERNONTH'
FILED FIDELITY NATIONAL TITLE INSURANCE
SERVICES, LLC;
SITUATED AT. EAST MARION
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE PHONE (831)298-1588 FAX (631) 298-1588
# 13- 171 SCALE: ? "-,j D' DATE SEPT. 19, 20 13 N.YS L[SC NO 050882 maintaining the recoree of Robert I. Hennessy x Kenneth M. Moynhuk
#OF SW/r
f,~ be ray f ~
"Odi 3f,
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ !FINAL
[ ] FRAMING / STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) O
REMARKS: 14T fl ;b:
Jr ,~,?rS by ~L Jfz F,
DATE j~ INSPECTOR
LOCATION:
(number & reet) (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: 00-0-Wj~ # STORIES: # EXITS:
FOUNDATION: BAS MFNT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: Z~ 3RD FLR:
BATHROOM(S): _ W TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: 'Vxg~ TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS: dl<_4zi
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
LOCATIOl DESCR TION ART. SEC.
a
4=4 2ix
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: END:
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