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Home My WebLink AboutZ-36790 to FO(f Town of Southold Annex 3/3/2014 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36790 Date: 2/25/2014 THIS CERTIFIES that the structure(s) located at: 20730 Route 25, Cutchogue SCTM 473889 Sec/Block/Lot: 115.-8-3.4 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- 36790 dated 2/25/2014 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 rear entry glass porch small rear wood deck accessory wood frame one car garage, wood frame shed and farm stand.* NOTE: BP 2185 addition to dwelling COZ-1737. The certificate is issued to Elak, Anne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t~ . uthoriz Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 20730 Route 25, Cutchogue SUFF. CO. TAX MAP NO.: 115-8-3.4 SUBDIVISION: NAME OF OWNER(S): Elak, Anne OCCUPANCY: ADMITTED BY: John Elak & Roseanne Berezny SOURCE OF REQUEST: Elak, Anne DATE: 2/25/2014 DWELLING: # STORIES: 1 # EXITS: 2 FOUNDATION: cement block CELLAR: X CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): storage room 1 st fl PORCH TYPE: glass porch DECK TYPE: PATIO TYPE: concrete BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X # BEDROOMS: 3 # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: wood frame 1 car STORAGE, TYPE OF CONST: frame shed 9' x 19' SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: 9'x 14' farm stand VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 2/28/2014 TIME START: END: CONSENT TO INSPECTION F E B 2 5 2014 Anne Elak 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 20730 Main Road. Cutchogue New York which is shown and designated on the Suffolk County Tax Map as District 1000, Section 115 , Block S , Lot 3.4 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Application for Pre-Existing Certificate of Occupancy 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: o~I~JI~~ ~r4 - l Signature F- Ak (Print Name) (Signature) (Print Name) Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT FEB 2 5 2014 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU14ANCY- - - - ' 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. fB.EQr 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. C) 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 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Q2 Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. fCertificate 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 $15.000i r Date. / ba C/cl New Construction: Old or Pre-existing Building: y/at (check one) Location of Property: ) 7~ l ld~ Y//o wfij A) ~ha gi u4 House No. 'Street Hamlet Owner or Owners of Property: 1G1~ Suffolk County Tax Map No 1000, Section J Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ? (check one) Fee Submitted: $ 100 Of- t Ap licant Signature S'fitEET, , 'VIL'(.~G~ r i `rs - ~3JST- SUB. LL)T OilyfMER bWhIER 5 r. r j ~a k y' TY#'EC3F BUILDING ta0 SEAS. VL FARM COMM. ce. MISC. (Mkl^ Value 3 6 Nf) IMP. TOTAL DATE REMARKS a ~ ~ - ~ Off s ?~Jq . I k a ' J v~~3`rc{; AA' :n fF>t RJR f iV7~ ~ - x 610 o S !1 d act! " "yFl a ° v 3 cf 4~ Z bti' 1 J$a 2~ ~_S ra a 41MId • 41,5`Do tie~t+~e feet, « f>y i re 66 3wo 3404 $ ro BUILDING CONDITION VA-0 W NORMAL BELOW ABOVE c~ f .AiRM Acre Value Per Value Acre 'Tillable I *111oble 2 Yilloble 3 Woodland Swampland FRONTAGE ON WATER :Scushland FRONTAGE ON ROAD DEPTH House Plot t'r ? v+ BULKHEAD 'Total DOCK f Cr ' COLOR TRIM ~ t i H ~2 - Foundation Both Dinette 4 xterssion asement Floors b+~ r.)7+ C K ion _~b iA Ext. Woiis ' LW* ` Interior fFinish sit o LTA LRs f ~er~on 3 're Ploce !-lent tJ/ DR. = r_y a•~ 3 3 f S_ 3 « ype Roof Rooms 1 st Floor BR. ip1Ljt• ecreation Room Rooms 2nd Floor FlN. B_ a~x9i { /.oa SYfi Dormer ep/ Driveway Driveway st; 17 -lam ROAD (s'R" 25) MAIN a . . 'A a -.a. _URLRI' •.a . e..' ' E E OF PAVEMENT > . POLE .a ...a. ..n• ~ rOVERHEAD WIRES'~.4 25.00 • I ' LAB N3'22944 PHALT SIC ~ • . ' AS I I•p :a • p APRON FOUND ON. CANC. M a .n . (n I~'rr u 14.0 m 539.72 I Im u.o ' O I FARM STAND O O F OVER /1 n' I B STEPS 1 O Or 20•4 r (~i N I 14.0 N u p D m 8.1 V l N T STORY SE J it FRAME HOU c 9.0' _ _ - - - €I • cNNCE CONC . PAT 0 AI Fa L-I WOOD ol 1 I r° °...-CONC. u COVER ~ ~ y x~ box ~m yO~ 2 ax 1? ~y cog SPLR RNA x ls3 9.8r 18.2 W FRAME N c~ : GARAGEI, e Pr FOUND CONC. MON. N 14.8' V O M Ln 0 wz, x 125 ~ \N w, S s3'22'44'9 OF 0 `E 8A (DEV LQ ACCORDANCE WITH THE MINIMUM ROSE/1NN~ A ~1pR TITLE SURVEYS AS ESTABLISHED & JOHN LS.AND OVED AND ADOPTED 4 Y + SE" K STATE LAND P E OF N4r* ZAFT JO tL 'rte SURVEY OF PROPERTY SITUATE CUTCHOGUE Uc. No. 5( TOWN 0 F S 0 U T H 0 L D UNAUTHORIZED ALTERATION OR ADDITION A TO THIS SURVEY IS A VIOLATION OF - SECTION 7209 OF THE NEW YORK STATE SUFFOLK COUNTY, NEW YORK E°"GTI°"`"W'N orwm COPIES OF THIS SURVEY MAP NOT BEARING': THE ~"UND SURVEYOR'S INKED SEAL OR S.C. TAX NO. 1000-115-08-3.4, EMBOSSED =SEAL SHAD. NOT BE CONSIDERED, TO BE A.VAUD TRUE COPY. r ~~{1 S A., t zypsd SCALE 1 ff=301 CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY,TO;THE • PERSON FOR WHOM THE SURVEY JANUARY 13, 2014 IS PREPARED; AND ON HIS BEHALF TO THE TITLE-COMPANY, GOVERNMENTAL AGENCY ANDHO $U JIS,f{,1J¢t10!! (.0 LENDDIGINSOTUIION LISTED HEREON. AND as + TO THE ASSIGNEES OF THE LENDING INSTI- f C r TUTION.~CER7, TIONS ARE NOT TRANSFERABLE. pHONE,( 6 7 ARFA c AA 97f) sn_ f+_ LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): 14A,~Jk_ ~kIC- OCCUPANCY: (type) (owner-tenant) n 6,*j ADMITTED BY: RC:SF/1, J~ JJEr~uJ ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING ~ v v TYPE OF CONSTRUCTION: Jw ~e # STORIES: OLJ # EXITS: v FOUNDATION: BASEMENTi A///( CRAWL SPACE: # OF BEDROOMS: IST FLR 2ND FLR: 3RD FLR: BATHROOM(S):.. TOILET $OOM(S): UTILITY ROOM: 14 PORCH TYPE u t DECK, TYPPEE. PATIO, TYPE: ?c -z = 7~ BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: O L_ TYPE HEATER: ftt AIRCONDITIONING: TYPE HEAT: dq WARM AIR: HOTWATER: # OF KITCHENS: 67 ~ FINISHED BASEMENT: YES NO OTHER ACCESSORY STRUCTURES /J J GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: r GUEST, TYPE CONST: OTHER: l r /cC /3~*~ I7?J /j2c T VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: s/ DATE OF INSPECTION: / TIME START: %~S~ END: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 20730 Route 25, Cutchogue SUFF. CO. TAX MAP NO.: 115.-8-3.4 SUBDIVISION: NAME OF OWNER(S): Elak, Anne OCCUPANCY: ADMITTED BY: John Elak & Roseanne Berezny SOURCE OF REQUEST: Elak, Anne DATE: 2/25/2014 DWELLING: # STORIES: I # EXITS: 2 FOUNDATION: cement block CELLAR: X CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): storage room 1st fl PORCH TYPE: glass porch DECK TYPE: PATIO TYPE: concrete BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X # BEDROOMS: 3 # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: wood frame I car STORAGE, TYPE OF CONST: frame shed 9'x 19' SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: 9'x 14' farm stand VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 2/28/2014 TIME START: END: