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HomeMy WebLinkAboutZ-36992 I I. Town of Southold Annex 6/30/2014 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36992 Date: 6/30/2014 THIS CERTIFIES that the structure(s) located at: 4200 Kenneys Rd, Southold SCTM#: 473889 Sec/Block/Lot: 54.4-3 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- 36992 dated 6/30/2014 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 seasonal one family dwelling with covered porch and wrap around wood deck.* Note: BP 33067 storage addition to dwelling COZ-32527. The certificate is issued to Moles, Dina& Kideris, Christopher (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ' ed gnat 7 e BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4200 Kenneys Rd, Southold SUFF.CO.TAX MAP NO.: 54.-4-3 SUBDIVISION: NAME OF OWNER(S): Moles, Dina&Vito&Ano. OCCUPANCY: ADMITTED BY: Ron Morizzo SOURCE OF REQUEST: Moles,Dina&Kideris,Christopher DATE: 6/30/2014 DWELLING: #STORIES: 1 #EXITS: 1 FOUNDATION: concrete block CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered DECK TYPE: wrap around PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: RYF DATE OF INSPECTION: 6/18/2014 TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IIALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 'Phis 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 forts). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement front 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 sighed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. pees 1. 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 Certiflcate of Occupancy- $50.00 5. Temporary Certi Ccate of Occupancy-Residential$15.00,Commercial$15.00 Date. lmAv o79 161%4 New Construction: Old or Pre-existing Building: . _ �!(check one) Location of Property: q&)o v - lCeuw ?,&. 7 _.__ House No. pp tract Hamlet Owner or Owners of Property: _ ✓r To F. Itie jt�i _ Suffolk County Tax Map No 1000,Section Q DOBlock—_..qp6 L0003660 Subdivision Filed Map... Lot:_ Permit No. __ - Date of Permit. Applicant:_ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted:$ Applicant taiurt ---_.__.._... CONSENT TO 1NSPF-moN UtwA 06, VIVO�y M(.�eS� e�rtc�re Klo�e the undersi Owners)Natne(s) Hued+do(os)hereby.state: That the undersigned(is)(are)the owners)of the premises in the Town of Southold,located at Q 200 Key.`. . pe, p which is shown and designated on the Suffolk unty Tax Map as District 1000, Sectio"06 ,Block , That the undersigned(has)(have)filed,or cause to be filed,an application in the Southold TownBuilding Inspeaot'o Offioe OCc fopthe following: C'�tTIF;�A,e e F 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 inspectious as they may deem necessary with respcct to the aforesaid application,including inspections to determine that said premises comply with all of the laws,ordinances,cults slid regalations 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 projReoutions for violations of the laws,ordinances,rules or regulations of the Town of Southold:' Da;tlted: fflA'# 24� Zo I rao (Si tore) Dr.,a ri ANe) store � � W-P , S /� /off TOWN OF SOUTHOLD PROPERTY ROCORD CARD -} "rflVI�NE tSTRUT VILLAGE DIST. SUB. LOT sj _ ♦r�it�lER fl1N'I�lER .. • .. N �� E�"C.� �3'�Q'• - S W TYPE OF BUILDING RES. 'SEAS. VL. FARM COMM. Co. MICS. Mkt. Value LAND IMP. d TOTAL DATE REMARKS .1. to 0 / �V.P y P., O , t111.;;,1 F �r .r� r A G /T 7 ID 2 apo y 360 it 5 . 9aLAW Lo ZJr (l - �' ' 7 BPS 33t �7 �AY�ces 8 �3�1a -- - slog Tillable FRONTAGE ON `'DATER a o f g Woodland FRONTAGE ON ROAD Meadowland DEPTH r House Plot BULKHEAD Total . J a �, ��tiii■i■■t■�■i■�■�MEN MEMO■ �i■ so=■1� ■tER■itiisi�� ■i#�■� - ■■is�■i ■■i ■M[MM■M1�� _ ■■■■momnamiamnm ®�■� ■ii FIXE �i�� !����■iiii■i Vii■ ��tsr� ,swum= ■ 37 s TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E� ACR..�a S. d' ✓ W / TYPE OF BUILDING �R �✓ Ss9 JCf RES. SEAS.��� VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 36o � r y P00 r o 0 aLaO // ,/ / 40 449 3 �Aa /? i c LJ 6 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 4 . .. ■■■■■■©tai■■■■■�■■■■■■■■■■■■■ ■■■ �!�!■.■■�!!�i!M■■■■■■■■■t■■■■■■ -. ■■■rt ■��� '■■■■■■■■■■■■■■■■■■■ LOT AREA � 13,828 SQ. FT. 04397 'l'ftr%UN IsLAND ON 1_6 �. .2003 LINA MEW HIGH Sg C 5 3 38 41' 1 .8 © ' -h rn 0 C'j 36 rn C7 wood ' d � rn 7s' Ircf� -' 23 g' p Co LA *o 1 STY Ffp � FR W Ch ©�LsL " 12'x8'0 3.3 grOvOl drive 0 G '0 37.02 Q '0 PIPE 3Y24ORMERLY 3 3 NOW ORS t � E T ApdS o .c° KAT�ER dam+ a f� ,JOHN °a 0 r n •L C V 1 Q Q, C � 1 DRIVE WT 40,00 jil �` JOB No.` Q3-483 FILE No. $24 F' �N SURD DtNA, MOLES � `1�1 4 ' �' 1�' 'IJIf� btJ�lYF1�1�'A Y�pllQF eCD�ItlM va-1 Alt, ! SITUATED AT SOUTHOLD �t ion TOWN OF SOUTHOL.D, SUFFOLK COUNTY N Y. M ww irol SCALE 1' = 30, DATE 9 .21- 4 1=007 r'aa ++ F1LEO MAP No. DATE CEkniclit ONLY TO: TAX MAP No,(REF ONLY) 1000-54-4"3 PSK 2003 DINA MOL ALLS"Gi4', ATTRACT CORP HAROLD F. TRANCHON JR. P.0 FlRST-'At1r4ERICAN TITLE kS. CO. OF NET YORK LAND SUR1V110A P.O. Box els k' 18&6 WADING 14IV ER--MA NCS RWA DING RW ER, NEW-Ybik 1002' 416-4 HAROLD, F. T RA NCH6N JR-. # # xw `�oouim,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ]*FINAL SULATION [ ] FRAMING /STRAPPING ] C,p [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �c 0 -,-�or � f DATE —ell FINSPECTOR flo LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ROpi /�WR� Z2o ACCOMPANIED BY: _ KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: W4-07S # STORIES: C4N2., #EXITS: FOUNDATION: BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: CA7LY4.4 DECK, TYPE: . PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: -` DOMESTIC HOTWA'TER: W TYPE HEATER: AIRCONDITIONING: TYPE HEAT: /�` - WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: Acy C4��— SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART-j SEC. r MARKS: INSPECTED BY: DATE OF INSPECTION: ©'r TIME START: D: