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Z-37041
sr�yj,IFpl Town of Southold Annex 7/23/2014 54375 Main Road ;r Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37041 Date: 7/23/2014 THIS CERTIFIES that the structure(s) located at: 1620 Broadwaters Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-9-8 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- 37041 dated 7/23/2014 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.* Note: BP 2198 addition to dwelling COZ-1993• BP 23883 accessory non-habitable storage building COZ 25072• BP 29437 deck addition COZ-29716. The certificate is issued to Irving, John& Irving, Mary Anne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho Si ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1620 Broadwaters Rd,Cutchogue SUFF.CO.TAX MAP NO.: 104.-9-8 SUBDIVISION: NAME OF OWNER(S): Irving, John& Mary Anne OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Irving, John&Irving,Mary Anne DATE: 7/23/2014 DWELLING: #STORIES: 1 #EXITS: 4 FOUNDATION: Concrete Block CELLAR: Pit CRAWL SPACE: 90% BATHROOM(S): 1 TOILET ROOM(S): Yes UTILITY ROOM(S): With Shower PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: Yes #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: GARYF DATE OF INSPECTION: 7/22/2014 �- � 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: 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 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 Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Y (check one) // Location of Property: �l v�� /'DQ/tea -Ie�s X,,t ����+ Ay qct House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block c0p. DD Lot ewc o 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) �e Fee Submitted: $ ©0- . 0 Appl' • nt Signature CONSENT TO INSPECTION A4,,(J WtWd— �ri' ,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 /w- ,20 ,��-aezz2, Q ,— iQoa� City6Gl o9�e which is shown and designated on the Suffolk County�TaxMap as District 1000, Section 10V.va, Block 09va, Lot QV�'.,eVa That the undersigned(has) (have) filed, or cause to be filed, n application in the Southold Town Building Inspector's Office for the following: 2 r"--' r CQ 144- a �P �t 4Q 17 d- 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: 7/9� nature) (Print Name) (Signature) (Print Name) 3 TOII�//N OF SOUTHOLD PROPERTY RECORD CARD w '7 OWNER STREET 16 VILLAGE DIST. SU LOT O'2 Ann4L __Z— vtn �—d4dwtfg'*-0 �e� �U6 � v �► � / �sav /�� � ��'lv6 ���r r �•�c, FORMER OWNiR N E ACR. �l S W TYPE OF BUILDING �ES SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 9 ? arc j� Z , CQQQ 1 11100 p I ltd.rr,(►' S lry1�i $ .... /£sly. L7L2 ,f 1.� !.�+ 4/L...JC.t�^,...-;f (�' `' � � lLJ �V � �t US. � � �� w�.+ • ! S `- �.``��`., >Lw+ ���a.. °�.:i..€$F�f, 2 i>o f r o - J I t/ "�./ / �` beck 1 � / ��;`Y'$ t�l l�f1 fY� /"*Wel -� J � 7 t. +2 2T 7 I Ci c.c Fc.� pC4' ClW 2eo4 Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER ?, , FRONTAGE ON ROAD Brushland House Plot DEPTH �/ <ra BULKHEAD Tota DOCK , Vis• •` ' y COLOR i j TRIM 112 � r �j I a A A 3/JQ r , M. Bldg. j y ` Foundation Both 1 Dinette Extension �- Floors K. - . v Extension / �9 "" g J �a q�.� Ext. Walls Lt/ ,A Interior Finish �L� �� LR. ExtensionI 4 , Fire Place u Heat DR. }! , pe Roof s ,e Rooms 1st Floor BR. Recreation Room Rooms 2nd Floor FIN. B. k ilk Porch 7 2, Vormer t Breezeway Driveway 1 2040&5e Z OrA 00 Y zsf -f CA,. I/So 337S �a Z ' 7S-0 s!4 — (o'l3 = ZUp 0tW�•� Patio 12,Y 23 2-7kX- ? l t wxt—Lr./eA!40 _^ Total ��� � 77 1 ZG ' a ...- 73 xpoV5 t1 l A-IC: to &1( _ BG@ c3 ., s>dzN HAYWATER COVE Iy wwreR R N MAW 0 LAW 79,7 � LAWN FILED MAP: cat Zea LOT 259 AMENDED MAP "A" OF NASSAU POINT AOT TS9 LOFc23B FILED AUGUST 16,1922 FILE NO.156. Q CJ cs LARw w d .tit t on* cv ° ° rt • : i>p G5' CAx!"Rc7S WALK v1 ?.8� ISO rRa 6� tG1Q r } 4.�� errr,tr w,nex e�J 0 c b » 338.00' MON&MDO 0.3W +-4 s 1.Y"S rr fCt $A,7*f - I Asp,wr oomw e TITLE NO. 3149 S 46-42 '30" W 97.40' THE EXISTENCE OF RIGHT OF WAY AND/OR EASEMENT OF RECORD, IF ANY, NOT SHOWN ARE NOT CERTIFIED. BR AjWA T S (sw wlm) ROAD AREA 47852 SF. NOTE: t.UNAUTHORI2ID ALTERNArION OR ADD1710N TO THIS SURVEY IS A VIOLATION GONSTRU 770N DATE. JULY 11, 2014 OF SECTION 7205 OF THE NEM YORK STATE EDUCATION LAR. LAND SURVEYING 2.COPIES OF rNIS SURVEY YAP NOT BEARING rJ?r LAND SURVBrOR'S JNXSD s"I OR EIIBOSSID SIAL SMALL NOT BE C0NStDZMDTO BE A VALID TRUE COPr. 61-5f DRY HARBOR RD. 9.CERTITMA770N INDICATED MEREOV SMALL RUN ONLY TO lVB:PERSON FOR JUDDLE VILLAGE NY It 379 WHOM TNS SURVEY IS PREPARED,AND ON MIs BBNAL TO TAE TITLE COMPANY, TELEPHONE (347) 98t-8435 C0V8R9Y8NrA"AAVCY.JVD LBNDINC lNSTtTUrtON Lamp NSArVA"AND ro TH PAX 347 780-6691 ASSICXEES OF TME LENDIXO INSTITUTION.oZRTLPICATIONS ARB NOT TRANSFBRABLB TO ADDrrroNu 1NsrJrurroxs OR svasBQuENT oIrNBRs: licensed in NY wtd N.1 ' 4..UNDERCR0UND /YPROVBYBNTS OR BNCROACMYENTS, tF ANY, ARE NOT SHORAN NERBON. VILLAGE OF CUTCHOCUE TOWN OF SOUTHOLD CERTIFIED TO: COUNTY OF SUFFOLK IF. FIRST AMERICAN TITLE INSURANCE COMPANY STATE OF NEW YORK 2. JP MORGAN CHASE aAAtKN,A. DISTRICT 1000 3. VINCENT✓.LZOVZ AND PATRICE A.LEONE SECTION 104.00 BLOCK 09.00 ARKADIUSZ JDSIEUA, PLS, LOT 008.000 NEW YORK LICENSE 050385-1 LOCATION: (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: ## STORIES: # EXITS: FOUNDATION: C_ BASEMENT: I��! CRAWL SPACE: # OF BEDROOMS: 1ST FLR: y 2ND FLR: ------7 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: (P 1 f,Alc- PORCH-TYPE: DECK, TYPE: �f41*4ATIO,TYPE: BREEZEWAY: y FIREPLACE: GARAGE: DOMESTIC HOTWATER: � TYPE HEATER: _ AIRCONDITIONING: TYPE HEAT: 644 WARM AIR: HOTWATER: # OF KITCHENS: C FINISHED BASEMENT: YES NO OTHER: 1yA)t1j't 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: INSPECTED BY: DATE OF INSPECTION: L�-- TIME START: 6 0 c END: _ � J