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HomeMy WebLinkAboutZ-37139 S mtr Town of Southold Annex 9/10/2014 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37139 Date: 9/10/2014 THIS CERTIFIES that the structure(s) located at: 5765 Stillwater Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.4-5.1 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- 37139 dated 9/10/2014 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 7796 shed COZ6472; BP 10247 additions including one car garage COZ10090• BP 11316 addition COZ10824; BP 13855 enclose porch& deck addition COZ13882. The certificate is issued to Burrows, Matilda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut ' ed S)6naturkf BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 5765 Stillwater Ave,Cutchogue SUFF.CO.TAX MAP NO.: 137.4-5.1 SUBDIVISION: NAME OF OWNER(S): Burrows,Matilda OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Burrows,Matilda DATE: 9/10/2014 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: Concrete Block CELLAR: 60% CRAWL SPACE: 40% BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: front covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: No GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: Off Boiler AIR CONDITIONING: TYPE HEAT: Oil WARM AIR: HOT WATER: X #BEDROOMS: 2 #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: 9/9/2014 TIME START: 10:30am END: 10:50am acts - 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. 5 �� New Construction: Old or Pre-existing Building: (check one) Location of Property: °J��� ST r ��wh -Q r- A✓, House No. Street J Hamlet Owner or Owners of Property: 0 1/[1''t M �jc� /ZI j 5 Suffolk County Tax Map No 1000, Section Block Lot 6 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: $ Applicant Signature CONSENT TO INSPECTION , the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is)(are) a owner(s)of the re ses in the Town of Southold, located at G5 u,,gt ��/ () �i which is shown and designated on the Suffolk C ty Tax Ma District 00, Section ill Block `'� , Lot S- That the undersigned(has)(have) filed,or cause to be filed, an application in the Southold TownBuilding Inspector's Office for.the following: ®/IJ 1-1401 L. 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'i nspections may be used in-subsequent prosecutions for violations of the laws, ordinances,rules or regulations of the Town of Southold: Dated: �� r , 1 (Signature (Print Name) (Signature) (Print Name) f TOWN OF SOU THOLD PROPERTY,RECORD CARD *Ogg smo c o ►w OWNER STREET VILLAGE DIST. SUB. LO qn0 VrI l�� am �t�t.l�r�c u�� ' I W f five C u FORMER OWNER N E ACR. ll { to c�uS S W TYP OF UILOING r RESSEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS . 600 2 ,300 2200 /2 3 ?/.Z to )fa s-Sot . (.s Pi ,2 oQa o (4 0 0 0 3000 S40. T 6 ;Bo.,,ZP O.a. 16C ? CIT) 641a A`!cam► �'" t �G ,�s ��Y/ /0��'7� ~ �''•�cs1; r�.,��:�v�, r���� �fl,�'°C*. '�` + '" (s J 7 ° ,' t` ► sfx -,�" . �f6��r �4 113/ lr, r_ , •4a00 / -ale. A. 4 j� l Y-r,01 use - urrou)6 4a6i� pry k- Maf r �3U r-roptif rfe4(mos Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH v. �d House Piot BULKHEAD Total i SOMME ■■'�■■■N ■■N■■■■ ■ Ni■iiNiiiii■i■■■■■■ ■■■■■® ®■®■i■i■irii■i■i■■■N■ � ■■■■ M y . „W., ■INNNNNi®iN!Ni■ilii N■NIMMISIMM MM iN■N■N■■ �m ■■N■N■N■i�ii'!'�' N■■ NNNNNN■ IN■■■s■NW■■iN■■U■E■Nr ■��■n �®N■■ ■N■N ■■■■■NNINEMEi CMI NU 'iN■■t . 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SU r i5 PREPARED,AND ON HIS.BEHALF TO THEr TITLE COMPANY,'GOVERNMENTAL AGLRCY AND i tz i LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES Of THE LENDING 1NST1- � ++ "' ` �' ""' '* .+ TUTION.GUARANTEES ARE NOT TRANSEEBA.BLE I TO ADDITIONAL INSTITUTIONS OR SUBSEOUEN' OWNERS. } � XP 4eFn 4 h �y l TILS V i <7 i 1, • 1 _ _. � :wAlAi{OR ZW ALTERATION OR AIID3TiCtl 3 I; 4 TO THIS SUILVEY IS A VIOLAT"Of SECr ON M9 Of Th:NEWYC;M STAli E+DNCATMW LAW. �_ �, •;•_. . r Rf � y.l COM of Tars sralv:rµ,Ea NOT smaFra, i7 TB14 lA.D su.YL*O&'5::e.D S;At OR StfOSSM SEAt SHAu K::T it CQmi6caRT I •7s.,,-: ,2 ..> s r '► !S' - j ULSE A YAlI0'T,UE C7?f:- `~-.•1;... '�''� y'� 1 '�! � i?'f 4I f�ARAt.'TEc5 iP'JI.:K%.D•'.EC.'JN SF�.L'�t RIINY CMY TO THi dE 5 r R .•rhe •!: WRYtY 9 ..•' `�� �\• �� ` tQ:RRErA°FD,A..D J o;:iAlF TO 1W h•_:.`Y _ +^�" +L .' fflQl C.f+� �rg' TOU COAWAKY,a.CY'J'u.A-.�.iA:^"CY ANG; •;� j,_ __7! A 3 L'_NDING IiSi TU'tor_LSis.ric�L Ar4i %`» •A TML ASSiGh'EES OF TrtiE wNDAVG WSiI- ;:-.,.� '�� O'•:.GUARANTEES ARE NOT T.ANW&ASLE ♦DDITIONAL"71;N71QNS Cts SUUIOt*& 5. - -- �9 URROM - 4,g` ,°a`�f `'G � r1T; fes, a u y .T Q s ;kC 'Gs JP3:�r' •y."f, F r t ;` 144 re ''. ^, 5.^ '" t t' ii1 i ,' LOCATION: (number & street) (municipality) SUBDIVISION: _- MAP NO.: LOT(S): . NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: 'W �l! / (,L�d c,�,f ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: # STORIES: jp-a— # EXITS: 3 FOUNDATION: G /� BASEMENT: �� CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): (/ _ TOILET ROOM(S): '" UTILITY ROOM: . P &tuilDECK, T, E. PATIO;TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: CA-S TYPE HEATER: RCONDITIONING: _ TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: — FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES 6P T? 9 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: TIME START: Z© %3Q +*7 END: 10 c��"1