HomeMy WebLinkAboutZ-37402Town of Southold Annex
54375 Main Road
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37402 Date: 1/30/2015
THIS CERTIFIES that the structure(s) located at: 49700 CR 48, Southold
SCTM #: 473889 Sec/Block/Lot: 55.-3-4.4
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-
37402
dated 1/30/2015 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 and accessory barn. *
NOTE: BP 17571 addition to dwelling COZ-19456; BP 39497 as built BP 17571 addition to dwelling COZ-19456; BP 39497 as built ingound swimming COZ-37401.
COZ-37401.
The certificate is issued to Kerbs, Jon & Kerbs, Janis
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 49700 CR 48, Southold
SUFF. CO. TAX MAP NO.: 55.-3-4.4 SUBDIVISION:
NAME OF OWNER(S): Kerbs, Jon & Kerbs, Janis
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Kerbs, Jon & Kerbs, Janis
DWELLING:
# STORIES: 2 # EXITS: 4
FOUNDATION: Cement Block
BATHROOM(S): 3 TOILET ROOM(S):
PORCH TYPE: wrap around DECK TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC HOTWATER: Yes TYPE HEATER:
TYPE HEAT: Nat. Grd Gas WARM AIR: X
# BEDROOMS: 4 # KITCHENS: 1
OTHER: --- --
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF
DATE: 1/30/2015
CELLAR: Full CRAWL SPACE:
1 UTILITY ROOM(S):
PATIO TYPE:
1 GARAGE:
Nat Grid Gas AIR CONDITIONING:
HOT WATER:
BASEMENT TYPE: Unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
DATE OF INSPECTION:
TIME START:
Accy. Barn
1/21/2015
END:
Ck,n
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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 I% 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. ,Nr 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. l
New Construction: Old or Pre-existing Building: (check one)*
Location of Property: h�97a
House No. Str et Hamlet
Owner or Owners of Property: U-- C� J 5
Suffolk County Tax Map No 1000, Section Block 3 Lot L
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: $
A plicant Signature
CONSENT TO INSPECTION
ov,.- , k-�e 4- L
Owner(s) Name(s)
the undersigned, do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 5 5 , Block _ ,'Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
�d Town-Byilding Inspector's Office for. the following:
-`r Vc.-.r !- —
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
complywith 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: ,� J
(Sign tore)
(Print Name)
(Signature)
(Print Name)
f !
TOWN OF SOUTHOLD PRQPERTT RECORD CARD
A . -' ►4,1.14
OWNER
STREET VI GE
DIST
SUB' LOT
� fes.
FORMER OWNER
N
vtzt,
44
S
BUILDING
\RES. 1 1� �
SEAS.
VL. �
FARM
COMM. CB. aiu`e'
LAND
IMP.
TOTAL
DATE
REMARKS
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AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Value
Acre.<.
Tillable
FRONTAGE ON WATER
FRONTAGE ON; ROAD
Woodland
Meadowland
DEPTH
House Plot
Alf ��
BULKHEAD'
DOCK
Total
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97,82-7 SF. 1NCL.25'5Tt2.ii'
!. LOT N05, fwE:FQ-rU MAP OF t4,
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r rnn 72m the Now York ftm
r.�ccatian,
Cop" of thi " nW rad bea ft
a lands it rot bewnsside W
be a valid cvy<
Guarantees imi otedt hereon shall full
efoy to the iso for, vdwm thesurvOT
ie preparadr and on hismea 1 lf ago the aril
listad hereon and
to the assignOm of the iandifag insti-
o ton. Guarantee$ are not transferable
tr' additional irwtitu or subsequent
;'Yfr.;"ai'
APPROVED BY
PLANNING BOARD
TOWN OF SOUTHOLD
DATE _ WUN _
MAY 1 U 1988
AN
•
•
LOCATION: </Y 1 da
(number & street) (municipality)
SUBDIVISION: MAP NO.: _ . LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner -tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFE. CO. TAX MAP'NO.1000-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: # STORIES: # EXITS: V
FOUNDATION: r� ��/�— BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR:.3.. 3RD FLR:.
BATHROOM(S): 3 TOILET ROOM(S): � UTILITY ROOM: .
PORCH.TYPE: V&rh DECK, TYPE: PATIO; TYPE: �+
BREEZEWAY: FIREPLACE: �!_.. GARAGE:
Q C"15 -
DOMESTIC HOTWAMTYPE HEATER: i (�AiRCONDITIONING:
TYPE HEAT: /V�7 &12 WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
r
GARAGE, TYPE OF CONST.:STORAGE, TYPE CONST.: 20x30 /06?
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTIONI ART. I SEC.
REMARKS:
INSPECTED BY:
DATE OF INSPECTION: /4-///
TIME START:. END: