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Home My WebLink AboutZ-37554Town of Southold 5/14/2015 53095 Main Rd Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37554 Date: 5/13/2015 THIS CERTIFIES that the structure(s) located at: 165 Rogers Rd, Southold SCTM #: 473889 Subdivision: Sec/Block/Lot: 66.-2-22 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- 37554 dated 5/13/2015 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 with front covered porch, rear wood deck, outdoor shower stall and attached shed with washer and dryer. * Note: BP 15364 foundation under existing dwelling COZ-17965 The certificate is issued to Zimmer Jr, Harry (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. -",� / -Xle� I A or' ed S gnature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 165 Rogers Rd, Southold SUFF. CO. TAX MAP NO.: 66.-2-22 NAME OF OWNER(S): Harry C. Zimmer, Jr. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Zimmer Jr, Harry DWELLING: # STORIES: part 2 sty # EXITS: FOUNDATION: Cement Block BATHROOM(S): 2 TOILET ROOM(S): PORCH TYPE: Front Covered DECK TYPE: BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: TYPE HEATER: TYPE HEAT: Electric WARM AIR: X # BEDROOMS: 3 # KITCHENS: 1 OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL:. OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF SUBDIVISION: DATE: 5/13/2015 CELLAR: Full CRAWL SPACE: UTILITY ROOM(S): Rear Wood PATIO TYPE: Rear Slate None GARAGE: Electric AIR CONDITIONING: HOT WATER: BASEMENT TYPE: Unfinished STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: DATE OF INSPECTION: 5/12/2015 TIME START: END: Form No. 6 L) ! TOWN OF SOUTHOLD I ' i ! BUILDING DEPARTMENT U MAY -) 2015 I TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU ANCY 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.op of f -Certificate of- ccuparicy _ 25 4. Updated Certificate of Occupancy - $50.00 New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ,:66_ Block Lot Subdivision Filed Map. Permit No. Date of Permit. Applicant:. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Lot: Final Certificate: (check one) Hamlet Z� r) F 1,f Ef [� U CONSENT TO INSPECTION PU MAY - 7 2015 +; i `q :Ij'i-'ihe undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the vremises in the Town f Southold, located at which is shown and designated on the Suffo ounty Tax Map as District 1000 Section� Block 7/ ,Lot. That the undersigned (has) (have) filed, -or cause to. be filed, an application m the . � pp. Southold Town. -Building Inspeotor's Office for,•the following- That ollowing That the undersigned do(es).hereby give consent to the Building Inspectors'of the - Town of Southold to enterup*the above described property, including any and all buildings located thereon, to conduct such -inspections as they -may deem necessary vnth_ -- - respecto the aforesaid application, including inspections to determine that said premises comply -with all of the laws, ordinances, rules aril 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 suchl4spectiuns.may be used in -subsequent. prosecutions for violations of the laws, ordinances, -es' regulations of the Town of Southold" i e) tint .Name) (Signature) (Print Name) TO1l N OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE; DIST. SUB. LOT' / d r r :FORMER WNER N E ACR. S W TYPE OF BUILDING r . RES. -?46 SEAS. VL. -FARM COMM. CB. MISC. Mkt. Value LAND IMP.. TOTAL DATE REMARKS V 0.+" �G�f' J, Juib T5;!'i". /'t7tf!7tfC.'T/Uif ��C f1fJ -� ✓ - P' t O ca 2� C AGE BUILDING CONDITION NEW NORMAL. BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodiand Swampland ,' FRONTAGE ON WATER Brushland FRONTAGE ON ROAD /00/9.X, House Plot DEPTH , BULKHEAD Total DOCK is MW 1, -- , I MENNEN NONE MENNEN EMMMEMMMMENMMMMMMM■ MMMMMNMMMMMMEMMMMMM "X. ONE 9 W30MEEMEMENMEMEMEME Pon M-IM■EMEEMMEME■ L ARNM R MMENVE MEN WE WE ■MENAN EMMEEMS MEME-13sm— MMENMEN ONO OMEMMEMEMENEMEMENE1 NNEENNIONEEMENNEENE Found Basement Ext. Wa I Is Interior Fi��sh Fire Place Rooms I st Floor Recreation Roo Porch.e - - Breezewo� Garage Patio S.C.T,M. 110. DISTRICT: 1000 SECTION: 66 BLOCK: 2 LOT(S): 22 ORCHARD ROAD 0 LOT 1 /CURB 0.5'N N60'20'40 "E PIN O O O It ASPHALT DRIVEWAY -41.0'— LOT 12 WOOD LOT 2 169.01' n ❑ n ❑ 5.5'S 6' STOCKADE FENCE 5.3'S d 22.3"_ U C, o 2 STY o N, OUTDOOR 7.0'.. -. – SHOWER _ 1311CO o 12.0'. .1.7' STYFRM. DWELLING'-# 165 �K til PIPE LOT 5 ROOF OVER--- ' I� z 2. d S�r�Jk) o" LOT 6 °i 3D m cl o - > O 0 O m 4.3'N 5LSTOCKADE 4.8'N p 0. i'W MON THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL MON. S60'20'40 "NT LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS 163.00' 4' STOCKADE o O AREA: 16,600.4B SQ. FT. or 0.38 ACRES I ELEVATION OAT✓M: ------------ __--_-__--- LOT 11 UNAUTHORIZED'AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN w o O LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES APE NOT TRANSFERABLE: w THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES APE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS ANO/OP SUBSURFACE STRUCTUP.ES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 12 CERTIFIED TO: WILLIAM M. O'HARA: MAP OF: BEIXEDON ESTATES KAREN M. O'HARA; u. P. FILED: MARCH 16, 1946 NO. 1472 WELLS FARGO BANK, N.A.; SITUATED AT: SOUTHOLD FIDELITY NATIONAL TITLE INSURANCE ASPHALT DRIVEWAY -41.0'— LOT 12 WOOD LOT 2 169.01' n ❑ n ❑ 5.5'S 6' STOCKADE FENCE 5.3'S d 22.3"_ U C, o 2 STY o N, OUTDOOR 7.0'.. -. – SHOWER _ 1311CO o 12.0'. .1.7' STYFRM. DWELLING'-# 165 �K til PIPE LOT 5 ROOF OVER--- ' CO/VC.- c 2. d 6.4 "'1 O o" LOT 6 °i 3D m cl o - ^1 D 0 O m 4.3'N 5LSTOCKADE 4.8'N p 0. i'W MON THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL MON. S60'20'40 "NT LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS 163.00' 4' STOCKADE 1.6'S AND OR DATA OBTAINED FROM OTHERS. 0.5'W AREA: 16,600.4B SQ. FT. or 0.38 ACRES I ELEVATION OAT✓M: ------------ __--_-__--- LOT 11 UNAUTHORIZED'AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES APE NOT TRANSFERABLE: THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES APE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS ANO/OP SUBSURFACE STRUCTUP.ES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 12 CERTIFIED TO: WILLIAM M. O'HARA: MAP OF: BEIXEDON ESTATES KAREN M. O'HARA; FILED: MARCH 16, 1946 NO. 1472 WELLS FARGO BANK, N.A.; SITUATED AT: SOUTHOLD FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; TOWN op: SOUTHOLD KENNETH M WOYCHUIC LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK _I Professional Land Surveying and Design P.D. Dox 153 Aquebogue, New York 11931 1 ` PHONE (831)298-1500 FAX (631) 298-1508 FILE # 15 34 SCALE; 1=2O'DJ ATE: MAY 015 , N.Y.S. IISC"NO. 050882 -g -y 3'x.—M M.-WaycLuk LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: _ LOT(S): NAME OF OWNER(S): F OCCUPANCY: type) (owner-tenarit)- ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE: SUFE. CO. TAX MAP *NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: STORIES:— # EXITS: FOUNDATION: L BASEMENT: CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: �', 3RD FLR: BATHROOMS)2—. PORCH TYPE: r— BREEZEWAY: TOILET ROOM(S): DECK, TYPE: FIREPLACE: " A� DOMESTIC HOTWATER: _ TYPE HEATER: UTILITY ROOM: . PATIO; TYPE: &442 GARAGE: AIRCONDITIONING: TYPE HEAT: u -AIM AIR: HOTWATER: 4 OF KITCHENS: �T . FINISHED BAS 1Tr YES NO CS•� ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: rTT11 .CT `VPv rnuc r. VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: S/1:41 G l TIME START:. END;