HomeMy WebLinkAboutZ-37614No: 37614
Town of Southold
53095 Main Rd
Southold, New York 11971
6/19/2015
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 6/19/2015
THIS CERTIFIES that the structure(s) located at: 285 N Oakwood Dr, Laurel
SCTM #: 473889 Sec/Block/Lot: 127.-7-18
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-
37614
dated 6/19/2015 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 Second Floor Storange, Front Stoop and Brick Patio. *
Note: BP 21395 Repairs/Alteration CO Z-22646; BP 39866 As Built Deck CO Z-37615
The certificate is issued to Buthorn,
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aute r ed 3ignature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 285 N Oakwood Dr, Laurel
SUIT. CO. TAX MAP NO.: 127.-7-18
NAME OF OWNER(S): Buthorn, Dorothy
OCCUPANCY:
ADMITTED BY: Dorothy Buthorn
SOURCE OF REQUEST: Buthorn, Dorothy
DWELLING:
# STORIES: 1 1/2 # EXITS:
FOUNDATION:
BATHROOM(S): 1
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Natural Gas
# BEDROOMS: 1
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
REMARKS:
3
Cement Block
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
SUBDIVISION:
DATE: 6/19/2015
CELLAR: Full CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE: Brick (side)
GARAGE:
Electric AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: Unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
INSPECTED BY: GARYF DATE OF INSPECTION:
ti
TIME START:
6/5/2015
END:
s�c�- �.sc�- s��•7
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT n
TOWN HALL
765-1802 J u I
APPLICATION FOR CERTIFICATE OF OCCUPA uY MAY 2 7 2015 1
This application must be filled in by typewriter or ink and submitted to the Building De artmertt-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
New Construction:
Location of Property
Date.
Old or Pre-existing Building: (check one) `
c"/ 6S
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ �IDO ,
i a -7 Block
Filed Map.
Applicant:
Underwriters Approval:
Lot /2
Lot:
Final Certificate: (check one)
Applicant S nature
I
CONSENT TO INSPECTION
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 fy o � � Q�m LaAM
which is shown and designated on the Suffolk County. Tax Map as District* 1000,
Section. , Block , Lot.
That the undersigned (has) (have) filed, -or cause to. be filed, an application in the
Southold Town Building Inspector's Offiice for,Ale following:
That the undersigned do(e's)-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 a aforesaid application, including inspections to determine that said premises
complywith all of the laws, ordinances, rules acid regulations �of the Town of Southold. .
The undersigned, in consenting to such inspections, do(es) 'so with the knowledge
and understanding that anyinformation obtained in the conduct of such inspections.may
be used- iii -subsequent .prosecutions for violations of the laws, ordinances, rules or
.. regulations of the Town of Southold:
Dated:®:�5
(Signature)
(Print Name)
7- TOWN OF OUT OL PitOPERTY -RECORD CARD
OWNER
FRONTAGE ON WATER
Form Acre Value Per Acre
STPEET2.F!5-.
FRONTAGE ON ROAD 0 'y L
VILLAGE
DISTRICT
SUB.
LOT 9,7
�L)DT-QAQ
A,.AtAh_0rP
%Nfoodland
1,vt
00
Swampland
Brush[and
OPJ%A 04A1LAqER
House Plot
N
E
ACREAGE
Total
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ii -ti 0,
- Fs—
w
TYPE OF BUILDIN
RES.
SEAS.
VL.
FARM I
comm. IND. I CB. misc. I Est. Mkt. Value
LAND
lmp
TOTAL
DATE
REMARKS
1700
J •_�uvAc
-
Jo j G. &44 54 r 414no, /,/�
In
L/ ci
o
6 6,
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to
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FRONTAGE ON WATER
Form Acre Value Per Acre
Value
FRONTAGE ON ROAD 0 'y L
Tillable I
BULKHEAD
_T
Tilloble 2
Tillable 3
DOCK
%Nfoodland
Swampland
Brush[and
House Plot
Total
V. Bldg. Foundotion
Basement
asement
�6-s �11- Ext. Wal Is
Extension I -z t 3,5-0 ;q 10
extension i
I II Fire Race -Z 3- 4
Breezeway i patio
moorage
B'.
e
Porch
Porch
'P
'Both
Floors
Interior Finish
Reat
Roof Type
Rooms I St Floor
s Rooms 2nd Floor I
h
Dormer
z
NORTH OAKW00D ( 40- WIDE).ROAD
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4200
274'
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80.00'
W.S.
27
FEivcE O.3'G.
N. /90 24'/0" W.
MAP OF LAURELWOOD ESTATES
o.3 n/.
o.3 -e.
1).HD,-J.280.00'
X0.5 S.
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SURVEY OF LOT # 27 MAP OF LAUREL PARK
FILED : OCT. S, 1925 - FILE No. 2/2
SITUATED AT LAUREL, TOWN OF SOUTHOLD, SUFFOLK COUNTY,, N. Y.
6!J.4,o4A)TESc.
ED T.^� $�TTO��' 4A:VD q✓iceS , 4LO
UN/ TED G ENE/PAL T/TGE /NSU,4AA/CE CO*IPAA/Y
,90ROTN y A . aL,11- 0RIV
DMA ITS SUCCE550)PS ANO/0,4 ASSIGNS
EASEMENTS AND/OR SUBSURFACE STRUCTURES.
RECORDED OR UNRECORDED ARE NOT GUARANTEED
UNLESS PHYSICALLY EV/DENT ON THE THE PREM/SES AT
THE TIME OF SURVEY.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM
THE PROPERTY LINES TO THE STRUCTURES ARE FOR
A SPECIFIC PURPOSE AND USE. THEREFORE. THEY
ARE NOT INTENDED TO MONUMENT THE PROPERTY
LINES OR TO GUIDE THE ERECTION OF FENCES.
ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT.
SURVEYED DEC • 13 , 2oof)
SCALE- / ' - 30'
(Zi
HARRY P. HILLEBRAND
SUFFOLK COUNTY TAX UAP LAND SURVEYOR
DISTRICT SECTION BLOCK LOT I / CHURCHILL LANE. SMI THTOWN. NEW YORK
1000 /27 7 /B TEL. (63/) 543-5/39
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TOWN OF- S OLD 131
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765-1802
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]FOUNDATION I ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTANT -CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIO$
'A
� !IOIL
REMARKS:
NG DEPT.,
ROUGH PLUMBING
INSULATION -
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
CAULKING
't
DATE- -INSPECTOR
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: _ LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner -tenant) -
ADMITTED BY: t _ ACCOMPANIED BY: `
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: #STORES: �%��.A— # EXITS:
FOUNDATION: (._ . BASEMENT: `-c CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR:. M&k 3RD FLR:
BATHRO-OM(S): L-- TOILET ROOM(S): UTILITY ROOM:
r-
PORCHvTYPE: DECK, TYPE: PATIO; TYPE:
BREEZEWAY:. FIREPLACE: i "d GARAGE:
DOMESTIC HOTWATER: 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.:
SWIMMING P'O'OL:
OTHER:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
•DgSCRIPTION
REMARKS:
INSPECTED BY:
DATE OF INSPECTION: f—
TIME START: END: