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Home My WebLink AboutZ-37657No: 37657 Town of Southold 53095 Main Rd Southold, New York 11971 7/14/2015 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 7/14/2015 THIS CERTIFIES that the structure(s) located at: 140 Founders Path, Southold SCTM #: 473889 Sec/Block/Lot: 64.-2-27.1 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- 37657 dated 7/14/2015 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 enclosed rear porch. Storage shed in need of repair. * Note: BP 37262 - Electric Service C/O Z-35802 The certificate is issued to Widirstky, Betsy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut ' ed ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 140 Founders Path, Southold SUFF. CO. TAX MAP NO.: 64.-2-27.1 NAME OF OWNER(S): Widirstky, Betsy OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Widirstky, Betsy DWELLING: # STORIES: 11/2 # EXITS: 2 FOUNDATION: cement block BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: 4 OTHER: 2 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: TOILET ROOM(S): DECK TYPE: FIREPLACE: yes TYPE HEATER: WARM AIR: # KITCHENS: 1 SUBDIVISION: DATE: 7/14/2015 CELLAR: full CRAWL SPACE: UTILITY ROOM(S): PATIO TYPE: 1 GARAGE: oil AIR CONDITIONING: HOT WATER: yes BASEMENT TYPE: unfinished STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: dilapidated shed 302.7 ACCESSORY STRUCTURES. ALL ACCESSORY STRUCTURES INCLUDING DETACHED GARAGES, FENCES AND WALLS, SHALL BE MAINTAINED STRUCTURALLY SOUND AND IN GOOD REPAIR REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 6/29/2015 TIME START: 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 New Construction: Location of Property Date. .6 Liplic- Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 4 � Block Subdivision rM-aiwit-S F si-w_.t—dc-j Filed Map. Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ 00 Applicant: Underwriters Approval: Lot �a-7> J Lot: Final Certificate: (check one) kpplicant X4;-�Kr s 1 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 / V�O b . Len pclla which is shown and designated on the Suffolk County Tax Map as District 1000, Section, Block -_, Lot 27, / That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Ry-, <f �l 0 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: 43 1o1,0 -61S- ✓ 1 (Riabbimm) m __ V 1 , - OF SOUTHOLD PROPERTY -jRR-C--0RD CARD - OWNER STREET VILLAGE DISTRICT SUB. LOT RMER OWNER F!(Dro �'.Ij "(A U 6 VA N pe- 1 I 000) E 1;nl-'k-VtAers' A ACREAGE 0, 1 S I W -- TYPE OF BUILDING RES. SEAS. VL. FARM comm. I IND. I CB I I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 03L B-21 1YIS4 64 10 i z n zsi-:: � "r; Inn s�oo Z412 -103- ---AGE B ,N&CCIAt'gN2 'I 2-!-.j . Al AB E LO ZfEZVE FRONTAGE ON WATER Form Tillo Acre Value Per Acre L+77 00 Value TU b-11 Y FRONTAGE ON ROAD 7 J BULKHEAD Tillable 2 DOCK Tillable 3 2)E),no Woodland Swampland Brushland House Plot Total *d 2� _ ; . •\ �� / 7� � ~� < � . � . \ .� . � .z �� ka2i � ��; a. �\��—�ƒ\�: . « .. �� a� . , d q ;D nN_ e WAY �C N ;AlQ Z7 9'�.,;o l� "7'/2'st�2Yty �ll - U a -BRIG-Cj F1E FrAQ,- EL'27, PITOIf i; fel 1 `� �. Lm ". G f 142.98 I ' I I �uNulCIQ �O•CLEf21L'� �,5) A ,\' �- o• • • a a• f — PaQCEL 421-9.1 �7 .ru ,• � o ,,z m _ Ul,O 500 E_ _—_I— _ i1 .-Ta WAY �C N ;AlQ Z7 9'�.,;o l� "7'/2'st�2Yty �ll - U a -BRIG-Cj F1E FrAQ,- EL'27, PITOIf i; fel 1 `� �. Lm ". G f 142.98 I ' I I �uNulCIQ �O•CLEf21L'� �,5) A ,\' fjf so CPU I TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION I'ST ROUGH PLUMBING FOUNDATION 2ND NSULATION FRAMING/ STRAPPING /]FINAL I p!� GD I FIREPLACE & CHIMNEY FIRE. SA ETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION CAULKING REMARKS: DATE— �/191[:C--INSPECTOR ( I ( LOCATION: (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:h4*1F-L# STORIES: # EXITS: FOUNDATION: BASEMENT: CRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR:. . BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH.TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY:'.FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: e.( SWIMMING P'O'OL: GUEST, TYPE CONST: . OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE • •DESC PTIONi !!'-� r ls..i� rLt��j�I�1l:�°1 Jlil��l:I=; l�� !a: � Zji w1�1 f•' .-�� . • REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START:. END: