HomeMy WebLinkAboutZ-37891 ' r Town of Southold 11/6/2015
,',moo Gr 53095 Main Rd
W a Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37891 Date: 11/6/2015
THIS CERTIFIES that the structure(s) located at: 125 Private Rd#31, Southold
SCTM#: 473889 Sec/Block/Lot: 77.-3-12.1
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- 37891
dated 11/6/2015 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 screened porch.*(aka 70 Pine Avenue)
NOTE:BP 26416 screened porch addition, fire repair and alteration to dwelling COZ-28324
A Building Permit application has been submitted for a 10 x 14 "as built" shed. A Certificate of Occupancy is required
for this shed after the
The certificate is issued to Hart, Eugene Hart, Anna
(OWNER) ,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
AutruedIn: e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 125 Private Rd#31, Southold
SUFF.CO.TAX MAP NO.: 77.-3-12.1 SUBDIVISION:
NAME OF OWNER(S): Hart,Eugene&Hart,Anna
OCCUPANCY:
ADMITTED BY: Eugene Hart
SOURCE OF REQUEST: Hart,Eugene&Hart,Anna DATE: 11/6/2015
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: Cement Block&Brick CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: Wood Frame PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: Off Boiler AIR CONDITIONING: Yes
TYPE HEAT: Oil WARM AIR: X HOT WATER:
#BEDROOMS: #KTTCHENS: 1 BASEMENT TYPE: Unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
A Building Permit application was submitted for the"as built" shed on 11/6/2015.A Certificate of Occupancy is required
for this shed.
REMARKS:
INSPECTED BY: /GARYF DATE OF INSPECTION: 9/25/2015
TIME START: END:
IasJJS"
Form No.6 110'31"to LI-7- 7 0 3
TOWN OF SOUTHOLD
r
BUILDING DEPARTMENT l _
0-PR Liy
TOWN HALL -44/
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. S e_P-Fern 6 e. // V-s
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1.2.5 (�r r Y wiz R o wJ_ a- 3 i S o u ci I i
House No. Street Hamlet
Owner or Owners of Property: Cluj e n e r. f-I 4_r f a in 4 r„ 4 M4 k-i c.. p--
Suffolk County Tax Map No 1000, Section 7 7 Block 3 Lot 12. 1
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: $
Ar
Applicant _nature
CONSENT TO INSPECTION
EuLN e, 1. &n Z 14-.-.14.- /11 c I-44e ie 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 ti 4' ?,-;y4,4-0 /Qoaa it 3 t •
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 7 7 , Block 3 , Lot 1 z.1 .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
j G4 Fe 04' 0(..�.t.,p4.4,e1 o ?fr - e)c,'Sfi'.,5 v; ld.°HS
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: Sep+e„, I er- / 2C5/ss— � qs/C14,-
(Signature)
ru5ene T. I444'
(Priv Name)
yvs�—
nn (Signature)
n G, 014,-e.
(Print Name)
, yr 1WL J�� 2/ lo\1�hO��OF SO(/ryo \i
/ f,
,45-00
TOWN OF -SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION-
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ I1 LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE,RESISTANT CONSTRUCTION [ I FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ . ODE VIOLATION [ ] C _ G
REMAR S:
/O/;;(/ (
/2X
-
DATE � � /5 INSPECTOR / 1►.' . ' '`
��pF SOUjy®l Town Hall Annex : Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G i
Southold,NY 11971-0959
®lyC®UNri,*�,•'''
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 20, 2015
To Whom It May Concern:
RE: S.C.T.M. #1000-77-3-12.1, Eugene & Anna Hart, 125 Private Road #31,
Southold, New York.
The above parcel is also known as 70 Pine Avenue, Southold, New York.
Respectfully,
Southold Town Building Dept.
NZ.5-nv —P 611'4
Connie Bunch
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Farm • .. Acre Value Per Acre Value FRONTAGE ON ROAD //pi x 72 S / 0 6., - 6- a,
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Tillable 2 DOCK
Tillable 3 .
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LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)' ,
ADMITTED BY: - ACCOMPANIED BY:
- KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: „ , DATE:
DWELLING
r
TYPE OF CONSTRUCTION: # STORIES: - t #EXITS: 3
FOUNDATION: e ' ) Ck— � BASEMENT:EMENT: k CRAWL SPACE: //"
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM:
,sP �L as)PORCH) E: 1 t;, DECK, TYPE: , 46X--)716— PATIO, TYPE: .
BREEZEWAY: FIREPLACE: ` , GARAGE: �®
DOMESTIC HOTWATER: x�S TYPE HEATER: , RCONDITIONING:' . . za-
TYPE HEAT: Olt WARM AIR: HOTWATER:
# OF KITCHENS:"1 07K—
FINISHED
-Q—FINISHED BASEMENT: YES , NO
OTHER:
ACCESSORY STRUCTURES ' IN\ped.s 6P
GARAGE, TYPE OF CONST.: , , STORAGE, .C[-t
TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
FA
MMS gruk) 77 .c/7/43/6/
3p / (5k.,doiwkitJ t Is J
REMARKS:
INSPECTED BY:
�-G DATE OF INSPECTION:
TIME START: END: