HomeMy WebLinkAboutZ-38251 SUFFpttc Town of Southold 4/22/2016
,'o. �Gy% 53095 Main Rd
c.,o Southold,New York 11971
; 41
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38251 Date: 4/20/2016
THIS CERTIFIES that the structure(s)located at: 55200 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 62.-2-5.2
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- 38251
dated 4/20/2016 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 one car garage under.*
Note:BP 26297 alterations and interior renovations COZ-27352. There are no accessory structures with this building.
The certificate is issued to Southold Historical Soc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut r•r' ed S' atu
•
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 55200 Route 25, Southold
SUFF.CO.TAX MAP NO.: 62.-2-5.2 SUBDIVISION:
NAME OF OWNER(S): Southold Historical Soc
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Southold Historical Soc DATE: 4/20/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: 1 car under
DOMESTIC HOTWATER: yes TYPE HEATER: Natl Grid Gas AIR CONDITIONING:
TYPE HEAT: Natl Grid Gas WARM AIR: X HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 4/13/2016
e TIME START: 9:00am END: 9:20am
. l
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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory buildin: $25.00,Businesses ', 0 I I _
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25 i i 5 n _a_15 1112-;(--
4. Updated Certificate of Occupancy- $50.00 p. VG I r a -_
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.0
Date. 3 - ?S-- 1
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 55:2_O0 h(ao / lfG� / gicr,o0dd
House No. ��DD Street Hamlet
Owner or Owners of Property: 5&t ' , F
Suffolk County Tax Map No 1000,Section � - Block o
‘.Zf
Subdivision Filed Map. Lot: +
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
Applicant Signature
CONSENT TO INSPECTION
Fa
1 , 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 l' Pula- _ G•(���p�,
which is shown and designated on the Suffolk County Tax ap as District 1000
Section 6Z ,Block 2. ,`Lot 5. Z '
•
That the undersigned(has) (have) filed, or cause to be filed, an application in the
• Southold Town-Building Inspector's Officefor-the following: •
in 5 ifh-€ 2. A( z /,11 - e • .
4/ f..tee ,e 1x- C /96'"D •
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: 3
(Signature)
•
• . (Print Name)
• • - (Signature)
(Print Name)
SURVEY OF PROPERTY
• at SOUTHOLD
, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y
1000-62-02-5.2
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—/ PARCEL AREAS 6.0-14.
=MONUMENT J 'A' = 30.281 sq.ft.
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i 'B-2' = 17,428 sq.ft. 1e1 10 -Th"-- -i-i�lcaa
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OF SECTIONd72090F THE NEW YORK STAIESURVEY
E)UCATION LAW. (1/4/4 6p�-`y •-� �I / �.,
ANY D' = 43,163 sq.ft. I / /4 N.Y.S. LIC. Na 49618
EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIfJCARUNS E' = 14,114 sq.ft. '71 t•�'/ )cj PI;,A-t•+ CeyNr._r '•ECONIC ORS, P.C.
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY/F (631) 765-5020 FAX(631) 765-1797
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF DIE"SURVEYOR 1 TOTAL AREA=126,740 Sa FT. P.O. sox 909
*HOSE SIONA7URE APPEARS HEREON. 1230 TRAVELER STREET
OR 2.910 ACRES SOUTNOLO, N.Y. 11971 1 c5-206
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N/F SOUTHOLD HISTORICAL SOCIETY ,
SURVEY OF
DESCRIBED PROPERTY
SITUATE 10 JUNE. 1999
SOUTHOLD, TOWN OF SOUTHOLD SCALE 1"-20'
SUFFOLK COUNTY, N.Y AREA= 14,115044 SF
OR
0.324 ACRES
SURVEYED FOR : SOUTHOLD HISTORICAL SOCIETY
TAX MAP NO
1000-062-03-038
SURVEYED BY ,
Guarantees indicated here on shall run Unauthorized alteration or addition to this STANLEY J. ISAKSEN. JR.
only to the person for whom the survey survey is a violation of Section 7209 of P.D. BOX 294
GUARANTEED TO is prepared,and on his behalf to the the New York State Education Law. NEW SUFFOLK, -NY 11956
title company,Covernental Agency, •
SOUTHOLD H/STOJIICAL SOCIETY lending mshti.Lon,if listed hereon,and 516 i34-.'58-'z /
FIRST AMERICAN 717LE INS CO. to the assignees of the lending mstitutson
`
Copies of
TOWN OF SOUTHOLD Guarantees are not tronsfcrcble to f �1/J�p
this survey map not bearing _ .,_ /
additional institutions or wbsequunf ownerw the it Land Surveyors embossed seal shall LICENSYD:L-AND-S( 'VEYOR
not be considered to be a valid true ` -
' copy. NYS LIC NO 45273
99R806
ji/. ,
LOCATION: , .
(number & street) (municipality)
I ,
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
TYPE OF CONSTRUCTION: WJ\ •STORIES: OX-e._- #EXITS:
--,...„4 NFOUNDATION: c41��i'� c/ BASEMENT: �� CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: .3 2ND FLR: — 3RD FLR: -`
BATHROOMS) ! TOILET ROOM(S): r UTILITY ROOM: ~----
PORCH TYPE: DECK, TYPE: , PAT YPE:
BREEZEWAY: . • FIREPLACE: s GARAGE: /&M... C+A 442.-e
•
DOMES C HOTWATER .0 TYPE HEATER: /�9y'L .. 2-et.)ASI CONDITIONING: r-'
TYPE HEAT: N 61,-/f: WARM AIR: ' HOTWATER:
# bF KITCHENS O1 .-2. f •
FINISHED BASEMENT: YES NO
OTHER: '
.
ACCESSORY STRUCTURES a9AiI-4 172 V 1,(4),<„,a5
•
GARAGE, TYPE OF CONST.: i STORAGE, TYPE CONST.:
SWIMMING POOL: , , GUEST, TYPE CONST:
OTHER: 4
1
VIOLATIONS: CHAPTER 144 &N.Y. STATEUNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION , DESCRIPTION ART. SEC.
0644-4e4
r31 /44
-
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x , iv
tk
REMARKS:
INSPECTED BY: ) --144
DATE OF INSPECTION: lt34
TIME START: ; END: 97/
. ,