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Home My WebLink AboutZ-38474 so F04 Town of Southold 8/25/2016 �yo� OGS 53095 Main Rd G„ Southold,New York 11971 o � S PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38474 Date: 8/25/2016 THIS CERTIFIES that the structure(s)located at: 8440 Oregon Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 95.4-8 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- 38474 dated 8/25/2016 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 screened porch, accessory two car garage and accessory chicken coop.* Note:BP 40860 "as blt"deck with ramp COZ-38472. The certificate is issued to Helinski,,Karen Domaleski, John (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ' ed Signatur BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 8440 Oregon Rd,Cutchogue SUFF.CO.TAX MAP NO.: 95.4-8 SUBDIVISION: NAME OF OWNER(S): Helinski,Karen&Domaleski,John OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Helinski,Karen DATE: 8/25/2016 DWELLING: #STORIES: 1.5 #EXPTS: 3 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: screened DECK TYPE: see BP40860 PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: superstore AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: x #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 2 car STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: chicken coop VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 5/11/2016 TIME START: END: CONSENT TO INSPECTION i I � (�r-e✓t I-fe t f r-Sl2 TJhn EJO�,�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 9-4 -0 Cr ace o-d. 4 --A-o w Ny, which is shown and designated on the StWfolk County Tax Map as District 1000, Section 95, , Block - �-f� , Lot — S That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: r2 cR Lu S•}- mar G�, Cer t Fi-cmk- oP Gcc v�ntc M 1947 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: ,rj I Zg ZOI Co (Signature) (P Name) (Signature) (Print Name) �� Sf30 , 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 Date. A fr;1 -2-n 2-®i New Construction: Old or Pre-existing Building: \/ (check one) Location of Property: Q Y2q tin ;LogA (.t 1-rh COF24 2' N -y• House No. `` Street Hamlet Owner or Owners of Property: KpC n - �-�!e ,S IG,' Q'oh vi ('onna-le S i< Suffolk County Tax Map No 1000, Section q 5, Block 9 Lot 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 " TOWN OF SOUTHOLD PROPERTY RECORD? CARD �,r OWNER STREET � tq � VILLAGE DISTRICT SUB. LOT a1 FORMER OWNER ACREAGE �. g W S —.=� .�f :�- l ;t �C,��'•.�� jzc_!L� � Nay'��.� � TYPE OF BUIL©JNG - �1 RES_A.Ij SEAS. VL. FARM comm. I IND. - I CB, I MISC. I o LAND IMP. TOTAL DATE REMARKS CIO CIO --- 0 CIO AGE BUILDING COND'ITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable T m � n Lo Tillable 2 M Tillable, 3 LO Wcodland Go - -- - —- — Swampland 00 m - Brushlond n Lo - - -- -- House Plot m N 0 Total l `-� -ti y - ■rM■■■ORNEWRii■■■■■■ ■■■■■■'■M■■ARIEN ■■■■ ■■■■■■■I�r■■i�� ■■■■ ■■■■EMAINUi■■R■■■i■■■ ■■i■■■■■■e■■N■■■■■■■ 7 ? M■M■■■EVan■■■■ME■■ ■■■■■■■■■■■■■■ indation mm . • • f ., Interior I r■ T l SURVEY OF PROPERTY AT MATTITUCK < TOWN OF SOUTHOLD �o \\ SUFFOLK COUNTY, N.Y. o^ \ � 1000-95-04-08 SCALE`1'=30' FEB 18,2016 o� „�Otl aQ6 °•\ ��go�p�.� ¢� o ti�9 \a 4y Fyo6 4" \ 0 °o as 4 yhti39 y�\�g51 IO��,00Q� 6S��P1eT�}C•Q• pf "• 49018 cR' N Y LIG NO. 49618 ■ MONUMENT ,�Q ANY ALTERARON OR ADDIRON TD THIS SURVEY IS A WOTA17ON C0(U YORS, P.0 REBAR SET OF SECRON 72090E THE NEW YORK STATE EDUCATION LAW (6 -5020 FAX(631) 765-1797 EXCEPT AS PER SECRON 7209-SUBDIWWON z ALL CERTIFlCARONS P 0.BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF A OC A-ieT�Aq�.R. SAID MAP OR COMES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 15-217 AREA-18,M3 REE IV 1 3 1 ' WHOSE gdJATORE APPEARS HEREON SOUTHOLD,N.Y 11971 LOCATION: (number & street) (municipality) SUBDIVISION: _ MAP NO.: _ LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILA13LE: SUFF. CO. TAX MAP*NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE,OF CONSTRUCTION: _ tf�. # STORIES: �� EXITS�c .,33 -- FOUNDATION: BASEMENT: "_ CRAWL SPACE: r � # OF BEDROOMS: 1ST FLR: ' / 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S)T UT I R00 PORCH.TYPE: = DECK, TYPE- � � ATT ; YPE: p BREEZEWAY: FIREPLACE. GARAGE: DOMESTIC HOTWATERR: 6f TYPE HEATER: NDITIONING: °—'-- TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS:-'l. a7ee FINISHED BASEMENT:- YES NO OTHER: b ACCESSORY STRUCTURES GARAGE TYPE OF CONST STORAGE, TYPE CONST.:d7( SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STAT&UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ,.� REMARKS; INSPECTED BY: TDATE OF INSPECTION: l! /� C, �E START END: