HomeMy WebLinkAboutZ-38549 �WFOLIr, Town of Southold 9/28/2016
4 Gy� 53095 Main Rd
C* Southold,New York 11971
o �
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38549 Date: 9/28/2016
THIS CERTIFIES that the structure(s)located at: 20800 CR 48, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 96.-2-6
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- 38549
dated 9/28/2016 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 concrete stoop.*
The certificate is issued to Taylor, Edward
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
/A' thAzed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 20800 CR 48,Cutchogue
SUFF.CO.TAX MAP NO.: 96.-2-6 SUBDIVISION:
NAME OF OWNER(S): Taylor,Edward
OCCUPANCY:
ADMITTED BY: Tyus Gholson
SOURCE OF REQUEST: Taylor,Edward DATE: 9/28/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: concrete block CELLAR: x CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: concrete front stoop DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes-street TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: furnace oil WARM AIR: HOT WATER: oil
#BEDROOMS: 2 #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: MIKEV DATE OF INSPECTION: 8/22/2016
TIME START: 10:12am END: 10:40am
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. gW l L, y
New Construction: r011d or Pre-existing Building: �a (check one)
Location of Property:_ c� g 0 V co���O,d l CAj A-c),0q
House No. i Street Hamlet
Owner or Owners of Property: CAS) aQ-C\- TOL
Suffolk County Tax Map No 1000, Section ® Block QQ o 00 Lot O C)U 0 000
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $
CZE
++ Appli ant Signature
�Ciuor•(± -FQ`/10(-
CONSENT TO INSPECTION
Eawox-6 �0&1 1 r , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s)of the remises in the T wn of
Southold, located at 2.060 0 G�juS` \Roag � � . C.�Ch
which is shown and designated on the Suffolk ounty Tax Map as District 1000,
Section Block 09. 00, Lot 006 0 000).
That the undersigned(has) (have) filed, or cause to be filed, an application in the
. Southold Town Building Inspector's Office for the following: re - X15-\-\r 2_
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: Cllt_
` � 1`.o Ctc QZL
d (Signature)
G� d- (oy
(Print Name)
(Signature)
(Print Name)
KILLORAN LAW, P.C. D IRCEVE
132-13 Main Street Do
Westhampton Beach, New York 11978 AUG ® 4 2016
Telephone: (631)-878-8757
Facsimile: (631) 878-8758 BMWING DEPT.
Electronic Mail: cdklaw@optonline.net TOWNOFSOUTHOLD
August 2, 2016
Town of Southold Building Department
54375 Route 25
PO Box 1179
Southold,NY 11971
Re: Application for CO for Pre-Existing Structure
20800 County Road 48, Cutchogue
Dear Sir/Madam:
Enclosed please fi-nd our client's application for a Certificate of Occupancy, Consent to
Inspect, survey and the required fee of$100.00. To set up the inspection please contact the real
estate agent, Tyus Gholson at 631-655-3386 as he has the keys. If you have any questions feel
free to contact our office.
Thank you for your courtesy and attention herein.
Respectfully,
'stian Killoran, Esq.
Attorney and Counselor at Law
CDK/ajp
Encls.
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SURVEY of PROPERTY
SITUATE
CUTCHOGUE, TOWN OFSOUTHOLD
SUFFOLK COUNTY, NEW YORK
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(75L.IC� 1..���1}D UR
Y[Nr-I _,�1, = Suffolk Tax Map No.: s000-o9600-02oo-oo6000
(COUNTY ROAD 48)
' Always on Point. ROAD
DATE SURVEYED:o7-iz-zoi6
1�'1 I1DLE SCALE: 1"=20'
110 SOUTH 4th STREET
Lindenhurst, New York EDGE OF PAVEMENT
MJScalice@mjslandsurvey.com
P:631-957-2400 F:631-226-2400
SURVEYED BY CS JOB NO S16-D66 NORTHERLY 80. DO '
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GUARANTEED T0: 0.14 ACRE(S)
FIDELITY NATIONAL TITLE INSURANCE COMPANY
DUAL HIGHWAY, LLC
REVISIONS - UPDATES - ADDITIONS l,C� N. 0506$N
DATE: DESCRIPTION: CHECKED BY: LAID
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HORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP
AT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS
SURVEY MAP (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON
STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS,IADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SEi AS PART OF THIS SURVEY. (6)THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS 30
OTAL STATION
OF soup,
16.
cOUNr1Ic
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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Gcv�w!,.. Ow av t�& Al Q o �L
uz- fb y— C 4", 1
DATEII�lqlk INSPECTOR
sou
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enIImmv 0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
( ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: RM(a Not
colAfm
0
DATE A yI INSPECTOR
LOCATION: 4600 6!1A 1z
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): ..
NAME OF OWNER(S): �t!-.�
OCCUPANCY:
(type) (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: v SUPF. CO. TAX MAP'NO. 1000-
SOURCE OF REQUEST: - -' Q.r.,.P.rc., DATE: O o G'
DWELLING
TYPE OF CONSTRUCTION: # STORIES: #EXITS: ?►
FOUNDATION: . C. BASEMENT: CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: Z 2ND FLR: 3RD FLP':
BATHRO'OM(S): I TOILET ROOM(S): UTILITY ROOM: .
PORCH-TYPE: DECK, TYPE: PATIO;TYPE:aw-
BREEZEWAY: FIREPLACE: .�b GARAGE:
DOMESTIC HOTWATER: YPE HEATER: _ AIRCONDITIONING:
TYPE HEAT: WARMAIR: HOTWATER: ' &C�p
# OF,KITCHENS:
FINISHED BASEMENT:- YES NO '
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.. ��� -•�c�
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPT ON ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START/,o• IZ-� END 6!D! fJ