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Home My WebLink AboutZ-38571 �EEQt�� Town of Southold 10/11/2016 �4 oGg 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38571 Date: 10/11/2016 THIS CERTIFIES that the structure(s)located at: 3105 Sigsbee Rd, Laurel SCTM#: 473889 Sec/Block/Lot: 126.-6-6 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- 38571 dated 10/11/2016 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 cement patio.* Note:BP 41067 "as built"deck with outdoor shower stall addition to dwelling COZ-38570 The certificate is issued to O'connell, Patricia Treder, Elinor (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 6- J� th ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3105 Sigsbee Rd,Laurel SUFF.CO.TAX MAP NO.: 126.-6-6 SUBDIVISION: NAME OF OWNER(S): O'connell,Patricia&Tredor,Elinor OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: O'connell,Patricia DATE: 10/11/2016 DWELLING: #STORIES: 1.5 #EXITS: 3 FOUNDATION: cement block CELLAR: 3/4 CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: cement BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: Natl. Grid AIR CONDITIONING: TYPE HEAT: Natl Grid 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: JOHNJ DATE OF INSPECTION: 9/13/2016 TIME START: END: 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 I%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. � .3 New Construction: Old or Pre-existing Building: (check one) Location of Property: J® House No. Street Hamlet � Owner or Owners of Property: Suffolk County Tax Map No 1000, Section I �- (o Block (,p Lot 6:1 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: $ Applicant Signature CONSENT TO INSPECTION �{ jt2IUADICotSOCr-LL.4 FjwI Gl2 t-MO-,the undersigned, do(es)hereby state: Owner(s)Names) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 31D5' S IGSP,4-7-E e-D , Vhkm-m CIL OY j which is shown and designated on the Suffolk County Tax Map as District 1000, Section I Z(p Block��,Lot( . That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Buildi g Inspector's Office for the following: L� 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: --� (Signature) FATAVA G'Cac WGA Pr' t- imeL (Sign u au ca2 (Print Name) DE SO�T�o�O �y00UM'l,Nc� 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: 0 L LJ&3 -s 'mac WA �✓� DATE �o . 3 INSPECTOR eonrT�� 1 S'ismk�ti-Ald4- [ , SOF SOUly o� °r �ycOUPdiY�� Az4j�—, TOWN OF SOUTHOLD BUILDING DEPT. 765-1502 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: A re d f r< o� DATE / INSPECTOR LOCATION: 116C SI b-W aO4'8r (number k street) (municipality) SUBDIVISION: MAP N 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: STORIES: �y #EXITS: FOUNDATION: � � BASEMENT: - CRAWL SPACE: # OF BEDROOMS: 1ST FLR: 2ND FLR: 3 3RD FLR: BATHROOM(S): TOILET ROOM(S):" " UTILITYOOM: �J PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY. FIREPLACE: _ GARAGE: DOMESTIC HOTWATER S TYPE HEATER: /y4'T(_ C�j��AIRCONDITIONING: TYPE HEAT: 1) WARM AIR: HOTWATER: # OF KITCHENS: X-1 FINISHED BASEMENT: YES NO OTHER: 'cc f ACCESSORY STRUCTURE GARAGE, TYPE OF CONST.. STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N,Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. T CA&U '� n ,( ✓ REMARKS: INSPECTED BY: w DATE OF INSPECTION: ® /� TIME START: 1! r.0'0 END: r TOWN OF SOUTHOLD -PROPERTY RECORD CARD OWNER STREET I �� VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. 210 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2"*, 11- :7 /Z7 Z-L ® U 30 3 od 11241.101 0o �C �C/ ~?d "d U ( l/E r/1 2. ".w^. �-� �Z l Cf�v )n 4 �Ie/ t � a 42 AGE 7 BUILDING CONDITION NEW NORMAL BELOW- `_ ABOVE - FARM Acre Value-Per Value Acre L&r m4 1 Tillable 1 Tillable 2 Tillable 3 ,Noodland = 3wampl,and FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD i -louse Plot DEPTH BULKHEAD V,, rt,--/( dotal DOCK mom moon MEN NOME ■■■■■En ■■■■■■■■■■■ME MEN MENEM ■■ .. _ :F1� �■■■■nom■■■ MEN =NNMESM ■Mtn } MOMMOM■ 1�"�1■gym■■■■■■■■■■Mn■■ . l , ■■■■■■■ ■■■1i1■■■■■■■■■■■■■■ 1! vs 4 sa NOME■■■ M■■■! ■mm■■■■■■■■■■■ ■■■E■■■ an ■■■■■■■ tom■omnmm■m■mm■■■ ENNEENE on noNOMEi k Bldg Foundation dension Fli re Place :. 4tensionA, ;asement dension lnteri.o.r Finish, i ;Type Roof Rooms Ist Floor .ecreatio'n Room �Rooms 2nd Floor orage K_ TOWN OF SOUTH®L® PROPERTY RECORD CAR® OWNER STREET -3 VILLAGE DIST. SUB. LOT 1764 A . FORMER OWNER N E ACR. /v F / r y" , y yl S W TYPE OF BUILDING RES. 210 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS r�4 19 7Z1 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH l� •� BULKHEAD notal DOCK + ✓+, ■■e■mom ■■e■ NV i P . MMM e■■■■■■■■■■■■■■■ IN w .: w 4.. ■■■■■■■ ■■■■■■e■■■■■■■■■■e■ , � • � c ''tI ,d ■■■■■■■■®■■■N■ee■■■■■■■■MMM a■ ■■■■■■■ : i �a■■■■■■■■■■■■■■■ ■■■■■■■ ■APAW■a■■■■■■■■■■■■ MMM M. Bldg. Foundation Extension ':. - entINA FAM ri VAF� .. PorchExtension xt. Walls Extension ire Place Porch kecreation Room: 'Rooms 2nd Floor former1 Breezeway ' - Sarage T N/0% RostP,�-oR -,w M�oPROBERt , / oRMp,N N�^°ORES - N Ove/� A� 46-2 flus SURVEY OF PROPERTY � 0 ,4o5 ° N� gA T MA TTITUCK \ TOWN, OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-126-06-06 µms` SCALE.- 1'-20' z JULY 22, 2010 N 00'840 0.kfRes ov; \ O O cll� ly N R pz ` p c � os p � G Z DEC,- 0.01 Isk 19 5 yd I q4•a 055 \Y' eo SW 0.6 I �P1ER i �P c O r OF REyI J, 1, 00 1p AREA=9,637 SO. FT. TO TIE LINE 0 618, ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON ECO'/C U 'VE Yid OF SECTION 72O9OF 7HE NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 FA 5-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER7IF/CA7JONS P.0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR m=MONUMENT 1230 TRA VELER STREET 1 O-178 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 I