HomeMy WebLinkAboutZ-38580 OFF042 Town of Southold 10/13/2016
53095 Main Rd
W `
n Southold,New York 11971
i �
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38580 Date: 10/13/2016
THIS CERTIFIES that the structure(s)located at: 625 (aka 48)Wilmarth Ave, Greenport
SCTM#: 473889 Sec/Block/Lot: 41.4-5
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- 38580
dated 10/13/2016 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 accessorygarage.*
Note:BP 41054"as built"deck addition to dwelling COZ-38575
The certificate is issued to Diaz, Irene
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. V'1-N%40
0 OA&orized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 625 (aka 48)Wilmarth Ave, Greenport
SUFF.CO.TAX MAP NO.: 41.-1-5 SUBDIVISION:
NAME OF OWNER(S): Diaz,Irene
OCCUPANCY:
ADMITTED BY: Tony Diaz
SOURCE OF REQUEST: Diaz,Irene DATE: 10/13/2016
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: BP 41054 PATIO TYPE:
BREEZEWAY: FIREPLACE: no GARAGE:
DOMESTIC HOTWATER: oil TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/6/2016
TIME START: 1:50pm END: 2:55pm
fo31 59 q
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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: WILHdRV AVEMLIK 9Q5E9jb97
Hol e No. Street Hamlet
Owner or Owners of Property: -To-sep k At. J jAz -t!x TbVm blAz_ 6�SKNG-_OJ
Suffolk County Tax Map No 1000, Section f Block / Lot 5,
Subdivision At&
ffA g1&6ra h'� i A Map. Lot:
Permit No. ' , Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval: °
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: Alivca�4;�ature
Fee Submitted: $ 00
V_�- 0I ��
���'��iL
CONSENT TO INSPECTION
d
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 4cA 1,415 1Ah40,& AICI
which is shown and desfgfiaied on the Suffolk County Tax Map as Di trict 1000,
Section,Block / ,Lot -15
That the undersigned(has)(have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: S- 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: /p c�l�� "
(Print
(Signature)
(Print Name)
AFMATWIT
The State of Ne x York
S t k
COE&,of
L Robert Staples,of Green— <New York,UkU 0A Mt THAT
p
L 1v1vhamea1625-V%i1mFath '-umi Wedin 1947-Joe 13 az,hgs-D"ea the night mag properW at 625Wilmarffi Ave
since then.He biu-IthisgaraggeinA955. 1,
SU&-'4CRMEDA1qD9W-0kN-Td--
BEFORE 1%-fE,on the
3rd day of October,2016
CLIC' Robert Staples
M-y Commission expires-
DENISE A. NAVARRA
NOTARY PUBLIC-STATE OF NEW YORK
No. OINA6191295
Qualified In Suffolk County
My Commission Expires i�7 /
D 1p=cGOMG D
OCT - 3 20%
BUILDING DEPT.
TOWN OF SOUMOLD
TOWN OF SOUTHOLD PROPERTY RECORD CARD
ui OWNER STREET VILLAGE
�Jr DIST. SUB. LOT Z G^
a_ '
(FORMER-OWNER N E AOR.
S
w -TYPE orBUILDING: ` 4
RES. I� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
W
LAND IMP. TOTAL GATE REMARKS
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0
LO
LO AGE BUILDING CONDITION
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LO NEVA NORMAL BELOW ABOVE
U0 FARM Acre Value Per Value
Acre
Tillable I FRONTAGE ON WATER
m Woodland FRONTAGE ON ROAD .� {�v
00
m Meadowland ! DEPTH r 6
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Total DOCK
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PROPERTY RECORD CARD
OWNER STREET DIST. SUB. �.OT�
� VILLAGE
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S W TYPE OF BUILDINGVF
RES. SEAS. VL. FARM
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0 LAND iMP. TOTAf, DATE REMARKS
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House Plot
N BULKHEADO
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m Total
DOCK
5 U RV EY Of LOT 3 (S * P/O 35 * 3 7 N
AS SHOWN ON A CERTAIN SUBDIVISION MAP ENTITLED "MAP OF PROPERTY KNOWN AS WASHINGTON HEIGHTS"
FILED IN THE OFFICE OF THE CLERK OF THE COUNTY OF SUFFOLK ON DECEMBER 29, 1927 AS MAP NO. G51
51TUATE : GREENPORT VV
TOWN : SOUTHOLD
5U EFOLK COUNTY, NY s
SURVEYED 08- 1 1 -201 G
SUFFOLK COUNTY TAX #
1000 - 41 - I - 5
CERTIFIED T0:
ESTATE OF IRENE DIAZ
LANE) NON
OF.
OF 5OUThO D
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UTIL.
POLE
WOOD CURB
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APUM AVENUE
asphalt roadway
NOTE-9
x "Unauthorized olteralton or addition to a survey
,.( Z' ."., map bearing a licensed land surveyor's seal is o
® PIPE FOUND
b ,,` I violation of section York
sub-division2, of the
5TOCKADE FENCE v O M N C. E H LE R5 LAND 5 U RVEYO �, New York Stale Education Law"
(� , "Only copses from the original this survey
—o—o WIRE FENCE I ��'`';."- marked with an original of the land
d surveyor's
stomped seal shall be considered to be valid true
• lqY•<�' Y },j copies"
G EAST MAIN 5TREET N.Y.S. LIC. NO. 50202 'sl. y ' f ,y
t "Certifications indicated hereon signify ilial this
survey was prepared in accordance with the ex-
Area = 15,172 s Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 sting Code of Practice far Land Surveys adopted
�• r/ by the New York Stale Association of Professional
Area = 0.34 Acres `u�� S'7f,2 �V}r� Land Surveyors Said certifications shalt run only
longlslandland5urveyor.com �� —_ ti;�rf; the person for whom the survey Is prepared,
GRAPHIC SCALE I 20' 4A and on his behalf to the title company, governmen-
tal agency and lending insldution listed hereon, and
to the assignees of the lent•'-- --'itution Cert,fi
I G-179 tions are not lransferobf dd,onal institutions
w, I vy,
OE SOUlyolo
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: 1 f; e \afA► voi V& 104
®i,j &oI Imo -.-�PV ro v 1 fie, �,mvl4e, t c �Aet*v r,.)
if CAW 4- w Ltt
n
eAfronn
e,4 ,
DATE INSPECTOR
- - oF so�TyOlo r�
0
courm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
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: �'1 ISN `LG, ct((04�d
Cv RIA ter✓ L Qr
tatk1 LS-
%
00
DATE LO INSPECTOR
LOCATION: Ito e-,
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S)': 5� �
OCCUPANCY: 51,Kag, OkJ11414 cjW0/1/16M .
(type) (owner-tenant)
ADMITTED BY I O1 D ACCOMPANIED BY: i Obvv+ [1 yv S
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- Z// a l
SOURCE OF REQUEST: 7 DATE:
DWELLING
TYPE OF CONSTRUCTION: 'G # STORIES: # EXITS:
FOUNDATION: DGS BASEMENT: CRAWL SPACE:
# OF BEDROOMS: IST FL �� 2ND FLR: 3RD FLA:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: _
\, by D S14
PORCH�TYPE: DECK, TYPE: ✓ PATIO, TYPE:
BREEZEWAY: - FIREPLACE: " �€� GARAGE.
DOMESTIC HOT•WATER 01V TYPE HEATER: . AIRCONDITIONING:
TYPE HEAT: 0 1 WARM AIR: HOTWATER:
v`V
4 OF KITCHENS
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: Yk)n&' STORAGE, TYPE CONST.: ®�/P®
SWIMMING POOL: 2ne__'- GUEST, TYPE CONST: _ 90'vp
OTHER:
VIOLATIONS: CHANTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
WQV Ai . 0V-t
o r rmTzl
REMARKS:
INSPECTED BY: DATE OF INSPECTION: 101b 11
TIME START 1• �� �� SND: � PSI