HomeMy WebLinkAboutZ-38658 Town of Southold 11/17/2016
53095 Main Rd
Southold,New York 11971
ca
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38658 Date: 11/16/2016
THIS CERTIFIES that the structure(s) located at: 320 Maple Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 64.4-19
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- 38658
dated 11/16/2016 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 front covered concrete and brick porch and accessory wood frame garage with roof
overhang.*
Note BP 4485 addition/alteratons COZ-3782.
The certificate is issued to Smith,Helen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0- OArrized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 320 Maple Ln, Southold
SUFF.CO.TAX MAP NO.: 64.4-19 SUBDIVISION:
NAME OF OWNER(S): Smith,Helen M.
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Smith,Helen DATE: 11/16/2016
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: yes GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: HOT WATER: x
#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: JOHN) DATE OF INSPECTION: 11/14/2016
TIME START: 11:51am END: 12:25pm
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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:
I. Final survey of property with accurate Iocation 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. Swan statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
S. 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$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: -320 9'Y)l p l e— Lntoe, SO U-f 4 c-A
House No. Street Hamlet
Owner or Owners of Property:&eo a W a r rm Sky),•tLi `E ye d tri o r F fcrf e 14 Jf y�a �E�!M i+
Suffolk County Tax Map No 1000,Section b�t Block Lot E 9
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ 1 DO `
�'� Applicant Signature
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CONSENT TO INSPECTION
E s+a,& Of rfi)3
Gwn,i W a f r e o Sm.411, 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 2,O ort le_ 5a irtko i d , IU
which is shown and designated on t e Suffolk County Tax Map as District 1000,
Section bT ,Block I , Lot
That the undersigned(has)(have)filed, or cause to be filed,an application in the
Southold Town Building Inspector's Office for the following: Pre- Ce -ti j t Cole_
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 `' �"� 1 `� )S— �ol ✓'r`
(Signature)
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER ^-- STREET —�
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(T)UNAUTHORIZED ALTERATION�OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE�NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION
INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(TV).SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
O 400 Ostrander Avenue,Riverhead,New York 11901
tel. 631.1212503 fax.651.121.0144
+ adminayoungengineering.com
Howard W.Young,Land Surveyor
Thomas G.Wolpert,Professional Engineer
Douglas E.'Adoms,Professional Engineer
Robert G.Tost,Architect
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INSURANCE COMPANY, CITIBANK & KTG
ABSTRACT CORP) KTr.-2213597-8) -5VRV`5X.
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(1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY (4)CERTIFICATION
INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W).SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
O PP 400 Ostrander Avenue,Riverhead,New York 11901
\`` tel.651.12-12505 fax.631."12'1.0144
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Howard W.Young,Land Surveyor
Thomas G.Wolpert,Professional Engineer
Douglas E.Adams,Professional Engineer
Robert G.Tast,Architect
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [V FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: o PtOA.;V-- ?iMr If � $ I
�)r�Wfn-[� L& fqLA4
400, 1
DATE 11I I 1 00
l INSPECTOR
LOCATION: � ?i ��e/i '
(numb r &'street) (municipality)
SUBDIVISION: i MAP NO.: _ LOT(S): .
NAME OF OWNER(S)•: .L P.wN tief ih�1'ei. ccvh lk SyhiTN-
OCCUPANCY: S Dw '
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: i SUFE. CO. TAX MAP'NO. 1000-(pq^l •- f`�
SOURCE OF REQUEST:kr Aff Sm. DATE: lo' '),-Otte
')-of tc
DWELLING
TYPE OF CONSTRUCTION: red- YqQ/ # STORIES: ��#EXITS: J?
FOUNDATION: bokatA_�.Ii��y ; BASEMENT: ✓L CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR: .
w �/
BATHROOM(S): TOILET RIOOM(S): d - UTILITY ROOM: _IV0
PORCH-TYPE Gs•_.�arcfh DECK, TYPE:(onV*4 Q tc,14PATIO;TYPE: roncre+e-,
BREEZEWAY:' FIRI;PLACE:Woii 6VMt _GARAGE: CA-C
4
DOMESTIC HOTWATER: ✓, TYPE HEATER: _ A-S . AIRCONDITIONING:
TYPE HEAT: 6'A_S
WARM AIR: HOTWATER:
# OF KITCHENS: J--
FINISHED BASEMENT: YES NO
OTHER:
I
ACCESSORY STRUCTURES
r
GARAGE, TYPE OF CONST.: Q+� �ir / STORAGE, TYPE CONST.:
SWIMMING POOL: i GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATEjUNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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REMARKS: j
i
INSPECTED BY: DATE OF INSPECTION: 1111(11>01L
0 1 TIME START:.11:S AM END:.