HomeMy WebLinkAboutZ-38779 �s�uFFOt,�� Town of Southold 1/17/2017
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38779 Date: 1/12/2017
THIS CERTIFIES that the structure(s)located at: 1250 New Suffolk Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-6-10
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- 38779
dated 1/12/2017 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 covered porch.*
Note:BP #1222 addition to existing dwelling COZ-1276.
The certificate is issued to Horton Jr,Richard Lindsay B, Frances
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0 )AhVed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1250 New Suffolk Rd, Cutchogue
SUFF.CO.TAX MAP NO.: 109.-6-10 SUBDIVISION:
NAME OF OWNER(S): Horton Jr,Richard&Lindsay,Frances
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Horton Jr,Richard DATE: 1/12/2017
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered porch DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air 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: 1/13/2017
TIME START: 11:05am END: 11:30am
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 $15.00
Date. ���/Jo r rj
New Construction: Old or Pre-existing Building: °/ (check one)
Location of Property: 1JM /&o d,.
r House No. Street^� f ° P� ® Hamlet
wn�wn k_64fPrope : •� �', .�'a."^", �R fl'��.G, , y
Suffolk County Tax Map No 1000, Section �� Block A Lot 10
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ (DO
la Applicant Signature
CONSENT TO,INSPECTION
kA P—J
the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the remises in the Town of
Southold, located at 6 A
which is shown and designated on the Suffolk'County Tax Map as District 1000,
Section )d! , Block , Lot)_.
That the undersigned(has) (have)filed, or cause to be filed, an application in the
Southold Town Building Inspectpr's Office for t e following:
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: /1f ..1-0I� �� - I [,e�� TP-
(Signature
fj::�--WARJ IL. a 1P.,
ri Na e)
ignat e
(Prin ame)
Of SOOT fr4e,
0 yolo
CouMv,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: prmc,
�U10 ,.e y►/
DATE 13 / INSPECTOR •
So ��
tie n�C I�
Iv
Ulm,��
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.,
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT ENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRIC L (FINAL)
REMARKS: �Vay if'ri�✓w►S `�
DATE lI INSPECTO
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W _ VILLAGE DfSTRICT SUB. LOT
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RES. SEAS. VL. FARM COMM. IND. CB. MISC. I Est. Mkt. Value
LAND fhAP. TOTAL DATE REMARKS �Q/ d
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GUE�DUNSY CUTCHOGUE
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OL pFFICE 2007 A yx FENCE c Q / .
FENCE '5"q 150.00 I ° ° 11��11 SUFFOLK COUNTY, NEW YORK
FILED I O A JANDARY 11, m,a
LOT 3aN GLD w�RE DRN-VNAf p8N G _ S.C. TAX No. 1000- 109-06- 10
HALT °
SCALE 1 "=20'
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O r fl1 UNAUTHORIZED ALTERATION OR ADDITION
C io TO THIS SURVEY IS A VIOLATION OF
U1 0 ,m SECTION 7209 OF THE NEW YORK STATE
0 w [*� �'�� ° EDUCATION LAW.
m
227• COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
e EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
C] A O ° ONLY TO THE PERSON FOR WHOM THE SURVEY
S C:) IS PREPARED, AND ON HIS BEHALF TO THE
Z y t+ TITLE COMPANY, GOVERNMENTAL AGENCY AND
O CD 1 0 LENDING INSTITUTION LISTED HEREON, AND
-3157• f TO THE ASSIGNEES OF THE LENDING INSTI-
m C:) °a TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
'rzSy�� O v V
O O I o `n ° ° THE EXISTENCE OF RIGHTS OF WAY
c1 rA 10 p AND/OR EASEMENTS OF RECORD, IF
C � 1 CE
T�i1 1 ARBORVITAC pL1T RAIL FEN Y 41. ANY, NOT SHOWN ARE NOT GUARANTEED.
CE PREPARED IN ACCORDANCE WITH THE MINIMUM
b O ° ° • 1 G STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
1 J ° BY THE LI.A.L.S. AND ®VE@-ANQ ADOPTED
DRNAY a FOR SUCH USE B N SLAT LAND
O EDGE OF ASPHALT ° v TITLE ASSOCIATI � �
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PPED °
GARAGARAGE ro a�o o ° 6 ° N101F q JR• cP
2-79S. / '4 p" W �$Z" WILLI N TT K l UKERT N
S ap 06 8C JEA C. t
ren c
S. Lic. No. 50467
I
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Nathan Taft Corwin III
Land Surveyor
0 ,�\,D Title Surveys — Subdivisions — Site Plans — Construction Layout
PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
1586 Main Road P 0. Box 16
Jamesport, New York 11947 Jamesport, New York 11947
34-025
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I
LOCATION: wi cay `{`, " �9414.1 Ct", C> •l
(number & street) (municipality)
SUBDIVISION: A ' MAP NO.: LOT(S):
NAME OF OWNERS : w v an/ r. 'r •�
OCCUPANCY: C I h. il w ;
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: UFF. CO. AX MAP'NP. 1000
SOURCE OF REQUEST: V DATE:
DWELLING
TYPE OF G NSTRUCTI'ON: L �(1(� # STORIES: #EXITS:
FOUNDATION: .&ew+ 1%� tn/��J - BASEME �.V6I CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BA OOM( �` TOILET ROOM(S): UTILITY ROOM:
Fid ter- 1vW
PORCH-TYPE:G=MrI DECK, TYPE: . . PATIO;TYPE:
BREEZEWAY: w_. FIRl PLACE., GARAGE:
DOMESTIC HOTWATER: TYPt HEATER: 4i�.p4l AIRCONDITIONING:
- - - -
TYPE HEA' fD1V ^R. HOTWATER•
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATEUNIFORM FIRE PREVENTION & BUILDING CODE
i
LOCATION DESCRIPTIOU ART. SEC.
lu
i
REMARKS:
i
INSPECTED BY: DATE OF INSPECTION:
TIME START:,A1: 0''
.� Aln END: .� D