HomeMy WebLinkAboutZ-38791 g�FFt1t,��, Town of Southold 1/24/2017
�Q °may 53095 Main Rd
Southold,New York 11971
11 `�
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38791 Date: 1/24/2017
THIS CERTIFIES that the structure(s)located at: 7990 Oregon Rd, Cutchogue
SCTM#: 473889 See/Block/Lot: 95.4-6.1
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- 38791
dated 1/24/2017 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 wood porch.*
Notes:BP 5574 accessory garage COZ-4557; BP 41311 "as built"windows and rear stoop with stairs COZ-38790.
The certificate is issued to Ficner, Stacia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ovied Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7990 Oregon Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 95.4-6.1 SUBDIVISION:
NAME OF OWNER(S): Ficner, Stacia
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Ficner, Stacia DATE: 1/24/2017
DWELLING:
#STORIES: 1.5 #EXITS: 2
FOUNDATION: concrete block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: wood DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: none GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil indirect AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: x
#BEDROOMS: #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: 12/15/2016
TIME START: 9:35am END: 10:20am
63l-sq/-3/D1
Form No.6 2 Do
TOWN OF SOUTHOLD NOV 2 9 2016
BUILDING DEPARTMENT
TOWN HALL
765-1802 BUrMING DEM
TOWN OF SOMOLD
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. l/' 9— /(o
New Construction: Old or Pre-existing Building: (check forme)
Location of Property: 9 90 Oct e2 OAU &d, L-/Cko Cu . 7. 9 3 S�
House No. !!Street Hamlet
Owner or Owners of Property: 0— f
Suffolk County Tax Map No 1000, Section Block Lot ° I
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
k�. S�M
Applicant Signature
fo�
D IEC[�DV[E
CONSENT TO INSPECTION DD
NOV 2 9 2016
BUILDING DEPT.
TOWN OF SOUIZHOLD
60-(`0— ���i ►�Q— , 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 `7�/9 D ®rg4 0io
which is shown and designated on the Suffolk County Tax Map as f3istrict 1000,
Section , Block , Lot
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town BuildingIns ector's Office for the 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. ll " °2 g — ° f�-a e�� ,�-/t
(Signature)
�a/I lbe r0- aZ) 'ei �a—
(Print Name)
(Signature)
(Print Name)
N
NW
SURVEY OF FROPERT"'r
W
NE 51 TUATE: GUT GHOOUE
® T0V4 :_ 50UT o D
5UFFOUK GOUN 1 I � 1V
SE -
SURVEYED-5EPTEMBER 25, 2008 -
SUFFOLK GOUN7( TAX #
1000 - q5 - 4 - 6
R TO:
STACTAFICNER
CAROLYN(BLAS PCZ
7BAR13ARA IBOMNA
SUSAN CIEBSIERE
MANL= SAYER
'OWN OF SOUS 0LD
START T=INSURANCE COMPLY
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NOTESI
p Monument Found
Total Area = 365p6q 5q. Ft. or 5.3608 Acres
Total ^9ricultural Easement 2mobq 5q Ft. or 6 55443 Acres IF NEIV
Meets and Bounds derived from nMap of the Sholvey Fc m surveyed for John P. Krupskl" co a�l� c Eta �s•QF
as Surveyed tier.. 30, 10145ur
h3 by Otto A vanTuyl Licensed Land Sveyor
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D IDD 200 300 JOHN C. EHLERS LAND SURVEYOR
6 BAST MAIN STREET N.Y.S.LIC.NO.50202
RNERHBAD,N.Y. 11901
369-8288 Fax 369-8287 REF:I1ComgagserveAma108108-186.pro
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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IL OWNER STREET VILLAGE DIST_ SUB.- — LOT
ACR. ,? RETASKS 3
TYPE OF BLD.
Cry PROP. CLASS
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TOTAL
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST.1 SUB. LOT
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FORMER OWNER N' E. is �' c ACR.
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+ "1/•V( S �� +] iY ` � � � air J
RES7.,I SEAS. VL. -EA comm. CB. MICS. Mkt. Value
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LAND IMP. TOTAL DATE REMARKS �n�
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS. 1 I wycz P=o V
_ M��6'O1N` � 4'1'I�^I� •
2 - ova/
DATE 1 -io l INSPECTOR
SOF SOUIy
eo +,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO :�H PLBG.
[ ] FOUNDATION 2ND [ ] SOLATION
[ ] FRAMING / STRAPPING [ ] FINAL `•
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) F[ ] ELECTRICAL (FINAL)
REMARKS: -� n5 Ccs
67 f Y1co - ,� C�o v V4/(4"W4
�hu�� ry� w►n�Ul,Js oK
DATE Ill-qj yo (1" INSPECTOR
4a,-�a�� �o �> '�1'�'. � j2r
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D
CONNIE D.BUNCH DD
Notary Public,State of Now York
No.01 BU6186050 JAN 2 4 2017
Qualified in Suffolk County
Commission Expires April 14,2V—bA0
LOCATION:
(number & s eet) (municip ity)
SUBDIVISION: MAP NO.: LOT(S): ,
NAME OF OWNERS)-: ;Yv A��- o <iry4-
OCCUPANCY: 2 IN w
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- If—
SOURCE
f—SOURCE OF REQUEST: i W64V-o- DATE: 1j— 24 — .'L�C.to
DWELLING
TYPE OF GQNSTRUCTI'ON: Oyv� ,EV�P2 _ *STORIES: # EXITS\.
FOUNDATION:, Gnsr,!L�, BAStME CRAWL SPACE:
v
# OF BEDROOMS: 1ST FLR: 2ND FLR: '�- 3RD 7FLR: .
BATHROO (S OILET ROOM(S): UTILITY ROOM:
Nll tgawp_ i G,A �- V ,41-3 1, e
PORCHaTYPE: Q6bv� ECK, PE: -VJao PATIO;TYPE:
BREEZEWAY: FIREPLACE: oN(+/ GARAGE: /,6 P
DOMESTIC HOTWATER: TYPE HEATER_ ,,r` � AIRCOI' TIONING: 1 n�
TYPE HEAT: Q ( WARM AIR: - HOTWATE : 1/
# OF KITCHENS: .
FINISHED BASEMENT: YES NO
OTHER: \
(�?C66 q
ACCESSORY STRUCTURES tjo
GARAGE, TYPE OF CONST.: Woe �rw�nQ� STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
4OTHER: L /�
1- �"ve� WIT14wif 401h t79Vt01!' w GwrvkWf'r 4i -�2 Stop
5g0ty w4'S colval4u irviv ivo 04e#j(6vWIS� f piw TD �qS
VIOLATIONS: CHAPTER 144,&N.Y. STATE;UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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REMARKS:
INSPECTED BY: DATE OF INSPECTION: _bletl• 16 _'k,0 l tP
TIME START: � END: to! Yt) prm