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Home My WebLink AboutZ-38858 g�fFGL/r Town of Southold 3/15/2017 �Gy� 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38858 Date: 3/15/2017 THIS CERTIFIES that the structure(s)located at: 3600 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 75.-8-3.1 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- 38858 dated 3/15/2017 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 unheated enclosed porch and accessory shed.* Note:BP 2956 addition to dwelling COZ-2334;BP 23586 hot water heater COZ-24555; BP 41426 electrical hook up for portable generator COZ-38857 The certificate is issued to Clark, Judy Lee (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. OWho ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3600 S Harbor Rd., Southold SUFF.CO.TAX MAP NO.: 75.-8-3.1 SUBDIVISION: NAME OF OWNER(S): Clark,Judy Lee OCCUPANCY: ADMITTED BY: Judy Clark SOURCE OF REQUEST: Clark,Judy Lee DATE: 3/15/2017 DWELLING: #STORIES: 1 #EXITS: 5 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: partial BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed unheated DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: baseboard TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/27/2017 TIME START: 11:26am END: 12:01pm ,_105-3�3 a 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$15.00 Date. �� New Construction: Old or Pre-existing Building: V (check one) Location of Property: SC) — - W— 9L Y-lods'e No. treet mlet Owner or Owners of Property: XA�L uLLf��& LXA&6 �I Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applicant Si nature CONSENT TO INSPECTION the undersigned, do(es) hereby state: Owner s)Names) That the undersigned (is) (are)the owner(s) of the preis s in e T n o Southold, located at —r-1,,\0QO Gj(aE which is shown and designated on the Suffolk County Tax Map as District 1000, Section�, Block , 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: 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: igna ure) (P Nnt Name) (Signature) (Print Name) r i :. _. t-. � . l TOWN OF SOUTHQ ERTY- RECORD CARD , OWNER STREET ' — ik - DISTRICT SUB. LOT w FO f 414E OWNER ti E RF-AGE _ 415 S SIF TYP E OF B U I LD I NG 41 RES. lo SEAS. VL. FARM Comm. I IND. CB. MISC. 'o' LAND IMP. TOTAL DATE REMARKS L+ L1 C L —t FRO �Lva 'T -5 ,J cn - Ij �, .S f? i7 ✓: d cF -If' P-,4644106 9 3/ BP'.23,6- 3SE-6 - -Tnsig1Z N Of 8s 3/r o 9 �� DI-� l z 1lqg (a -77? A E BUILDING CONDIT[ONe40Z2t0rjaWjne f O NEW NORMAL BELOW I ABOVE 7, z o e Farm Acre Value Per Acre Value 47 x -u 4 � ~-- LO Tillable I * ! - m Tillable 2 { Y �,QMP5�LaLO �_ -Tillable 3 J 11Z_71 T, Woodland I 1 57,e 3 L rsEc C��2t CV - -- -- Tm Swampland CD J4&- 4J eslerk— Brushland - m _ Cm,, House Plot in m Total GZ . _ ..............' I•. - _ i , µ4:•i:., '. r \ F . . :CIS .IID 1 _. .. ■■ . -- -} ■■■■■111■■EM ■■■ WCOMMIMM"NOPMENME ME ■■■■ ■■■■■U■■■!■ ■o■ P "ROMMU■■■M■■■ ■i■ ■■■■■■■■■■■■ m■m@■ 01 I■■MS■■■E■■■■ - .. :. _ - - Basement , . • Ext. Wc f Is, Interior Frnrsh , . Rooms I st Floor i SURVEY OF: PROPERTY LOCATED AT SOUTHOLD I TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK I CONC. S.C.T.M. # 1000-75-8-3.1 MON SCALE: 1"=30' J y NOTE: THE EXISTENCE OF RIGHT OF WAYS. 0° o ►may WETLANDS AND/OR EASEMENTS OF RECORD CONC. ►-�I IF ANY, NOT SHOWN ARE NOT GUARANTEED. LAND N/F O MON. ��1 BRADLEY M FRANCESCA G ANDERSON DRIVE / ►� 2 si/N �; +DcrO G1 N O p� 0.50�GP�' / No p o m rl1 00 G) m �c ONS uS1L O O o O -n o N�QQ / 139 rT < O �Q� des STOOP Ci Z 1 / RES I 6.8•/N F� 5 N / Q � A J /N Z G� frn v LAND N/F o O f N BRADLEY M fl o c1j 'O �, �1- FRANCESCA G ANDERSON a � 00 Q� QPv� an r4 , r O C 119 O Lim SHED 5��062 O.L 050782 J ' s 2 Fd CRND 5J4 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 34.5 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED LAN❑ N/F OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO MARGARET M MARCH THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LIVING TRUST LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. SURVEYED B Y GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. PAUL B A R Y L S K I LAND SURVEYING CERTIFIED TO: PATCHOGUE NY 11772 CHICAGO TITLE INSURANCE COMPANY / PHONE 631-294-6885 LAND BARON ABSTRACT STANISLAO PUGLIESE FAX 631-627-3186 MARIA G. ROMANELLO ; PAULBARYLSKI®YAHOO.COM 2434 FEBRUARY 3, 2017 coum,0c� TOWN OF SOUTHOLD BUILDING DEPT. 765-18®2 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: Iatti� �M�I`� h-- iY DATE >-hl4 INSPECTOR LOCATION: (Q OD (number & street) . (municipality) SUBDIVISION: ! MAP NO.: LOT(S): . NAME OF OWNER(S): %SJ 5 :1�+9'✓LL OCCUPANCY: S1 n 1' Fkm I!g lowl&l t! (type) ! (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: i SURF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: 04' CV DATE: i DWELLING TYPE OF CONSTRUCTION: Wo -(4WW --# STORIES: ,lam #EXITS: e d� l" w '*I FOUNDATION: CA'VK.+,+ gV TZ*— 1 BASEMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: _ 2ND FLR: 3RD FLR: '�✓ BATHROOM(S): ..�" . TOILET kOOM(S):—o '"' UTILITY ROOM: �✓� PORCH-TYPE: o DECK, TYPE: UV A PATIO;TYPE: %/V\ WC44f-Al> ` \ BREEZEWAY: _ . FIREPLACE.,, GARAGE: MoA14,- e DOMEST HOTWATER: y . TYPE HEATER: Q I/ AIRCONDITIONING: N� TYPE HEAT: _ 01 V WARM AIR: _ HOT VVATE # OF KITCHENS-.v i FINISHED BASEMENT: YES NO yz i OTHER: ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: Vjol i SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE!UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 1 MJYV1 i S tftVle REMARKS: o %5 ofd FArMI fN $ < < re r � INSPECTED BY: DATE OF INSPECTION:P66M TIME START;_I •y1D L4rV✓� END; AY.0(