HomeMy WebLinkAboutZ-38895 gUFFp1,� Town of Southold 4/7/2017
o�O� cGy 53095 Main Rd
a, Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38895 Date: 4/7/2017
THIS CERTIFIES that the structure(s) located at: 7785 Horton Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 54.-549.3
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- 38895
dated 4/7/2017 - - 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 and accessory shed/chicken coon.*
NOTES: BP 609 addition to dwelling COZ-285; BP 3842 additions and alterations, including screened porch to
dwelling COZ-5564; BP 41350 electric COZ-38872;BP 41503 window replacement and furnace in dwelling
COZ-38894.
The certificate is issued to Santacroce, Henry Santacroce, Ellen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0 Uh ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7785 Horton Ln., Southold
SUFF.CO.TAX MAP NO.: 54.-5-49.3 SUBDIVISION:
NAME OF OWNER(S): Santacroce,Henry&Ellen
OCCUPANCY:
ADMITTED BY: Henry Santacroce
SOURCE OF REQUEST: Santacroce,Henry DATE: 4/7/2017
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: concrete block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: yes-wood burning GARAGE:
DOMESTIC HOTWATER: X TYPE HEATER: gas AIR CONDITIONING: yes
TYPE HEAT: gas WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: shed/chicken coop
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/6/2017
TIME START: 1:25pm END: 2:00pm
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.
0For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses:
1. Accurate survey of properly 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$15.00
Date. 3 �7
New Construction: Old orW'Z
xBuilding: (check one)
Location of Property: 79C L"'
House No. F Street Hamlet
Owner or Owners of Property: i7 liV
Suffolk County Tax Map No 1000, Section BIock S Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
x
Ap c nt i ature
CONSENT TO INSPECTION
�2 ��/' , the undersigned, do(es) hereby state:
/ ' Owner(s)Name(s)
That the undersigned (is) (are) =W"
r(s) fthe premises in t e Town of
Southold, located at 7A �� �� ,
which is shown and designated on the Suff�o}kgCounty Tax Map as District 1000,
Section Block f— , Lot 7 !• 3 .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southo!�)Tow Building Inspector's Office for the following:
rz
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:
i ature)
Pr' t Name)
(Signature)
(Print Name)
SOF SOFT
urm,��'
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: I P44mm-11+15-1 A✓Qi "V1"
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TOWN OF SOUTHOLD PROPERTY RECORD' CARD
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A\pF SOUTyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
V/
DATE °'f lee INSPECTOR
LOCATION; l�of�ns Lt9r,n/�/ Sovem lj. '
(number & street) (municipality)
SUBDIVISION: MAP,N'O.: _'LOT(S): ..
NAME OF OWNER(S): -I' �vll� S A'h/.I'�A'C✓D ?�'
O'CCUPANCY: t G i
(type) (owner-tenant)-
ADMITTED BY: .PMV4 ACCOMPANIED BY:
KEY AVAILABLE:�� SUFF. CO. TAX MAP'NO. 1000.
SOURCE OF REQUEST: ,P.lVi'GI oGR�,_ , . . DATE: -3 -30 —API-It
DWELLING
TYPE OF CONSTRUCTION: 0 f'["G0000' # STORIES: J #EXITS:
FOUNDATION: �o PJ61�: til d (� ,BASgMENT: CRAWL SPACE:
4 OF BEDROOMS: IST FLR: Y 2ND FLR: 3RD FLR:
1
BATHROOM(S):-� Ong TOILET ROOM(S): UTILITY ROOM-.
P-ORCH,TYPE:Ar DECK, TYPE: PATIO;TYPE:
BREEZEWAY: c•D FIREPLACE " k)0t&4Ar0RAGE: 0
DOMESTIC HOTWATER: _r/ TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: AOS WARM AIR:�'dr IkV'oe'HOTWATER:
# OF KITCHENS: DA��
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.: S wo Me.,lgs-9
tlAaa& Cott,.
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FARE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
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REMARKS:
INSPECTED BY: DATE OF INSPECTION:00
TIME START � ��'J P END: )•180