HomeMy WebLinkAboutZ-38929 OF pt,f Town of Southold 5/9/2017
o�o� ca4y 53095 Main Rd
a, Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38929 Date: 5/8/2017
THIS CERTIFIES that the structure(s)located at: 590 Haywaters Dr., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-5-22
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- 38929
dated 5/8/2017 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 second floor balcony and accessory wood frame garage_*
Notes: BP 4338 glass enclosed addition to garage COZ-3715;BP 11908 accessory shed COZ-11524;BP 41612"as
built"windows COZ-38928.
The certificate is issued to Schott, Barbara Schmitz, William
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
u rued Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 590 Haywaters Dr.,Cutchogue
SUFF.CO.TAX MAP NO.: 104.-5-22 SUBDIVISION:
NAME OF OWNER(S): Schott,Barbara&Schmitz,William
OCCUPANCY:
ADMITTED BY: William Schmitz
SOURCE OF REQUEST: Schott,Barbara&Schmitz,William DATE: 5/8/2017
DWELLING:
#STORIES: 1.5 #EXITS: 3
FOUNDATION: cement block CELLAR: CRAWL SPACE: x
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: 2nd floor balcony PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/28/2017
TIME START: 1:57pm END: 2:30pm
Form No.6
TOWN OF SOUTHOLD D [Ec�UV[2
BUILDING DEPARTMENT D
TOWN HALL APR 2 6 2017
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPT.
TOWN OF SOUTHOLD
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. �/+2 /7
New Construction: Old or Pre-existing Building: (check one)
Location of Property: J910ULA)IMZ S R W r r-07-C-14006---
House No. Street Hamlet
Owner or Owners of Property: &�2[ q .4 Ct,91-4x7r a1hy41,ity14 &pjaz, ORGl►L)/,q A. DRP,Es
Suffolk County Tax Map No 1000, Section ��'� Block �5� Lot ®02�
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: 1/ (check one)
Fee Submitted: $ 16p, 6b
I DO 13
Applican ignature
CONSENT TO INSPECTION
, &&1,04 Seel/017- , 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
which is shown and designate n 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: aE ✓p
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: ���
(S i gpdt6re)
�—
(Print Name)
(Signature)
(Print Name)
QSO(/l�olo (l: c
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:
l lS tl� ,snl2�
DATE INSPECTOR
�._1
1 a - ,S-c- 1
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER� ----- STREET V1 GE DIST. SUS. LOT
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FORMER OWNERA6y 1,k« .. 1 r E U
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tor
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ARES. A J SEAS. VL. FARM Comm. CB. MICS. Mkt. Value -z'—
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0 LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
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0 woodland FRONTAGE ON ROAD 103.A { /'
Meadowland_ DEPTH
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SURVEY OF PROPERTY
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-104-05-22
SCALE 1"=20'
MARCH_ 28, 2017
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AREA = 24,542 sq. ft.
0.563 ac.
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`r.Ka 5{D+' STANDARDS FOR TMJ_SURVEYS AS 6dBUSHED
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C`71, F0�4 FOR SUCH USE RY THE NEW YORK STATE LAND
TIRE ASSOCNODN
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AIL NYS.Lic No 50467
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A MOLATKIN OF
/ SECTK#I 730D oc THE NEW YORK STATE Nathan Taft Corwin III
EECM N TAW.
TTHE LANDS RVE RIZS INK D SELL OR
Na
EMBOSSED�SHALL NOT BE CONSIDERED Land Surveyor
TO 9E A VAUD TRUE COPE.
CERTMC=NS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
Is PREPARED,AND ON HE BET„T TO THE Successor To•Stanley J.Isoksen,Jr.L.S.
7ITtE G9YERtTHHENTAI/1�HC AAa Joseph J.Ingegno LS.
,ENDING INSnMION LISTED HEREON,AND
I TO THE ASSIGNEES OF THE HEREON
INSn- Ti6e SUrve $utldivT510n9— SIIO Plans — ConsWc6on Layout
TUTION CERTRCATIONs ARE NOT nLWsrERADIE p—
PHONE(631)727-2090 Fax(631)727-1727
THE EXISTENCE OF RIOHTTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
UN/Olt EASEMENTS OF RECORD.IF 1566 Nam Road P.O.Box 16
NOT SHOWN ARE HOT GUARANTEED. Jomesport•New York 11947 Jamesport,New York 11947
LOCATION: D w_ Cs,L) a.--o
(number street) (m cipality)-
.SUBDIVISION: MAP-NO.:
NAME OF OWNER(S): k,,* W ♦ SC w►lIor 121
OCCUPANCY: 51nolt Foiki'[V
(type) (owner-tenant)-
ADMITTED BY: A% t't'�.. ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- v Its
SOURCE OF REQUEST: ASA- o DATE: I`i 2=(P'
DWELLING
TYPE OF CONSTRUCTION: A ' . Q�. # STORIES: _# EXITS:
FOUNDATION: , �VOc 8AS9MENT: ;CRAWL SPACE:
# OF BEDROOMS: 1ST FLR- 2ND FLA 3RD,FLR:
BATHROOIV O: __ ._ TOILET ROOM(S)_.v UTILITY ROOM:
floor
PORCH-TYPE: DECK, TYPE: PA�'TIO;TYPE:
BREEZEWAY: IREPLACE: .� GARAGE: Kt-
DOMESTIC HOTWATER TYPE HEATER: Otic- AIRCONDITIONING:
= -
TYPE HEAT Ot WARM AIR: fr HOTWATER - -- -- -
# OF KITCHENS:_
FINISHED BASEMENT:- YES NO
OTHER:•
ACCESSORY STRUCTURES
WOOD Ir-
GARAGE; TYPE OF CONS' V . STORAGE, TYPE CONST.: d,'D t It J Z
SWIMMING P*0'OL: GUEST,'TYPE CONST:
OTHER: ASC• S�aVGTV�.� ")eC- 5Ct"
C(o
VIOLATIONS: CHANTER 144 &MY. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
$ '
REMARKS-
INSPECTED
EMARKS:INSPECTED BY: DATE OF INSPECTION: fII
TIME START; �� � END: