HomeMy WebLinkAboutZ-39065 o FFpt�.CQ� Town of Southold 7/20/2017
53095 Main Rd
c x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39065 Date: 7/20/2017
THIS CERTIFIES that the structure(s)located at: 3655 Stillwater Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 136.-2-11
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- 39065
dated 7/20/2017 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 attached garage, covered masonry porch and concrete patio.*
Note: BP 41817 "as built"window replacements and air conditioning COZ-39064
The certificate is issued to O'Brien,Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ut ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3655 Stillwater Ave,Cutchogue
SUFF.CO.TAX MAP NO.: 136.-2-11 SUBDIVISION:
NAME OF OWNER(S): O'Brien,Robert
OCCUPANCY:
ADMITTED BY: Robert O'Brien
SOURCE OF REQUEST: O'Brien,Robert DATE: 7/20/2017
DWELLING:
#STORIES: 1.75 #EXITS: 2
FOUNDATION: cement block CELLAR: CRAWL SPACE: X
BATHROOM(S): 1 TOILET ROOM(S): 2 UTILITY ROOM(S):
PORCH TYPE: covered masonry DECK TYPE: PATIO TYPE: concrete slab
BREEZEWAY: FIREPLACE: 1 GARAGE: attached
DOMESTIC HOTWATER: x TYPE HEATER: electric 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: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHN) DATE OF INSPECTION: 7/17/2017
TIME START: 9:35am END: 10:46am
31-73V41 4f�
D ' Form No.6 G
TOWN OF SOUTHOLD
JUL 14 2017 BUILDING DEPARTMENT
TOWN HALL
765-1802
BUELDING DEPT.
TOWN OF SOUMOLOPPLICATION 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. /h! �
New Construction: Old or Pre-existing Building: (check one)
Location of Property: „� � � / l�co�� 4yej
House No. Street 14amlet
Owner or Owners of Property: �t� ,T (/,��1,!5v
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 S' tore
ZW �ID-0 —
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CONSENT TO INSPECTION
r
the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the pre ises in the Town of
Southold, located at .q keT� �f�� / -�-• ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section , Block Lot 1/
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for
the fal ��:
A2 e ZZA1 �
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: 7//
(Signature
(Print Name)
(Signature)
(Print Name)
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URVEY OF
G� I OT NOS. 21, 22 a 23
AP OF PROPERTY OF M. S. HAND"
CUTCHOGUE ,
TOWN OF SOUTHOLD
SUFF. CO., N. Y.
GUARANTEED TO'
NOTE 9 = MONUMENT SCALE : I"= 40 GUARANTEED TITLE DIVISION OF
LOT NOS. REFER TO "MAP OF PROPERTY OF AUG. 10, 1965 AMERICAN
S OF BROOKLYN
TITLE INSURANCE
BR OYPI
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M S HAND FILED IN THE OFFICE OF THE CLERK DIESAV DM
s OF SUFFOLK COUNTY nm CFPT +a its-An AL' ISOF BRON h4— ��
SURVEY OF:
PROPERTY LOCATED AT CUTCHOGUE
LOT No. 21. 22 & 23 AS SHOWN ON
MAP OF PROPERTY OF M.S. HAND
FILED: SEPTEMNBER 16. 1930: FILE No. 730
TOWN OF SOUTHOLD
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SUFFOLK COUNTY, NEW YORK �aRF,tiFs C�'
S.C.T.M. # 1000-136-2-11 I lea
SCALE: 1"=40 `s
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NOTE: THE EXISTENCE 'OF RIGHT OF WAYS,
WETLANDS AND/OR EASEMENTS OF RECORD Z F
IF ANY. NOT SHOWN ARE NOT GUARANTEED.
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UNAUTfOR17,E0 ALTERATION OR ADDITION TO AOS SURVEY 19 A VIOLATION 4" p0.O•._
OF SECTION 7289 or IW NEN YORK STATE ETIUCAT93H LAN
COPIES OF THIS SURVEY AAP NOT WJAOO THE LAND SURVEYORS AIRED c
OR Ekie%SF0 SEAL SHALL HOT BE CON91OERED TO BE A MU)TRIS COPY-
OWR07EES OR CERTWICATIOOS INDICATED HEREON SHALL RW MY TO
THEPERSON FOR HOHOn THE SURVEY IS PREPARED ANO ON HIS BEHALF TO
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THE TITLE CORMANY.GOYERWRENTAL AGEWY ANO LENDING INSTITUTION
LISTED K SMOL AM TO THE ASSIGNEES OF THE LENORY'i INSTITUTION.
GUARANTEES OR CERTIFICATIONS ARE NOT TRAW.FERASLE TO A ITIONAL tp'
INSTITUTIONS OR SURSEGUW OXtEM '7
CERTIFIED TO: CONC SURVEYED BY:
JAMES GAVIN, JR "0" PAUL BARYLSKI LAND SURVEYING
KIMBERLY GAVIN PATCHOGUE NY 11772
TITLE AMERICA LAND SERVICES. INC. PHONE 631-294-69B5
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY FAX 631-627-3166
CITIZENS BANK, N.A.
PAULBARYLSKIaYAHOO.COM
2750 JULY 8. 2017
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G o d -� /,3G -� - if 'OWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER- • STREET � � VILLAGE DISTRICT SUB. LOT _;Y ? 1-,
J541 7e b- Ale, Ou 74, X,9
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FORMER OWNER ' N a E ACREAGE
M
n l S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
1dr7 Z/ � r ,S",!'DO.r ' 01������d� Ta / e n n,e>e ,
Lam/�f�5, ,[� ) "'�-�/ /
/ lJ F,+ Go7J 2�iZ 3^ I h 6 /o, r S d �e V/� W 1 9 ! T 4 i %. I /A/6
'�� � Y,6 Q �,�Q 8 .2- � ��}r. �e�� �� ��� � �rcr i-�; ��, �� ��� �.�a � 9�d-�"i i�ee �•,,c�,
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D r e n/I
AGEj / BUILDING CONDITION
EW NORMAL �ELOV1/ ra E FRONTAGE ON WATER /j "'Q /
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable I BULKHEAD
9
Ti I lable 2 DOCK
Tillable,- 3 �.� 1-41 Celle �-4 ej 21C)7f,
Woodland
Swampland
3rushlond
=louse Plot
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Total
•' `rt\�'1� r'- tar.. �_. I
IDr-r OV
M. Bldg., Z/ Foundation C Bath
L -
Exfiension 8 j � Y � �. ��� a �/ Basement �' A�/L Floors
G/•1•n• c.�/�k'v o nt n N FR . . o /4�
Extension ' 1l Ext. Walls- nteCior Finish w
p � O. 3 S'� Co � � WOoD "M Co
Extension' Fire Place Heat
Porch Roof Type
Porch Rooms 1 st Floor
Breezeway Patio / Rooms 2nd Floor
Garage _ ; , o p � ��; Driveway \ Dormer
O. B.
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4�'�\pF SO!/TyQ` .
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
COP
P.O.Box 1179
Southold,NY 11971-0959 Q
l�COUN it
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: l�
Building Permit No. / 6
Owner:
(Please print)
Plumber: J02-r-
(Please print)'
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plumbers Signature)
Z
Swom to before me this
rZ
day of , 20_Z 7'
Notary Public, County
CHRISTIE HALLOCK
Notary Public,State of New York
.No.4831950,Suffolk County
Commission Expires May 31,20 4
of sourrt
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: k4-w+ l �mvtV4
�✓ � �Cl/K,�h' -�h �GbV-
(o-kl Lt&�' �a&g� twu--�- �v4z' is. 9mv% Aw ref ft;v
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DATE INSPECTOR
zf SOUly� C
0
TOWN -OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLSG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: � At
�✓W�S
°L 0
DATE INSPECTOR
LOCATION: �� o'vi<
(number & street) (m 'cipality)
SUBDIVISION: MAP�NO.: LOT(S):
NAME OF OWNER(S)--. Qj�j JA hifillIJAM At 04.
OCCUPANCY:
(type) i (owner-
tenant)-ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP�O 1000-
-SOURCE OF REQUEST: 6 t IA'h.O _DATE: l/ OPP L70v
DWELLING 2
TYPE OF NSTRUCTI'ON: I�A'Y�IV # STORIES: 7��# EXITS:
FOUNDATION: 8AS9M NT:C 4CRAWL SPACE:
22
# OF BEDROOMS: 1ST FLR: 2 Nh FLR: J . 3RD FLR: .
BATHROOM(S): TOILET ROOM(S): UTILITYROOM:
PORCH-TYPE: DECKI TYiRE: .. . PATIO;TYPE: P
BREEZEWAY: IREPLACE: p GARAGE: fbV
_
DOMESTIC HOTWATER TYPE HEATER•. oe4t)c.-AIRCONDITIONIG:
TYPE HEAT: f \' WARMAIR HOTWATER:
# OF KITCHENS
__,J�
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. STATE UNIFORM FIRE PREVPNTION &BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
IV
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REMARKS: V111F , Tlay (Ics---v
'
INSPECTED BY: "I J DATE OF INSPECTION: tel/
TIME START:, J l9'j END: O