HomeMy WebLinkAboutZ-39181 L
�SUFrFpd,fcd Town of Southold 8/29/2017
o Gy 53095 Main Rd
x Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39181 Date: 8/29/2017
THIS CERTIFIES that the structure(s) located at: 2995 Sigsbee Rd., Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-6-9.1
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- 39181
dated 8/29/2017 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 enclosed porch and outdoor shower stall and two accessory one car garages.*
Note:BP 37544 alterations to existing enclosed porch COZ-36150;BP 41794 addition to dwelling with new heating
system COZ-39180.
The certificate is issued to Taylor, Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
u ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2995 Sigsbee Rd.,Laurel
SUFF.CO.TAX MAP NO.: 126.-6-9.1 SUBDIVISION:
NAME OF OWNER(S): Taylor,Robert
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Taylor,Robert DATE: 8/29/2017
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: forced hot air AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
t
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: 2 side by side STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/28/2017
TIME START: 2:23pm END: 3:21pm
t
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 I%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 Ce�ficate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 11
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 2 5— ���SID&� AD� ,
House No. Street Hamlet
Owner or Owners of Property: �p
Suffolk County Tax Map No 1000, Section 'nc— Block Lot G f
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: $ oy
12e c °!
�. �f. Applicant Signature
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned is (are)the owner(s)o the pre ises in the Town of
Southold, located at _ C�� ;
which is s'' d designat d on the S 1 County Tax Map as District 1000,
Section 1X13lock , Lot .
That the undersigned(has) (have) filed, or cause to be filed, n application in the
Southold Town Building Inspector's Office for the following: PP5 —6
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:
�(Sig�natu
v
(Print Nam
(Signature)
(Print Name)
SN-012,j- -t-&VWW
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TOWN OF SOUTHOLD PROPERTY RECORD CARD 1 t
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NOTES
AREA-192D6 So.FT. ^E
•SU7DMSION_•AMENDED MAP OP MATTtTWK PARK PROPERTIES. E
RIG'. IN T1!OFPK:E ar 7fg'CLERIC OF 7UI9OLK COUNTY ON
JAN.12,1976 A9 FILE NO 601 Q§p�
•mow'w T SET ■.MOWd—rojw A•STAKE SET STAKE FOUND $�
400 OA—dsr Avenue,Rv�rh°ad,R°N York 11901 `-�R�Y F�I2 {ppp�p
tel.671.7272707 rox 671.72tal-
admU�'yaur,g-ngme.ring.cam P40MRT TAYLOR �
4uzzg 4 O�tXt� at Mattltuck,Town of Southold
Suffolk Counl9,New York 90
lbrurd ML You j,Lmd Surv.y°r �
Thomas G PblPerl,rroree.roml eE�naq1n°or
Rab-t 0 Tmt,Arci+keat BOUNDARY SURVEY
Douglas E.Adam1,ri'areHbnal 6x]Uleer tl
County Tax Mop -butt 1000 126 ewe 06 f,,, l J €
SURVEYOR'S CERTIFICATION
FIELD SURVEY cot, tD KR
•'s HER®1'O;RTiPY TO ROBERT TAYLGR y/pUYEY MAP PRLPAREp MAY N,790 p
/TA7 PREPAPPD IH ATL41mANGE MTH TMTHe
OF.
. HAY 70.7010 ®83
ASSOC4ATON PRCFE ICNA,L LAND OTATE ROLOr•d OI RmY1O1oflO
ORe RECORD OF REYI.dOnty
5R
700 �5
u 70 �
HOWARD M YOUNS,MYS LA NO 47p47 SaaIM 1•• SQ'
Joo 1a 2qo-olo6
DMS 2010_0I06 p-P ( a I y
PL-TIID eT-11 PSDT DATE.Nn OX]m--Yt Y
Wm
D [EC[E0'V[2
Robert E. Taylor JUL 5 201 D
2995 Sigsbee Road BUJLDrNGDMr.
P.O. Box 7 TOWN OF SOUMOLD
Mattituck, NY 11952
July 5, 2017
Town of Southold Building Department
Town Hall Annex
54375 Main Road
P.O. Box 1179
c
Southold, NY 11971 -0959
I, Robert E. Taylor, owner and inheritor of the house at
2995 Sigsbee Road, Mattituck, NY 11952, am the son of Frank
H. Taylor,, who purchased this house in November, 1945, from
Maude Robinson. At the time of this purchase there pre-existed
a non-conforming half-bathroom on the second floor that remains
in place at the present time.
Respectfully yours,
,
44—
Robert E. Taylor
Sworn -Vo b-O-c- n-r-, �V)15 S}—"
day OV 501Y , 2-617.
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY'
COMMISSION EXPIRES JUNE 30,2)A
bz& oFsovT ��� C
�o�,a yoga
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: _
DATEWWfW�' INSPECTOR
i
LOCATION: �ttk tv Ro?6
(number & s t) - (municipality)
SUBDIVISION: MAP-NO.: LOT(S): .
NAME OF OWNER(S)•: '
OCCUPANCY: IN
(type) (owner-tenant).
ADMITTED BY:; ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'' O. 1000- a
SOURCE OF REQUEST: o ✓ DATE: _
DWELLING \
TYPE OF CONSTRUCTION: ' �Q�d' ���d �N STORIES: # EXITS:
FOUNDATION:�. `7VU�L' . IIAStMENT? CRAWL SPACE:
# OF BEDROOMS: IST FLR:' ' 2ND FLRv 3RD FLR:
BATHROO (S): J TOILET ROOM(S)' UTILITY ROOM: _
PORCH-TYPE: DECK, TYPE: ., PATIO,.TYPE:
BREEZEWAY:' FIREPLACE: ID1 gJAM11K QARAGE:
DOMESTIC HOTWATER.: y TYPE HEATER: ,A-'S,, , AIRCONDITIONING: -
TYPE HEA T- :606 WARM AIR: HOTWATER: 6AY44�
`. '-#"OF KITCHENS:
FINISHED BASEMENT:- YES NO Don 40
OTHER: 'YOWL 1 .8 l VI
ACCESSORY-STRUCTURES .
GARAGE; TYPE OF CONST.:k5fte. STORAGE,TYPE CONST.:
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FSR$PREVENTION & BUILDING CODE -
LO ATION DESQUPTION ART. SEC.
f a
Ovl
IYV -`C-4�h
��--
REMARKS:
INSPECTED BY�AA `. -�pCYb�l DATE OF INSPECTION:
TIME START:,Z�•Y�T � END: