HomeMy WebLinkAboutZ-39282 Town of Southold 10/11/2017
,
53095 Main Rd
Southold,New York 11971
co
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39282 Date: 10/11/2017
THIS CERTIFIES that the structure(s)located at: 2450 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-10-21
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- 39282
dated 10/11/2017 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.*
The certificate is issued to Ennis, Robin
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. nYA
ut o ' ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2450 Jackson St,New Suffolk
SUFF.CO.TAX MAP NO.: 117.-10-21 SUBDIVISION:
NAME OF OWNER(S): Ennis,Robin
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Ennis,Robin DATE: 10/11/2017
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE: partial
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: from oil burner AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/23/2017
TIME START: 9:55am END: 10:35am
3-LA," -a�v4
Form No.6
TOWN OF SOUTHOLD I q.,'6_0V--jj)_c5j
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.
f
New Construction: Old or Pre-existing Building: (check one)n/)
Location of Property: o9 y �'® �!+ L �5 n �ee ,t M euj Saty-0/1L ���/-
House No. / Street Ha let
Owner or Owners of Property: J�0 h�`n en
Suffolk County Tax Map No 1000, Section /1-7 Block / 0 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: $ DD f
Applicant Signature
_40
CONSENT TO INSPECTION
r�8 b ril n ri 1'5 , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are)the owner(s) of the premises int e Town of
Southold, located at 2'/�O JAC/L S0 3-I ree t the Town
S LAAIK ,f"I
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 11-7 , Block I D , Lot o2 1
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: PR E G 0
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: 67-1— a O 17
(Signature
L�nni �
(Print Name)
(Signature)
(Print Name)
SOUTyo Pre..,
�Ycouto,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] R UGH PLEIG. -�
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
10 %
REMARKS O c7�1
(�Avowwx, ow,
Viv'
� I � `
ICS 1°r+l� ( r� oh In
r�
DATE 3 T INSPECTOR
CONTRACTORS' LINE & GRADE SOUTH L.L.C.
23 Nepperhan Avenue
Elmsford, New York 10523
OVERHEADWIRES UTILITY Phone: (914) 347-3141 Fax: (914) 347-3120
POLE
UTILITY Copyright (c) 2016 CONTRACTORS' LINE & GRADE SOUTH All rights reserved.
POLE — OVERHEAD WIRES
9.07 JACL70ON
SUBJECT PREMISES ALFA= 7,199 SO.FT.(0.165 At)
+ S RUTILITY THE PREIMSES HEREON BEING KNOWN AS LOT 21,BLOCK 10,SECTION 117,DISTRICT 1�AS SHONW ON
APPROX. POLE THE OFFICIAL TAX YAPS OF THE COUNTY OF SUFFOLK.
WA—TER MAIN— — — w(50 WIDE) s -
8 62 BRIO E W — — — w / HIGH WATERLINE LOCATION (AND 300 FT. OFFSET)WAS DETERMINED BY FIELD SURVEY DURING HIGH TIDE
EDGE OF ON SEPTEMBER 12, 2016
ASPHALT 7.55 STE S �,
IRON = 7.04 6.60 DOSING SUBSURFACE SEPTIC SYSTEM LOCATION WAS DETERMINED BY WILL(AT COASTLINE)ON
PIN a VALVE �•�4'F` s� SEPTEMBER 9,2016. THE DOSING SYSTEM WAS REPLACED IN 2006.
S 85037'00'0
® � E �® 00'��tiF••9F �IY1V CO / THE SURVEYOR'S SEAL,SIGNATURE AND ANY CERTIFICATION APPEARING HEREON SIGNIFY THAT, TO THE
10.33 'r, Ot �\- MON. BEST OF IRS KNOWLEDGE AND BELIEF,THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE MINIMUM
10.25 I � STANDARDS FOR LAND SURVEYS AS SET FORTH IN THE CEDE DD PRACTICE ADOPTED BY THE NEW YOLK(
51.1' A.C. } � / STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS,INC.
c S, ° T _ CHIN. _ HEDGE_ 9. ^ '� S � CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THIS SURVEY WAS PREPARED, AND ON
N c • ••®�. 8.43 �� HIS BEHALF, TO THE TITLE COMPANY,LENDING INSTITUTION AND GOVERNMENTAL AGENCY LISTED
Fo HEREON; SAID CERTIFICATIONS ARE NOT INTENDED TO RUN TO ADDITIONAL TITLE COMPANIES, LENDING
BLOCK 4 / INSTITUTIONS, SUBSEQUENT OWNERS OR FUTURE CONTRACT VENDEES.
LANDS N/F OF 91 , ' 21 ¢ ELEVATIONS HEREON WERE TAKEN FROM AN ACTUAL FIELD SURVEY BY THIS OFFICE ON AUGUST z
/ STORYi sTEPs � s
MARTIN 10.39 wooD F" I f I _ w 2016.ALL ELEVATIONS ARE RELATIVE TO NAVD-88 DATUM.
,x' FR MEQ NC.
/ STEP $, ASPH. A PORTION OF THE PREMISES HEREON LIES WITHIN AN AREA OF SPECIAL FLOOD HAVM(ZONE AE)
14.60 W 10.71 PROPOSED ,` .O ,` _ I — (ELEV.6)AS DEPICTED ON FLOOD INSURANCE RATE MAP No.36103CO501H,REVISED SEPTEMBER 25,
g ADDITION I 1 , ,. W 2009.
2 STORY (423 SQ. F T.) ''°r ("BLACK
FRAME • I •� + RELATED THEERETO,UNDERGROUND RARE NOT STRUCTURES,UTILITIES OR
UNLESS OTHERWISE OTED,15,AND ANY EASEMENTS
1 .84 ® (300 FT HIGH WATERLINE OFFSET) ` _ _ I / 3\ 6.47 w
Z + / : �' UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S
38.3' 3 ' ® SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2 OF THE NEW YORK STATE EDUCATION LAW.
/ 46.9' 109 RED BRICKo
N _ PREASE TRAP Q
ND ,/ 1s
11.13 = ® � Bldg Dept copy from ZBA
Final review d ment5
10.64 11.33 11.51 tt.4�- �- 4x8 PRECAST c/) MAX 19 2017 ZBA Fit#
CONC. s i �+ + OVERFLOW . 1039 6y,�^ Date:
MON. N 85'37900" W "M _ Z I 5,31000,00' j �^ BY,----_-----
`� PLOT PLAN
LANDS N/F OF 12.65 '
1301 UTILITY PREPARED FOR
POWO 1 STOR��
i i POLE GARY & ROBIN ENNIS'
' z
FRAME / ' I aF NEW PROPERTY S17UA TE A T
NEW SUFFOLK
�= CO7 TOWN OF SOUTHOLD
LOT COVERAGE CALCULATION: r COUNTY OF SUFFOLK
EXISTING: PROPOSED: r �. osa�5�, STATE OF NEW YORK
AL
LOT AREA: 7,199 SQ. FT LOT AREA: 7,199 SQ. FT S
S'F� LANLAND �Q' C E " = 20'
1
HOUSE AREA: 987 SQ. FT HOUSE AREA: 1,410 SQ. FT 1� % Date: MAY 8, 2017
CURRENT LOT COVERAGE: 13.7% PROPOSED LOT COVERAGE: 19.6%
CAD File. /LAND4/GE—LONG ISLAND/DWG/GE—SURVEY.DWG
DD
OCT ® 2 2017
Fs�1171—uxITa� �F;�I.
Robin Ennis TO 14 OF SOUTH-OLD
2450 Jackson Street -
New Suffolk, NY 11956
September 19, 2017
Attention Southold Building Department:
I, Robin Ennis, am writing this letter stating that a second
bathroom was added on to our home at 2450 Jackson Street in
1954. The name of the the contractor was Gene
Horton.
Sincerely,
Robin Ennis
TOWN OF SOUTHOLD PROPERTY . RECORD CARD
OWNER — STREET VILLAGE DIST. SUB. LOT
Se e-6A vl ��-ee�` �/- �✓ SAF/=o G: %6� �/ e.rc r,��i� a� .
.FORMER OWNER NE ACR.
��,tryCC�s !nJ Hucs1 ' 7-,z), t ,��F'ah f�, fico AV41 . , ,/�6
S W TYPE OF BUILDING �+
�� �` �U P f��.% �J�' �„CCEY -- ��i''1'�,� �.�b Li i�.� in / '1''''�`.. oma..•Cr ,
REST Q SEAS. VL. FARM comm. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS �� '�'j p�' F� sa,'/ ' T�-a .,s.64'/- h, Pv ,r�c� T
/
too,
' d j
c4.tic1`. �orc-ec �� W�iP� olQe� w�c�iSces
R�
761 2 �jLi Z2 9 4 Q 41IZZ�7d o '
8Z.- L_e 1-,Ne rr 97—!=R. p4Go �Gtn . -j-n LIA 5 �� W^�'. �FPn c.�s�44i
a-�.I/S S abs= Pu 51�� �a Fnr� �s /,���� (Jse. �,r��sl�,, i✓�
06
F APPEA�-�
ZONING
i
AGE BUILDING CONDITION ,
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
F A
Woodland FRONTAGE ON ROAD 7z��� d�,
Meadowland DEPTH
House P-lot , - BULKHEAD
Total DOCK
5 l```'}C`t't„�r..�\,i l- {;^.''„<t �,.. =!•,ter`" r��:{•. I (l I/
COLOR T Gtr
r'� ;�"`:t.<;�`�- ;:��ti, "� ��. ,( ��''�� - -, ;�: ��.,'�• ` �� RIM
tl I �`���� t\��C�i/�`''••H 'y. ,!` r +"J ill ..�v.'.�4 •'��-� !J✓ �
Ell
� �jf�1�II�L :"'�r'i1f���, �• ' .r,7 '�'�'!}3•Y+,. _ .(b l
_•}�'% LL: uFA
� �r.lv:.ti.'�lf5r �_,.c•_-.._ .� •:t,�..,�ic:c i::•;"•r.:y�1`:�:µ..'%��� �? .
A
S.
M. Bldg. 1: 2 2 - ?o �f
f
Extension —
�.�6 a
Extension
Extension
Foundation �, Bath Dinette
PhP-�a�,Z 2 X J��?_ ✓ r ,f`Q �� 94sement Floors �'in e K.
Porch Ext, Walls S r U Interior Finish fn/�dock LR.
Breezeway Fire Place Heat R DR.
Garage (C-P- Type Roof �r�` Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN, B
O• B. Dormer Driveway
Total 9� ,
LOCATION:
(number & street) (municipality)
SUBDIVISION: _ MAP-NO.: LOT(S):
NAME OF OWNER(S)'-
OCCUPANCY: 1 PitUWJjfAA .
(type) (owner-tenant)
ADMITTED BY: 4 .. ACCOMPANIED BY:
KEY AVAILABLE: SUEF. CO. TAX MAO. 1000^ 11;7110 -ai
SOURCE OF REQUEST: ,LD r hv�.l DATE: v . !
DWELLING \�
�
TYPE OF CONSTRUCTION: W 00 _ #STQ'R�E : #EXITS:
FOUNDATION: fi/�dGAS14'IENT:1�I�,X� CRAWL SPACE:Q�IVAt/�
4 OF BEDROOMS: 1ST FLR: _ 2ND FLR: �_ 3RD FLA:
BATHROOM(S): � TOILET ROOM(S):
UTILITY ROOM: _.
PORCH,TYPE. U DECK, TYPE: .. J PATIO;TYPE:
BREEZEWAY: FIREPLACE: QAIRAGE:
DOMESTIC HOTWATER: TYPE HEATkA.!6001 �. AIRCON'DITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
J
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES,
GARAGE; TYPE OF CONST.: STORAGE,TYPE CONST.:
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
7/7
VIOLATIONS; CHAPTER 144 &N,Y. STATE UNIFORM FIRE PREVENTION &BUILDING CO E
LOCATItvn
DESCRIPTION ART S C.
S U/'
044 ,4#1114 a Or ton4*4AP
4
w,r % ►�� - b
REMARKS:
INSPECTED BY: JO�y1 J. TAfSkI DATE OF INSPECTION: _JOh� y3, �l
TIME START:, :���'�1 END; 0 : SJtPj