HomeMy WebLinkAboutZ-39593 Town of Southold 4/12/2018
53095 Main Rd
Southold, New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39593 Date: 3/23/2018
THIS CERTIFIES that the structure(s)located at: 735 Park Way, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-11-14
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- 39593
dated 3/23/2018 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 accessory wood frame two car garage_*
Note: BP 31921 addition COZ-31548; BP 31946 "as built"deck COZ-31549.
The certificate is issued to Hagerman M F Irry Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. ML
A th ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 735 Park Way, Southold
SUFF.CO. TAX MAP NO.: 70.-11-14 SUBDIVISION:
NAME OF OWNER(S): Hagerman M F Irry Trust
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Hagerman M F Irry Trust DATE: 3/23/2018
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: cement block CELLAR: full CRAWL SPACE: yes
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: I 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: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame 2 car STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/27/2018
TIME START: 11:25am END: 11:50am
Form No.6 D
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL V
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.
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 l
Date. -21 / a
New Construction: Old or Pre-existing Building: V"**' (check one)
Location of Property: 6, s C-9--"'�6
House No. Street�Nd M K�S
Owner or Owners of Property: e-M6 �
Suffolk County Tax Map No 1000, Section 070. jjC—) . C)
Block � �• �d Lot O I OO
Subdivision s o u_bc Czk':'�►Ay I }- Filed Map. a I �7 I Lot: 7
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request Temporary uest for: Tem ora Certificate Final Certificate: (check one
Fee Submitted: $ /00. 0T)
JPJ icant
CONSENT TO INSPECTION
C-�ky�'v�e� � 'S , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the owner(s) of the premises in�thg Town of
Southold, located at e "—a--,1 � o`c� 'l-�
which is shown and designated on the Suffolkkounty Tax Map as District 1000;
SectionO 70. Block I/.DO , Lot D i !�
That the undersigned (has) (have) filed, or cause to be filed, an applicatiorkin the
SouthoI Town Building Inspector's Office for the following: Cr- ,P;cm1�
oh nY,/-S-k-, (\ U( LA.( -\CA
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 ith 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:
(Signa re) �t �
(Print Name)
(Signature)
(Print Name)
J.KEVIN MCLAUGHLIN
Attorney At Law
Telephone(631)765-6085 Winds Way Professional Center
Facsimile(631)765-1856 44210 Rt.48,P.O Box 1210
Email ikmclaw(@,oi)toiiLine.net Southold,New York 11971
March 23, 2018
Southold Town Building Department
Southold Town Annex
Re: 735 Park Way, Southold, NY (SCTM#1000-070.00-11.00-014.000)
Gentlemen:
have enclosed the Application for Certificate of Occupancy, Consent To Inspection,
copy of the new survey, copies of existing Certificates of Occupancy for the subject premises
and my check in the sum of$100.00.
Please schedule an inspection of the subject premises, as soon as possible.
Very truly our
J. Ke in a gh '
Encs.
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SURVEY OF LOT 37 '
' NAP OF COUTHWOOD PREPARED �Y. /
FILED, NOV. 24' 1953 #2141' DONALD-- L. M-AL& ' -R
LOCATED AT SOUTHOLD .
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TOWN OF 3OUTHOLD LAND SURVEYOR /
| SUFFOLK COUNTY' NY 61 NASSAU AVE
/ S.C.T.M./ 1080-70- 1-14 [SLIP' NY 11751 !
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CERTIFIED TO 631-581-0003 |
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THEODORE & R[TA WIENCLAW SCALE/ 1^= 30'
( NASSAU EDUCATORS FEDERAL CREDIT UNION DATE` MAR. 20. 2018STEWART TITLE INSURANCE CO.
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` TOWN OF SOUTHOLD PROPERTY RECORD CARD
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m OWNER STREET - VILLAGE DISTRICT SUB. LOT
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: MO Af"wi > v
bvv Is 944Ard, 0 vl- fl K >/
lh
DATE 3 INSPECTOR
&VLAA
SOF SOpT rQ/ �
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co
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION.
[ ]• FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
o r� C U
DATE INSPECTOR
r '=r LOCATION:
(number & street) (municipality)
wY'f SUBDIVISION: MAP - _LOT(S):
NAME OF OWNER(S)
OCCUPANCY:
AW!.
�!
(type) (owner=tenant)
MA
b ADMITTED'BY:
ACCOMPANIED BY:
KEY AVAILABLE: SU7±F. CO. TAX MAPO. 1 00-
'S.0URCE OF REQUEST: DATE:
tv
'WELLING
.> ;'.T 'P.E:.OF .CONSTRUCTLOl�i: tb #STORIES: �. # EXITS:�
�::;�'OLINDATION: DASE,l4'LENT: �✓� CRAB SPACE: �ii6✓
3:
OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR:
'dabs BATHROOM(S): 1 TOILET.1WOM(S):. UTILITY ROOM:
.. _ .. 31��lo CIO 315 ��
y A' ~PORCH-TYPE: DICK; TYPE: PATIO;TYPE:
"ba
BREEZEWAY:' FIREPLACE: 100 DGARAGE:
;
DOMESTIC HOTWAA.R.:- TYPE HEATER:`,:.,_ �� AIRCOIyDrTIONING: _
" r fh HO'T'VVATER:
TY.-PE HEAT: _ DI'V FARM ATR: %
# OF KITCHENS: fnQ�
FINTSHED-BASEMENT.: YES NO
OTHER:
`""':
'` ACCESSORY STRUCTURES
-GARAGE, TYPE OF CONST.: ' STORAGE,TYPE CONST.:
SWIMMING P•0.0 606 btft - fC*JV.4T,'TYPE CONST:
,-'' OTHER:
44yy tt M
t VIOLATIONS:. CHAPTER 144 &N,Y, STATE.UNIFORM FjRE PREV$NTION &BUILDING CODE '
..::
LOCATION DgSQ1 PTION AART. SEC,
�� INWI
oU-2
�fl v oh hMa
REMARKS:
INSPECTEDJBY�1 �.� 1 oin fl �► DA'T'E OF INSPECTION: Alun '•Y�','yCn
TIME START: �• / END: