HomeMy WebLinkAboutZ-39603 o�%dfFOL/r,a Town of Southold 4/19/2018
y� 53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39603 Date: 4/19/2018
THIS CERTIFIES that the structure(s)located at: 54180 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 61.-4-21
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- 39603
dated 4/19/2018 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 commercial building with two apartments, first and second floor covered porches, wood frame accessory
garage and wood frame accessory shed.*
Notes: BP 1050 addition COZ-7137;BP 7137 addition COZ-6827;BP 42449 HVAC COZ-39599
The certificate is issued to Rothman,Ronald
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 54180 Route 25, Southold
SUFF.CO.TAX MAP NO.: 61.4-21 SUBDIVISION:
NAME OF OWNER(S): Rothman,Ronald
OCCUPANCY:
ADMITTED BY: Patricia Moore,Atty.
SOURCE OF REQUEST: Rothman,Ronald DATE: 4/19/2018
DWELLING:
#STORIES: 2 #EXITS: 4
FOUNDATION: brick and cement block CELLAR: partial CRAWL SPACE: yes
BATHROOM(S): 2 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: 2 cov.porches DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: FHA HOT WATER: steam
#BEDROOMS: 7 #KITCHENS: 2 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: wood frame
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/27/2018
TIME START: 8:58am END: 9:30am
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 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$15.000 I�,
Date. '0.J
New Construction: Old or Pre-existing Building: (check one ,
Location of Property: -�(`i�
House No. `Street Hamlet
Owner or Owners of Property: E� f-D]p-ZA;{-+4
Suffolk County Tax Map No 1000, Section 0 1 Block Lot 21
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: $ \-0 c-) -"—
01
__----Applicant Signature
1
CONSENT TO INSPECTION
0 n ` ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned is) are)the Owt ner(s of the premises i e To of
Southold, located at � 1-� 0 - w ,
which is sho nand designated on the Suffolk County Tax Map as District 1000,
Section �� ,Block ,Lot Z
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
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.
l r ,
Dated:
(Signatuire) p
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(Print Name)
(Signature)
(Print Name)
�S.R• 25�.A ° .°.
p,� 4 Pam SURVEY OF PROPERTY
SITUATE
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N_� N S.C. TAX No. 1000-61—04-21
SCALE 1"=20'
UT JANUARY 8, 2018
., a -"`'I• N
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\ £ 7°,4 W V 0.294 ac.
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UNAUMORIM ALTERATION OR ADDRION
+ Y N 4E°9N SECTION 74009 OF THE NEW YORK STATE
y�� �;, . EDaCATIDN Nathan Taft Corwin III
7 / COPIES OF THIS SURVEY E NOT BEARING
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EMBOSSED SFPL SHVl NOT BE CONSIDERED
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ONLY TO THE PERSON MR WHOM THE SURVEY
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03N p„ W TRLE WMPW O'OVERNNEMAL AGENCY AND Title Surveys-Su6dmsions- Site Plans - Construction Layout
LENDING INSTITUTION LISTED HEREON,AND
TO THE ASSIGNEES OF THE LENDING INST-
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BON AND/OR EASEMENTS OF RECORD,IF Jomesport,New York 11947 Jamesport,New York 11947
ANY,NOT SHOWN ARE NOT GUARANTEED
37-361
TOWN OF SO I!UT,"OLD PROPERTY -RECORD: -,CARIW
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LAND !MP. -TOTAL DATE -REMARKS
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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:
4Vs(d's't- OCC66 -preZ,
OLevw,ltt I& — v
DATE 'k Y2S 9 INSPECTOR
ALOCATION: J l%oMA;w
(number & street) (municipality)
SUBDIVISION: MAP-N'O.: LOT(S): ',
NAME OF OWN R(S)': Y,145tUaulwo, la,_r,
OCCUPANC vck, r?iJoIlly
(type) (owner-tenant)-
ADMITTED BY: A OQ�Q/. ACCOMPANIED-BY:
KEY AVAILABLE: SUFF. CO. TAX MAP'N . 1000^
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION:'. # ORIES: # EXITS
� �� I
FOUNDATION: tASP, ENT': CRAVE SPACE--
# OF BEDROOMS: IST FLR: '0 2ND FLP,.:' ' ,3RD FLP,
BATHROOM(S): TOILET It;00M(S): I, UTILITY ROOM: H
PORCI1STYPE:I q.Ajj�pR p1VCK�TYPE- PATIO;TYPE:
?� � / A i1\
� � ✓
BREEZEWAY:'- ; IREPLACEi_ ` , �A GE:,
DOMESTIC HOTWATER: TYPE HEATER: �
AZRCONDITIONIIVG: °`(-
Z � IQ
Owed INld�--
TYPE HEAT: � �
bis, Oct,
#,OF KITCHENS:-2.....�.:
FINISHED BASEMENT:- YES_ NO vell000q
OTHER:
ACCESSORY STRUCTURES .
GARAGE; TYPE OF CONST.: Oug� .Qi' STORAGE, TYPE CONST.:914 Eja�J;W&
SWIMMING PO-OL: _ GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION gESCRIPTION ART. , SEC.
cOct, vt6, I I s
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REMARKS:
0001,
INSPECTED BY:", o n 1 • DATE OF INSPECTION: FPr4ow $r 5
END:
TIME START:.
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