HomeMy WebLinkAboutZ-39610 gUFFp_1� Town of Southold 4/20/2018
go�P c��y 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39610 Date: 4/20/2018
THIS CERTIFIES that the structure(s)located at: 350 Richmond Rd E, Southold
SCTM#: 473889 Sec/Block/Lot: 135.-3-9
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- 39610
dated 4/20/2018 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 covered entry and concrete patio.*
Note:BP 5267 addition COZ-6248
The certificate is issued to Richter, Dagmar
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0 Ohod Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 350 Richmond Rd E, Southold
SUFF.CO.TAX MAP NO.: 135.-3-9 SUBDIVISION:
NAME OF OWNER(S): Richter,Dagmar
OCCUPANCY:
ADMITTED BY: Nigel Williamson
SOURCE OF REQUEST: Richter,Dagmar DATE: 4/20/2018
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: slab CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: cov entry DECK TYPE: PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 2 #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: JOHNJ DATE OF INSPECTION: 4/18/2018
TIME START: 3:13pm END: 4:20pm
Form No.6
TOWN OF SOUrTHOLD
BUILDING DEPARTMENT �f
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 €�1Kpo h' 9s
1. Accurate survey of property showing all property lines,streets,building and unus o ap is D
features.
2. A properly completed application and consent to inspect signed by the applicant. rtifipR of�O�ct**y is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees BMDING DEPT.
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,AlteratMWW2l3QVW6N,1D
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. 12,''-; -Ap pw, ;4o t(F
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3S-0 4 e'14"40 JI) &4Z EAg 7— �0T1,0 L D
House No. //��Street Hamlet
Owner or Owners of Property:ZA 91 C-t EEC
Suffolk County Tax Map No 1000, Section Block ®3 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: $ -
lttorl I%
44 0 Applicant Signature
CONSENT TO INSPECTION
_l - '17AIL /�l � , the undersigned,do(es) hereby state:
Owner(s)Name(s) `
That the undersigned (is) (are)the owner(s)of the premises in the Town of
Southold, located at 3 S 0 /2G14 1701'I+6
which-Is showr
land designated on the Suffolk County Tax-Map as District 1000,
Section l Block G rOC) Lot (X9 ,G6(�
That thk-y- ndersigned(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.
n
Dated:
, i&nature)
C4-11,g9L
(Print Name)
(Signature)
(Print Name)
/ �oF sou/ l �i
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:
DATE L INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD CAR®
OWNER STREET 2,r.','` VILLAGE DIST. SUB'. LOT
N r Kt-
�mal/Y + l
41
FORMER OWN R��' usb J/✓: N - E ACR. -
c-A-m(Il'' - f f�s� fLiGvl! j �- -/i�
1� i Q y v�](G[Gict
$ W -1 TYPE OF BUILDING
_! r liv'Ul�t�fS�G_ .11 j���r _t _st i •h'1
RES. f J SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS t
� � L. � /J G.��J ���U a� - �-� -!.r' 2 •—'`.2
( ✓ '! F...� L^^,? ..J�� ��•� \7uJ` �•,�/lK.1A, �l �f I/ 1l r �
5-/7'' Z L-619/S 6-, / Gtr r r L la 5r J rVIZ111 -Z- 0,
-P/.r r_ `7/ Il- 12(,9-7 -A197 l/Im(
tl'5oJq-57_"q 61 i 10` f �--
a -7 z 1 4-L 2-79 n'lbllaS 1z Le-A cid 2-5-6/)/)0
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
h Tillable FRONTAGE ON WATER
1 Woodland FRONTAGE ON ROAD f Y"
s - €
S Meadowland DEPTH
House Plot BULKHEAD i
Total' DOCK F
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2,141 R Foundation :.
Porch - Basement
Porch Interior Fin:s
Breezeway
Garage
Patio Recreation Room
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TITLE NO. r-E- 9 5 20-5 )J1 j151'I:AT_A,
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RiCNMONDrowry OF soUTrioLD
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LOCATION: � ICii11MDry► 50A_R
{ (number & street) (municipality)
SUBDIVISION: LOT(S): ..
NAME OF OWNER(S)': 4A
OCCUPANCY: 51fJfAk, Fmc
(type) (owner-tenant)-
ADMITTED BY � ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP-No. 1000 r
SOURCE OF REQUEST: �� m w.� DATE:
• I •
DWELLING 1
TYPE OF CONSTRUCTION';' WUOd. #STORXES: # EXITS.
22 � �" �`y+{4
FOUNDATION:��A.��' C� pI/o(il�, 8AS9MENT: 044 CRAWL SPACE:
# OF BEDROOMS: IST FLR: �_ 2ND FLR: � .. 3RD FLR: .
BATHRO'OM(S):tt TOILET ROOM(S): UTILITY ROOM: y
PORCH.TYPE: 1.�� DECK, TYPE: .. . PATIO;TY E:
� `Josue e,u lo/(p S�Q� �1W.5
BREEZEWAY: :rip QARAGE:
DOMESTIC HOTWATER: TYPE HEATER: . ,AIRCONDITIONING:
TYPE HEAT: Ol V WARM AIR: ow— HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER: ovot lAh kA--. ,kf,L, betty re"alr C_vv4 S►�" I 44is-6
•��X t��—s'��G �Q�� Co/41+��c� �'�G o 1� I,rh�/'- �1l.(f yr ntr� t�w
ACCESSORY STRUCTURES .
GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.:
SWIMMING POOL: _ GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE.UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRJPTION ART. SEC.
REMARKS:
INSPECTED BY 06%�� � DATE OF INSPECTION:
$�
TIME START:. END: a