HomeMy WebLinkAboutZ-39854 �A�Uff�d'fco Town of Southold 8/21/2018
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39854 Date: 8/21/2018
THIS CERTIFIES that the structure(s)located at: 14380 Oregon Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.-1-12.5
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- 39854
dated 8/21/2018 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 and brick one family dwelling with covered porch, accessory wood frame garage, accessory wood frame
barn and accessory wood frame shed(shed is in disrepair).*
The certificate is issued to Demchak,Michael&Maria
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A ho ' d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 14380 Oregon Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 84.-1-12.5 SUBDIVISION:
NAME OF OWNER(S): Demchak,Michael&Maria
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Demchak,Michael DATE: 8/21/2018
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: covered porch DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: oil baseboard
#BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: wood frame in disrepair
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: wood frame barn
VIOLATIONS:
REMARKS:
INSPECTED B4: JOHNJ DATE OF INSPECTION: 8/14/2018
TIME START: 10:15am END: 10:52am
Form No.6
TOWN OF SOUTHOLD
E
V
D
BUILDING DEPARTMENT
TOWN HALL
765-1802
AUG 7 200
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This apqjtq0MGs1QMted in by typewriter or ink and submitted to the Building Department with the following:
TOWN OF SOU THOLD
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,properly 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 Q
Date. Yom' 7- (/'OP
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Ofke- t9�1 �acd o
House No. Street amlet
Owner or Owners of Property: CG/
Suffolk County Tax Map No 1000, Section IR Block of
Subdivision Filed Map.
OQ4 Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: AI/A Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
4c,
S-9-1 pplicant Signature
CONSENT TO INSPECTION
A(Clad $AlRacca, Affyc"�, 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 ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
SectionSLI , Block / , Lot /3 .5
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.
Dated: do'
(Signature)
(Print Name)
(Signature)
(Print Name)
SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 p • �® roger.riche rKED-town.southoId.ny.us
cou ,�
BUILDING DEPARTMENT
TOWN OF SOUMOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Demchak
Address. 14380 Oregon Rd City: Cutchogue St: New York Zip: 11935
Building Permit#: PRE CO Section: 84 Block- 1 Lot 125
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: As Built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 100a Switches Twist Lock 71 Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS"
Notes 100a service panel
Inspector Signature: Date: August 16 2018
81-Cert Electrical Compliance Form xls
S BUILDING DEPARTMENT - Electrical Inspector
Vs
1 1� TOWN OF SOUTHOLD
9 . _ 4 2� Town Hall Annex - 54375 Main Road - PO Box 1179
.60
Southold, New York 11971-0959
rP� • �� Ok ,,' t)'�Relephone (631) 765-1802 - FAX (631) 765-9502
� � • �:� `-' roger.richert(cr�town.southold.ny.us
Z
APPLICATION FOR ELECTRICAL INSPECTION
- - - Date:
-EQUESTED*BYf- - --
Company Name:
Name:
License No.: email: ppm @ -
Address:
Phone No.: 7 -
JOB SITE INFORMATION: (All Information Required)
Name:
Address:
Cross Street: c
Phone No.:
Bldg.Permit#: — Co t email:
Tax Map District: 1000 Sectio Block: Lot: ZD(Z),
BRIEF DESCRIPTION OF WORK (PleasePrint C�llead
cX W C�
Circle All That Apply:
Is job ready for inspection?: ES NO Rough InFinal -
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required).
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
Tire — co -✓ L'bwt�le
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
a
SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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TOWN OF SOUTHOLD BUILDING DEPT.
couff 765-1802
'INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] C DE VIOLATION [ ] CAULKING
R ARKS: R:qVi
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DATE lj INSPECTOR
OF SOUTyO�
# * TOWN OF SOUTHOLD, BUILDING DEPT.
765-1802
INSPECTION -
FOUNDATION
1ST [ ] ROUGH PLBG. a r
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
,A16
DATE fid( �� INSPECTOR
8/20/2018 Workspace Webmail Print
Print I Close Window
Subject: Fwd:Smoke detectors
From: John Bagshaw<jbagshaw@bagshawre.com>
Date: Mon,Aug 20,2018 10:20 am
To: pcmoore@mooreattys.com, betsy@mooreattys.com7p�
D
Attach: IMG 2683.JPG \vim/
Attached Message Part i
IMG 2684.JPG '
AUG 2 0 2018
Attached Message Part
IMG_2685.JPG
Attached Message Part BIDnqG DIES.
IMG 2686.JPG
Attached Message Part
Hi Pat.
As requested, please find attached pictures of the smoke detectors I
installed in the four bedrooms at 14380 Oregon Rd Cutchogue.
Image 2683 is of the 1st floor smoke detector,
Image 2684 is of the N/E 2nd floor bedroom smoke detector.
Image 2685 is of the N/W 2nd floor bedroom smoke detector.
Image 2686 is of the S/W 2nd floor bedroom smoke detector.
These smoke detectors were installed on Thursday,August 16th.
Please forward this email to the Southold Town Building Department so
the town will issue a letter of pre-existing use.
Sincerely,
John Bagshaw
Bagshaw Real Estate, LLC
747 E. Main St.
Riverhead, NY 11901
(0)631-727-3713
(C)631-495-3245
Copyright @ 2003-2018.All rights reserved.
https://ema1112.godaddy.com/view print_multi.php?u!dArray=1269001INBOX&aEmlPart=O 1/1
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LOCATION: . omo,,
(number & s et) (municipa ty)
SUBDIVISION: _ MAP-NO.: _ LOT(S): ,
NAME OF OWNER(S)':
O'CCUPANCY: &I . .G e
(type) (owner-tenant)-'
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE: SUEF. 'C0. TAX MAP' 0. 1000- -- *-• •Ss
SOURCE OF REQUEST; Agri* DATE:
DWELLING 014
TYPE OF CONSTRUCTION: � - � STO-=S: 0 #EXITS":' ?� ,
FOUNDAT18' IA. { ;18A,StMENT: 'CRAWL SPACE:
# OF BEDROOMS: IST FLR: I 2ND FLA.: 3RD FLR: �.
BATHRO-OM(S);, TOILET ROOM(S):I UTILITY ROOrM:
1v �-OV
PORCH.TYPE: DECK, TYPE: PATIO,TYPE:
y,
BREEZEWAY:' FIREPLACE:, A2AGE:tjot�. �uLit
DOMESTIC HOTWATER.: TYP9 NEATER•: !O1 1;--'- ATRCONDITIONING:
TYPE HEAT;.-O��/ WARM AIR: _ HOTWATER:
# OF KITCHENS: 9/'
FINISHED BASEMENT:- 'YES NO
OTHER:
ACC)ZSSORY STRUCTURES
GARAGE; TYPE OF CONST.: ASTORAGE, TYPE CONST.: ,v j 04 rmwle-l�
SWIMMING POOL, GY"�",*�� iST: --'
OTHER: � � �,^..
VIOLATIONS:. CHAPTER 144 &N.Y. STATRUNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION A ART, SEC,
REMARKS:
.�
INSPECTED BY:, 06 `J , TftMI�l DATE OF INSPECTION:
TIME START: ��- END: 0��?/' fol