HomeMy WebLinkAboutZ-32437 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 32437 Date: 06/27/07
THIS CERTIFIES that the building DWELLING
Location of Property 11635 MAIN RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 031 Block 0004 Lot 033
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 32437 dated DUNE 27, 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING*
The certificate is issued to FRANK RUSSEL & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
or
Au t orized Ricfiature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 11635 MAIN RD EAST MARION
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : FRANK RUSSEL & ORS.
OCCUPANCY: SINGLE FAMILY DWELLING FRANK RUSSEL & ORS.
ADMITTED BY: HAROLD RUSSELL ACCOMPANIED BY. SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-4-33
SOURCE OF REQUEST: WM. PRICE, ATTY 6/17/07 DATE: 06 27/07
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK & STONE CELLAR: * CRAWL SPACE: 9096
TOTAL ROOMS. 1ST FLR.: 8 2ND FLR.: 4 3RD FLR.: 0
BATHROOM(S) : 4.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S)
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: NONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: ELEC.&OIL WARM AIR: HOT[dATER: OIL
OTHER: *PIT BASEMENT
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 8 X 12 SHED
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
I I
REMARKS: BP#1923Z-COZ1721 (ADD) BP#18579Z-COZ19303 (ADD & ALTERATIONS)
INSPECTED BY: DATE ON INSPECTION: 06 14 07
GARY J. FISH TIME START: 10:AM END: 10:40 AM
rvtaaa live a,
'SOWN of soU•rIIOLD
BUILDIW; DEPARTHEHT
TOWN RALL
765-1002
APPLICATION FOR.CERTIFICATE OF OCCUPA CY ' �` --
A. This application must be filled in by typewriter OR ink-and ;baitit 107tt @7bui.ldi tg
inspector with the foilowingi for new building or new use:
1i Final survey of property with accurate location of all u'il&Lrags-r,_;P-roperty---line),
streets, and unusual natural or topographic features: C � ,,r.i 2i Final Approval from Health Dept:' of •water supply and se isproa'Y s' (S�9�faRta� .
3. Approval of electrical installation from Board of Fire Underwritersi
46 Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5• Couunercial building, industrial buildings multiple residences and similar buildings
and installations, a certificate of Code Compliance from' arcttitect or engineer
responsible for the building,
6i Submit Planning Board Approval of completed site plan requirements.
• Be For existing buildings (prior to April 9t 1957) non-conforming uses, or buildings and
i1pre-existing1l land uses:
1: Accurate survey of property showing all property lines, streets, building and i
unusual natural or topographic featuresi
2.' A properly completed application and a 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
11 Certificate of Occupancy -• New dwelling $25.001 Additions to dwelii.ng $25.00,
-Alterations to dwelling $25.00, Swimming pool $25.001 Accessory building $25.00,
Additions to accessory building $25.004 Businesses $50.00•
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 •6ver 5 years - $10.00
4i Updated Certificate of Occupancy -- $50600
51 Temporary Certificate of Occupancy - Residential $15.001 Commercial. $15.00
6/6/07
Date
. ..... . . .
+ • iii ♦ { 1 : • ii • • i • • i • i . { • ♦ • • i • • .
New Construction. • . . : + ♦ • . ii Old Or Pre-existing Building• evii ♦ i . ♦ • • . i • : i • a
11635 Main Road East Marion
Loeption of Property• i . 1 : ii : i • + 1i1 ♦ • ♦ : i • 1 / ♦ i / 1if • lf / i ♦ i • 1"ii ♦ fie ♦ • : f i : iif • i ri : • { • i :i..::.• . ♦
J. House No. Street Hamlet
Harold E. Russel, George F. Russel, Russel 'Family
Onwer or Owners of Propertyiiii6fi ♦ 11 0141ii ♦ 114644 6 i6, 14ii6iii { { 4 { 4 : i { i i • ..• . • • i i i .T•7i1.' r.1— : : •
n 031 . 00 04 . 00 033 . 000
County 'Lax Map No 1000, .Secti' o ♦ i / i •,41 / iii'i • #Dlock• • : . 1iii • i . i + ii .Lotii � i • i i:...ii • i
Subdivision. . . ii0 • ♦ • ♦ • ♦ • ♦ • + hell ♦ 1f 4ii ♦ i1 . / : iFiled tIapi ♦ : ♦ iii . . ♦ ♦ •Lot. . • •: • . + iii . .':..•: • •
Permit Date Of Permitiilii 'li � iiii • iilApplicar►tii • iiiii : iiii ♦ i . iiii..:li • :
11ealth Dept, Approval. ♦ : + 4i1 ♦ iil ♦ 61444111 611 / 1 + :Underwriters ApprOvali . l + • iii ► { i : • i + •.i: : i : i
Planning Board Approval: . i .: 16 • i41164 . 66lii6 • 1 /.
Request for! + Temporary Certificatei6661 / 1164 : Final Ce•i:ticate: ii�:• 1i ♦ • ♦ i
Fee Submitted: $• i .100@00. • • ♦ ii ♦ ♦ • ♦ • . . :: + 1 . :♦
• i + iii • • . • 1 • : • • ♦ • r,. • i � i • : • • iii . { • .♦►l. + •
APPLICAItr
I William H. Price; L7r.
TOWN OF SOUTHOLD P O T' Y RECORD CARS221
OWNER STREET / VILLAGE DISTRICT SUB. LOT
t � � � �
FORMER OWNER N E ACREAGE
l Z� ! C
S E: W TYPE OF BUILDING"A
RErv
��b SEAS. VL. FARM COMM. I IND. I CB. I MISC. I c
IMP. TOTAL DATE REMARKS
r
1140 6_569 Z-6 C 0 c/ J14 1 17�(,_3)z /,-z
AGES �' `gyp BUILDING CON I I.O � Aix
0o 79ocs -?moo 5 4;�Z/Yes
Farm Acre Value Per Acre Value
Tillable 1
d
Tillable 2
Tillable. 3 1 a 714 -t G a e �Y 0
Woodland
Swampland
BrushlAd.., .�
House Plot
Total
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB- _ LOT
ACR. REMARKS
TYPE OF BLD.
PROP. CLASS
LAND IMP. TOTAL DATE _
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FRONTAGE ON WATER TILLABLE
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CRAWL
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Interior Finish
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Rooms 1st Floor
CONSCNT
INSPECTION
William H. Price, Jr. , as agent for Harold E. Mussel, George F.
'Russel and Russel Family Trust
the-undersigned,
0�Vll L
do(es) hereby state;
That the undersigned (is) (are) the owners) of the premises in the Town
Of Southold located at 11635 Main Road, East Marion, New York
•
\%'hicll is shown and designated all the Suffoll;
County tax map as ,District 1000, Section 0331^00, Block 04 . 00 Lot 033 . 000
That the undersigned (has) (llavc) filed, or caused to be filed, an applica-
tiori in the Southold Town Building Inspector's Office for the follotvil1gt
Pre Certificate of Occupancy
That the undersigned do(ea) hereby give consent to the Building Inspectors
of the Tolvil 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 1vidi respect to the aforesaid application, including inspections
to determine that said premises comply witl-t all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, it, consenting; to such inspections, do(es) so lvith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of t}le laws, ordinances, rules or regulations of the Town of Southold,
bated: 6/6/07
'(signature)
William H. Price, Jr.
(print name)
(print name)
LOCATION:
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY: �.
KEY AVAILABLE: SUFF. CO. TAX MAP NO.1000-
SOURCE OF REQUEST: DATE:.
DWELLING:
TYPE OF CONSTRUCTION: (,i) # STORIES: c,Z #EXITS:
FOUNDATION: ,— _ CELLAR: s CRAWL SPACE: 90 Q
TOTAL ROOMS: 1S FLR: �` 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: GARAGE: -
DOMESTIC HOTWATER: • 4S' TYPE HEATER: dAer AIRCONDITIONING;_ —
TYPE HEAT: WARM AIR: HOTWATER: '
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: P-
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY: DATE OF INSPECTION: ���
TIME START: END:
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July
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F1Lg h C aox ,S`U VEY OF PROPERTY
AT FAST JdARJON
T 0 WN OF SO UTHOLD
S UFFOLK COUNTY, My
0 1000-31-04-33
SCALE: 1'-40'
y MAY 15, 2007
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CERTIFIED TO. ROCK\ tsf}i
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HAROLD E. RUSSEL �
GEORGE F. RUSSEL m
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RUSSEL FAMILY TRUST -15
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A!•'Y AL T RADOI; ORADDITION i0 THIS SURREY IS A Yo ATI°N (631) 755-5020 AF ,791
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£:rCE!'T AS PEP, SECTION 72C9-SU3DIV,'SION 2. ALL CER�FICAT10NS
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