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Home My WebLink AboutZ-34028 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- 34028 Date: 10/14/09 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 16995 MAIN ST NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0008 Lot 008 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- 34028 dated OCTOBER 14, 2009 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 WITH SCREENED PORCH AND ACCESSORY BARN.* The certificate is issued to JOAN B ROBBINS (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. AP AJ horized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 16995 MAIN ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : JOAN B ROBBINS OCCUPANCY: ONE FAMILY DWELLING JOAN B ROBBINS ADMITTED BY: JOAN ROBBINS ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO_: 117.-8-8 SOURCE OF REQUEST: ABIGAIL WICKHAM, ATTY DATE: 10/14/09 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: STONE CELLAR: PIT CRAWL SPACE: TOTAL ROOMS: 1ST FLR_: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : YES PORCH TYPE: SCREENED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: HOT WATER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: BASEBOARD OTHER: CELLAR ENTRANCE & SECOND STORY DECK ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: BARN 21.5' X 24.6' SWIMMING POOL: GUEST, TYPE CONST_: OTHER: BP 19425 FOUNDATION FOR BARN COZ19561 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP9871 ADD COZ13033,BP16500 ALTER COZ16662 INSPECTED BY: ON INSPECTION: 10/22/09 0 GEORGE GILLEN TINE START: END: s D U E Form No.6 E C E TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL OCT 15 2009 765-1802 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUP CY TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: i 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$25.00,Additions to dwelling$25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00,Additions to accessory building$25.00,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. October 14, 2009 New Construction: Old or Pre-existing Building: X (check one)For a two—story frame dwelling, detached frame barn and shed Location of Property: 1F&95 Main Street New Suffolk House No. Street Hamlet Owner or Owners of Property: Joan B. Robbins Suffolk County Tax Map No 1000, Section 117.00 Block 08.00 Lot 008.000 Subdivision (n/a) Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: (on file w/Building Dept. — copy Planning Board Approval: attached) Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 G �O d pal'cant Signature Abigail A. Wickham, Agent CONSENT TO INSPECTION JOAN B. ROBBINS , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigneItodlis)°15(are) the owner(s) of the premises in the Town of Southold, located at 1449--5 Main Street, New Suffolk, New York 11956 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 117 , Block 8 , Lot 8 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for-the following: a Pre-Existing Use Certificate of Occupancy for a two story frame dwelling, detached frame barn and shed. 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: October 14 2009 (Signature) Abigail A. Wickham, Agent (Print Name) (Signature) (Print Name) TITLE NO.: 632-S-8761 S 85045'00" E 102.08' 0.3'N IRREG. FENCE w 0.9'S !L 0 24.6' o \ FRAME \ �9y`c90 N BARN co co O 37.0 CONC. O \ OPEN VEST y `*1 STY ri as 8.2' — — Q ui� e z Q0 uu w ¢ I L Q : ¢ Q 4.2 8.1' ¢ O CE 0 2 STY, N5 FRAME O C7 N No. 16995 N A O O, w 24.0' 5.0 o w O cn O a 2.2NFFMCF. GATE i.TN RUBBLE 0.2N STEPS .3' WALL 0.3'S N 85040'00" W 102. 11 MAID STM SUFFOLK COUNTY TAX MAP DISTR. 1000 SEC. 117 BLOCK 08 LOT 08 MEASUREMENT IN U.S. STANDARD THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD,IF ANY, NOT SHOWN ARE NOT GUARANTEED THE DIMENSIONS SHOWN HEREON,FROM THE STRUCTURES TO THE PROPERTY LINE,ARE FOR A SPECIFIC PURPOSE ONLY. THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES,STRUCTURES OR ANY OTHER IMPROVEMENTS. UNAUTHORIZED ALTERATION OR GUARANTEES INDICATED HEREON SHALL RUN ONLY TO ADDITION TO A SURVEY MAP ONLY COPIES FROM THE THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND BEARING A LICENSED LAND ORIGINAL OF THIS SURVEY ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL SURVEYOR'S SEAL IS A VIOLATION MARKED WITH AN ORIGINAL OF AGENCY AND LENDING INSTITUTION LISTED HEREON, NEW SUBDIVISION 2, LAND SURVEYOR'S EMBOSSED AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. OF SECTION SEAL SHALL BE CONSIDERED TO GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL OF THE NEW Y STATE BE VALID TRUE COPIES. EDUCATIONN LAW. AW. INSTITUTIONS OR SUBSEQUENT OWNERS. K U L H A N E K & PLAN SECTION BLOCK DATE LAND SURVEYORS, P.C. GUARANTEED TO: 9-22-2009 FIRST AMERICAN TITLE INS. CO. OF N.Y. NEW SUFFOLK SUFFOLK 1-800-541-5124 MAILING ADDRESS: ULSTER SAVINGS BANK COUNTY 1-914-764-0304 P.O. BOX 178 JOB NO.: 1-516-431-9358 73 WESTCHESTER AVE. 1-718-347-3533 POUND RIDGE, NY 10576 FAX:1-800-242-4955 KEITH HABER 09-69838 EMAIL: KP.LSPC@VERIZON.NET ANITA HABER R:69838B;9-24-09 _ T® N OF' .SOUTHOL PROPERTY RECORD. CARD OWNER STREET �� s' VILLAGE DISTRICT SUB. LOT (T4.a ,� FORMER OWN N // E ACREAGE �y �CccyraUS%e Tie4 e ///�+b nv.1t 5 � ��s► � � W � r y,,, a/. j �'A TYPE OF BUILDING RES.? (� SEAS. VL. FARM COMM. I IND. I .CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS d f'a,,,;/ dwI// � c- 07o��' D6 �0 b 6 S�a d 3 3Q a 9a 13P l9 as= eo,4 du � d� uhA, fix; . Oak n, 0,01f S.e=o G a AGE BUILDING CONDITION NEW'' NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD .,rr 41 Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushlarid House Plot Total n ■■■■■■■■■EMI■■■■■■■■■ +' ■■■■��■■■.I�■■■■NN■■ MEN ■■■■■■■■IiAVIMM■■■■■■■ OMEN■MEN"��:I'vild ■■■■■ ■NNENEEM��"4 NEEMN■EM■M tk` Y�F ■E■EMM■NEEMEMEEEE f bTt h, e f = Foundation r Ext' Walls r9mm Fire Place '• f Porch ••• •' r