HomeMy WebLinkAboutZ-40361 g11FFOj,�c Town of Southold 5/8/2019
Q� o 53095 Main Rd
m Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40361 Date: 5/6/2019
THIS CERTIFIES that the structure(s) located at: 790 Oyster Ponds Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 24.4-7
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- 40361
dated 5/6/2019 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 rear screened andlg ass panel porch and finished attic with half bath and(sink in
hallway of attic), and accessory trellis/arbor and 2 wood frame accessory sheds.*
The certificate is issued to Newman,Kenneth
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ut o ' ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 790 Oyster Ponds Ln.,Orient
SUFF.CO.TAX MAP NO.: 24.4-7 SUBDIVISION:
NAME OF OWNER(S): Newman,Kenneth
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Newman,Kenneth DATE: 5/6/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S):
PORCH TYPE: screen&glass panela DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 5 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: 2 accy sheds
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: trellis/arbor
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/2/2019
TIME START: 11:03am END: 11:35am
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.
(72: 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.
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. 7 X1221 L 020 t 9
New Construction: Old or Pre-existing Building: (check one)
Location of Property: i a \(57s Q ]?o r-i y L A-m 0z I ErtT
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section � Block Q Lot 0
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: $ p 0
� 2
Applicant Signature
CONSENT TO INSPECTION
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 n the Suffolk County Tax Map as District 1000,
Section Block , Lot
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: /ate
(Signature)
cJerrf- R K ���1
(Print Name)
(Signature)
(Print Name)
I � -
I
N SURVEY OF PROPERTY
A T ORIENT
TOWN OF SOUTHOLD
CMF SUFFOLK COUNTY, N. Y.
FE.COR.
+1.6'E ss4•'9ooti ( 1000,24-01-07
o SCALE. 1 —30
F N/O/F
( SCOTT SUSAN NEILSON FEBRUARY 19, 2019
N 0 F A REVOCABLE TRUST
SOUTH R LIMITED
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DONALD E VANCLEEF TRUST p QD
MINA M VANCLEEF TRUST +Q
KEY ,2x308' s� ry���
Q = REBAR 0
® = WELL
A = STAKE
^Try
� = rEsr HOLEOF NEW�
• = PIPE
■ = MONUMENT FS�1Q I cs ,`�•FROe O
= WETLAND FLAG ��T \ �� •^ �-�� •
CO-) = U71LITY POLE
ELEVATIONS REFERENCED TO NA VD 88
.Y.S. LIC. NO. 49618
LdORS, P.C.
ANY AL7ERA770N OR ADDIAON TO THIS SURVEY IS A WOLA77ON OF SECTION 72090E 972 SQ. �'T. (631) X65=5020 FAX (631) 765-1797
THE NEW YORK STAKE W.EDUCA77ON LAEXCEPT AS PER SECTION 7209-SUBDIVISION 2. AREA= 24, P.O. BOX 909
ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR WHOSE 1230 TRAVELER STREET
SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 19-002
i
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r of sour
# TOWN OF SOUTHOLD BUILDING DIPT.
co 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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: _
�Y0(a, � lSl
"�v Am4val .
DATE INSPECTOR
LOCATION: 92j�&if
(nurber & street) (municipality)
SUBDIVISION: j, MA-P-Np LOTS)
NAME OF OWNER(S)':
OCCUPANCY: S( 6 14 ywtu wl I Y O -
(type (owner-
tenant)-ADMITTED BY:
-_ ACCOMPANIED B y:�P.*ii rh _ eW fn Al
KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000 .,. I
SOURCE OF REQUEST: 2, %V wawma. DATE: "I . K 1.'li016
DWELLING
TYPE OF CONSTRUCTION: W � 6LIA� #STOS:
FOUNDATION: 6 ]�ASVMENT: {t'y 'CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLA:
,BATHRO-OM(S): TOILET ROOM(S).: ¢. dUTILITY ROOM:
rte✓ vem
PORCH.TYPE: DECK, TYPE: .. . PATIO;TYPE:
BREEZEWAY:' FIREPLACE: L QARAGE: -'
DOMESTIC HOTWATER: TYPE HEATER: . AIRCONDITIONING:
.a �
TYPE HEAT: WARM AIR: HOTWATER:
~ J ,
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER: •( 40'ai: Icy i n
IGS .
ACCESSORY STRUCTURES i
F
GARAGE; TYPE OF CONST.: �" STORAGE,TYPE CONST.:�..
SWIMMING P'O'OL: GUEST,'TYPE CONST:G NL
OTHER:
VIOLATIONS: CHAPTER.144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOC TON DESCRIPTION ART. SEC.
04M vbpl r -
REMARKS:
INSPECTED BY:__� J . DATE OF INSPECTION; fAAq
TIME START: END: I� Z