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Home My WebLink AboutZ-40925 Town of Southold 12/13/2019 � �11Ff®`�Cdriy 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40925 Date: 12/13/2019 THIS CERTIFIES that the structure(s)located at: 375 Farmers Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-3-31.1 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- 40925 dated 12/13/2019 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.* Notes:BP 2621 addition COZ-2254• BP 34611 deck COZ-34693;,BP 44476 gas heat COZ-40924 The certificate is issued to Skrezec, Susan&Orlowski, Peter (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. '7 th ed i ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 375 Farmers Rd,Mattituck SUFF. CO.TAX MAP NO.: 139.-3-31.1 SUBDIVISION: NAME OF OWNER(S): Skrezec, Susan&Orlowski,Peter OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Skrezec, Susan DATE: 12/13/2019 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block/poured concrete CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard/radiator #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished 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: 12/13/2019 TIME START: 10:20am END: 10:48am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I TOWN HALL 765-1802 NOV 1 5 2019 APPLICATION FOR CERTIFICATE OF OCCUPANCY This`application mustb"e 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 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 Date. /f 1,-5--- l / New Construction: Old or Pre-existing Building: (check one) Location of Property: r—,C�,Y'M RY- kc- 1 M CA 117U cj, N House No. Street c n Hamlet Owner or Owners of Property: Sw"&a,� (OWSL Suffolk County Tax Map No 1000, Section t3q -80, Block 03„U 6 Lot_025/ , &D 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: $ 10-0 .� 0 Applicant Si ture 1CJ1, pp � CONSENT TO INSPECTION L d (Ql� e undersigned, do(es) hereby state: Owners) N e(s) That the undersigned (is) (are) the owner(s) of the preKnises in thTo of Southold, located at ,',T NV which is shown and designated on the Suffolk County Tax Map as District 1000, Section Blocker Lot 031 6'61- That the undersigned(has) (have) filed, or cause to be filed,an plication in the Southold Towq 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 Iaws, ordinances, rules or regulations of the Town of Southold. Dated: (Si fie)^ (Print Name) (Signature) (Print Name) SOUIyO� J # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]- FOUNDATION 2ND '= - [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]�ECTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: mfvm,� Aa,.Ivt,-kA ke, tv/1 _ a01�.1 r 41f DATE 1)4$1 INSPECTOR VAO § .. 7/Q3/ {]t( :_ ;,�: ,®:�' •`1. 91 3`125-�., TOWN. OF. SOUTHOLD PRORERTY SCOW CAD .'OWNER ; ; STREET 'VIE, DIST. SUB. 10T`01 =4 r k_ nv4 P I al'..� `• L,I�J 4$ 'iy �,,•`I✓`,' rf ` g "�w.'- C "> .✓`a+"`4 1 - _ ' I r FORMER OWNER N ` E = ACR. - S W . TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MISC. Mkt. Value -LAND IMP, TOTAL DATE REMARKS 0, ✓ 0 ' ' s� �f ./D lc�d ecfG"`/ 'CYiy if -- ,�' ,✓ ? '� ''' �- r°/ ." 'Tf l�4 _L '6 59�'t)r 4 1 p'.'t �. . '__i t•l_:R E. -�. 4 '�d.cA 4d :df Ei r _ �f i=7, �' CS ]5 k'd x�"'-�..#' t° 0 i'�.'" ..? ' AGE BU.ILDING CONDITIONff f - / C �- N EW ' NORMA BELOW, ABC3VE �`. D. " �fl o� pl!7 y D�ly ! (° �Z' ' . t FARM Acre Value-Per Value, •. s = Acre 'Rea.d 'I-f`- trlC) � Tillable' ,1 . `6 Q : iQC� z,Tillable •2 15114 '6'6 3"T j2 { "@C — Tillable 3' IUi " rf 7, 4 Woodland 4. t ,Swampland' _ FRONTAGE ON WATER f Brushland FRONTAGE ON.ROAD ; Flouse,Plot" ` DEPTH _ BULKHEAD f 'DOCK Total, 71QV1� -� 6\ -"a 31 TOWN OF SOUTHOLD PROPERTY RECORDCAR® OWNER STREET VILLAGE DIST. SUB. LOTe,5;1). Ale- 11ATI _C4/ FORMER OWNER N E XCR. S WtT YPE OF BUILDING — RES. SEAS. L IFARM ICOMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS 'So AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK 1 • • ■■■■■ ■■■■■■■■■■■MEN■■■■■ ■■■■■■ ME■■■■■■■ ■■■■■■■ , ■■■■■i ■■■■■■■■ ■■■■■■■ -'a..i 1,s'r',e y 3',t• ■mmon, a ■■■/L,■■■■■■■■■■■■■■ ■■■■. ..' ■mW mm■ 7■■■■■■■■■■■■ ONE ■ ■■■ ■1�■■■■■■■■■■■■ ■■■■, ■■■I■■■NO■■■■■■■■■■■ SEEN= ININEMOMMOOMIEN ■■■ME■■■■■IS■■■■■■■■■No Mffiffimma ■■ , .: ■■■t■ ■■■■■■■■■ MEMO ■ ■■■■■ PlaceFire 70 !Type Roof Porch Recreation Rcom •.. .. Driveway S C.T M. NO DISTRICT. 1000 SECTION:139 BLOCK:3 LOT(S)'31.1 tlON. Ott O bh W LOT 64 6 �i SOE� LOT 65 ;3NV O9 MON 30 5! X05 nfl Q7 0, moi, LOT 66q65 �.�tYON s S10- �•'t+^ o t FNM NG u NOOf �o 5 �CYc o PLOT 0 fy c1 ?0 NC / • X59 ''TOOp t9's PLOT C / $ ��• , tom' Q1 XL'P./ PLOT e / P/0 PLOT E �a p/O PLAT E SMI MEADOW •any P/0 PLOT E 13 B6', E N 81.230$E ILANG GUttO+ �g•�'LTD 3228 . a N E 7T243t E. LAND N/F OF El \9 COUNTY OF SUFTOLX �gT USER 12345 PG.010 TOGETHER WITH THE USE OF A RIGHT OF WAY 8'IN WIDTH FOR FOOT TRAFFIC TO AND FROM WICKRAM AVENUE AND LONG CREEK THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOW ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA:22,226.49 SQ.FT. or 0.51 ACRES ELEVATION DATUM -__-______ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY 15 PREPARED AND ON HIS BEHALF TO 774E 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: PLOT C & P/0 PLOT E CERTIFIED TO:ERIC D. WILLIAMS; MAP OF:AMENDED MAP OF MATTITUCK HEIGHTS THERESA A. WILLIAMS, VALLEY NATIONAL BANK; FILED: JULY 24, 1935 No.1184 FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; SITUATED AT:MATTITUCK 'TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE(831)298-168B FAX(831)288-1686 FILE # 19-148 SCALE- 1"=30' DATE.NOV. 5, 2019 N Y.S. LISC. NO. 050882 mdntalnlat the records of Robert J.Remessy&Kenneth M.Toyahah r LOCATION; ��'� �iP��✓ T10 1', v (number & street) (municipality) SUBDIVISION, MI 0.: LOT(S): NAME OF OWNER(S)': v 1r�i�� OwS OCCUPANCY: S 1 .G f4okil (type) (owner*,nant)- ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE; SUEF, 'CO. TAX MAP-1-ilO. 1000-AAit-[ SOURCE OF REQUEST: DATE: NaVy.A.6te DWELLING i` V TYPE OF GONSTRUCTI'ON: :�I� . _ STO-MS: _ # EDITS: Av " FOUNDATION: 18AStMENT: 'CRAWL SPACE: # OF BEDROOMS: 18T FLR: 2ND FLR: _ 3AD FLR: -BATHRO-OM(S): TOILET Ai00M(S): UTILITY ROOM: PORCH-TYPE: DECK, TSE - 0,TY E: BREEZEWAY: FIRLPLACE: e QARAG.E: _ DOMESTIC HOTWATER: TYPE HEATER: iQ►'S AIRCONDITIONING: _ �S TYPE HEAT; WARM AIR: HOT�IATER: r # OF KITCHENS; FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.:_ , Altm SWIMMING P'O'OL: OTJEST,'TYPE CONST: OTHER: VIOLATIONS; CHAPTER.144 &N,Y, STATE:UNIFORM FX PREVENTION & BUI,LDING CODE LOCATION A DF,,,SCPyjPTION ART. SEC. Oalw �� . -ode rMlIM6 Me REMARKS: INSPECTED BY: J !1 �• Rf5lA'l DATA OF INSPECTION: ec TIME START;