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HomeMy WebLinkAboutZ-41150 SupFa�K Town of Southold 3/17/2020 3�4- Gy 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41150 Date: 3/17/2020 THIS CERTIFIES that the structure(s)located at: 845 Orchard St, Orient SCTM#: 473889 Sec/Block/Lot: 25.-2-17.3 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- 41150 dated 3/17/2020 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 front covered porch and accessory wood frame garage_* Notes:BP 6502 shed COZ-5870;BP 8196 addtion/alteration to acct/building COZ-10301; BP 18659 fire repairs to dwelling COZ-19235; open BP 44777 issued 3/10/2020 for an inground swimming pool. i The certificate is issued to Wysocki Jr, William (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A tho d Signature 5 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 845 Orchard St,Orient SUFF.CO.TAX MAP NO.: 25.-2-17.3 SUBDIVISION: NAME OF OWNER(S): Wysocki Jr,William OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Wysocki Jr,William DATE: 3/17/2020 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: front coered porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: / I GARAGE: DOMESTIC HOTWATER: y TYPE HEATER: natural gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWEWMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/16/2020 TIME START: 2:16pm END: 2:30pm 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 thelfollowing. 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. 021 1 4 I oa6 New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: & a-A House No. Street `` Hamlet Owner or Owners of Property: , , S i cpm Suffolk County Tax Map No 1000, Section o2 Block a Lot / 7. 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: $ 101D , 0 b � C, C) V) S1ZL_L'_ — Cj—-0,4o A licant gnature CONSENT TO INSPECTION � �� ��. o� ` o msec �•, 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 -S, q_!�- ©�rc�mac` �. flr �e n� 74 L which is shown and designated on the Suffolk County Tax Map as District 1 , Section 2 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: CAI op c 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. r Dated: p?- (Si ure) ` Print Name) (Signature) (Print Name) S.C.T.M. NO. DISTRICT: 1000 SECTION: 25 BLOCK: 2 LOT(S): 1Z3 LANE) NIF OF TABOR LAND LLC DEED 82± rp, S 85057l E DEED WIRE FENCE 1.4S Pi MON o L! + Ln 1 U WLLI 1J 9 SHED .. :':'26.9':::'... LAND NIF OF 22.5': EDWARD HEALY LAND NIF OF LORI FEILEN 9.0, CONIC. CO 29.1' ................ . :FRAME IIll• CONIC. ... ....... . ..... . .. .. .. .... ....... ....... .... ............ . . ........ 39.8- —io—w oZ3 L4 C G1 MON plpd- I 7 CONC. WA S 88047'30"VV CONC. CuDEED 300'± CURB ORCHARD STREET 0 I.I.P. THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. AREA:24,281.51 SQ.FT. or 0.56 ACRES ELEVA 77ON DATUM: -—----- UNAUTHORIZED ALTERATPON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF 7HE NEW YORK STATE EDUCA77ON LAW COPIES OF 7HIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO 774E ASSIGNEES OF THE LENDING INS7777J770N, GUARANTEES ARE NOT 7RANSFERABLE. 774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM 774E PROPERTY LINES TO 774E S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 774EREFORE THEY ARE NOT INTENDED TO MONUMENT 774E PROPERTY LINES OR TO GUIDE 7HE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7E-ED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT THE 77ME OF SURVEY SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: BETSY DZENKOWSKI; MAP OF: JOYCE WYSOCKI; WILLIAM WYSOCKI; FILED: SITUATED AT. ORIENT 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 (631)298-1588 FAX (631) 298-1588 FILE #19-79 SCALE:1"=30' DATE:JUNE 5th, 2019 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk t a i MAR - 5 2020 �. W- OT - . ... _ LO8 ^4 A-1 1 ol T)W,,V 1--711-1 A up t � o -Ml ��- - - CX6 d! a5v i sll`S Al Ll 7s~ . r TOWN OF SOUTH PROPERTI( RECORr OWNER STREET VILLAGE VILLAGE DIST. SUB. LOT fit) ,SO #rt FORMER OWNERN E ACR. jl� 0,5 S ; W TYPE OF BUILDING l/�itY1_ ti/`J sle RES.T SEAS. VL. ^�— FARM _ COMM. CB. MISC. Mkt. Value A EU LAND IMP. TOTAL DATE REMARKS ;—, /�_ -)- s 4s��r�r�v�,r "C lam . Ls r3 Cl O 6 f�-• - �I ?bb 3=TU o S//Slrr/ /1 �lXK - nX6,577 � � � ;, � �' /Dt�, 000, boo Ton S1Oc� � f© , I q 7e �NqAok � �� alef �CeeeG4c�? ©4LeP FARM Ac reTtV Value Per Value I �j t ���y �( q00 � 00 Acre �R 4 q �� 0 ` rn L `,),1 S �J��:".Q (Z t (� Tillable 1 Tillable 2 Tillable 3 oodland 3 Awampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ' House Plot DEPTH - 5 ,' .. BULKHEAD Total DOCK t, tires levo- COLOR TTT "a TRIM I _ 7 Dt i • _1 kalp ' �Ff7 i - 14' 117 1 t M. B Fo�:ndation Bath ?i Dinette Extension Basementf` Floors K. - -J f � L,,�✓~ 9)!a �• ' r �! Interior Finish LR.Extensi—pn F. as V ,/ 7.Extens — d"'v f '� / ao Fire Place _ Heat s"-4 `„� DR. Type Roof L Rooms 1 st Floor BR. Porch 1 U�� �� �ZylRecreation Roorrj Rooms 2nd Flco FIN. B. Porch Dormer ! ! j Breezeway Driveway , { Gara Patio O. B. Total ao ,, �\ '`�� ! \ ..�.-..-,tea/'•a,� f JP�,� t! I' fqjf so x TOWN OF SOUTHOLD BUILDING -DEPT. 765-1802 INSPECTION - I ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING: [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION- [" ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: onk KV1 DATE INSPECTOR LOCATION: NCL/ to Or (number & street) (municipality) SUBDIVISION: MAP.N'O.: LOT(S): . NAME OF OWNER(S)': O-CCUPANCY: lo (type) (owner-tenant)- ADMITTED BY: ,. _ACCOMPANIED BY: KEY AVAILABLE: SUEF. 'CO. TAX MAPACV 1000-1j'. . 2 ! SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: �(�O� �. # 5T0'RIES: # EXITS:' FOUNDATION: L tAS9,MENT: VV 'CRAWL SPACE: # OF BEDROOMS: 18T FLR: 2ND FLR: 3RD FLR: -BATHRO'OM(Sj: TOILET ROOM(S): UTILITY ROOM: PORE w" DECK, Tyk: PATIO;TYPE: BREEZEWAY: FIREPLACE: ` QARAG\ : DOMESTIC HOTWATER: TYPE HEATER: lQ AIRCONDITIONING: TYPE HEAT: WARM AIR: _ _ .. .____: S� fir.-..�f+YY T , r..,n,o, # OF KITCHENS: ' FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES op . GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS:. CHAPTER]44 &N.Y• STATE.UNIFORM PARE PREV$NTION & BUILDING CODE LOCATION DF�SCRIPTION, ART. SEC. REMARKS: INSPECTED BY:D�n J � ( DATP, OF INSPECTION: MWCA Ito- , ww TIME START: ,�� 1'„"l END: �•'�" P