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Z-41406
Town of Southold 9/4/2020 53095 Main Rd co C* Southold,New York 11971 Al PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41406 Date: 9/4/2020 THIS CERTIFIES that the structure(s)located at: 7405 Route 25, Laurel SCTM#: 473889 See/Block/Lot: 122.-6-32 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- 41406 dated 9/4/2020 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.* Notes:BP 2186 addition COZ-3047; BP 10369 chimney COZ-14939; BP 45144 accessory storage building COZ-41405 The certificate is issued to Konkel Jean Marie Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED , *PLEASE SEE ATTACHED INSPECTION REPORT. .r ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 7405 Route 25,Laurel SUFF.CO.TAX MAP NO.: 122.-6-32 SUBDIVISION: NAME OF OWNER(S): Konkel Jean Marie Trust OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Konkel Jean Marie Trust DATE: 9/4/2020 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: concrete BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: floor furnace HOT WATER: #BEDROOMS: 2 #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: 8/26/2020 TIME START: 10:58am END: 11:25am 1 TOWN OF SOUTHOLD ` I BUILDING DEPARTMENT TOWN HALL A U G 1 7 2020 a - 765-1802 BUILDING ISI;),. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mus&''h led 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. 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,_Alteratio_ns 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. gh y �r,-z-0 --o New Construction: Old or Pre-existing Building: (check one) Location of Property: 77Ya /77,v/W R 6 �f�e,k /✓� !l�u�`L House No. Street Hamlet Owner or Owners of Property: JIG–Ivy 1.1_10j4jAr1rz' -ri2 V5-r G�:lf1,a r^ �'. �a�I���Jv ?R�vST6' Suffolk County Tax Map No 1000,Section 2 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V`0' (check one) Fee Submitted: $ Applicant Signature r CONSENT TO INSPECTION Ali�12,p�.-..d'. 1<,-"1'*(- r,f bre 17, : �' ,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 �7ee a ir sa74.,.,W RD MR7T-)7-VO4% A.-d //q T2- which is shown and designated on the Suffolk Comity Tax Map as strict q 000, Section !7-2- , Block 6 ,Lot I -I- That the undersigned(has) (have)filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: c e rt �'/ e T&' aJ� 0 Ccv p X 4 yi,, RAzr-bW 513 V 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: S�� J'��v ��:�% - Lam• G/�y� /� (Signature) /Ilei y-. 6'• k., �/,��L (Print Name) (Signature) (Print Name) 29'9" 24t-2* 4'7' 7'-3- 63'-,[ I V'7-W` iii � � ; �30 41 sq-ft W-0. 43 6 2 2'8' 2-41'-,' A _ K232 sqA 83'- 91-10, 13-10"x9.5" 117sq.tt ------- --- IW-2" X-4" 26'-6' 2-W-10" q souTyo 1l"� - # # TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 - = - 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: n� W&L . ' D 14 hgvffin�l t-ov DATEt)D-)oV INSPECTOR %f so - � �o # # TOWN OF SOUTHOLD BUILDING DEPT. °`�cnurm ' 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ "] FIREPLACE &"CHIMNEY [ ] FIRE SAFETY INSPECTION ' [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE R ISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] CTRIC INAL) [ ] CODE VIOLATION PRE C/O Xe, REMARKS: T V yle, © �v✓ C-�p Lis 14 � DATE Y INSPECTOR 7/ aO/ is TOWN OF SOUTHOLD PROPERTY cvwKv---%.--A%&wlD �� 1 OWNER STREET i VILLAGE DISTRICT --SUB'. LOT t '�J�S+1" - • 1 tsl/ 9� ( 3!l!' CJ� i�d.3"� �?1''$..L.c..t, :.,r ��'�„�i� ��C�-'i,!�.�'.�✓�. e• �� �I f�J� � - J F RMEROWN/R [/ f N t E ACREAGE 11 1� tw� TYPE OF BUILDING S Yl� Ih� �r t a° ? ' ti �✓ �!l ?_f ,�. P( CIL , fJ-G_0 fq RES. . SEAS. VL. FARM COMM. I IND. I CB. I MISC. ( Est. Mkt. Value---,,, LAND IMP. TOTAL DATE REMARKS b 00 ,B y;�',7,r^�'` ✓ /��f 1,1_3rj ��G- n 3 67 C) V z_//jo -Llz&�Oe 7-70 -4nkel A- 64 e- rnl_� AGE BUILDING CONDITION i — :��'�,•^tr hs.S f' it'ae..p - t1-}� ''f � td..iX-�d` - � NEW NORMAL BELOW ABOVE FRONTAGE O z r I Farm Acre Value Per Acre Value T FRONTAGE ON ROAD ' ;- .- Tillable 1 `BtKI•t�ADe., r' y j Tillable 2 DOCK 4 s`. i . Tillable 3 Woodland t Swampland Brushland House Plot _ _ _ I - -- -------— -- - Total q31 is Inn -I 1 '�° — �,_' i' in i' r Pj i.3 • ,:—z' ~.gar_ a� ., � � }} 7-- I M. Bldg. { ,' ;i �.�y - �, ! 'rte _ ;,� inundation - f� i Bath > , Extension :-�r� !� I et - ---- �"` Floors i = ;� ,f . '� `` asmen _ tit.$•- - c• k! Exfension ----- r- Ext. Walls ^Pf�r Interior Finish —C Extension Fire Place �f' Heat ' Porch i Roof Type { Porch Rooms 1st Floor - r �— -I —--- ---- - -- --� _ _----- Breezeway 1\ Patio oms 2nd Floor Garog Driveway Dormer 1 ; - - -;- YZ --- S C.T M. NO. DISTRICT- 1000 SECTION:122 BLOCK: 6 LOT(S).32 MON. FC 0.5'W 0.4'E LAND N/F OF 1.5'5 0.8'S MATT MED LLCFE 2.2'E 1.2'W� 22S N l\\\ SAO \ 3.O-3'N 6 3.2'E FENCE \ 0.2'W \ 6s \ 1.O'W No f�NGE m N,�� p A 0 6'W LAND N/F OF /R MATT MED LLC 1.1E ,Zti T 65 Zx GOSO >>0 6 j LAND N/F OF 1 STY �y 7355 MAIN ROAD CORP FRAME DWELLING f36� 0�9� U1 No�O NG O.4'E #7405 6 •s. 2Q3 /A'FS 40-E UA 0.7' 1 U.P. CO RED A s 0.3'S 16 SRI 0 BRICK STOOP O%N MON. �GGF / 1 , THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA:8,932.42 SQ.FT. or 0.21 ACRES ELEVA77ON DATUM• UNAUTHORIZED ALTERATION OR ADD1770N TO THIS SURVEY 1S A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS 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 1S PREPARED AND ON HIS BEHALF TO THE 717LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS717U77ON 1JS7ED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TUTION, 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 77ME OF SURVEY SURVEY OFDESCRIBED PROPERTY CERTIFIED TO: MATT MED LLC; MAP OF. FIDELITY NATIONAL TITLE INSURANCE COMPANY; FILED SITUATED AT.MATTITUCK TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design u P.O. Dox 153 Aquebogue, New York 11931 PHONE(831)208-1588 FAX(891)298-1588 FILE #220-99 SCALE-1°=20' DATE-AUG. 6, 2020 N.Y.S USC. NO. 050882 1 maintaining the records or Robert J.Hennessy&Kenneth M Foychuk LOCATION: 7"t �11I 16d !/ (number & street) (municipality) SUBDIVISION: _ MAP-N•0.: LOT(S):.. NAME OF OWNER(S)': OCCUPANCY: (type) (owner-tenant)- ADMITTED owner-tenant)ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUPF. CO. TAX MAP' V 0. 1�-1yy.•-- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: 9 ST RTES: '# EXITS: FOUNDATION: ; EAS I42EN ': CRAW' L SPACE: # OF BEDROOMS: 18T FLR: 2ND FLR: 3A-D FLA: ,BATHRO-OM(S): ®n TOILET Abom(S): UTILITY,R00'M: ti PORCH.TYPE: D'E'CK, TY(PE: .. • PATIO;TYPE:(JAUAV BREEZEWAY: FIREPLACE GARAGE: DOMESTIC,HOTWATER.: TYP2•HEATER: AxRCONDxTIONING: TYPE HEAT: _ FARMAIR. VYW HOTWATER: y # OF KITCHENS: FINISHED BASEMENT:' YES , NO OTHER: ACCESSORY STRUCTTJRES ' GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: _ SWIMMING P'O'OL: GUEST,'TYPE CONST: _ OTHER: •VIOLATIONS: CHAPTER]4-4 &N.Y, STATE:UNIFORM FT.RE PREVENTION & BUILDING CODE LOCATION IASCPTION ART. SEC. WFV N ar�nJ d r y REMARKS; INSPECTED BY: Ju�! ~ DATE OF INSPECTION: TIME START: %.5�� END: Al V 3 r