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Home My WebLink AboutZ-42203 �O�asy�EF01�-cpG Town of Southold 7/28/2021 y� 53095 Main Rd h x Southold,New York 11971 oy � oma` PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42203 Date: 7/28/2021 THIS CERTIFIES that the structure(s)located at: 1355 Smith Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 98.4-14 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- 42203 dated 7/28/2021 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 single family dwelling with wood frame accessoty garage_* The certificate is issued to Vansant, Charles (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ov A o ize S ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1355 Smith Rd,Peconic SUFF.CO.TAX MAP NO.: 98.4-14 SUBDIVISION: NAME OF OWNER(S): Vansant,Charles OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Vansant,Charles DATE: 7/28/2021 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: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: electric WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/29/2020 TIME START: 11:25am END: 11:30am Form No.6 TOWN OF SOUTHOLD 1 JAN - 7 2020 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. 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. �)L For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses•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$15.00 Date. / 2G �j Z O/ New Construction: Old or Pre-existing Building: (check one) Location of Property: �Z6-5— 5 !R House No_ Stree�tt Hamlet Owner or Owners of Property: 6A,04 ej _rS !�` //w/Vs A/�� Suffolk County Tax Map No 1000,Section C?e, Block Lot fe Subdivision Filed Map_ Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate, Final Certificate: (check one) Fee Submitted:$ d D 0 0 Q `J Cd>® Applicant Signature 1 1 CONSENT TO INSPECTION the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is)(are)the owner(s)of th premise�ss in the Town of Southold,located at /3.SS�/zlos ,S —7-i7( �� pe==C which is shown and designate on the Suffolk County Tax Map as District 1000, Section`}S, f Block Lot ''f p/-f' . 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: -Si--x� ignatur a 5 F eV24A65AI(A (Print Nam//e) (Signature) (Print Name) OF SOGIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. �yco � 765-1802 INSPECTION [ ]- FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING -- [ ] FRAMING /STRAPPING [ ] FINAL [ ]- FIREPLACE & CHIMNEY j ]�"FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT,CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) = [ ] CODE VIOLATION [ PRE C/O REMARKS: IV t Oi o 6 ocis- -i_ &kAA,_v V(e, - �n 1 o)Il , IV>•'r� MIA DATE INSPECTOR SO//ly� # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1-ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ;] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] A ANT PENETRATION [ ] ELECTRICAL (ROUGH) LEC CA , (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: on &4643 C� D o t� ut - �dvt u lN4A%____ ' 10 DATE INSPECTOR 7- --HTOWN OF SO-010- 1 RT CARD_ ` OWNER STREET 355 VILLAGE DISTRICT SUB. LOT r,t A��J FORI,A NE /--, (S/ri/} ` � N~ E ACREAGE 4 S W TYPE OF BUILDING d4 e vJ. Uja ' RES. 4 SEAS. �- VL FARM COMM. I IND. I CB. I MISC. ( Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS G d--t! L O 5 _o o 'A / 6) V �• ��=�ae '- �� /TQQ. l --.1" --r ,fgl Q n 3e 7. p,.'.a:- �• �t � Qe- �C G'Ld ala dd• Of , F0 n S/ D� 0 D .✓ 7" q/517` dry XG 11�Da�ON Thr . b FRONTAGE ON WATER' r' Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD ' Tillable 2 � DOCK Tillable 3 BOW r Woodland a - — Swampland 3 3 0 3 �a 4 e ve. �b /tszU K o ` 1 Brushland, House,-Plo �-c�1 -610rj i Tota l '� 4 i ►i .� FIs . �yJ/1� .� ti: t � �..t•\}•r tkC• f �# �t y r;�r' f �r-ti•y?�", :'A 1+�jrf �-4'a6i . N. Ji MIMMIMINEEM MEN ■UMMUA MUMMEJ RAN - IOMrM N= L MISSION MME t asement Floors • •. M1 %I �� • interiorFoundation Both /. Fire Place Porch 1, Roof • ® •• Rooms •• Rooms 2nd Floor i�•n�t � . Win .A FLOORPLAN Borrower.Charles F.Vansant File No.. Vansant Property Address.1285 Smith Road(a k a 1355 Smith Road) Case No 04-1121 City Peconic State NY Zip 11958 Lender East West Mortgage Company 0n Q� 16 0' SD -SMOKE/CO DETECTOR Kitchen 14.0' 35 0' d 0 U Bedroom Beroom Bath S SD 0 Family U C SD Living Room Room CI Bath Laundry 0 SD o 200' Bedroom U m 0 U 45 0' / v pw ` �o 0 Comments IPA rt` EAGA[[U; TATIONS> UNIMPiR+ x. VING�A1-1 !'SR DO, u� C , :s'�i� 5P4to',AWE GLAl First Floor 1742 00 1742.00 F—t Floor 12 0 x 16.0 192 00 26 0 x 45.0 1170.00 19.0 x 20 0 380.00 I TOTAL LIVABLE (rounded) 1742 3 Calculations Total(rounded) 1742 27 North Country Road,P 0 Box 729,Shoreham,NY 11786 631-744-0600 Fax 631-744-0900 I 1 INDIAN NECK ROAD r1 u ' IJ 00 N/F SMITH N 79'37'00"E 152.70' Cf) z o �Iv t� Iv 2 O O TM 1000-098-04-13 O o FM LOT #26 m � ; oo �C TM 10 0-098-04-14 ol FM LOT .#28 FRAME N GARAGE I B CELLAR ENTRANCE (2) w vl gL CONC WALK SLATE 3 8 O SLATE ONC STOOP ONE STORY � �FN u RESIDENCE w �� IV N 0 I 2 6' O • O NJ O f.+ BLUESTONE DRIVEWA CONC CONC MON MON. S 79'37 007 161.72 N/F GREENBERG A GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY h) 15 PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITU770N, IF LISTED HEREON. AND SURVEYED: 19 APRIL 2004 TO THE ASSIGNEE'S OF THE LENDING INS777U7TON. GUARANTEES ARE NOT TRANSFERABLE TO ADO17/ONAL INSTlTU770NS OR SUBSEOUENT OWNERS. SCALE 1"= 30' UNAUTHORIZED AL TERA 770N OR AD0177ON TO 77415 SURVEY OFAREAp AREA = 31,441,63 S.F. SURVEY IS A VIOLATION OF SECTION 7209 OF LOTS 26 r�L 28 OR THE NEW YORK STATE EDUCA770M LAW. IN 0.721 ACRES COPIES SURVEY MAP NOT BEARING MAP 0 F INDIAN PARK • 174E LANDD SURVEYORS fM80S5£D SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY SITUATE PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ESTATE OF JOSEPH SMITH SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 FILED MAP# 551 NEW SUFFOLK. N.Y. • ] 1-956 DATE FILED MAY 27, 1913 631-7 4-5835 TM# SEE MAP GUARANTEED TO. L ENSSE ND SU YOR ESTATE OF JOSEPH SMITH ,/NYS Li N. 492 3 COMMONWEALTH LAND TITLE INS. CO. 04R1316 LOCATION; I�iT �M► 1 _�p P�GOh�y (number & street) (municipality) SUBDIVISION: , MAP WO.: _ _ LOT(S): .. NAME OF OWNER(S)': O-CCUPANCY: r ; W off - o (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED 13Y: KEY AVAILABLE: SUP'`F. 'CO. TAX MAP'No. 1000- Lf SOURCE OF REQUEST: DATE: ,b.0� 3L. 2e.t DWELLING TYPE OF CONSTRUCTION: -,_„N ST RTES: '# EXITS: FOUNDATION: v ; ]�ASP;MENT: CRAWL SPACE: _ # OF BEDROOMS: IST FLR: � �� 2ND FLR: 31�D FLR: _ ,BATHROOM(S S �� t�.� TOILET BOOM S : UTILITY ROOM: O PORCH.TYPE: DECKTYPE: � PATIO;TYPE: BREEZEWAY:' FIREPLACEQ or, tCw' • DOMESTIC HOTWATER: TYPE HEATER: { (/, AIRCONNDITIONING: TYPE HEAT: FARM AIR: HOTWATER: # OF KITCHENS: ' r FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: dog ' -"/ST.OR,A.GE TYPE CONST.: SWIMMING POOL: GUEST,'TYPE CONST: OTHER: VIOLATIONS: CHAPTER]4-4 &N.Y, STATE:UNIFORM F;RE PREVENTION & BUDDING CODE LOCATION DP1SC PTION ART. SEC. t Wtiftfi (AAL WA k • 14C *0' L 61 UA/t REMARKS: �� INSPECTED BY, I - DATE OF INSPECTION: (J A1 )v'l� TI14E START: L END: