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Home My WebLink AboutZ-46368 of souryolo Town of Southold * * P.O. Box 1179 io 53095 Main Rd Southold, New York 11971 PRE-CERTIFICATE OF OCCUPANCY No: 46368 Date: 08/05/2025 THIS CERTIFIES that the building PRE-CO Location of Property: 21920 Route 25 Orient, NY 11957 See/Block/Lot: 17.-6-14.3 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/23/2025 Pursuant to which Building Permit No. 52145 and dated: 08/05/2025 Was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Wood frame single-family dwelling and accessory wood frame garage. Violation: None The certificate is issued to: South Dyer LLC Of the aforesaid building. Please see attached Housing Inspection Report. A ho iz d S gnature Housing Inspection Report Property Info SCTM# 17.-6-14.3 Property Class: 210 ONE FAMILY RESIDENCE Address: 21920-Route 25 Hamlet: Orient, Owners: South Dyer LLC Condition of Property: Structure Type of Construction: Wood Frame Number of Stories: 2 Foundation Construction: Stone&Cement Block Number of Exits: 4 Finished Basement: Cellar: Crawl Space: Garage: Breezeway: Deck Type: Porch Type: Enclosed Patio Type: Mudroom: Building Systems Type of Heater: Gas Fuel Type: Oil Hot Water: Steam Electric Panel: Air Conditioning: Fireplace: Wood Dwelling Components Rooms/Floor Levels Sub 1 2 3 Additional Items: Kitchen i Living Rooms Dining Room Bedrooms 3 Bathrooms i Toilet Rooms i 1 Utility Rooms Entry Areas Other Accessory Structures: Garage: Accessory 2 Car Construction: Wood Frame Foundation: Barn: Construction: Foundation: Shed: Construction: Foundation: Sleep Quarters: Kitchen Facilities: Plumbing: Swimming Pool: Other: Comments: I Violations: None Inspected By: John J.Jarski Inspection Date: 07/08/2025 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMFNT 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. r 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 installati9ps of Code Compliance from architect or engineer responsible for the building.( 6. Submit Planning Board.Approval of completed site plan requirements. D D B.1 For existing buildings(prior to April 9,1.957)non-conforming uses,or buildings an -exi "la u 1. Accurate survey of property showing all property lines,streets,building and unusual natural orl"graplc mn features. 2. A properly_completed application and consent to inspect signed by the applicant.If a Certific* e ; } , denied,the BuildingInspector shall state the reasons therefor in writing to the applicant. a� P g PP TOWN OF SO ULD 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$15.00. / Dal.. fir, ., lei New Construction: Old or Pre-existing Building: V .(check one) Location of Property\_ House No. Street Hamlet Owner or Owners of Proper y� vi " L(, 0 S 641 Suffolk County Tax Map No 1000, Section Block Lot =i �Al� Subdivision. Filed Map,. Lot:, 116L j Permit No. Date of Permit" Applicant: Health Dept. Approval:_ Underwriters Approval: -_ Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ V +. A�ppFli1'Ca'nt'Si9Ature CONSENT TO INSPECTION OUs fi ftA S W QL (A p; 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 r r Southold,located at a/�'c,2®__ which is shown and designated on the Suffolk County Tax Map as District 1000, Section ,Block, That the undersigned(has)(have)filed,or cause to be filed, an application in the Southold Town Build' g Inspector's Office for the following: f-' O F Lb C I b�� L' 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: ignature) �10 (Print Name) (Signature) (Print Name) hO��OE SOUTyO� Savo I�h f� * # -TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE &'CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]' FIRE RESISTANT CONSTRUCTION /FIR ESISTANT PENETRATION ELECTRICAL (ROUGH) TRICAL (FINAL) CODE VIOLATION /O [ ]. RENTAL REMARKS: I W v Vl l vT a,A, ri c/ C '�l L DATE INSPECTOR -71311aoi8 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER \ STREET VILLAGE DIST SUB. LOT ACR. 5 R(4 REMARKS TYPE OF BLD. YI u ��' (4V j-4 ROP. CLASS LAND IMP. TOTAL DATE S 5 59do 1 5 5/1 -L i g - uAnj cX S yoy > tz ap lad _�� r o�.- -�Zs'7�.��'l1-TS��it ( ��Gt�i ��P✓' LLC' �fL /,Z 5o 5900, 7/ o 11 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD ' z%5 WOODLAND DEPTH 00 MEADOWLAND BULKHEAD HOUSE/LOT , �_ -I4, 3 I- - y "l COLOR - - , r r � - TRIM r J a I ; 17.-6-14.3 6/11 ! M. Bldg. _ Foundation Bath _ Dinette Extension Y LL �t 0 r Basement p y Floors , ` K. Extension Ext. Walls o Interior Finish QUA t, LR. Extension � r Fire Place Heat 5�,. DR. o Type Roof " r i Rooms 1st Floor BR. Porch _ f ,y �. — Recreation RoomRooms 2nd Floo FIN. B. / X -- Porch Dormer Breezeway Driveway Garage ' I ( Patio i 0. B. Total 3 7 i -/ 7z_ a • r LOCATION: (number & street) (municipality) SUBDIVISION: - _M�rP N'O.: -- LOT(S): NAME OF OWNER(S)':_ O-CCUPANCY: 0 (type) (owner-tenant)- ADMITTED BY: -_ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP•NO. 1000- < ,:— N-34 SOURCE OF REQUEST: DATE: DWELLING ' TYPE OF CONSTRUCTION: V1,p/ #$TORTES: <W0 #EXITS: FOUNDATION: ; �� _ � AS MLNT: _'CRAWL SPACE: #.OF BEDROOMS: 1ST FLR: 2ND FLR: ,;,= 3RD FLR: �,BATHRGOM(S): TOILET AOOM(S): UTILITY ROCfM: , PORCH.TYP" DECK, TYPE: PATIO;TYPE: ------ BREEZEWAY:' FIREPLACE: QARAGE: • DOMESTIC HOTWATER: TYPE NEATER: " AIRCONDITIONING: ' 1 TYPE.HEAT: WARM AIR: _ , HOTWATER: 4 OF KITCHENS: FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES . GARAGE; TYPE OF C04ST.: STORAGE,TYPE CONST.: SWIMMING PO-OL: _ GUEST,'TYPE CONST: . OTHER: VIOLATIONS:. CHAPTER]44 &N.Y. STATE:UNIFORM FX PREVENTION & BU LDING CODE —LOCATION,.,, Dl�SCRIPTION ART. SEC. rw pow REMARKS: INSPECTED BY: h DATE OF INSPECTION: TIME START:l% END: 0 1 • • Legend 0.2 PCT ANNUAL CHANCEFLOOD HAZARD \� 21920 AE 21920 NY-25 Feature 1 VE �►' `'....._ilk i r Google Earth ` N G�oq�e 70 ft cofn SO(/Tyo� TOWN OF SOUTHOLD B ILDING DEPT. o rm��' 765-1802 In2 C INSPECTIO °N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING. j REMARKS: IL:O \ � I, CAIr VIL s - ti DATE t INSPECTOR ---:----E-- _ C5 KEY MAP BY y b _,F� - .•`_ F �� SCAEE 1"=600' j ERSAP MAP FOR {gyros SOUTH DYER LOTS SITUATE -*e --- ------- ORIENT •,R, _ TOWN OF SOUTHOLD }} _ - '�[,° •.`°.,�,. �''•'�' __-- :u°��t SUFFOLK COUNTY, NEW YORK g d '$m[ S.C. TAX No. 1000-17-04-14.2 !• G s' / %% - SCALE 1"=100' JUNE 23,2014 ' • 3 1 4 d, --__---_ 3g: �' f f AaEA=1.5]9,5 ac s.It. s.s.. ' •E NoNs ARE HONSxARE 10 N.N TH :=DATUM 1"• iax[[[l , • ,., , ' . EL E2ISTWG CONTOUR ARE RE SH WR THUS: • • ' p i -_,M , Jr 1 Jyyy /\/ 3.WETING USE CONTOUR NUNTS-.O ARE$NOWN 1NU5:---------n-------- ZO �"R"M+i • f P N , ,T f y'o'r AREASxOPA15%S0 GR.iER LOPES • • I /, w s�`- ,, a r/�°F-',�';v) aL 5'FLOOD ZONEx[RMAHOH TAKEN FROM: FLOO• ,• i' y_y t D INSURANCEE P H..3619TCOO65 H ZONE� ZONE �1.FLOOD • • • ' m,\ '� V%F E 0E9ERNEED TO BE OUL E U1E 02%ANNUAL CHANCE FLOG 1. \ .pR 201E Oac�mEPMhAaD(NAVE ACiWNt: le 2 10, : RTD. 7 ) 7 c A 6 p xe9vri6 v R s] 4 Qei e mm 6s\pD, Nathan Taft Corwin III Land Surveyor