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Home My WebLink AboutZ-37068 jzr' -- Town of Southold Annex 8/6/2014 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37068 Date: 8/5/2014 THIS CERTIFIES that the structure(s) located at: 595 Oak Rd,New Suffolk SCTM#: 473889 Sec/Block/Lot: 110.-8-13 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- 37068 dated 8/5/2014 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 accessory garage and accessory shed.* NOTE: BP 16004 accessory shed COZ-15783; BP 39058 issued 7/28/14, for garage demolition. The certificate is issued to Orlowski, Helen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t oriz Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 595 Oak Rd,New Suffolk SUFF.CO.TAX MAP NO.: 110.-8-13 SUBDIVISION: NAME OF OWNER(S): Orlowski, Helen OCCUPANCY: ADMITTED BY: Victoria Germaise SOURCE OF REQUEST: Orlowski,Helen DATE: 8/5/2014 DWELLING: #STORIES: #EXITS: FOUNDATION: cement block CELLAR: CRAWL SPACE: Full BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: National Grid AIR CONDITIONING: Yes TYPE HEAT: Natl.Grid WARM AIR: X HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame 1 car STORAGE,TYPE OF CONST: wood frame shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 7/18/2014 TIME START: 10:30am END: 10:50am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWNt 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 l%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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,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,Conunercial$15.00 Date. Tunpll, 201 New Construction: Old or Pre-existing Building: g (check one) Location of Property: s95 Oak Road aka 5180 New Suffolk Rd., New Suffolk, NY 11956 House No. Street Han-det Owner or Owners of Property: Bennett S Orlowski, Jr. and Barbara A. Orlowski Suffolk County Tax Map No 1000,Section 110-nn Block 08.00 Lot 013.000 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval.- Request pproval:Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ 100.00 OLSEN &OLSEN LLP r 32495 MAIN ROAD A plieant Signature PO BOX 706 Bernete . Orlowski, Jr. CUTCHOGUE,NY 11935 CONSENT TO INSPECTION Bennett S. Orlowski, Jr. the undersigned,do(es)hereby state: Owner(s)Names) v That the undersigned(is)(are)the owner(s)of the premises in the Town of Southold,located at 595 Oak Road aka 5180 New Suffolk-Rd., New Suffolk, NY 11956 which is shown and designated on the Suffolk Cou❑�y Tax Map as District 1000, Section 110.00 Block 08.00 Lot 013.000 That the undersigned(has)(have)filed,or cause to be filed,an application in the Southold Town Building Inspector's Office for the following: Single family dwelling and existing detached garage That the undersigned do(es)hereby give consent to the Building Lispectors of the Town of Southold to enter upon the above described property,including any and all buildings located lhemon;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: June 11, 2014 f 1gna re) Rennett S. Orlowski. Jr. (Print Name) (Signature) (Print Name) OLSEN & OLSEN, L.L.P. ATTORNEYS AT LAW GARY FLANNER OLSEN DAVID WORTHINGTON OLSEN ATTORNEY AT LAW ATTORNEY AT LAW 32495 MAIN ROAD • P.O. BOX 706 • CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 FAX 631-734-7712 - olsenlaw'@optonline.ner UL fly l ) �( J4, 2014 Re: Orlowski to Macleod Our File 10305 To Whom It May Concern: Enclosed herewith please find the following: 1. Application for pre-existing Certificate of Occupancy. 2. Consent to Inspect form. 3. Check in the amount of$100.00. 4. Survey. Please contact Victoria Germaise at Daniel Gale (telephone number 917-576-0827) at Douglas Elliman to arrange for the inspection. Thank you. Very truly yours, AVID W RTH NGTO LS DWOamk Enclosures Southold Town Building Dept. P. O. Box 1179 Southold,NY 11971 TOWN OF SOUTHOLD PROPERTY RECORD CARD _r OWNER STREET VILLAGE DISTRICT SUB. LOT fbk,nrte-#- S • a rbecro, Aal « , ,f FORMER OWNER N E/ �!k Y�� (1ACREAGE U_ J Q•--33 r J St -:t- 4v:p SW TYPE OF BUILDING 1�y I it Fa. Ile RE 210 SEAS. VL. FARM COMM. I IND. I CB. I MISC. � Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS —� 11 e5 Orloid C ryc.ch" A" AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD f�—Q On iso Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Tota I m -I- f r---t— -�-1—I-- —�--- 7�i M. Bldg. `' � ��j Foundation Both � t E.xten,ion ! Basement �/ Floors - -- - --- - ---� OA Extension - Ext. Walls (,o�-c� interior Finish (� IF `: 04 xtension r � , Fire Place H.eat � � -Y Porch t Roof Type Porch Rooms l st Floor Breezeway I Patio Rooms 2nd Floor g O�Y �J Driveway Dormer LSE G �---- '-'� `of � ! ---- N SURVEY OF PROPERTY N/0/F ADAM HOFER AT CUTCHOGUE TOWN OF SOUTHOLD MON GARAGE �, SUFFOLK COUNTY, N.Y. FND. S7321 00 E CAIIMAN A� DR/VEM'AY 141.78' 10100-110-, -19 z w .SCALE' 1',20' a.s it ;, JUNE 25, 2M4 GARAGE LQ p A Qp + Pair+ � Z SHED 2 STY taut wAtuwAr O .� Fr as_L_J " A� FR. HSE. ax.v g �' ae'w Q nw N LL q W a ~' to b o Z M MAN. Fl MD. RRE N7321'00"W 147.26' unurr POLE uWTYPOLE __ ----- --p OAK ROAD AREA -14,453 90. FT. I rs UC. NO,4961s ANY ALIERA1Xr OR A00 TKW rD TW SURWY IS A WOLA77ON CONIC SW WYORS P.C. OF SEOWN 72OMF 7W ACW YORK STAR:EDUCAMW LAM. 631 765-5020 FAX 631 765-1797 E WEPT AS PER SECIM 7209-MMVYMW?.ALL aER1a1CARaws ( 1 ( � NOWa V ARE VALID FAR FMS MAP AND CARIES NE'RFAF MAY F P.O. BOX 909 SW MAP OR WOES BEAR 1NE MOWSSO SEAL OF IW SURWWR 1230 TRAVELER STREET WWW 9"nW APS SOUNOLD, N.Y. 11971 14-073 Iftag 8 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION I ST ] ROUGH PLUMBING FOUNDATION 2ND ] INSULAT ON FRAMING / STRAPPING -,rF'INAL X, co- FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION ] CAULKING REMARKS: t� S-8 -,PV r &A.-(L (-,C- Ik-r& 0 156 Ut J DATE 711 ph — INSPECTOR LOCATION: (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): , NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) 4 ADMITTED BY: 'M44.4 G 5C ACCOMPANIED BY: _ KEY AVAILABLE: SUFE. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: _ W CJ _# STORIES: # EXITS: FOUNDATION: — r C&-- BASEMENT: &ff CRAWL SPACE: # OF BEDROOMS: 1ST FLR: _ 2ND FLR: I-- 3RD FLR: BATHROOM(S): _ TOILET ROOM(S): UTILITY ROOM: �— PORCH-TYPE: ~�- DECK, TYPE: PATIO,TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: �S TYPE HEATER: 4k RCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: # OF KITCHENS: 42 ,C FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES p C , S 5 i �i �4;�j I � f GARAGE, TYPE OF CONST.: LCtiL � G /"5 STO�R.AGE, TYPE CONST.: Gs SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY. DATE OF_ INSPECTION: TIME STARTEND: /d