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HomeMy WebLinkAboutZ-24817FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING FICATE OF OCCUPANCY No Z-24817 Date DECEMBER 24, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 355 SKIPPERS LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 24 Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24817 dated DECEMBER 24, 1996 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & ACCESSORY LARGE WOOD FRAME STORAGE BUILDING * The certificate is issued to RUTH M. LUCE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECT Rev. 1/81 N/A BUILDING DEPARTMENT TOWN OF SOUTUOLD HOUSING CODE INSPECTION REPOR'r LOCATION: _355 SKIPPERS LANE _ ORIENT. -- number & streelj lmunicipn.li.ly5— - ---- SUBDIVISION MAP NAME OF OWNER (s)------ RILM LUCE --- --- ----- -- --- — OCCUPANCY SINGLE FAMILY -----------( t y pP j----- own a r- r e r a n C) --------__. ADMITTED BY: JANE COCKERILL ACCOMPANIL'D BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-24-2-4 SOURCE OF REQUEST: KEVIN McLAUGHLIN, ATTY DATE: DEC. 16, 1996 DWELLING: TYPE. OF CONSTRUCTION WOOD FRAME FOUNDATION CEMENT BLOCK 6 STONE CELLAR PART TOTAL ROOMS: IST FLR. 5 2ND FLR. 3-1/2 3RD FLR. f STORIES 2 CRAWL. SPACE I EXITS 3 BATHROOM (s) ONE TOILET ROOM (s) ONE UTILI'T'Y ROOM_ PANTRY_ IN_ SIDE MUD ROOM PORCH TYPE REAR ENCLOSED -SIDE COVERED DECK, TYPE PATIO BREEZEWAY FIREPLACE.No GARAGE --ON CAR DOMrSTTC UOTWATER YES TYPE NEATrR LILCO AIRCONDITIONING TYPE HEAT LILCO GAS WARM AIR UOTWATER II OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER - STORAGE, TYPE. CONST. LARGE WOOD FRAME GUI -ST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BLITLDTNG CODE LOCATION REMARKS: INSPECTED BY M. BOUFIS DESCRIPTION DATE OF INSPECTION TIME START 9:35 ART. DEC. 18, 1996 END 10:00 SEC. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN MALL 765-1802 CAL -L 0AHap4QE�k_:� ��� AcccsS APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by Cyp;:wricer OR ink and submitted co the building inspector with ehu following: for nuw building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or copolraphic features, 2. Filial Approval from Health Depc. of water supply and sewerage-disposal(S-9 form), 3. Approval of electrical installation from hoard of Fire Underwriters. 4. Sworn statement from plumber certifying Chat the solder used in system contains less than 2/10 of 1% lead. 5. Cuuuuercial building, industrial building, multiple residences and similar buildings and installations. a ii. i�of responsible for the buildlding.. Cod.: Compliance frout architect or enCineer 6, Submic Planning Board Approval of compluced site plan requirements. s• For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and rc-ex �� P i:,Clil l� land U:.e :i: 1• Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicaciuu and a consent If a Certificate to inspect signed by the applicant. Of Occupancy is denied, the Building Inspector shall state th:: reasons therefor in writing co the applicant. C• Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations co dwelling $25.00, Swiuuning pool ;25 -OU, Accessory building $25.00, Additions to acce"ary building; $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing d. Copy of Certifience of OBuilding - $100.00 ccupancy - $5.00 aver 5 years - $10.00 4. Updaccd Cercifica[c of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....�//6Iqk •yew Construction., •••-�••••••••••• ..... •••••.. Old Or Pre -ex l:Cl'1� Building,. ••• I.Ucation of Propercy..... {� !louse No, •(�.�?CS... h4,T ...... ................ �;�.. ((�� S[reec Hamlet . lnwer or Owners of Propercy, R—LY� .......... ... _ -QunCY Tax Mal) No 1000, section- . v.�...Block.. aO,�.....Lot.d�T@� . subdivision ............. ••••••.• .......................Filed Map........... ............ Luc :'urmic No................Datc......... 0f Permit...... ................ Applicant calth Depc. Approval ......................... ..... .Uiidcrwriters Approval '.tanning Board Approval•••••••.•••. •••. I''quusc fur: Submi'cted Temporary Cercificace........... $..(©0.00 . .. .. . . . . .. .. . . . . . &U; err --(a- .V (f g I i CONSENT TO \ INSPNCTIUN . @J v� P�c_ Lcs, �V.< < v� G S l4 4c)(v\ty kR _k_� O.Luc � - Owner(s) Name(s) do(es) herebv state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �S�`��- � 4PCQ G„I� � which is shown and designated on the Suffolk County tax map as District 1000, Section_,' Block oZ , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: NQ — That the undersigned do(es) hereby give cons6nt 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 kno-vvledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in -subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations o . t T of So Id. Dated:'t)eC l is ure print name) T- (signature) int name) LIT C� SKIPPERS LANE S 63059'40"E — 16.8' 284— �V al a M2 STORY WOOD 12.7 FRAME RESIDENCE "? GARAGE TM -# 1000-024-02-04 ENT. 1 qc it, 3 87' IP FD. 1O 3 /2' O /6.4' � N O_) 0 FRAME CID v GARAGE N N V1 -NO FENCE N 0.11 0.8' _,o--_LRAIL FENCE --,t 06� N 64e 45'40"W 8l' OYSTER PONDS HISTORICAL SOCIETY GUARANTEED TO ANDREW COHEN DEBORAH LYONS CHICAGO TITLE INS. CO. TOWN OF SOUTHOLD SURVEY OF DESCR I BED PROPERTY SITUATE ORIENT, TOWN of SOUTHOLD SUFFOLK CO., N.Y.. Guarantees indicated here on shah 1 only to the person for whom the survey i< prt pared, and on his behalf to the Filo ccmpony. Covermental Agency, l ii�'Ing insGb tion, if 1:.-A �d hereon, and Ili cssi�neee of 0— lending institution. . •.�arontees are n^t transicrible to dditional i+•slltuticns cr subsequent oWTOM SURVEYED FOR: ANDREW COHEN DEBORAH LYONS 320.81' J _J Z FI F -- LL k Z SURVEYED 7 DECEMBER, 19% SCALE: /" = 20' AREA: 8,285.09 S. F or 0.190 Acres SURVEYED BY STANLEY ✓ ISAKSEN, JR PO, BOX 294 NEW SUFFOLK, N.Y. , 11956 (516) 734-5835 Unauthorized alteration or addition to this survey is a violation of Section 7209 of the New York State Education Law. .:pies of this survey mop not bearing LICEN D LAND YOR N. Y S. L I NO. 3 the land Surveyors embor.-d s -al shall not be considered to be a valid true Copy. 96R614 r _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER S STREET 5 VILLAGE DIST. SUB. LOT LtA- C_ e.— FORMER OWNER N E / �. ACR. qS �✓ '' / rr% iz r _�.� c� S'20 .al W c L: J s TYPE OF BUILDING (1 I cur_. ARES-. ,- �b SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS i I W O AGE BUILDING CONDITION NEW O NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH �� C BULKHEAD Total DOCK ".x NOON■■■ �1'TY1 i � .raa • • • NOON■■■ Ono NNONE ■■■■■■■■■ ■■ ■■■■■■■■ ■■■■■■■■■ NOON■ NONE ■MOON ■■■■■■■■■■ _ 1" NONE 0 MEN ► MMM■■ ■ UNNEEM[AGEaMNNN■■■NM ' M■MM■■■ NN'NW!NINFIE■IMONOM■■M■ ■ENE■■■ ■NMMMM■■NNE,l�' ■6M■■EM13 I dN■■NNM■ ■MNEME■ 501/100/ ■ENI HO111■■IC■■■■■■■C ■■MME■■ .MEN■.. .NOON■. .■■NEMM M■E■ ■MEMMEM11im■.MIN ■E EW -MM ■MMMENIMMMN■■■OM■ ■E■■■■M■. ■N ■■■ ■ . -7-7 Foundation Extension asement Extension �xt. Walls Interior Finish L ire Place Rooms 2nd Floor Drive O BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE I�N,SSPEECTION REPORT LOCATION: number & stree municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) OCCUPANCY I % GL C type IY (owner -tenant) ,� ADMITTED BY: �4-q► {� C® 646 i / / / � ACCOMPANIED BY: 5 At KEY AVAILABLE SUFF.CO. TAR MAP NO.Adv — - - SOURCE OF REQUEST: / '�YJC �%� DATE: DWELLING: > &400 Q / # STORIES_ # ERITS TYPE OF CONSTRUCTION FOUNDATION CELLAR ,t� CRAWL SPACE TOTAL ROOMS: IST FLR. .d 2ND FLR. ?/3RD FLR. BATHROOM (s) TOILET ROOM (s) 6_ UTILITY ROOM PORCH TYPE, �-/,dam Cj,ECK, TYPE PATIO_. BREEZEWAY /yp FIREPLACE "Vo GARAGE 6itieo C/2yL -, DOMESTIC HOTWATER• TYPE HEATER I/lett - AIRCONDITIONING _ TYPE HEAT // /Cp WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. (4/ jgd� , Fe GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BL , � DATE OF INSPECTION TIME START f i S END