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Home My WebLink AboutZ-38460 Town of Southold 8/18/2016 53095 Main Rd Southold,New York 11971 N PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38460 Date: 8/18/2016 THIS CERTIFIES that the structure(s)located at: 24065 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-28 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- 38460 dated 8/18/2016 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 front and rear enclosed porches and accessory two cararg_! The certificate is issued to Kalin, Lloyd Kalin, Cassandra (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. e Authorized Signatur BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 24065 Route 25,Orient SUFF.CO.TAX MAP NO.: 18.-2-28 SUBDIVISION: NAME OF OWNER(S): Kalin,Lloyd&Cassangra OCCUPANCY: ADMITTED BY: Beth Pike SOURCE OF REQUEST: Kalin,Lloyd DATE: 8/18/2016 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: concrete block CELLAR: X CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: front/rear enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: well TYPE HEATER: street gas AIR CONDITIONING: TYPE HEAT: cast iron-rad WARM AIR: HOT WATER: street gas #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 2 car wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 6/21/2016 TIME START: 2:05pm END: 2:35pm f=oj n, No 6 TOWN OF SOUTHOLD BUCLDCNG DEPARTMENT TOS N 802 D [Ec[�D'V[E 765 1802 DD APPLICATION FOR CERTIFICATE OF OCCUPA 1 JUN - 3 2096 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: BUILDING DEPT.�� nnFFCC �i��qq ii��nn 1- Final survey of property with accurate location of all buildings, property lines, stree s as TfQsifa9liat#9,W 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. S. 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$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. C60y 6f Certifiicate of Occupancy-T.'2 - 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. ( //Cp New Construction: Old or Pre-existing Building: y;t (check one) Location of Property: O940 PQ kill House No. Street t Hamlet Owner or Owners of Property Suffolk County Tax Map No 1000, Section Block. Lot o� Subdivision Filed Map. Lot: Permit No- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: y (check one) - ---- ----- ------ - --------------- --------- - --- Fee Submitte — ---—- -------------------- d: $—_ [60 Applicant S gnature CONSENT TO INSPECTION �/ ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is) (a e)the ow r(s) of the premises in the Town of Southold, located at ®�_S */A_, which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block_ , Lot le That the undersigned (has) (have) filed, or cause to be filed, an application in the Southol Town Building Inspector's Office for the following: Ne Cv 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: `� /`� �� PA (Print Name) (Signature) (Print Name) N mr4D — TOWN OF SOUTHOLD PROPERTY RECORD CARD W OWNER STReET a 4-0 �c5" VILLAGE DIST. SUB. LOT cs FORM R OWKER � T � t ,�f �,K, ACR_16 . S W TYPE OF BUILDING A c'*h),, rc r RES.// SEAS. VL- FARM COMM, CB. MISC. Mkt. Value cn o LAND IMP. TOTAL DATE REMARKS L 116&p 00 CZ ?� «, �'� too Q s o i t 3 - Lr a) G Ko, I{t o s t C4 d,�. �- 12 AGE BUILDING CONDITION NEW NORMAL. BELOW ABOVE FARM Acre Value.Per Value � Acre LLOO Tillable 1 ro n Tillable 2 n M Tillable 3 LO Woodland Lo ,K Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushfand O 00 'N House Plot DEPTH �� a c BULKHEAD DOCK Total YY sill LN .. w' irti. -4p.- s'a: • fes. �, r. . ' `L .a w' . r _ MIN ME � s ■OMEN■M■■■■■■■■■■IN MEN■■■ _ �1 ,_. - ■ ■E■■ 15MM!■■■■M■■■!E■■MN■ ENUMM - ■■!■MEI M■NEE■■�N■■■M■■■■! Foundation Basement •► :. w .. ' Ext. Walls Interior Fin! Type Roof Rooms Ist-Floor Rooms 2nd I or Drivew 1• • Swoop * i ' AREA= 10,994 SQ. FT. NBor,,E SURVEY OF PROPERTY E 300 co? A T ORIENT RAN Y FE TO WN OF SO UTHOLD N/OIF C 8C p �P� NEPA �'S SUFFOLK COUNTY a3•`� Q�p� °' N. Y. 1000-18-02-28 a,�1�3oME °sz SCALE.• 1'= 30' MON.o.2'E. N6 p N Z APRIL 3, 2013 0.3'S. N v* Npg �O S p� y o O- ` o 7- PIPE 1.1'W. Z 1k �Z NN O 4 - CERTIFIED TO O W �-� Lloyd A. Kalin Cassandra M. Kalin 1 STORY v Advocates Abstract, Inc. 9 Z Stewart Title Insurance Co. O ��o Hudson City Savings Bank Cn 13 N� '�c cfl 1 STORY PORSED. 10 �G N OG w Z3.16 10 c"7 c s W 5p 25) 56x5\ s.l"• SoF NEPV�b C Pte' 0pD �N. Y.S. LIC. NO. 49618 ANY ALTERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION ECONIC EYORS, P.C. OF SEC77ON 7209OF 7HE NEW YORK STA7F EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS P.0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 9�1 _187 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11977 i I LOCATION: (number&street) (municipality) SUBDIVISION: AP NO.: _ LOT(S): NAME OF OWNER(S)'- OCCUPANCY: - (typ (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: of a DWELLING TYPE OF CONSTRUCTION STORIES:�' �, # EXITS: •� FOUNDATION: • '�, ;BASEMENT:' VCRAWL SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR: BATHROOMMO: ` TOILET 12OOM(S� / UTILITY ROOM: . PORCH,TYPE:s/1+�. * � DECK, TYPE: PATIO;TYPE: BREEZEWAY: FIREPLACE: ^� GARAGE: DOMESTIC HOTWATER�N� TYPE HE!ATER: AIRC0NDITIONING: TYPE HEAT. ,WARM AIR: HOTWATER: # OF KITCHENS--Ij FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURES_--,,-) i a GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: I GUEST,TYPE CONST: OTHER: G VIOLATIONS: CHAPTER 144 &N.Y. STATEUNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Y • I • I a REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: 2•"a$^ END: 2 3