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Home My WebLink AboutZ-38557 QSg�EF04ro� Town of Southold 10/3/2016 y 53095 Main Rd Southold,New York 11971 co PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38557 Date: 7/28/2016 THIS CERTIFIES that the structure(s)located at: 880 Old Orchard Ln, East Marion SCTM#: 473889 Sec/Block/Lot: 31.-6-23 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- 38557 dated 7/28/2016 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 attached garage, covered brick and concrete front porch and rear brick and concrete entry. Note:BP7300 accy garage COZ-7319; BP40837 "as blt"addition COZ-38413;BP40968 "as blt"addition and alterations, inc. addition to garage, enclosed breezeway and unheated finished basement COZ-38556. The certificate is issued to Dzenkowski, Mary Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. i Authorized Signat re BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 880 Old Orchard Ln,East Marion SUFF.CO.TAX MAP NO.: 31.-6-23 SUBDIVISION: NAME OF OWNER(S): Dzenkowski,Mary Ann OCCUPANCY: ADMITTED BY: Mary Ann Dzenkowski SOURCE OF REQUEST: Dzenkowski,Mary Ann DATE: 7/28/2016 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: concrete block CELLAR: X CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: yes FIREPLACE: 1 GARAGE: yes DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil radiator WARM AIR: HOT WATER: yes #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: see BP 40968 OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 8/15/2016 TIME START: 10:25am END: 11:05am at C, 18 �1 Y S' DForm No.6 W D. U JTOWN OF SOUTHOLD JUL 2 8 2016 BUILDING DEPARTMENT TOWN HALL BUILDING DEPT. 765-1802 TOWN OF SOUTHOIAPLICATION 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. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and G°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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. July 28, 2016 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 880 Old Orchard Lane East Marion House No. Street Hamlet Owner or Owners of Property: Mary Ann Dzenkowski Suffolk County Tax Map No 1000, Section 31 Block 6 Lot 23 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: $ 100.00 Applicant Signature CONSENT TO INSPECTION Mary Ann Dzenkowski ,-tlw undersigned, do(es) hereby state: Owner(s)Na (s) 10 That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold, located at 880 Old Orchard Ln, East Marion, NY , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 31 , Block 6 , Lot 23 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on Pre-existing Building 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: July lLt 2016 (Signature) �6G crA W1Clc0.4c4 (Print Name) (Signature) (Print Name) _ S.C.T.M. NO. DISTRICT: 1000 SECTION:31 BLOCK: 6 LOT(S):23 _MAIN ROAD 00 LAND N/F OF 0 JOHN G. SCOTT III 00 ' + PIPE 282.93 FE o.2'S 3 s1 .38' LOT 1 x N57o33r40rr�,+ 4• GHAINLINK FENCE r PIPE 67.5' -----_ _--__ •' � _ i - 0.41E 0.1'5 ASPHALT ORNEWAY O I - =_= 24.6' _0.J' O W.MILI .o Z— m___- -__ Cn 5C A 71 t�fif-phw O O DWELLING 2 " q_120'-__= W' LOT 2 W eaco- o =-:2aJ' 42.3. LU 0 O oo rr O � V CIL ti STONE/OCL OpNEWAY z 1/0N. FE 4• GHAINLINK FENCE 282.93+ I THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL GATE LOCA71ONS SHOWN ARE FROM FIELD OBSERVA71ONS GATE I AND OR DATA OBTAINED FROM 07HERS - 0 6'E MAP OF GARDINERS BAY ESTATES 15083 " 0.4' 557.33'40'+W LOT 173 AREA: 42,272.58 SQ.FT. or 0.97 ACRES ELEVATION DATUM: ------------------------- INE MODIFICATION I UNAUTHORIZED ALTERA77ON OR"ADD177ON TO THIS SURVEY IS A VIOLATION"OF-SECTION 7209 OF-TH£NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP OF L07 LS Y.MAP NOT BEARING THE LAND SURVEYOREMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPGUARANTEES INDICATED HEREON SHALL RUN FOR MICHAEL AND INE MOL NAIMONI7AKIS - ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS717UIION 111133 I LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT IRANSF£RABLE. LOT 3 - THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT IN7ENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, A0017IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY£NDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: D_ESCRIBED PROPERTY CERTIFIED TO: JACQUELINE A. McKEE; MAP OF: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; FILED: SITUATED AT: EAST MARION TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK f Professional Land Surveying and Design #1 � P.O. Box 153 Aquebogue, Herr York 11931 PHONE (831)298-1588 FAX (631) 298-1588 FILE 1( 16-68 SCALE: 1..=30' DATE:MAY 21, 2016 N.Y.S LISC. NO. 050882 rnslntsining the records of Robert I Hennessy x Kenneth H.Koycbuk � vrrr� a� �, 31 SOUTHOLD PROPERTY RECORD CARD /4 � m OWNER STREET VILLAGE w DIST. SUB. LOT r? S�r FORM R OWNER L ; N ACR, TYPE OF BVILDJEVIG ES. 6 SEAS. 1/L. FARAACOMM. CB. MISC, Mkt. Value LAND IMP. TOTAL. DATE REh1tiAR -- - 17 f� fda AGE s G C I -'t��,. . C� 'Q 71rip Ad.1�9 :s A Ltd 0� N FARM Acre Value Per ! al sf r I —SC LOFilfabfe i Lo -,tillable 2 , Lo Lo -illable 3 r 4 LO ~ Voodland „warnpfand FRONTAGE ON WATER m rush fond FRONTAGE ON ROAD F 7"0 00 Blouse Plat DEPTH y } � N � BULKHEAD N m otal DOCK ■�a■��■ ■■■�■■■■■i■■■ Eli■ !■■■■■!i■!!■ ■■■■!i■i■! MENNEN ENO r ■■■■■ MEN ENO ,3r ■■■■■■■ ■WOMEN �1m■■■MEN MmlllpP�Ifla IN 11m, ■!i ■�ii� �`rflC� �IE!!ilfow,i■O E■■i■■■i!■ ■■■fr!C■ li■■■■i ii■lit■■i mumm"9i■ill mull t■■■■■■■■■ !!!!m■r Now NO ■■MEN ■!!■■■i■■■■■■■ ■■■!■■■!■■■■■■ ■■!!■■■!■■■ .. iInterjorFinish ` LOCATION: 880 (number & street) (municipality) SUBDIVISION: 1AF NO.: LOT(S): . NAME OF OWNER(S):..` OCCUPANCY: ' (type (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: vSUFF. CO. TAX MAP'NO. 1000 SOURCE OF REQUEST: DATE: �� .a-$ .2-0/4 DWELLING TYPE OF,CONSTRUCTION: z # STORIES: ( #'EXITS: 3 FOUNDATION: • �,. BASEMENT: CRAWL"SPACE: # OF BEDROOMS: IST FLR: 2ND FLR: 3RD'FLR: BATHROO , S): TOILET ROOM(S). �— UTILITY ROOM: I'ORCHvTYPvyc..,, DECK, TYPE:-, PATIO;TYPE: A BREEZEWA FIR.IJPLACE: l GARAGE: DOMESTIC HOTWATER: 4!!7TYPE HEATER:''' 6•' - AIRCONDITIONING: TYPE HEAT: �G.. WARM AIR: _. HOTWATER:`y # OF KITCHENS:' ' FINISHED BASEMENT: YES``' k NO OTHER: " ACCESSORY STRUCTURES , GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: ------ OTHER: VIOLATIONS,: CHAPTER 144 &N.Y. STATE;UNIFORM FIRE PREVENTION & BUILDING; CODE LOCATION DESCRIPTION ART. EC. REMARKS: INSPECTED BY: DATE OF INSPECTION: D 9111Z TIME ST&RT: �. 2�� END; 05- -----F �®��;�-��, �•_ ', �,, '®mac .