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Home My WebLink AboutZ-38586 O�g�EFOt,f�DG Town of Southold 10/14/2016 y 53095 Main Rd y Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38586 Date: 10/14/2016 THIS CERTIFIES that the structure(s)located at: 570 Critten Ln, Southold SCTM#: 473889 Sec/Block/Lot: 70.-12-13 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- 38586 dated 10/14/2016 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.* Note:BP 723 2 car garage addition and breezeway COZ 478; BP 33761 adds/alts, including"as blt"deck COZ 33467; BP 37479 in ground swimming pool COZ 36394. The certificate is issued to Leiblein, Gary Leiblein, Lorraine Beck (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 Oviorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 570 Critten Ln, Southold SUFF.CO.TAX MAP NO.: 70.-12-13 SUBDIVISION: NAME OF OWNER(S): Leiblem, Gary&Leiblein,Lorraine Beck OCCUPANCY: ADMITTED BY: Robert Hilsenbeck SOURCE OF REQUEST: Leiblein,Gary&Leiblein,Lorraine Beck DATE: 10/14/2016 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: none GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: x #BEDROOMS: #KITCHENS: BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/24/2007 TIME START: END: 77D Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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. 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"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$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: __,08 lw!l LIQ... -,>a Cwp House No. / Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 0 Block `Z Lot l Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ 2a Applicant Signature JS Form No.6 �� S TOWN OF SOUTHOLD BUILDING DEPARTMENT `ZC TOWN HALL 765-1802 �cLICATION FOR CERTIFICATE OF OCCUPANCY This applicati,n'mt�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. QBFor 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 access6ry 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, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: S*7,0 &4sN 'V 44V-e- d Ur o House Noo.� Street Hamlet Owner or Owners of Property: 4VI—e4 - L J it��>✓�'E'��-- �` .�'� Suffolk County Tax Map No 1000, Section 7ep Block Lot Subdivision �o d7' � Filed Map �/ y y Lot: ;LT Permit No. Date of Permit. Applicant- Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �CG�t'r1� � Ap li Signature CONSENT TO INSPECTION ,��GTr� /�✓��- �7'BGtr-ate 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 Southold, located at p which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block /j,— , Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Ins ctor's Office for 4e following: 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: O11711P (Sare) t� (Pent Name) (Signature) (Print Name) OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LO Fvf /s uoxv�, FORMER0 WNER E ACREAGE 2 W TYPE OF BUILD'I,NG RES. SEAS. VL. FARM comm. I IND. I CB. I mls,)Q LAND IMP. TOTAL DATE REMARKS e:1,nf , c,0 q7g -roo o f, 1 6, 11/4p/6 8- L(f,qg'7,,oq 73 r - �al,5oz-z Lf i' 4ayW-JQ 741 I-Serl�(IfA AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I Tillable 2 Tillable, 3 Woodland Swampland Brushland House Plot Tota I S.C.T.M. NO. DISTRICT: 1000 SECTION: 70 BLOCK: 12 LOT(S):15 F[. o o l �. lll yam.� Fc. CL4V roti ro �- o-" ML �n s Q � ro 2\ LOT 24 d LOT 23 lb STOCKADE SOK, FENCE W/ k LP.CAS TANKS Cb cz pf0.2 ro c •-1 31.1 c � its 1 1/2/ sTY. rl .N DVE N �pIL LOT 25 W MON FO t f Cq 6 • NTT/7 4 F o 6 p4' FO MON L 3. R2 84.81 CRITTIO'S i I AREA: 44,114 S.F. OR 1.01 ACRES ELEVATION DATUM- ---------_______________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITU770M LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADD177ONAL ST RUCTVRES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 24 CERTIFIED TO: ROBERT HILSENBECK; MAP OF: SOUTHWOOD FILED: NOVEMBER 24, 1953 AS #2141 SITUATED AT: SOUTHOLD TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. SUFFOLK COUNTY, NEW YORK Land Surveying and Design 10w P.O. Boz 3, Mettituck, New York 11852 trvnvn fno•\ OnO_•!ee s,w Tse•\ nwn •ae•. so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ROUGH PLI3G. FOUNDATION 2ND INSULATION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION REMARKS: DATE - p/0"-V'/Q INSPECTOR .,-�L Z A - LOCATION: (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: J' CCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION 64,Z # S-TQORIES: # EXITS: FOUNDATION: '464CELLAWy� SPACE:�— TOTAL ROOMS: IST FLR: _ " Y2ND FLR: 3RD FLR: BATHROOM(S):`LTOILET ROOM UTILITY ROOM: EORC, PE: ® --� DECK, TYPE ' '' PATIO, TYP BREEZEWAY: c FIREPLAC�' GARAG DOMESTIC HOT TYPE HEATE ' 4 IRCONDI , O TYPE HEAT: dZv WARM AIR: OTWATER OTHER: _ P 7D ACCESSORY STRUCTURE` GARAGE, TYPE OF CONS STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: V VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: = END: LO