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HomeMy WebLinkAboutZ-38757 �UfrFpl,��, Town of Southold 1/4/2017 53095 Main Rd C* x Southold,New York 11971 o4,1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38757 Date: 1/4/2017 THIS CERTIFIES that the structure(s)located at: 2165 Old Orchard Rd, East Marion SCTM#: 473889 Sec/Block/Lot: 37.-34.1 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- 38757 dated 1/4/2017 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 screened porch.* Note:BP 33980 alterations/additions including deck w/pergola COZ-34747;BP 41138 "as built"finished basement& outdoor shower COZ-38756 The certificate is issued to Fisher, David Fisher, Douglas (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 - Ohoed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2165 Old Orchard Rd,East Marion SUFF.CO.TAX MAP NO.: 37.-3-4.1 SUBDIVISION: NAME OF OWNER(S): Fisher,David&Douglas OCCUPANCY: ADMITTED BY: Jerry Cibulski SOURCE OF REQUEST: Fisher,David DATE: 1/4/2017 DWELLING: #STORIES: 1 #EXITS: 4 FOUNDATION: block CELLAR: yes CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): yes PORCH TYPE: screened porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: yes HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished 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: 11/10/2016 TIME START: 2:20pm END: 3:05pm Nov 10q Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL vm�, 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 --�/y Date. X10�L�� New Construction: Old or Pre-existing Building: ]� (check one) — Location of Property: ®0�� PA House No. Street Hamlet Owner or Owners of Property: c S&bE�Q Suffolk County Tax Map No 1000, Section Block �j Lot 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: $ I �U PS 11,1-t(" � ���� Applicant Signature kc, f CONSENT TO INSPECTION Rsl-(eg, , 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 , which is shown and designated on the Suffolk County Tax Map as istrict 1000, Section Block , Lot . That the undersigned (has) (have) filed, or cause to be filed an application in the Southold Town Building Inspector's Office for the following: P 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: (Signature) ) ( rint ame) y (Signature) (Print Name) © � o � A'1�l D�✓ coum TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [XROH PLBG. FOUNDATION 2ND [ ATION FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: UK 4.1 DATE tit INSPECTOR S C T M NO DISTRICT: 1000 SECTION 37 BLOCK.3 LOT(S).4.1 PIPE LOT 12A LOT IOA N TO " ' " F O LE/ w S 310130E FD 1 2 E D I YE WOOD FE 1 5 N 80.00' o EL 15.1 EL 13.4 oND FD LOT 12 LOT. II LOT 10 N 4,X (70 BE REMOVED) BncO DDDR co EL 10.9 N 2+1', EL 2113 0 LOT 9 J4 4 l 153' +0'� p STORAGE w (70 BE REMO 0) ROPOSE (tWF OVER EL 16.1 n jtI (.BE REM D) 100' — 015 3' 243 '0 EXISTING 2 1 R' 1 STY. FR m DWELLING 82165 H 1ST FL EL 15.5 EXISTING O V POSED a SCREENED iocn /DECKPORCH a m T.] 16 0' 22.4' 15 1' 0 / EL 14.6 // 9:1 O e}(X 81 /� N O v) O \r l �.TO o a'N 120 15 u; 130 1O C`L E13 1� u7 WATER z METER O EL 16 NC 62 PAL It /FEp/ L�2,12 D 1 R--431.68 CL 15.6 �g,C13A�p CL 12 79 `a, U P,/1R Im � •I FIRM ZONE X _ N ADD PROPOSED ADDITION 03-03-08 THC WA SUP ND CE, L — LOCATIONS D OBS£RVA PONS REVISE HOUSE DIMENSIONS 11-27-07 AND OR DATA OBTAINED FROM OTHERS AREA 8.523 S F OR 0 2 ACRES ELEVATION DATUM ASSUMED ---------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF TH,S SURVEY MAP NOT BCARING THE LAND SURVEYOR'S 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 1S PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHORN 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 ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASCMENiS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF LOTS 10 & 11 CERTIFIED TO DAVID FISHER MAP OF GARDINER'S BAY ESTATES SECTION 2 FILED SEPTEMBER 23, 1927 AS #275 _ SITUATED AT EAST MARION TOWN OF SOUTHOLD KENNETH M. WOYCHUK L.S. SUFFOLK COUNTY, NEW YORK land Surveying and Design P.O. Ho: 9, Mattituck, New York, 11952 FILE # 27-97 SCA'-E 1"=20' DATE SEPT 12, 2007 r' PHONE(891)208-1588 FAX(891) 298-1588 N Y S LIC NO 50227 .LMM.,the record.of R.b,,t 1 Nen—,7 e TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT t OLD FORMER OWNER N E ACR S W TYPE OF BUILDING 2ES. a SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS -� p- _ L-jLq 8,tf g� or o-v I z/o-z� .i /a z 4 Apgob 1 I r � AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE V re FARM Acre Value Per Vofue �J Acre Tillable I Tillable 2 i Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD p " House Plot DEPTH Ld 1 BULKHEAD Total DOCK Z. tp 0 MEMO M No NN 0 moo M No MON 0 EM M moo 0 Interior Finish Type Roof Dormer Driveway y mom W*OWN OF SOUTHOLD ' PROPERTY RECORD CA STREET -2_ 5 VILLAGE DIST. SUB. LOY FORMER OWNER N E ACR. ; S W TYPE OF BUILDING 2ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP TOTAL DATE REMARKS 7--4Z) --X--A-V 00, F ,t' 0 ,5 7ZZP AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable T Tillable 2 Tillable 3 Noodlond Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD -louse Plot DEPTH ' BULKHEAD -otal DOCK F COLOR TRIM I f M. Bldg. I Foundation Bath Dinette Extension Basement Floors K. Extension Ext. Walls Interior Finish LR. Extension Fire Place Heat DR. Type Roof Rooms lst Floor BR. Porch- Recreation Roorr Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage Patio O. B. Total LOCATION: tAnf Aityloi (number & street) (municipality) SUBDIVISION: MAP NO.: _ LOT(S): � NAME OF OWNER(S): F. `Pi sAw OCCUPANCY: (type) (owner-tenant), ADMITTED BY: l S ki, ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000-. �► SOURCE OF REQUEST: _ DATE: DWELLING TYPE OF CONSTRUCTION: J ,-FVr*V-A0o**" # STORFES: _�#EXITS: FOUNDATION: . I��ro /. BASVMENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR: Y 2ND FLRr-0 — 3RD Fb 0 BATHROOMS)� 'TOILET ROOM(S): �t� UTILITY ROO' PORCH.TY :CMO0 DECK, T'Yi E\.:- TYPE: BREEZEWAY: FIREPLACE: PJS �P GARAGE: 1�l7 DOMES IC HOT4VATI TYPE HE<ATtR: AIRCONDITIONING: TYPE HEAT: �l� WARM AIR: Y HOTWATER: # OF KITCHENS: Dine/ \ FINISHED BASEMENT: YES 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 DESCRIP1,1ON ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: 1D TIME START:, �:� 9'Vn END: