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Home My WebLink AboutZ-38818 O�SUIppL�c�ri Town of Southold 2/6/2017 3� y 53095 Main Rd Southold,New York 11971 O � PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38818 Date: 2/6/2017 THIS CERTIFIES that the structure(s)located at: 4845 S Harbor Rd, Southold SCTM#: 473889 Sec/Block/Lot: 87.4-11 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- 38818 dated 2/6/2017 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 covered porch and accessory wood frame garage.* Note:BP 41301 100a overhead electrical service COZ-38817 The certificate is issued to Clark, Susan Hansen, Janice (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 A tor. ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4845 S Harbor Rd, Southold SUFF.CO.TAX MAP NO.: 87.-1-11 SUBDIVISION: NAME OF OWNER(S): Clark, Susan&Hansen,Janice OCCUPANCY: ADMITTED BY: Melvin Hansen SOURCE OF REQUEST: Clark, Susan&Hansen,Janice DATE: 2/6/2017 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION: concrete piers CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): yes PORCH TYPE: wood frame DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: yes GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/20/2017 TIME START: 11:20am END: 11:50am d ��\v! Form No.6 �e TOWN OF SOUTHOLD BUILDING DEPARTMENT , 1 1 201 TOWN HALL pN 765-1802 APREICATION FOR CERTIFICATE OF OCCUPANCY U0 Thisi�m®t 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 vDate. Iq l New Construction: J Odor Pre-existing Building: /� (check one) Location of Property: �'7 or L4he)1 House No. Street Hamlet Owner or Owners of Property:�� 's:76Z n C 1 Q r <— n gan&en A" Suffolk County Tax Map No 1000, Section = Block 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: $ ®V .� 2 &plicant Signature D [EQ20'Y[a JAN 1 7 2017 CONSENT TO INSPECTION BUILDING DEPT. TOWN®r soUTHOILD ,SUS6-n Poser), the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (is) (are) the owner(s) ofthe premises in the Town of Southold, located at J-/ � j4 bo,� 6 o , which is shown and designated on the Suffolk County Tax Map as District 1000, Section ?-7 , Block i , Lot/I. That the undersigned (has) (have) filed, or cause to be filed, an a pl ,, 'cation in the South- o}�Town Building Inspector's Office or the following: C*p rTI Ti C a ,4 0-f 6Cv ecnC on pre S41' ; 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: �-1� - /( ignature) Lq Nan&e (Print Name) (Signature) (Print Name) r•t N ED , TOWN OF SOUTf TOLD PROPERTY RECORD CARO _L o OWNER STREET r VILLAGE DISI' SUB. LOT a � 'S uram 64f- FORMER OWNER E ' - AC R. �3 A . LO ex, S wTYPE OF BUILDING 17llTl , � J6. . En KES. o�fo SEAS. VL. FARM COMAA. CB. MICS. Mkt. Value En o LAND [MP. TOTAL DATE REMARKS IT, _ _ U' t5 U a•� G , DD a _ 4-L�3 Z) (7 r O 2 S r 1,o[L hk o t t --L l Z -7? o q { -- Sc bi I I eg i4e e&I- 1 u� of tilc.. S off uTe — { 41S.If 2 1?A 112- L- l 8R of Carr. LO Ln AGE BUILDING CONDITIONJ�n zd L',tFmVyl � G C NEW NORMAL BELOW ABOVE -Sc-qv 1 m 1O FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER m_ m Woodland FRONTAGE ON ROAD Z-a * 7 a s 00 Meadowland DEPTH House Plot BULKHEAD m Total DOCK C F y jg ., N ,_4.- -4' F x '. !i■■ t i■s!■it ■■■■i■li:ii ■�■ ENE MM ■ MEN■■N!N■MiNINOMM IMM ■■� �■■ ■■■■■■t■■iii■■■iiMEN i�M■■i■ ■ t NNE OZONE= 1111100SEENN■ E ■■■■i■■ :lii ai�iit �i'■ ■ENE■ ■um ii■ x - ■■i■■■■I�f!■■■i■i!■■■ ■■iiiO ■■ ■ ■■E■i■i■0■■■■■■■■■■■ ■_■■■■ MMI Mmom■■M■■!i■■iE■01 ■OMEN■ No ME • �■■■■EE■■EN■N■■ME■■ ■NEO■■■ Anterior Finish Rooms I st Floor Recreation Room Rooms 2nd Floor \1 ■ S.0 T.M NO. DISTRICT: 1000 SECTION.87 BLOCK: 1 LOT(S):II oLD � °oD 1°ATk Ln 0 LAND N/F OF / z MARK GORDON a S73e20'00"E HEDGE i,4' 9' , 181.47 O o 0 0.7' C� x 'I .1�'„ ;I GARAGE MIy� Oo 1 1/2 STY Op CONC. WALK a' 10'FRA1. DWELLING',,., p X47 w N,� 1948145 tp `I CX OJO LAND N/F '13.5 ,. ,,,, �� OF SCREENS o JESSE E. GORDON U.P. 37,9' PORCH— E- CONC eyh' SLAB � E- RCA DRIVEWAY M IO U] N73°20'00"W 154.02' of E LAND N/F / OF JASON CRANE / THE WATER SUPPLY, WELLS,DRYWELLS AND CESSPOOL / LOCATIONS SHOWN ARE FROM FT£LD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 8,388.24 SQ.FT. or 0.19 ACRES ELEVATION DATUM UNAUTHORWEV 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 TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSRTURON 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.ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE SIRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO. JANICE HANSEN; MAP DF, LINDA GATTUSO; SUSAN CLARK; FILED. LOIS NIES; SITUATED AT SOUTHOLD Tom OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Dox 163 Aquebague, New York 11931 FILE#17-05 SCALE: 1"=20' DATE:JAN. 6, 2017 PHONE(831)298-1688 PAX(891)Zea-1688 N Y.S LISC.NO. 050882 mtatotntng the room&or R*Wnt J.Oomeq 0 IlsmetA X nMctul, f So H �O cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE j INSPECTOR J k LOCATION: 9.10 Pc✓ ��A�. �� (Cry (number & street) (municipality) SUBDIVISION: MAP N .: LOT(S): . NAME OF OWNER(S): dSliCPi GAl OCCUPANCY: n G ,4vn i fto V �v (type) (owner-tenant)- ADMITTED BY: ftfv t r (�-1 504.o,/, ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP' O. 4566: SOURCE OF REQUEST: %tcr_ SP.J DATE: !.I I . DWELLING TYPE OF CONSTRUCTION: Oft fi(A'wle'_� # STORIES: I he #EXIT�S: FOUNDATION: i BASVMENT: '1t CRAWL SPACE: v ilotm tawPo—vf1t1v co # OF BEDROOMS: ISTF LR-N DF R- 3RD 'L � BATHRO'OM(S): TOILET ItdOM(S): �� UTILITY ROOM: PORCHJTYPE 000 DECK, T''��E: PATIO; YPE: BREEZEWAY: N FIREPLACE: (Mp GARAGE: ay> " DOMESTIC HOTWATER: P? TYPE HEATED Q( AIRCONDITIONING: TYPE HEA WAR AIR: HOTWATER: t-/6 # OF KITCHENS: J' FINISHED BASEMENT YES NO OTHER: i ACCESSORY STRUCTURE p � I GARAGE, TYPE OF CONST.: W(10AVp�h!ti.?OSTORAGE, TYPE CONST.: SWIMMING POOL: GUEST,*TYPE CONST: _ I OTHER: f VIOLATIONS: CHAPTER 144 &N.Y. STATEIUNIFORM FIRE PREVENTION & BUILDING CODE LOCATION _ DESCRIPTION ART. SEC. ' iL � ; IS ,� ✓ „W PN , Avow• I - I I -s-ty ` rG S�wIL 1o✓ r YVy 0.0 REMARKS: ,INSPECTED BY: DATE OF INSPECTION: yd L TIME START: 11�.`LO Ikrrl END: It <O nem C