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Home My WebLink AboutZ-39228 ��4�gUFFQL/r y Town of Southold 9/21/2017 53095 Main Rd � Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39228 Date: 9/21/2017 THIS CERTIFIES that the structure(s)located at: 675 Skippers Ln, Orient SCTM#: 473889 Sec/Block/Lot: 24.-2-1 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- 39228 dated 9/21/2017 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 porches and accessory wood frame garage_* The certificate is issued to Vannostrand, Barbara&Hughes, Jean (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 ho d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 675 Skippers Ln,Orient SUFF.CO.TAX MAP NO.: 24.-2-1 SUBDIVISION: NAME OF OWNER(S): Vannostrand,Barbara&Hughes,Jean OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Vannostrand,Barbara DATE: 9/21/2017 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION: concrete/concrete block CELLAR: x CRAWL SPACE: x BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered porches DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: yes GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: gas WARM AIR: floor furn not working HOT WATER: #BEDROOMS: 4 #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: JOHN) DATE OF INSPECTION: 9/19/2017 TIME START: 2:45pm END: 3:25pm Leri a� �b Form No.6 �_�7 5� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , 72) / /(pl!d 7//�9� 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$15.00 Date. q1 New Construction: Old or Pre-existing Building: (check one) Location of Property: S Or ` House No. Stre&# Hamlet Owner or Owners of Property: Q,.-, „g Suffolk County Tax Map No 1000,Section .24 Block 2 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ 100 pe Applicant Signature i CONSENT TO INSPECTION la^- Nd 5 4-,/m ,the undersigned,do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (fah of the premises in the Townof Southold, located at which is shown and designated on the Suffolk CoAfy Tax MaF as,District 1400, Section g�Block 2. ,Lot=I That the undersigned(has) (have)filed, or cause to be filed, an application in the Southold Town Buildin In ctor's Office for the 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: ?W l-7 ftignat�ure) ati rzcx.k (Print Name qe� ��5 (Signature) (Print Name) 1,40 a _ _ TOWN OF SOUTHOLD PROPERTY- RE @R-D CARD m OWNER STREET VILL44E QIST. StJB. LOT _FORM 0 N NP E j Z fI nAlbQ �+' ACR. ,.� :av s - - $& � r ' Q s yrs Lqs w TYPE OF BUILDING r{ 4 v► e.. RES. � � SEAS. VL. FARM COMM. C Misc. Mkt. Volue o LAND IMP TOTAL - DATE REMARKS cn cn -� . 70 In 0MA6 ca n � � � r a ✓ � � 3 r,�/I/ r � Q r� = f �0 b G b 17k 2 too .-�- N �f 9 -L t�Q s' �S3- _ OSfrQ r�sfirr�n anQ ;�Uskw a -L. - a'�r�I}os awns s is lv AGE BUILDING CONDITION N ��11�rx_ ,� 4 Vay,Akp, a NEW NORMAL BELpW ABOVE ; �r . - �L.f l�i�C FARM Aare Value Per Value Acre0 'iliabfe 7 - �1�rj LID 1>�s m 'ilfable 2 !d ! fl�lly ,LniO. iffable 3 m `0 foodfand Yarnpland FRONTAGE ON WATER m ushland FRONTAGE ON ROAD U ruse Not DEPTH cN N I in BULKHEAD m rtol DOCK MEN ■■■■_r_■GOMM ■ii■■■■il■■■■i■i■■ .; sem" ,_—�.-: /�:` \r _- ■■��■��,�i�■�■��■■■■■�■■ ■■■,■L7i■iii!■■■■!■■■i■■■■il■■ k - 1{'I'{I,: f■lei ■ ■■i■■lli■li■ia■ No .■iia■�■■■■■■iii■li - i■iiunw7■ OEM ME ■■i��f ■■fi■■■'i■■■■i■i1■ii Rooms Ist ■lFi�ili■�■■a■a��l■i�ia«■ Floor r Driveway ■ SURVEY OF PROPERTY AT ORIENT TOWN OF SO UTHOLD SUFFOLK COUNTY, MY 1000-24-02-01 SCALE. 1 -20 P�E OF qV � I SEPTEMBER 11, 2017 owvson cpH t � \ ATF op �� Q q� ~YT 4� loll S T Jy c sF �RF� 5 c�h J► /eg,C H S� � v O� 644A_ 0 40'� Z = Ov h � OR _9 4,Q_ Y l k R POND NiO A s tics ro% 13,3' sOC • 5ET KEbAK • = PIPE CERTIFIED TO- M MONUMENT r LOU 15 POTTERS J � / ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION LENORE J. �RANGATO .Y.S. LIG NO. 49618GH I GAC�O TITLE I NSURANGE SERV I GES, LLC. � OF 5ECTION 7209OF THE NEW YORK STATE EDUCATION LAW EEC-, NIC, 5UR OR5, P.G. EXCEPT A5 PER 5ECT I ON 7209-5Uf5D I V 151 ON 2. ALL GEKT I F I GAT I ON5 (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR TH15 MAP AND GOPIE5 THEREOF ONLY IF P.O. 60X 909 SAID MAP OR GOPIE5 GEAR THE IMPKE55ED SEAL OF THE SURVEYOR AREA=13,817 SQ. FT. 1230 TRAVELER STREET WH05E 51&NATUKE APPEAR5 HEREON. 5OUTHOLD, N.Y 11971 17-086 �� BOE SOUTy Qre, d �o� olo N O holy UM'1�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE I� INSPECTOR ad • LOCATION: S ' (number & eet) (municipality) SUBDIVISION: MAP•N'O.: LOT(S): ., NAME OF OWNER(S)•: V AIV IN O-CCUPANCY: L (type) (owner-tenant)- ADMITTED BY: Lb ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'' 0. 1000kj - SOURCE OF REQUEST: DATE: L ZO DWELLING O TYPE OF CON TRUCTI'ON: 009 STORIES: 0 O` L # EXITS: F'OUNDATIO`N: � tAS'gMENT:��;,t�1� 'CRAWL SPACE: Dn # OF BEDROOMS: IST FLR: , C)I j 2ND FLR: _ 3RD FLR: .. . ,,��►// S� BATHRO-OM(S) �'a'"'TOILE1T ROOM(S): UTILITY ROOM: PORCH.TYPE D'E•CK•, T'YR'E: PATIO,4YPE: . tri �� BREEZEWAY:' FIREPLACE: r _1UO& QARAGE:t*_&' DOMESTIC HOTWATER: TYPE'HEATER: CZ AI RCOOIDITIONING: . Iry loll q__(dof wvIr-t o, TYPE HEAT: WARM AIR: fl1V HOTWATER: # OF KITCHENS: FINISHED BASEMENT:- YES_ NO OTHER: ACCESSORY STRUCTURE GARAGE; TYPE OF CONST.:W� I -STORAGE, TYPE CONST.: SWIMMING POOL: _ GUEST,*TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION &BUI•L,DING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: r- ry INSPECTED B : * 6_1, * DATE OF INSPECTION; eiV 64_oo, II- TIME A-TIME START: Z P END: , Q