HomeMy WebLinkAboutZ-39551 3UFFOl,fco Town of Southold 3/9/2018
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 39551 Date: 3/9/2018
THIS CERTIFIES that the structure(s) located at: 585 Orchard St, Orient
SCTM#: 473889 Sec/Block/Lot: 25.-2-14.1
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- 39551
dated 3/9/2018 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 42411 200A overhead electrical service COZ-39550
The certificate is issued to Foster, Thomas & Seiver, Dinah
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
0 CA h ' Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 585 Orchard St,Orient
SUFF.CO.TAX MAP NO.: 25.-2-14.1 SUBDIVISION:
NAME OF OWNER(S): Foster,Thomas&Seiver,Dinah
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Foster,Thomas DATE: 3/9/2018
DWELLING:
#STORIES: 2 #EXITS: 3
FOUNDATION: stone CELLAR: partial CRAWL SPACE:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered porch DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: forced hot air HOT WATER:
#BEDROOMS: - 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: accy.wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/16/2017
TIME START: 3:50pm END: 4:20pm
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: C--'-- (check one) �}-
Location of Property:
House No. �-- Street 1 Hamlet
Owner or Owners of Property: —Th 6yh ZS 1-. ST-P� cc�t ►� V Q""
�Luffolk County Tax Map No 1000, Section-ZS 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: $
App scant Signature
CONSENT TO INSPECTION
�vS �•�5�� � iVe, , the undersigned, do(es) hereby state:
Owner(s)Names)
That the undersigned (is) (are) the owner(s)of the premises in the Town of
Southold, located at SSS cx-CILZI" ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section `z':�;- , Block da., Lot / Y. r
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector'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.
r
Dated: � �( �—
(Signature)
(Print Name)
(Signature)
(Print Name)
TOWN OF SOUTHOLD PROPERTY REC9RD CARD .
w OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OWNER N ' r E 'f ACR.
5 W TYPE OF BUILDING
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SURVEY OF PROPERTY
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TO WN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-25-02-14.1
SCALE: 1'20'
NOV. 22, 2016
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AREA=9,566 SQ. FT.
ANY AL7ERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION N. .S LIC. NO. 49618
OF SEC71ON 7209OF THE NEW YORK STATE EDUCATION LAW. PEC VEYORS, P.C.
EXCEPT AS PER SEC710N 7209—SUBDIVISION 2. ALL CERTIFICATIONS (631) 765-5020 FAX (631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.0. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA VELER STREET
WHOSE SIGNATURE APPEARS HEREON.
SOUTHOLD, N. Y 11971 116-1031
SOF soUry I
couhm?�''
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:
SIAAlt
&--d -
DATE INSPECTOR
LOCATION: rGN2
(number & street) (municipality)
SUBDIVISION: _ MAP NO.: _ LOT(S):
NAME OF OWNER(S)': .
OCCUPANCY: rPAMr
(type) OWN I i (owner-tenant)-
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUPF. CO. TAR MAP'NO. 1000- _5-a-►�j• (,
SOURCE OF REQUEST: DATE:
1
DWELLING
TYPE OF CONSTRUCTION:I��� # STORIES: _# EXITS: 3 .
FOUNDATION: _V7I. / 9ASEMENT: 6 'CRAWL SPACE:
V
# OF BEDROOMS: 1ST FLR: 2ND FLR: y 3RD FLR:•
BATHRO-OM(S): 2eff TOILET ROOM(S): UTILITY ROOM: .
PORCH-TYPE: Cd1I� DECK, TYPE: PATIO;TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
✓ 14 G cry
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: of
TYPE HEAT: �J6RS WARM AIR: At A-fo'-H0TWATER:
# OF KITCHENS: Jo4a"--
FINISHED
BASEMENT:- YES NO -V/
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: CIY—*" STORAGE,TYPE CONST.: _
SWIMMING POOL: GUEST,TYPE CONST:
OTHER:
i
VIOLATIONS:. CHAPTER 144 &N,Y, STATE.UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION A DESCRIPTION ART. SEC.
✓ N ®?t/iY*vtr
1eeVe- 1—
REMARKS:
INSPECTED BY: a n J . J s�-� DATE OF INSPECTION: b� 19
TIME START: ?J �0
END: �