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Home My WebLink AboutZ-39602 o�s11FFDt,fcoG Town of Southold 4/12/2018 53095 Main Rd M Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39602 Date: 4/12/2018 THIS CERTIFIES that the structure(s)located at: 345 Hickory Rd, Southold SCTM#: 473889 Sec/Block/Lot: 54.-94 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- 39602 dated 4/12/2018 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.* Notes:BP 4849 deck COZ-3857; BP 23824 "as built"deck COZ-25274• BP 42529 air conditioniniz COZ-39601 The certificate is issued to Ryan, Richard (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut 0 e Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 345 Hickory Rd, Southold SUFF.CO.TAX MAP NO.: 54.-9-4 SUBDIVISION: NAME OF OWNER(S): Ryan,Richard OCCUPANCY: ADMITTED BY: Kevin Ryan SOURCE OF REQUEST: Ryan,Richard DATE: 4/12/2018 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air 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: 3/23/2018 TIME START: 10:39am END: 11:15am keV, q17 84 .3y may ] -7clZ Form No.G , TOWN OF SOUTHOLD � BUILDING DEPARTMENT D TOWN HALL D 765-1802 MAR 1q 2018 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department t h'f § Ate' ® D A. For new building or new use: �A 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, Swimmingpool$50.00,Accesso, building$50.00.Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $ 00.0.} Copy of C erti f ica.e of Occupancy 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. 3113 4 New Construction: Old or Pre-existing Building. X, (check one) Location of Property: 32A.09- 1�-(Gly )2.0� 5-c- A - /�li� House No. Street Hamlet Owner or Owners of Property: �l qfftj'�j> l: • Z*4 tS t rL LFUDC. L T P-,-tS`% — ` Suffolk County Tax Map No 1000, Section S' DV Block I D6 Lot Lf0OD 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: $ Appl' ant Signature _r CONSENT TO INSPECTION 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 (� � :r s L v which is shown and designated on the Suffolk county Tax Map as District 1000, Section Block_C-jo0 _ 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: 'ORIZE, r C e 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: 3 I!3 (r? - - �— (Sign ure) (Print Name) (Signature) (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VILLAGE DIST. SUB. LOT AWMd c 7�i—lon 201sr JK(-v7),,Y- --3z ei�lwd -:�Aod A k' n FORMER 11n I r E >yACR. c) 901 S T7�7,; TYPE OF BUILDING R!!2�� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 7 C 2. Z,- o e:) 3!� lqzgcon L BE P110YEp AN EW NORMAL tn r--� Z 'r, A F F RM Acre Value Per Val e Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK f i s " •� :" E �; "�,'-" �, '�, x w'� '`!•' COLOR - i et '�� la #'i. ! �,'� :{i.. •e ,4 ��.i,..:, ,y`' LNa'1> I:' i WLLa ' R r I TRIM � ®� j. M 7-771 M. Bldg. X y Z - r,f; 3 p undation L° f', ✓ Bath! ✓ Dinette Extension Basement �G--�-s ✓ Floors K. Extension ( Ext. Walls /."fr ' ,Interior Finish / - LR. n Extension Fire Place Heat DR. 'Type Roof I—; Rooms 1st Floor BR. 1 ' Porch Recreation Room Rooms 2nd Floor FIN. B. Dormer I, Porch �- i f l- 2 I Breezeway Driveway ' Garage11A�) Patio f' s I Total 5644 pESOUI couff N' TOWN OF-SOUTHOLD BUILDING DEPT. 765-1602 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: 4& G4,kg fk�/ MVI (pAk DATE INSPECTOR LOCATION: ✓ �oAr& (number & street) (municipality) SUBDIVISION: n . n A , MAP-NO.: LOT(S): . NAME OF OWNER(S),: OCCUPANCY: Vtt (type) (owner-tenant)-' ADMITTED BV: w ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- SOURC'E OF REQUEST: DATE: ARA Ill , w!q DWELLING � •1s TYPE OF CONSTRUCT I01 : W�O� Vi�M�C�. STORMS: #EXITS\' FOUNDATION: EASEMENT: VC CRAWL SPACE: # OF BEDROOMS: IST FL 12i 2ND FLR: _ 3RD FLA: BATHROOM(S): TOILET Ri00M(S): �� U ILITY ROCFM �a PORCH.TYPE: DECK TYfPE:W;C!! PATIO;TYPE: Af D wda BREEZEWAY: REPLACE: i Ll1ARAGE:: DOMESTIC HOTWATER: TYPE HEATER: ,.,/A AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: � 4 OF KITCHENS:� . FINISHED BASEMENT:- YES NO z— , OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: N STORAGE, TYPE CONST.: WdUD SWIMMING POOL: _ . 1�p� GUEST,'TYPE CONST: l OTHER: VIOLATIONS:. CHAPTER 144 &N.Y. STATE.UNIFORM FARE PREVENTION & BUILDING CODE LOCATION D + CRIPTION ART. SEC. ItIve/4 f V rovim -61DN`ett Insmio.Ins1 v wJ REMARKS' n '6 pv�A- lA Q G . INSPECTED B h , ,�vS DATE OF INSPECTION: fin TIME START:. -».1j j END: