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HomeMy WebLinkAboutZ-39956 guFFOd,fC Town of Southold 10/10/2015 �o`p oGg 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39956 Date: 10/10/2018 THIS CERTIFIES that the structure(s)located at: 170 Bay Ln., Orient SCTM#: 473889 Sec/Block/Lot: 24.-2-26.4 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- 39956 dated 10/10/2018 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 uncovered outdoor shower stall, and accessory wood frame arab The certificate is issued to King, Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. /Ardtorjged Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 170 Bay Ln.,Orient SUFF.CO.TAX MAP NO.: 24.-2-26.4 SUBDIVISION: NAME OF OWNER(S): King,Susan OCCUPANCY: ADMITTED BY: Janet Markarian SOURCE OF REQUEST: King, Susan DATE: 10/10/2018 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: posts and stone CELLAR: CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: gas WARM AIR: forced hot air HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: 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: 9/24/2018 TIME START: 11:19am END: 11:50am 1 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$1�5.00 C Date. I 12— 16 New Construction: Old or Pre-existing Building: (check one) Location of Property: P,41 L t✓V fg iVfifk� u if-D) oogrr l/>t,L i1c,4 Z W ©'r1 tFl , House No. St et ILHamlet Owner or Owners of Property:Sq S/q tJ l%'t p4d9 Suffolk County Tax Map No 1000, SectionBlock 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: $ Applicant Signature CONSENT TO INSPECTION the undersigned, do(es) hereby state: e rn( � m% That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at 8AY ( f n f!�A dream Z4- —, Dteie Nr which is shown and designated on the Suffolk County Tax Map as District 1000, Section 7-'/ , Block ?/ , Lot AG , e . 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. Dated: _ (S gnat r (Print Name) (Signature) (Print Name) . r SO�l�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 ZZ-- %" Q % roper.riche rKD-town.south old.ny.us Southold,NY 11971-0959 enuff BUII_DING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Address: Susan King City: St: Zip: Building Permit#: 42123 Section: 24 Block: 2 Lot 264 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Surrey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes: 50a,Tesler charger recpticle in kitchen Inspector Signature: Date: October 2 2018 81-Cert Electrical Compliance Form.xls I ING DEPARTMENT - Electrical Inspector TOWN OF SOUTHOLD TZg�&n Hall Annex - 54375 Main Road - PO Box 1179 a° Southold, New York 11971-0959 rayl hone (631) 765-1802 - FAX (631) 765-9502 -Proger richert(cr�town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION Date: q 2- bv- - REQUESTED-BY." f�o�E��i�`T�/�!✓c- — ��i�liNis'7Yt A7� �I � Company Name: s--Y-K1C of C0-f,+W W-J #J-6 Name: License No.: email: Address: S ' Phone No.: JOB SITE INFORMATION: (All Information Required) Name: tt� IL�z ii N is0JR,-wC V+ , 'i V(ZW - Ga-,443 , Nr�i72, Address: t'1 d B14 r-ANf- Cross Street: Vt -L-A &- LP+rc,C- 0JZ'c?4 Phone No.: G,3 - 3 Z3 - 2-s"-�10 Bldg.Permit#: email: Fax Map District: 1000 Section: '2-4 Block: `L Lot: 2 46• L( BRIEF DESCRIPTION OF WORK (Please Print Clearly) (, 5 ,.(SP--Z-f Circle All That Apply: Is job ready for inspection?: YE / NO Rough In Final ' Do you need a Temp Certificate?: YES /49 Issued On Temp Information: (All information required). Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYME UE WITH-APP-0d I, N `lb SEP 2 4 2018 Request for Inspection FocmAs R=D\T2��"-DET.—KITsh��i �.•-.v (y) Y ©INNER STREET VILLAGE DISTRICT SUB. LOT R Lv FORMER OWNER, F R N E� ACREAGE'' _ W `TYPEOF BUILDINGJIV4 - Ik RES. • "a _SEAS.-/ _ V.L.' FARM ( COMM. ' I IND. �.CB. I' MISC, , Est: Mkt. Value ' "LAND IMP. TOTAL DATE REMARKS .:J .?�..,......ti£.... s' Ar�.'..�.}°' - "''... _,_•ad ,°'f ,ve'" n..._..... .�,a, ( (�,r�,t at r--, .L` I 4"'�:i c•.%`°rro ..^3 = Ll §'§: P y„t a�•r - §I g,� ;„s ^^^.x ,,;4, a,.,•.a r, '� ��"" l;"° sy y b,' °e. C°-•e 4§^''€ E =z," a.J L JI F_ L - >,. "cr z1 fs, ..: . ;}•' � �,.. ' > � °:�,..�.�•$•;. �� �.��,, 1 ,arae :� �`�,�� �r� m€''" � � �"�F°' ` `a. � rJ - °AGE tooBUIL GCO DI T � EW 1 AL E3EL W ' ABOVE FRONTAGEWATER � ON Farm %"Acre , Value Per Acre Value, FRONTAGE ON ROAD ` Tillable, 1 BULKHEAD Tillable _2 -_ DOCK - ., --_—.- - ----- Tillable, 3. Wo ocil'and, ? Sw4mPland Brushlanci - House Plot Total p •- A.-_ �5 a .-, il. , NINE xfMENEM f 'd' MEMMEMMEMNEEMO■NERM11■■■NONE ■ ■■■■■■■■■■■NNOM■■r[Room■■■■■■ MEMO NOME MOMMIN NEEM■■■■■INEMENIMNMENO■EMEM■EM MOEN Ex V Ywd , : ■■NEN■■■NI■■■■AIEEN■■M■EEE■■E■ , .. z°;3� r� ° � ��.x�� ��� �� � x ■■■■ENEEMN■�N■1■N■■■N■■■■ENE NEM■NN■Nl��'�■■El�E■■NEE■MNNEEE■ r t:. ;: - NOON■■■■NN■■N■■N■■N■■E■OE■ INN rte- � NEEEENEEN■■■E■EN■E■■■■■EE■E■ -�� 1■E■NE■■NEN■■■■■NNE■ENE■■N■■■ ■■ NEN■EN■NEN■■■NEE■ENN■■■■■■■■ • ■ Wbodstove • 1, •• 40 ��I ey ® •• - • .•' IIS _ ��® • '•• • •e a ••• P - —,—"-17 - — - - —r— —I M. BId I ;" �. Fou',dation' Both, _ Extension e .BQsern , t Floors' I „ v I Extension. ' 1 rr«'F` Exfi.' ails` Interior Finish I Extension Fire-, ace r Heat ch �' g Roof Type '. i j ` : I4 Porc ., Room -1 st Floor :Breezeway ' PC, io;', Rooms 2nd Floor, ,�"Garage. _ -, ,--•i -•-- ,--�-Y-,:- f ,r,.�.Driveivay`� '--_ � �1.• r _—- Dormer ` .; - �- ' .- � -------- --- ------ ; i...'.a„_.,...._,..,..t_``%. William D. Moore Attorney at Law 51020 Main Road Southold,New York 11971 Tel: 631-765-4663 Fax: 631-765-4643 September 13, 2018 BY HAND DN ��� V I ,I Southold Town Building Dept. Town Hall Annex SEP 1 3 2018 RUMDPTG DEPT. Re: Pre-CO application Tr3N.ypz: �-: E iT Vfff p'Y D Dear Ladies/Gentlemen Enclosed please find the following: • Application for Certificate of Occuancy (pre-CO) • Consent to Inspection • Survey by Kenneth M. Woychuk, LS dated Aug. 1, 2017 • Check in the sum of$100 Access to the property can be given by Mr. Robert Turner(co-administrator of the estate of Susan King) his tel contacts are 631-323-2570 or 631-935-4322. If there are any questions, please do not hestate to contact me. Thank you. Very trul yours, William D. Moore WDM/mr S.C.T.M. NO. DISTRICT: 1000 SECTION: 24 BLOCK: 2 LOT(S):26.4 PILINGS 4nNG� SMP ANG a"wopD 0471y AUr 0 LAND N/F OF d m STRAUEL 2016 VACATION RESIDENCE TRUST �Q' m N 5444'30"°E 91.58' — 0.9'N 6'STOC E 22.20.3; C 2A W S4 ' l'4O �l HOWER o U FRM.:�:.. •:M O: r' �yDWELLIN5. G,' Q / 3 . :26.3 :'': m TOCK sr;.GARAGE O;b-, ZONE VE(EL 9) / / =e / DRIVEWAY ^18.2'•': °pyo i�t WELLS IO aOP/ PICKED W CE ZONE AE(EL 7) LAND/U5 tii ay p / LANCENJENSEN USA KREILING ' y� °p00 y S p,.1. ll a 4� 4 5'00" l O00 / 4 ZONE AE(EL 6) oa ,2yI2, LAND N/F OF '` m EDWARD OLIVER GUARD L'F LAND N/F OF / / STEPHANIE GUARD oy WILLIAM KING cio FIRM PANEL #36103CO068H THE WA7ER SUPPLY, WELD DRYWELLS AND CESSPOOL o/lCJ LOCA7101VS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM 07HERS. / / ^►' CAN AREA: 10,449.29 SQ.FT. or 0.24 ACRES ELEVA77ON DATUM: UNAU7HOR12ED AL7ERA7I0N OR ADD17701V 70 7HIS SURVEY IS A WOLA17ON OF SECTION 7209 OF 7HE NEW YORK STA7E EDUCA7ION LAW. COPIES OF THIS SURVEY l l MAP NOT BEAR/NG 7HE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED 77 BE A VAUD TRUE COPY. GUARANXES INDICATED HEREON SHALL RUN ONLY 70 7HE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF 70 THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NS77TU770N l / LIS7ED HEREON, AND 70 THE ASSIGNEES OF THE LENDING 1NS777U770N, GUARANTEES ARE NOT TRANSFERABLE. 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO THE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE 1HEREFORE THEY ARE NOT INTENDED 70 MONUMENT 7HE PROPERTY LINES OR TO GUIDE 7HE ERECAON OF FENCES` ADD177ONAL SMUC7URES OR AND 07HER IMPROVEMENTS: EASEMENTS AND/OR SUBSURFACE S77?UMRES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PHYSICALLY EWDENT ON THE PREMISES AT 7HE 77M£OF SURVEY SURVEY OR DESCRIBED PROPERTY CERTIFIED T0: ESTATE OF SUSAN KING; MAP OF: ; FIDELITY NATIONAL TITLE INSURANCE COMPANY; / FILED: • / / �� SITUATED AT:ORIENT TOWN OR SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC / Professional Land Surveying and De �+� SUFFOLK COUNTY, NEW YORK Y�g Design / �3� d /y� _•,/f P.O. Boz 169 Aquebogue, New York 11991 1� l PHONE (631)296-1566 FAX(691) 296-1568 1 FILE #17-97 SCALE:1 =3DB DATE:AUG. 1, 2017 MY.S: USC. NO. 050882 mAnWnWg the iecoaat of Robot J.R=mV&Zm w%X 7o7chah Liv opt O SOF so # TOWN OF SOUTHOLD BUILDING DEPT. �ycourm, 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) [ ] CODE VIOLATION [ ] CAULKING REMARKS: - nrt4 �l✓wl 'r ;� � advlS- �%�e DATE INSPECTOR ��%WdVk) LOCATION: 1/"./ (num er & street) (municipality) SUBDIVISION. MA P-N'O.: LOT(S): NAME OF OVWNER(S •: Vs A'M'A/ t OCCUPANCY: "f &0 i i (type) (owner-tenant)- ,-j ADMITTED BY: JA'iP C . ACCOMPANIED BY: KEY AVAILABLE: N . SUPT. 'CO. TAX MAP'NO. 1000- ?- • ?. •� SOURCE OF REQUEST= oW'„ DATE: 5eP, .1d!"i LS-1 Ldt DWELLING TYPE OF CONSTRUCTION:! VID4 ORY STES: /�_# EXITS: LL t FOUNDATION' t1bV � BASEMENT: 'CRAWL SPACE: # OF BEDROOMS: IST FLR: _� 2NDf FLA: 3 3RD FLA: BATH,RO'OM(S): . TOILET AOOM(S): UTILITY ROOM: , PORCH.TYPA DECK, T'YPE: .. , . PATIO;TYPE: BREEZEWAY:'_ F REPLACE: . _ QARAGE: �} DOMESTIC HOTWATER.:'` TYPE NEATER: �(i AIRCON'DITIONING: TYPE HEAT: " , WARM AIR: HOTVWATER: # OF KITCHENS, . FINISHED BASEMENT:- YES NO OTHER• '(& t Dd1✓ S'�iWf/ld ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING P'0-OL: GUEST,'TYpE CONST: _ OTHER: VIOLATIONS:. CHAPTER 144 &N.Y, STATE:UN,IFORM FX PREVENTION & BU'I,,DING CODE LOCATION DE PTION ART. SEC. Q/ y G001, G Y 'L %S 1�l 0 • 014- L REMARKS: INSPECTED BY:"#f06 . /31"AYLVI1 DATE OF INSPECTION: ` ' TIYv18 START:,��_ END