The URL can be used to link to this page

Home My WebLink AboutZ-31746 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31746 Date: 08/10/06 THIS CERTIFIES that the building DWELLING Location of Property 21955 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 017 Block 0004 Lot 023 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 31746 dated AUGUST 10, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE* The certificate is issued to LAWRENCE REYBINE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. A X-14 tho ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 21955 MAIN RD ORIENT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : LAWRENCE REYBINE OCCUPANCY: SINGLE FAMILY DWELLING LAWRENCE REYBINE ADMITTED BY: ROBERT HUGHES ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 17.-4-23 SOURCE OF REQUEST: ROBERT HUGHES, ATTY 7/11/06 DATE: 08 10/06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK CELLAR: 1 2 CRAWL SPACE: 1 2 TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 3.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: ENCLOSED SIDE PORCH DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC HOTWATER: YES TYPE HEATER: OIL FIRED AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: HOTWATER: XX OTHER: ENCLOSED FRONT ENTRY, DRESSING ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 07 13/06 GARY J. ASH TIME START: 9:45.AM END: 10:10 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ' i APPLICATION FOR CERTIFICATE OF OCCUPANCY ! i` JUL I I 1 r This application must be filled in by typewriter or ink and submitted to the Building Department with:thtrfollowin�g: �2 S jTH LD 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$25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, 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 Date. $15.00 / 0 , New Construction: Old or Pre-existing Building: G/ (check one) Location of Property: Cl)(�, House No.' Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section l �_Block 4 Lot 2- .Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ l D D /Ap licant i a kco B r CONSENT TO INSPECTION ✓ i J� w xC'0 Ccs 21-UlActhe undersigned, do(es)gn ( )hereby state: Owner(s) Name(s) That the undersigned (is) ( the owner(s) of th premises in the Town of Southold, located at �� Z� �jVJ ; which is shown and designated on the Suffolk eounty Tax Map as District 1000, Section� ,Block , Lot That the undersigned(has) (have) filed, or cause to be filed, n application in the Southold Town Building Inspector's Office for the following: C/o r ol't 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: 6e (Signatur (Print Name) (Signature) (Print Name) i z 3 TOWN OF SOUTHOLD PROPERTY RECORD CARD - OWNER S�.&E ,/��`1J"' VILLAGE DIST. SUB. LOT! 14/ FORMER OWNER Gf N E Xocf/AA/O ACR. S W TYPE OF BUILDING ZES.-.9- 10 . SEAS. VL. FARM 3� COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS a 5a s ' O X ✓� ! NBC . �2CY -�-rr1 A t� AGE . BUILDING CONDITION 1 Q NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre tillable 1 Tillable 2 Fi I lable 3 Noodland mampl•and FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD - louse Plot 0--0 ��! `r2: DEPTH12 3 BULKHEAD ---- 'otaI DOCK . . ■■■■■■■■■mom■■MIN■■■■■mom ■■■■ ■MMEEM■■■■■■■■■■■■■■■■■■N■■ = }- -'� �,. s� by ■■■■■■■■■■■■■■■■■■■■■■■■OMEN OMEN ON ..i '.- i/ - Jp • mom MMME ■M�EEEEM■t ON NNE■■■ e WIN EMIMEM 1111-1■11MMEM mom■NUM■NI! IF-MM■ME ■■ii■■■■ MMMN■■MEM■!XMM■MEN■M ME■N■N■ ■■MN■■NN■NON■NMME■N Foundation :. Basement Ext. Wells Interior Finish Fire Place a Rooms Ist Floor Rooms 2nd Floor r SUR\/EY OF PROPERTY SITUATE: ORIENT N TOWN: SOUTHOLD SUFFOLK COUNTY, NY W e s E SURVEYED JUNE 26, 2006 SUFFOLK COUNTY TAX # 1000 - 17 - 4 - 23 S CERTIFIED EEC TO: Estee of EAwrence H.Reybine � Fie o�y or, f' S6 0 �2'so'' Ro h F or o rmer �96� y off. i �J 0 s i o Q E ;27 ' 0 r 04 ( driveway / /' y`1 stone __----------- -�/ / / / a Q) .� o..' 50' Hide Right of Way dam, . L. 38G2 c . 202-210 Cb ` V o J ,0 ry 0 0 K \0 0 / / J i / /boo �U •ty�` 4 - �. —�,_ - o NOTES: y� �2�9 6�0- �® • MONUMENT FOUND 45 0 �® 9e P 'NJ 0 ° �� pQ�� \,"0 PARGEL ALSO APPEARS AS LOT -7 ON A SURVEY enE �® MADE BY OTTO N. VAN TUYL 4 SON, DATED JULY 2, 1954. A COPY OF NHIGH SURVEY IS ANNEXED TO AND FORMS A PART OF A GERTAIN DECLARATION DATED APRIL 25, IG55, AND REGORDED IN THE SUFFOLK COUNTY GLERK'S OFFIGE IN LIBER 38a2 OF DEEDS AT PAGE 202-210 "Ihioulfi-� -cA cello nNor nri(titlon Ir, v.:y �np lx;nr ln)n Iiccriso4 l<�ritl s cyni xil is M""'rn"'° `°"V "" ',f it, AREA = 118,264 SF or 2.115 Acres Nen'i nr 1::;lnlc F.Ar[nl Irnr Lar..' '(,rely r.nl,l.:..Nnni Iln a,i1�1rn1 0l Ililu:ur v.:y ry LCA rvllli nri or I<yiri:rl nl tNc Irv¢I rnu v.:yo�+, JOHN C. EHLERS LAND SURVEYOR copirzs" 'Lcr lif lcnlinn.n cnl.:al lwr ccn ziryfNl llrnl ll�i. .nl wrr'.rr clux c1.l in �vi1N INr� 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG 5GALE I"= 50'. NueNr:ry >I.,1„(I,n nNnn �,r,l,,....innnl Lcrl�trr voyor, ,cid<:rlmm�uor,Menu rl ord�� RNERHEAD,N.Y. 11901 nuA wi liir.bc1�Al Iti Ile:'f it lc rngev,.,v - � Inl n�crcy orN IarPrg u�.11lvtlon 141cA Inrr-ory[v'icf to Nw�.,I,rn:�..nl Iln I�,Ne,irslRulbn. GcrllNcn- 369-8288 Fax 369-8287 REF.\\Compagserver\pros\06\06-197.pro Irons nr.,nnl Irrnacrnbb:to n.4tlinrnl hrollivl ion 6I10pG 0�13.InRf \ rosbb,06-19'1