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Z-24817
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-24817 Date DECEMBER 24, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 355 SKIPPERS LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 24 Block 2 Lot 4 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-24817 dated DECEMBER 24, 1996 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 GARAGE & ACCESSORY LARGE WOOD FRAME STORAGE BUILDING The certificate is issued to RUTH M. LUCE .(owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT 4.1 Building Inspec r Rev. 1/81 BUILDING DEPARTMI7.NT TOWN OF SOUTHOLD MOUSING CODE INSPECTION REPORT LOCATION:_ 355 SKIPPERS LANE ORIENT, N.Y number & street municipali-ty SUBDIVISION MAP NO_ LOT(s) NAME 017 OWNER (s) RUTH M. LUCE _ OCCUPANCY SINGLE FAMILY (type) (owner—tenant) ADMITTED BY: JANE COCKERILL ACCOMPANIED BY: SAME KEY AVAILA13LE SUFF.CO. TAX MAP NO. 1000-24-2-4 SOURCE OF REQUEST: KEVIN McLAUGHLIN, ATTY DATE:_ DEC. 16, 1996 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # EXITS 3 FOUNDATION CEMENT BLOCK & STONE CELLAR PART CRAWL SPACE TOTAL ROOMS: IST FLR. • 5 2ND FLR. 3-1/2 3R.D FLR. 13ATHROOM (s) ONE TOILET ROOM (s) ONE UTILITY ROOM PANTRY IN SIDE MUD ROOM PORCH TYPE REAR ENCLOSED—SIDE COVERED HECK, TYPE PATIO BREEZEWAY NO FIREPLACE NO GARAGE ONE CAR DOMESTIC HOTWATER YES TYPE HEATER LILCO _ ATRCONDITIONING _ TYPE HEAT LILCO GAS WARM AIR HOTWATER %% OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, 'TYPE CONST. LARGE WOOD FRAME SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.X. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION' DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION DEC. 18, 1996 J M. BOUFIS TIME START 9:35 END 10:00 IAA 1-(a-)A EAL"y '-f Form No. G -- FC3oQ �9ccc s S 'DOWN OF SOUT1101.1) BUILDINC DL'PARTML:NT TOwN MALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. : This application muse be filled property in b ins . inspector with the following- Y typewriter OR ink and submitted to the building 1- Final survey of propertywichraccuratelding lacationnew ot all: s 2• buildings, ro creeCs, and unusual natural or topographic features. feature P P Y lines, Fic►al Approval from Health D� ic. ofSupp raga_ we 1• Approval of electrical ins'tallacion fromrBoardlofaFirana `Underrwritep�yal(S-9 form) . 4. Sworn ::cacemenc from plumber eortifying; that the suldur used in system eoncains loss than 2/10 of IZ lead, 5. Couuuercial building;, industrial building, � _ and installations , 6, multiple residences and similar buildings ,. a citi..xcate of Code Compliance from architect or engineer responsible for the Wilding, b• Submit Planning Board Approval of completed site plan requirements. 3. For existing; buildings b (Prior to"Pre-uxi�tinl;" land uses: April 9, 1957) non-conforming uses, or buildings and 1. Accurate survey property showing all .,urve of og y g; property lines, streets, building; and unu;;ual natural or topographic features.2. A properly couipl.eCed aPPlicatiQLI and a consent to inspect signed by the applicant. If a Certificate of Occupancy is dL�nied,' the Building Inspector shall scare Cho rea:;ons therefor in writing co the applicant. C. Fees 1. Certificate of Occupancy - New dwelling Alterations Co dwelling $25.00, AJd.itioits CO dwelling $25.00, 6 --5.00, Swiuunin6 pool $25.00, Acces:;ory building; �25,00, Additions Co accessory building:..$-'S.UO. 2.,. .. $IUU.UU Certificate, dr:OCcuPancy one pre-exiscin r 3. Coi,y of Certificate of Oecun p y zc g, Building; - 4. Updated Certificate of Occupancy _ �5,OU over 5 years _ $10.00 5. Tumporary Certificate of Occu�a�c $5U,00 I Y - Residential $15.0I0, /Commercial $15.00 ,, Date lei ro eN Construction. . • • r. . . .•. . 0 . . . . . . . . . . . . . . . . . . . • • • • • . . . . Old Or 1 re-exi::tinD Building, I-ocacion of Property. . . . / • y• 11ouse No, • '�' Y:S. . ./'1c;!'�S Lruu . . . . . . . . . . . . Or �ti' . . . . . . . . . . . � Street •• • Hamlet or Owners of Property. , !r,•�(A�•�_ . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . . . . . . .` . . . '•=aunty Tax Map No 1000, Section. P. . .Block. . �`�©� • • . . •�•� • . . .. .• . . . . . . . . . .Lot.�OZ"s�Oon. .Subdivision. . .. . . . . . . . . . . . . . . . . . . . .. . ... . ... . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . .. . rmit No. . . , .Date 0Permit. • . • • • • • • • • •f . . . . . . • • • • . . . . .Applicant. . . . . . • . . . . . . . . . . . . . . . . . . . . . . . Dot�t• Approval. • . ... . . . . . . . . . . . . . . .Under writers Approval. . . �• , , • , , .'.lannin . . . .. .. . . . . . . . . g; Board Approval . . . . . . .. . . . . . . . .. . . . . . . . (`quest for: Tcm orar P P y Certificate, ,, ,• , •• , , • Final Cart race. re r• �{ �e,��l�,.� • J S ee Submi•t Ced: $ .1©o.00 .. .. .. . . .. ... . . . E;l F (-�O) Lf$ f nt P L I c,tr� F„ CONSENT TO INSPECTION kuz'�k °LukCC--,— the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �5������ D nQ_ which is shown:'.And designated on the Suffolk County tax map as District 1000, Section c�� <`.,.Block C>�, Lot _, That the undersigned (has) (have) filed, or caused to be filed, `an applica- tion in the Southold Town -Building Inspector's Office for the following: �-- co C�_ 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 as evidence in,subsequent prosecutions for vio- lations. of the laws, ordinances, rules or regulations o t e T of So ld. Date d:l�)eC l (C) 11996 'y sip ure J ` 1' / \CCU. �( \N,— print name) (signature) v:E (print name) ,r, ♦ - SKIPPERS LANE S 630 59' 40" E •87' 320.8/'� /P t0 FD. O N , of N TEPS N �LI CO J 16.8 ini28.4 V• a Chimney �0. Lu Ki 2 STORY WOOD I2.7 FRAME RESIDENCE J N GARAGE SYoo N J h N 6,2' �t oh 5.1' 100 U_ 13.0 in CELLAR taL Z ENT. 26.3' Z w A164' O O N � �ENO FENCE N 0.1' -0.8' 2 RAIL FENCE 0.6 N 640 45 40 W 81' OYSTER PONDS HISTORICAL SOCIETY TM#1000-024-02-04 SURVEY OF SURVEYED 7 OECEMBER,/996 DESCR I BED PROPERTY AREA.,8,285.09 S.F. or SITUATE 0.190 Acres ORIENT, TOWN of SOUTHOLD SUFFOL K CO., N.Y.. SURVEYED FOR: ANDREW COHEN DEBORAH LYONS GUARANTEED TO: SURVEYED BY: ANDREW COHEN STANLEY J. ISAKSEN, JR. DEBORAH LYONS PO. BOX 294 CHICAGO TITLE INS. CO. NEW SUFFOLK,N.Y., 11956 TOWN OF SOUTHOLD• (516) 734-5835 Guarantees indicated here on shah R Unauthorized alteration or addition to this only to the person for whom the survey survey is a violation of Section 7209 of is pr.,-:pared, and on his behalf to the the New York State Education Low. Iille ccmpany, Covern.ental Agency, icnaing inshl.ticn, if listed hereon, and to the cssionees of Ih,� lending institution. L/CEN .D LAND YOR ;:ucrantees are not transferable to -:pies of this survey map not bearing N.Y.S. Ll, . NO. 3 C� cdditional inslituticns cr subsequent owns the Land Surveyors embossed 3�a1 shall not be considered to be a valid truss COPY.' 96R6/4 E red — _ TOWN OF SOUTHOLD PROPERTY RECORD CARD Y OWNER S STREET 3 VILLAGE DIST. SUB. LOT L e� /`� r it DL FORMER OWNER N E �. ACR. . rq 19S fit, /1 S' ` �,/' 0 W TYPE OF BUILDING ��'.. 1e- y �/)n I tl s ,..� I-RES. /b SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW D NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK ; S.��' �. NOON■■ ■■■■■■■■■■■■■■■■■■■ .. . ':cs i^ee.:A ' NOON■■■ ■■■■■■■■■ ■■■■■■■■■ .+G':. `',`.• NOON■ ■■■■■■■■■■■■■■■ ` ■■■ NOON , r;: ■■■ ■■■©■■■■■■■■■■■■■■■ No so■■■■■■■■■■■■■ No ON ■.._._- - _ ■■■■■ ■ ►g7■■!_®1■■V�1 —'! NOON■■ ���■■■ . - NOON■■■ ■1�■■■■■ifl�■IOr■■■■■■■ ■■E■■E■ ■■■■la■■I11a■!�■■■■■■ [�l .. NOON■■■ ■■® NEM111■� ■■■■■■.■ .NOON■■ ■■MENEM m:■NON■■EN■ NOON■■■ ■E'Sm" .s: �■■■■■■■ ■■ ■O■■■■E ■EON■■■■■■■■NONE ■ NONE NONE- - -- - - : .. FoundationInterior Finish Extension Fire Place Rooms Ist Floor '. =M-Wormer - A :t, . is T BUILDING DEPARTMENT TOWN OF SOUTHOLD (� HOUSING CODE INSPECTION REPORT LOCATION: `' number K streets municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) ,sue s C fir' OCCUPANCY / � �' A., _ type owner-tenant) ADMITTED BY: +J " { �®�/\. / ACCOMPANIED BY: �..— KEY AVAILABLE Sur,FF F.CO. TAR MAP NO. SOURCE OF REQUEST: DATE: / . plc cG�� ' 7 � DWELLING: f TYPE OF CONSTRUCTION V 049 Q IC40 STORIES_ E%ITS FOUNDATION /1, �j �� CELLAR CRAWL SPACE �- TOTAL ROOMS: 1ST FLR. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) b1lm UTILITY ROOM PORCH TYPEjf� jZ_�� ®--. /�� ECK, TYPE PATIO BREEZEWAY Ho FIREPLACE GARAGE &,yJjxa -- DOMESTIC HO'TWATER.yeC TYPE HEATER �IC�C� — AIRCONDITIONING TYPE HEATS/��p �/ WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. Xa't-le 4id-0,Y1 SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED B DATE OF INSPECTION / a �- TIME START ? �END ��