HomeMy WebLinkAboutZ-28771FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28771
Date: 08/23/02
THIS C~KTIFIES that the building DWELLING
Location of Property 475 ORCHARD ST ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Taxx Map No% 473889 Section 025 Block 0002 Lot 020.013
Sutxlivision Filed Map No. Lot No.
confoms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY~-OMBER Z- 28771 dated AUGUST 23, 2002
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 SINGLE FAMILY DWELLING WITH UNHEATED ACCESSORY GUEST COTTAGE *
The certificate is issued to HENRY F & NANCY VANWYCK
(OWNER)
of the aforesaid building.
SUFFOLK CO~/ffY DEPARTMENT OF ~AL'£HAPPROVAL
BLEC'£RICAL CERTIFICA~NO.
PLUMBERS C~U~TIFICATION D~£~3
N/A
N/A
N/A
*PLEASE SEE ATTACHED INSPECTION RE~~~
Rev. 1/81 ~ Y Authorized Sign/re-
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 ORCHARD ST ORIENT
S~8DIVISION: ~ NO.: LOT (S)
NAME OF OWN~H (S): HENRY F & NANCY VANWYCK
OCCUP~CY: SINGLE FAMILY
~]~1'1-1'~ BY: NL~RYANN BOLLMAN ACCOMPANIED BY: SAME
K~Y AVAILABLE: ~U~F. CO. TAX ~ NO.: 25.-2-20.13
SODRCE OF REQ~ST: WM. PRICE, JR., ATTY 3/5/02 DATE: 08/23/02
HENRY F & NANCY VANWYCK
DWELLING:
· "fPE OF CONSTRUCTION:
FOUNDATION: STONE
~JYr~KOOM (S): 2 . 0
WOOD FRAME
2ND FISH.: 3
# STORIES:
C~.~%R: PART
PORCH TYPE: SIDE ENCLOSED
BREEZEWAY:
DOMESTIC
· "fPE ~T: 0IL
TOILET IIOO~ (S): 0.0
DECKTYPE:
FIREPLACE:
YES TYPE HF~%~: OFF BOILER
W~*RM;tlR: H(YI~A'r~K:
OPEN WRAP AROUND PORCH
2.0 # EXITS: 5
CRAWL SPACE:
3RD FLR.: 0
~TILI~"f ROOM (S):
PATIOTYPE:
AIRCONDITIONING:
XX
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
STORAGE, TYPE CONST.:
G~3EST, TYPE C0~ST.: UNHEATED SMALL WOOD FRAME
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~D~KS: BP ~2~CiZ-28770 (REPAIR FLOOR IN COTTAGE)
INSPEt-r~ BY: ~___7/~~~ DATE ON INSPECTION: 03 / 11 / 02
JOHN M. BOUFIS ~ TIM~ START: END:
l-U[ilt "J'401 u
tUSH Or SOUTIIOLD
UULLDIHO DE~ART~IE~
765-[§02
i · APPLICATIO[I t:OR.CERT.I. FICATZ OF
A, TI)Is applicat~on'mu~ be filled tn by Lype~riLet OR tnk.~na ,ubmL~d ~o tim
Inspector w~Lh ~he [ollo~[ngt lot ~e~ bu~Ldln8 or l%e~ use{
· .' 2~ r~na[ Approva~ [told I[ea~th bept~' o[ ~ater aapp~y and ee~erage-dfsposat(5-9
: 3~ Approva~ o[ e~ectr~ca~ ~asta~lat~an'Erom Board of g~ce Undec~r~e~d~
'it. less than 2/10 o[ l~ leads ' ' ,'
and tnstnt~dttone~ a 'certt~fcate o'[ Code Compliance Erom:arvldtec~ o~ et~gineet
responsible fo~ the bulldthgi
: O~ For ex~se~ng boardings (p~ot eo Aptt~ 9~ [gs7~ non-eqnfo~m~ng Use~ or butld~gd nnc
· : L~ Accurate sUrVey of peoperty sho~g d[~ properky [~nest streetsj bu~ld~ng and
{.. Onusua~ ~aEOra~ or eopogrnplitc [eaturas~ '
2~' A proper~y completed, app~teatiod and a eanseae to inspect Signed by' the appllentt~
· .' I~ a Certificate sE Occupancy la den[edl the Building Inspector shelf state the
', reasons there[or in ~r~t~n~ to the
d~ Fees
l~ Certificate o[ Occupancy - He~ d~e[l~g ~25~o0~ Add~E~ons to d~et~l, h8 ~25,00~
' ' A~tetn~ond Lo dwelling ~5,00~ S~l~n~hg pool ~25~00~ Accessory boJ.1d~hg ~25~00~
~ 6dd~k~ons to accessory I)u[[d~n8 ~25~00& BUdinessed ~50,00~ "
3t Copy o[ Cet~E~ea~e o[ OecOpnttcy- ~5~O0'6ver 5 yeats - ~[0~00
4~ Updated Certificate of occupancy - ~50~00
i 5~ Temporary CerE~[~edte of OceO~a~e~ - Ren[dent~d~ ~[S~O0~ Co. Ore,nj.
March ~ 2002
475 Orchard Street '
Itouue [Io~ st~ee~ tl,,~e~
6at4 ' '
CONSENT
TO.
INSPI2CTION
~enr_v F. Van Wyckl Jr. and Nan¢¥ Va.n ..Wyck
Owner(s) lqame (-'0
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) tile owner(s) of {he premises tn the Town
of Souti~old located at 475 Orchard Street, Orient, New York
which ts shown and designated on tile Suffolk
County tax map as District 1000, Section 025.00~ Block 02.00 , Lot 020. 013
That thc undersigned {has) {have) filed, or caused to be filed, an applies-
lion in the Southold Town Building Inspector's Office for the follow|n§:
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 inspedtions as they may
deem necessary with respect to the aforesaid application, including inspections
to detcrlnine thai said premises comply with all of the laws. ordinances, ruins
and regulations pf tile Towrt of $ouih01d.
The undersigned, In consenting to such inspections, do(es) so with the
knowledge and unde~st:mdln/I that any hlforrnation obtained tn tile conduct of
such inspections may be used as e'vtdenee ill subsequent prosecutions for vie-
lations o[ the laws, ordinances, rules or regulations of the Town of Soutl~old.
Datedi
.M~rch'4, 2002
~H~nry F. Van Wyck, Jr.
(print'name)
Nancy Van Wyck
(print name)
UI~UTfK~GTEO ~LTIEI~.TI~ C~,DDtTION To THIS SURVEY I~A VlC~LA'r~ OF ~C*~H ~
~ e~, A~ ON H~ ~l ~ THE ~ ~OMPANY,
U~rTIES AND UT~I~ ~E L~AT~SAHE NOT ~NTEED. EASE~EN T~
ST~S ~D ~ ~ A~E ~T ~RANTE~D
~Y~T~ ~E ~AT ~ ~ ~E ~ ~0~
THE ~ ~ ~ : ~ ~ ~ ~flES TO THE ~ LiN ~s ~ / ~ ~ ~ ~ ~0
~.~ ~D ~, THEREF~ ARE ~T NT~ED TO GU/DE THE ~ ~0~ ~ 0 ~.