HomeMy WebLinkAboutZ-25528FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25528 Date: 02/06/98
THIS CERTIFIES that the building
Location of Property 1150 OAK DR
(HOUSE NO.)
County Tax Map No. 473889 Section 080
Subdivision
DWELLING
SOUTHOLD
(STREET) (HAMLET)
Block 0002 Lot 005
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- 25528 dated FEBRUARY 6, 1998
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 ACCESSORY GARAGE *
The certificate is issued to CHARLES J BECK
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTBOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1150 OAK DR SOUTHOLD
SUBDIVISION: MAP NO.: -- LOT (S) --
NAME OF OWNER (S): QH~%~LEB J BECK
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: ~ED SCNAEFFER
KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 80,-2-5
SOURCE OF REQUEST: ~RY FL~/~NER OLSEN. ATTY
¢~mLES J BECK
ACCOMPANIED BY: SAME
DATE: 02/06/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FP~E-LOG EXTERIOR
FOUNDATION: POURED OUTER WALLS-BLOCK INNER WALLS
TOTAL ROOMS: 1ST FLR.: 5
BATEROOM(S):
PORCH TYPE: ENCLOSED
BREEZEWAY:
DOMESTIC HOTWATER: YES
TYPE HEAT: CENTRAL* WARM AIR:
OTHER: * FLOOR HEATER. 1 UNIT -OIL
2ND FLR.: ~
TOILET ROOM(S): . .
DECK TYPE:
FIREPLACE: YES
TYPE HEATER: ELECTRIC
HOTWATER:
# STORIES: ~ # EXITS: 3
CELLAR: 1/2 CRAWL SPACE: 1/2
3RD FLR.: O
O-O UTILITY ROOM{S): --
PATIO TYPE: CONCRETE
GARAGE:
AIRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME * STORAGE, TYPE CONST.:
SWIb~4ING POOL: GUEST, TYPE CONST.:
OTHER: *LQ~ EXTERIOR
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION i DESCRIPTION ART.
SEC,
REMARKS: BP ~24641-Z-COZ-25527-(ENCLOSE PORCB & NEW ELECTRIC SYSTRMI
INSPECTED BY:
MICHAEL J. VERITY
DATE ON INSPECTION: 01/13/98
TIME START: 10:05 END: 10:45
FORM NO. 6
TOWN OF SOUTHOLD
· Building Dapnrtmont
Town Hall
Southoldo N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
'Instructions
A. This application must be filled in typewriter OR ink, and submitted ,- - - to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of properW with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}.
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings. Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from ~he Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. 'For existing buildings {prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other p0rtinent informa-
Tion required to prepare a certificate.
C. Fees:
1. Cortificate of occupancy $.25;00 -- IHJSZNE-qS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.00
3. Copy of certificate of occupancy $ 5,'00, over 5 years $10.00
4.Vacant Land C.O. $.'20.00
5. Update(1 C .O. $"50. OO Date . .D.e.c.e.m.b.e.~..3.1.,. 3.9.9.7 ........
NewtOns t, ruction Old or Pre ex{sting Building X. Vacant Land
1150 Oak·Driv.e (R~ydon Shores)
Location of Property ...................................................................
Hou~ No. Street Hamlet
Owner or Owners of Property Estate of Charles O. Beck
County Tax Map No. 1000 Section ............. Block ............... Lot ...............
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor. Dept. Approval
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $.1.q0. :0.0.... ....................
Construction on above described building and permit meets all applicable codes and regulations.
GiARY FLANNER OLSL~N, ~
P,O. BOX 706
OtJT~flO~UE, NY 1193B
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (0a~) tbeqowner(,w) of the premises in the Town
of Southold located at //,~'~ C,4~' J'~?b~--~ d~:F~A-' --~/~'~-~--~
· which is shown and designated on the Suffolk
County tax map as District 1000, Section ~0 , Block .Z~ , Lot .~
That the undersigned (has) (bm-v~) filed, 'or caused to be filed, an applica-
tion in'th,, Southold Town 13u~lcling lnsp~u~,, .~ ortroo to.. ~h, fnllnwinf:
That the undersigned do(es) hereby give consent to the Building Inspectors
o£ the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspectlons 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 thc 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 .of the Town o[ Southold.
"~ature)
(print name)
(sittnature)
(print name)
F/LED: July 2, 1931
TM~t ~000-080-02-05
LOT 8
ICH= 30.4'
~b= 243.60'
Set
STK
Fd IP
Gucrcm~ees ~ndlc~}ed here tn s~all r~
orlv t:, lb? person far wh:m Iho survey
i~ i,~,p,~:d, end on his behalf to the
Unauthorized ¢:ff~:roton or addition to tl~
survey i: o vk:l::li.~n of Section 7209 of
the ?(ew York State Education Low.
GUARANTEED TO:
Frederick Schaeffler
Francis Schaeffler
Fidelity National Title Ins. Co
Town of $outhold
SURVEYED: 6 December, 1997
SCALE: 1"=20'
AREA= 14,850.00 SF OR 0.3409 ACRES
PRIVATE ROAD
S 20'11'20" W 90'
Rernnonc[, of 2-Roil Wood Fence
C, eler~lly E/O b'ne
$2.5'
LOT 9
9.9'
LOT
l 0 r_OT
N 20'11'20' E 90'
OAK DRIVE
71
~ tset
SD(
$2'
/07-
12
SURVEff' OF
LOTS 9, 10, 11
IN
BLOCK D
MAP OF RAYDON SHORES
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
SURVEYED FOR: FREDERICK SCHAEFFLER
FRANCIS SCHAEFFLER
Coples of ~|s survey map not bearlng
the Land Surveyors embossed seal shall
not be considered to be a valid
copy.
SURVEYED BY:
STANLEY J. ISAKSEN, Jr.
P.O. BOX 294
New Suffolk, N.Y~ 119,~6
NYS ~Lic.' No. 49273
97R675