HomeMy WebLinkAboutZ-26033 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- 26033 Date: 10/15/98
THIS CERTIFIES that the building DWELLING
Location of Property 1465 YOUNGS RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 018 Block 0001 Lot 001
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMZLY DWELLZNG
built prior to APRZL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26033 dated OCTOBER 15, 1998
was iaeued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
iaeued is ONE FAMZLY DWELLLING WITH ATTACHED GARAGE
The certificate is issued to VALESKA H FAGAN
(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.
^ - ~~c~wiG. ~
Buil g Inepe r
Rev. 1/81
BUILDING DEPARTPffiNT
TOWN OF SOUTHOLD
^OOSTN^ MnF INCpRCTION REFORT
LOCATION: 1466 YO miGS RD ORIENT
SUBDIVISION: MAP NO.: LOT (S)
NAME OP OWNER (S): yAi RCUa H PA-AM
OCCUPANCY: SraG pAMILY VAi.R Cxa y FA aN
ADMITTED BY: MRS ROWSON ACCOMPANIED BY: SAME
KEY AVAILABLE: SUPF. CO. TAX MAP NO.: I8 -1-1
SOURCE OF RHQUEST: WIi_~LT_Ary? H PRICE. JR.. ATTY - 9/28/ DATE: 10/15/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: ~
POUNDATION: CONCRETE BLOCK CELLAR: 754 CRAWL SPACE: 254
TOTAL ROOMS: 1ST FLR.: 7 2ND FLR.: ~ 3RD FLR.: S
BATHROOM(S): 3.0 TOILET ROOM(S): l.a UTILITY ROOM(S): YES
PORCH TYPE: PRONT 6 RHAR COVERED DECK TYPE: PATIO TYPH:
BREHZEWAY: PIREPLACE: 3 GARAGE: 2 CAR 3RD HAY WITH WINDOW
DOMBSTIC HOTWATER: YES TYPH HHATHR: STREHT GAS AIRCONDITIONING:
TYPE HEAT: GAS* WARM AIR: HOTWATER:
OTHHR: *
ACCHSSORY STRUCTURES:
GARAGE, TYPE OP CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: YES GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODH
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REMARKS: HPff7214-Z-CO Z-6408 - SWIMMING POOL
INSPECTED BY: DATE ON INSPECTION: 10/02/98
MICHAHL J. VHRITY TIME START: 10:40 HND: 11:20
[ V Un I,U f U
TOWN OF SOUTIIOLD
DUILUIIIC DL•PARTlIENT '
TOWN HALL
765-1D02
• APPLICATION FOR.CCRTIFICATE OF OCCUPANCY 11 •
f
A. This application must be filled in by typewriter OR ink'aod submitted to the buildlhg
inspector with the Eollowingt for new building or new use:
1. Final survey of property with nccuratn location of all buildings, property Hues,
straetsl and unusual Natural or topogrsphic fnntureel '
2• Final Approval from Ilealtlt Deptf•oE.water supply and sewerage-dispossl(S-9 form).
7+ Approval of electrical installation Erom Doard of Firo Underwriters:
4. Sworn statement Erom plumber certifying that the solder used in system contains
1. less than 2/10 of 17. lead. '
5. Commercial building, industrial buildings multiple residences and similar buildings
nttd installations, a certificate of Coda Compliance from'nrchitect or engineer
responsible for tits building. '
6: Submit Planning Doard Approval of completed site plan requirements.
!!D. For existing buildings (prior to April 91 1957) non-conforming uses, or buildings and
lipre-existing" land uses:
1. Accurate survey of property showing all property liness streets, building and
unusual natural or topograp~tic featUrea. •
2.' A properly completed, application and a consent to inspect signed by tits appllcatttl
If a Certificate of Occupancy is denied, the Duilding Inspector shall state rite
reasons therefor in writing to the applicant+
C• Feea
• 11 CertiEicatn of Occupancy -New dwailing 325.001 Additions to dwelli.tiq ;25.00.
' Alterations to dwelling $25.001 Swimming pool 325.001 Accessary building $25:UD•
Additions to accessory building $25.001 businesses $50.00, '
• 2. Certificate of Occupancy on Pre-existing Building $100.00
3. Copy of Certificate of Occupancy - $S.OO~over 5 years - $10.00
4: Updated Certificate of occupancy - $50.00
, $1 Temporary Certificate of Occupancy - Residential $15.001 Commercial $15.00
Se~tember 28 1998
Date f.1+ .1• If.. fSf
New Construction.....•f...: Old Or Pre-existing Duilding.., X•+...•..••+•
1485 Ygi}ng+s ~q~~l Orient
• LoCptlon of Property...... +.1 . .•flat.Ijf•:+.11•••ffr.:+l:.f•.:..+:.I.::..a:...••
' house No. Street hamlet
Onwer or Owners of Property.,1/ Estate~o~. V~lgska1/1}t1~'~~~rl„1,,,,,1,,,,,,,f,1.,,:+.....1
County Tax Nap No 10001 Sectionff0~ 8 +00.1+..plockf::~~t10+O~+f:1++.Lot,• 0+0}x,000;+,,,1,,,~
Subdivision...........•...•I.f1..•IIf•f.f..1•.fFiled Nap.1:.1:..:.1.Lot....:..•.•1..:....+.:
Permit tlo.•f 1,r.:.f: /':tfi.Uate OE Permit+..++•11+f1.../+Applicantf ...1111+f1.1•f..11f.:::11:f
stealth Dcpt• Approval...1111•.f:...f.•1.111.1+•Underwriters Apptovnlf.l+.+:...++..+..,..:+.:
Planning board Approval....:••.f1+.1....f+...+1.
Request Eor: +Temporary Certificate.ifflfllf•• Final Cetticateffl+X++1f++
FeC SUbmittedl #..1 0700 ..•ff•ff.1•.•?+i•.a• ~ ,
"
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, 11111 llf.••IL-1.1....1•.••. •.•11....+.1.1.•
SZ~e • 5525 ( APPLlcnlre ' .
~~C~~~Q~~~ William H. Price; Jr., Attorney/Agent
CONSCNT
TO
1NSPL'C'PiON
William H. Price, Jr., Attorney/Agent for
•Estate of Valeska H. Fagan ~ the undersigned,
Owner{s) N:unct:;)
do(es) hereby state:
That the undersigned (is)~ttt4~c~tthe owner(fi) of the premises In the Town
of Southold located at 1465 Youngs Road, Orient, NY
which is shown and designated on the Suffolk
County tax map as District 1000, Section 018 IIloelt O1 Lot 001
That the undcrs{geed (has) 6tyowe~k filed. or caused to be tiled, an appliar-
lion in the Southold Town Building Inspector's Office for the ColloWing:
Pre-existing certificate of occupancy covering the
private one-family dwelling with garage
'Phat the undersigned do(es) hereby give consent to the Building inspectors
oC the Totvn 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 oC the laws, ordinances, rules
and refiulations of the Town cf Southold.
The undersigned, in consenting to such inspections, do(es) so with the
Itnowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations o[ the laws, ordinances, rules or regulations of the Town o[ Southold.
Dated: 09!28!98
(signature)
WILLIAM H. PRICE, JR.
• (print name)
. (si~naWru) .
• {print name)
SURVEY OP PROPERTY
SITUATE: ORIENT
ydx~
SUFFOK COUNTY NY ~o"~' ,
Reference Deed L. 6566 cp. 290-291 ~
Propertyy also Is descrlbad as Lot 2 on \ ~
Survey hla attached to deed L.3892 t
Pages 202-210 \
oF, ~ .~N~
~ ton^or1Y ~ i
SURVEYED 08-31-98 M°' J~ ke ~ \
La'A' .foN^ p,P~e~1 ~9
SUFFOLK COUNTY TAX u L~to^ 1' a ,,p. p ~
1000 - IB - I - I ~ ~~pco„^Orly ~ _~p1v ' O~y
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CERTIFIED TO, 8 '
MARK T. JAGOB'.aON ~ ~ ~ -
STEVEN L. PRENZLAUER _
NORWEST MORT@A6E OF NEW YORK; ING--.~ t of V~
FIDELITY NATIONAL TITLE INSURANCE ~ 3G' ~ ~I{ ~~~_~~~~r _
COMPANY OF;I~IEW YOLK
I ~ ~ ~•44'O~•W 16933,
NOTES, .
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A ~ ~ ~ r~oW or For ~r~, of:
~ MOtd1MENT Fd/ND ~ NA ~ - qQ~ k' ya ~'dW,war, ~1;
~ PIPE FWND
WOOD FENCE ,
,E *
AREA = 88$63 SF OR 2.03 ACRES S' ~q
n-~~
i ___,(1, N.Y.S. LIC. N0. 50202
511 JOHN C. EHLERS LANG SURVEYOR
GRAPHIC SCALE I = 'IO' FO ~ 6 EAST MAIN STREET i
~.4ND S RI VERHEAO, N. Y, 11901 REFERENCE N 98-0220 ~
~ ~ ~ 3fi9-8288 Faz 369-8287