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Home My WebLink AboutZ-28509 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- 28509 Date: 06/12/02 THIS CERTIFIES that the building DWELLING & ACCESSORIES Location of Property 405 OAK RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 0008 Lot 012 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- 28509 dated JUNE 12, 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 ONE FAMILY DWELLING WITH FRONT ENCLOSED PORCH AND REAR DECK WITH ACCESSORY ONE CAR GARAGE AND SHED.* The certificate is issued to JOSEPH & JOSEPHINE FALLER (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. uth ize ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 405 OAK RD NEW SUFFOLK SUBDIVISION: NAP NO-: LOT (S) NAME OF OWNH[t (S): JOSEPH & JOSEPHINE FALLER OCCUPANCY: MARY ANN FEAVEL JOSEPH & JOSEPHINE FALLER ADNITTBD HY: SAME ACCONPANISD HY: RHY AVAILABLH: SUPP_ CO. TA% NAP NO.: 110.-8-12 SOURCH OF RSQUHST: ABIGAIL WICKHAM, ATTY DATH: 06 12 02 DWELLING: TYPE OF CONSTRIICTION: WOODR FRAME # STORMS: 2.0 # H%ITS: 3 POUNDATION: CONCRETE BLOCK CELLAR: 3 4 CRAWL SPACB: 1/4 TOTAL ROOMS: 1ST FLR-: 4 2ND PLR.: 3 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 DTZLITY ROOM(S): PORCH TYPH: FRONT ENCLOSED DHCR TYPE: WOOD REAR PATIO TYPE: BRSHZHWAY: PIRSPLACH: GARAGH: DOMHSTIC HOTNATHR: YES TYPH HSATHR: KEYSPAN AIRCONDITIONIIiG: TYPH HEAT: OIL NARK AIR: HOTiR\TSR: X OTHSRt: ACCESSORY STRUCTURES: GARAGH, TYPE OP CONST_: ONE CAR WOOD FRAME STORAGH, TYPH CONST_: WOOD FRAME SWLTRIING POOL: GUEST, TYPH CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. ~ SEC. urarauxc: HP#28455 DECK CO#Z-28507 INSPECfBD BY: DATE ON INSPECTION: 06 12 02 GARY J F H TIl~ START: 10:00AM END: 10:20AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 17 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 a consent to inspect signed by the applicant. If a Certif icate 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, Z. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .May 29: 2002 New Construction........... Old Or Pre-existing gguildin a two story frame dwelling and deck, dgtache~ frame gara e and fra e shed Location of Property, 405.0ak.Street ~ew Suffol~ House No. 'Street Hamlet Onwer or Owners of Property,. Roberta F. Jaklevic and Judith C: Bird County Tax Map No 1000, Section.,.110....,,,,B1ock...8............Lot., 12......,.. Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate....X...... Fee Submitted• $,100:00 C/~ _d cam/ ~ . C IGI~ ~ ~ ~ APPLICANT Abigail A. Wickham, Agent CONSENT TO INSPECTION ROBERTA F. JAKLEVIC AND JUDITH C. B;RD 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 405 Oak Street, New Suffolk, N.Y. 11956 which Is shown and designated on the Suffolk County tax map as District 1000, Section 110 Block 8 Lot 12 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors Office for the following: a and deck ' two story frame residence/, detached frame garage and frame shed. 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, krules 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 of the Town of Southold. Dated: May 29, 2002 ~ ji _ ~ ~ signature Abi ail A. Wickham, A ent print name (signa ure) (print name) N/F MAJEWSKI N/F ROBIN ~ WOOD S 73'21'00"E FENCE 1 .00' FD 12.3' ~ FRAME CM CM CM SHED FRAME GARAGE 12.3 O O) N ~ N/F r- DONOGHUE J ~ LL1 - U ~ W ~ Q 1.3 `GARAGE J I w , . 4' L ~ J ~ ~ ~ W I ~ ~ DECK Y z z ~ 12.5' ~ 3 ~ 2 d. 12.5 ^ ~ ~ a N 2-STORY ~ Q RESIDENC 2 ~ ~ 4.2' ~ W ~ 3 Z O .5' '-1.5' o ~ orn ~ ~ ~ iD 19.4' ~ ~ ~ W Z i~ ao L!1 Z Oi of N N N 73'21 00 W 150.00 TIE=147.26' OAK STREET SURVEY OF DESCRIBED PROPERTY slruArE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROBERTA F. JAKLEVIC JONATHAN GiLSON REGINA EBEL-GILSON GUARANTEES /NOICA7E0 HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY lS PREPARED, AND ON HIS BEHALF TO 7Hf TITLE COMPANY, GOVFRNMENTAL AGENCY, LENDING /NSTI7U LION, !F LISTED HEREON, AND TO THE ASSIGNEES OF THE LfND/NC /NST/TUIION. GUARANTEES ARE N07 TRANSFERABLE TO ADDITIONAL /NSTITU770NS OR SUBSEQUENT OWNERS SURVEYED: 1 7 MAY 2002 UNAUIHOR/ZEO AL7FRA7TON OR ADD/T)ON TO THIS SCALE 1'=30 SURVEY /S A VTOLA710N OF SECTION 7209 OF 7H£ NEW YORK STATE £DUCA7TON LAW. AREA = 22,500 S.F. COP/ES OF THIS SURVEY MAP NOT BEAR/NG ~R THE CAND SURVEYORS EMBOSSED SEAL SHALL 0.516 ACRES NOT BE CONS/0ERE0 TO BE A VALID TRUE COPY. TM# 1000-110-08-012 SURVEYED BY STANLEY J. ISAKSEN, JR. GUARANTEED ro: P.O. BOX 294 RoBERrA F. JAKLEVIC NEW SUFFOLK. N.Y. 1195 JONATHAN clLSON 631-7 4-5835 REGINA EBEL-GILSON COMMONWEALTH LAND TITLE INS. CO. ICENSE ND SUR R NYS Lic No. 4927 02R1133