HomeMy WebLinkAboutZ-22319FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22319
THIS CERTIFIES that the
Date MAY 12, 1993
ONE FAMILY DWELLING
Location of Property 695 YOUNGS ROAD ORIENT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 18 Block 1 Lot 5
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-22319 dated MAY 12, 1993
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 STORAGE SHED *
The certificate is issued to TOBA LAJA ORRO
(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� � - X'�
ui ding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 695 YOUNGS ROAD ORIENT, NY
number 6 street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) TOGA LAJA ORRO
OCCUPANCY A-1 RESIDENTIAL
(type) (owner -tenant)
ADMITTED BY:, LINDA REICHER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-18-1-5
SOURCE OF REQUEST: RONALD D. CMDMAN DATE: 1/30/93
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER
TYPE HEAT
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
WOOD FRAME
3 2ND FLR. 3
# STORIES 1'g # E%ITS 2
CELLAR 3/4 CRAWL SPACE
3RD FLR.
TOILET ROOM (s) ONE (1)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONING_
HOTWATER
STORAGE, TYPE CONST.SMALL WOOD SHED
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
REMARKS: BP #21288-Z / CO #Z- 22318 THIS BP AND CO IS FOR A HEATING SYSTEM AND
NOW MAKES THIS RESI,PENCE A YEAR-ROUND OCCUPANCY..
INSPECTED BY: / ,� fj DATE ON INSPECTION 2/10/93
GAR FSH
TIME START END
,Jnti.— 7—�j? TIIF 1 7 e'J4 1 F7V Y— nRANT: FI—S94R7RF.
Form No. 6
TOWN OF SOUTHOLn
` BUILDING DEPARTMENT
TOWN I[Ai,L
>65-1au2 F. , 5 I ?3
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 huilding or new, uoc;
L. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or rnpographic feiturce.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Firc Unducwritcrs.
4, Sworn statement from plumber certifying that the solder psed in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences anif similar buildings
and installations, a eertifieAte of Code Compliance Prow architect or engineer:
responsible for the building. .
6. Submit Planning Board Apprnvat of completed oite plan requirements.
�. For existing buildtngs (prior to AprJ-1 9, 1957) non-confucwing uses, or buildings and
"pre-existing" land uses;
1. 'Accurate survey of prnperty showing all property 11iies, streets, building and
unusual natural or topographic features.
2, A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant..
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00.
Altnrarlohs to dwelling $25.00, swiuuning pool $25.U00 Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Ccrtifieato of Occupancy on Fre-existing Buildi.ttg - $100.00
3. Copy of Certificate .of Occupancy - $5.00 over 5 years.- $10.00
4. Updated Certificate of OccuNa,tcy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.000 Commercial $15.00
Date .... 11/17/
92
. ..... ...,.
a Construction........... Old Or Pre-existin Buil�{ in •N'�j�i'YbYA" '
x ..: Orient.......• •q�- j fo� , /� 5
cation of Property:...... ........:...... .... ... ........ .. .... ... .
House No. Street Hamlet
ger or Owners of Property.,.Estsa,0f.T�Pt0.�ja.rr0 .............................,.....,..
inty Tax Map No 1000, Section.....f Y.......Block,...../.........Lot..V,-re. ,,,,,,
Idivision.......*.Filed Map-........ ... Lots.." .................
mit No.. .... Of Permit ................ Applicant ................. .... ...
. .....
1th Dept. Approval..........................tin.irrwriters Approval....,...,.................
ening Board Approval,,....., 9 ...............
Jest for: Temporary Certificate..........
Submitted: $./Q Q:.. ....................
b ,
c02�aa319
Final Cortical ........... '
APPLICANT ,/` •`
AIJ I:F I
gsG,7RF+ P _ cl .y
Inv—+ T
CL) �NsE::`.
TU
rIN CC'C7t7N
N.Srere of Tobi, TI+.la
garmlti D. C�rxxttw:', - Rhrr nnrlcr^ir;w:J.
umiurt n) Namct:;)
du(en) ltarrhy ,tato:
That the undrrsi;ttutl (iu) (arc) the ovrncrk,) of the pruroicrr. in tltu Town
of Southold lucatc-d at Yrn,n a Roprl, ori Mr., Nei 10""', T
whirl: i:; and IICrir;n,^•red un the e:
Coustty tax map as D1:itr:et 1000, Suctinri T3locla_ �,_. Lot
That the undorrilvnr-d (Ila.',) tl,,ivu) tilrrl, ur enracd to be fflori. a„ opPRica-
tier In the Southold Tn«tt nufldin` fn,prrrot•'a Office tug- the follo"'.:g:
Certificate o£ pre'=m
sting - 1 ,fa mir4 use residence-
Certificate
the urdersignrd do(ua) hereby G,Ivr cnnacnt to the BuiIdff,it Insper.rors
of the Town of Southold to nntrr upon thn nbove dennril�wa prnpnrty, incli,di:tg
nny and all buildi,tga located thrrcun, cry coac)uc: such inspr.rtionss „s they :;I;ts
dee=n necessary %vith i•ospert to the cfnresaid application. Insn,cciaca
to duterr,itte that said prolni,cs comply sritil all nt the lawn; ordinat:ar_s,,:uir.;
sed rczulations 01 my Town cf Suuthold.
Thu. undcrsit;tied, in Cou;;entSn to aura inapectiun nolo-) rn t'i'll titer
kno .'ladKc anal undr.ratandint tlfat any utfot'natioh obtained in th.• co+:duet of
such fnspectforf; may be userJ as uvidenrc its &uh ,"tICttt prnscr.:tion n for vin-
InR?ons of the. latvs, ordinancus, r 11cs or r0Attlativw; of tite Tow f Southold.
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BIIILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: (p 9s you4bs S
(number &/ street), (municipality
SUBDIVISION 'MAP NO. LOT (s)
NAME OF OWNER (s) ���/� �/�Ti9 �•2,e0
OCCUPANCY
(type
)
(owner-tenant)
ADMITTED BY:. zl^llje ,�/ Gf/f/� ACCOMPANIED BY:
KEY AVAILABLE SUFF . CO. TAX MAP NO. /or — / " cJ
SOURCE OF REQUEST: Q/t//QG,� Goo /ylyl�% DATE: �ojp �9j
DWELLING:
TYPE OF CONSTRUCTION Wcjoej `5*e." # STORIES L # EXITS
FOUNDATION CELLAR j CRAWL SPACE
TOTAL ROOMS: IST FLR. .? 2ND FLR. ,J 3RD FLR.
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOMESTIC__�OTWATER
TYPE HEAT
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SM24MING POOL
OTHER:
TOILET ROOM (s)
DECK, TYPE
FIREPLACE
TYPE HEATER
WARM AIR
UTILITY ROOM
PATIO, TYPE
GARAGE
AIRCONDITIONING
HOTWATER
STORAGE, TYPE CONST.
GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BIIILDING CODE
END