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Home My WebLink AboutZ-40012 �UFF04 Town of Southold 10/31/2018 q� oGy 53095 Main Rd Co Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40012 Date: 10/31/2018 THIS CERTIFIES that the structure(s) located at: 1245 Jackson St,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-9-10 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40012 dated 10/31/2018 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with covered porch and accessory wood frame garage.* Note:BP 38785 electric service COZ-36870;BP 43177 "as built"windows & gas furnace COZ-41011 The certificate is issued to Tovar, Gabriela&Jackson Street Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A MAP- th r d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1245 Jackson St,New Suffolk SUFF.CO.TAX MAP NO.: 117.-9-10 SUBDIVISION: NAME OF OWNER(S): Tovar,Gabriela&Jackson Street Trust OCCUPANCY: ADMITTED BY: Gabriela Tovar SOURCE OF REQUEST: Tovar,Gabriela DATE: 10/31/2018 DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: cement block&concrete CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/24/2018 TIME START: 10:16am END: 11:20am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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 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. y' b+ f C. Fees + 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. October 11, 2018 New Construction: Old or Pre-existing Building: X (check one) Pre—Existing Use C.O. for 1 1/2 frame dwelling ith Location of Property: 1245 Jackson Street, New Suffolk covered porches rrameegar�age House No. Street Hamlet Owner or Owners of Property: Gabriela Tovar and Michael Milner, as Trustee of the Jackson Street/ TTrust dated 9/23/11 Suffolk County Tax Map No 1000, Section 117 Block 9 Lot 10 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 A scant gignatilre gail A. Wickham, Agent CONSENT TO INSPECTION Trustee of the Jackson Street Trust dated 9/23/11 Gabriela:..Tovar and Michael Milner, as/,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold, located at 1245 Jackson Street, New Suffolk, NY 11956 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 117 , Block 9 ,Lot 10 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: a Pre—Existing Use Certificate of Occupancy for the one and one-half frame dwelling with covered porches and detached frame garage. 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, rules 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: October 11, 2018 (Signature) Ab' ail A. Wickham, Agent (Print Name) (Signature) (Print Name) ;7 - �, TOWN OF SOUTHOLD PROPERTY REC®R OWNER - STREET ( VILLAGE DISTRICT SUB. LOT ie o �_ ' 1-8 ' FO ER OWNE E ACREAGE 4 , lnev _ S ,,_ W 1 TYPE OF BUILDING n > /Z f, /6-f 7-.-'/ b• V /;'=� ��r /,}lc?, 4�.� f; f= c� - y f`�e.-i y ' r a ✓V f C r$ / ✓� 7"�"� 1.! RES. SEAS. VL. FARM COMM. I IND. I CB. I MISC, I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS is �v r1 r- (ale 0 o!, C1 ,1 �"? j,!s 6 6 2- a r w7-D - a53 -� Zt2D't �i �� .�7�� q� - ��i 'i)�•� `27 AGE / BUILDING CONDITION Q I��j� -�� Zg� 03� - NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD d ,,, , i t FL Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland f i Swampland j Brushland House Plot Tota I '� M o4 uAt a. if S LO I 1 1 r I f f i Ln Q ! Ii 5 iALI: I I I o CLI] M. Bldg. ndafian Bath i Extensionl( = J ( 1 '� ° �1 �✓?� Basement � Floors LO Extension X f } ' �' Co�� Ext. Walls Inferior Finish .0,,✓ Extension ! �? } � ire P�face HeatLO M Y t a "`` Porch Roof y e iU Loll, �D ' �?., I` Porch Rooms ist Floor N Breezeway Patio Rooms 2nd Floor v Garage �Y y� _ y�,( 6 riveway Dormer m CO 0. B. m N 1 ' m - - — -- -- - - ---- - - - -- ----------- -- --------- ----- ----- - -- - --- ® jig ® ' ! l i i l ; I Ili ill l 117.-9-10 10/2014W,I ME—1, - ! i { I I 1 M. Bldg. , l.� �( ' � _1 �2!'( F ndation - -- "vcc�.vf'"Bath l,. foo Extension L}�� Basement I t Floors ! f � � ��' � ��'I �y � ExtensionC'. i Ext. Walls -{� f Interior Finish tl , t Extension f ;� 0 6`/ ,gra ire Place + �� i Heat PorchI , �Roof i $O l{ t�A� `�` ! C-12�JF i,,e k 12 L Porch X Rooms 1 st Floor Breezeway .-�+ I Patio _ Rooms 2nd Floor _ Garage 1'Y `� yb _ mit 4 '� sI 0 Driveway I Dormer O. B. �. A k' Al R LAW OFFICES WICKHAM, BRESSLER& GEASA, P.C. 13015 MAIN ROAD, P.O.BOX 1424 MATTITUCK,LONG ISLAND ERIC J.BRESSLER NEW YORK 11952 WILLIAM WICKHAM(06-02) ABIGAIL A.WICKHAM JANET GEASA 631-298-8353 TELEFAX NO.631-298-8565 awickham@wbglawyers com i t October 11, 2018 .... OCT 1 5 2018 Attn: Ms. Connie Bunch PUHM IG DEPT. Town of Southold Building Department P.O. Box 1179 Southold,New York 11971 Re: Property owned by Gabriela Tovar/Jackson Street Trust Pre-Existing Use C.O. Application for Single Family Residence & Garage Premises: 1245 Jackson Street,New Suffolk,New York 11956 Dear Connie: We represent the owner of the above referenced property. The following items are enclosed in connection with the Pre-C.O. application: 1. Application for Pre-Existing Use Certificate of Occupancy for dwelling with covered porches and detached frame garage; 2. Consent to Inspect; 3. Survey of premises prepared by John C. Ehlers, L.S.; and 4. $100. application fee for Pre-C.O. Please contact Angela Tese-Milner at 646-241-3161 to arrange for the inspection. Very truly yours, Abigail A. Wickham AAW/dm end 301shdbprecoapp2018 cc-Ms Angela Tese-Milner GABRIELA TOVAR P.O.BOX 3 NEW SUFFOLK,NEW YORK 11956 October 29,2018 Attn: John Jarski, Sr. Building Inspector Town of Southold Building Department P.O. Box 1179 Southold,New York 11971 Re: Property owned by Gabriela Tovar/Jackson Street Trust Pre-Existing Use C.O.Application for Single Family Residence& Garage Premises: 1245 Jackson Street,New Suffolk,New York 11956 Dear Mr. Jarski: In connection with our conversation today and as per your request relating to the pipe repairs at the above referenced premises,PEX pipe was used for domestic water line repairs as referred to in the affidavit submitted by my mother,Angela Tese-Milner, on October 29,2018 (copy attached). Joseph Figuero made the pipe repairs. Very truly yours, Gabriela Tovar GT/din end. 30/burldh g epttovm2018 DONNA McGAHAN Notary Public, State of New York No. 01 MG4851459 oualified in Suffolk County Commission Expires Aug. 18, 209.9— I,Angela Tese-Milner, Esq.,declares under penalty of perjury,that: 1. I am an attorney admitted to practice in the State of New York and I submit this affirmation concerning the home and garage located at 1245 Jackson Street,New Suffolk, New York 11956. The property is still owned by members of my family. 2. I am familiar with 1245 Jackson Street because my family was friends of Elizabeth Truex,the original owner, and my mother,Marjorie Tese,purchased 1245 Jackson Street, from her friend, Mrs. Truex in 1973. Later,I purchased 1245 Jackson Street from my mother's estate in 2007. 3. 1 visited 1245 Jackson Street when it was owned by Mrs. Truex, and I inspected the home on several occasions because Mrs. Truex had offered to sell 1245 Jackson Street to me, years before my mother actually purchased 1245 Jackson Street. 4. The bathroom on the second floor of 1245 Jackson Street has always been comprised of a separate toilet room,to wit: adjoining rooms for the toilet and bath. The bathroom has the original oak doors and walls fi-om the buildings construction in 1901. The bathroom is original to,the building. The bathroom was not renovated except for a partial tile replacement which is merely decorative. 5. My mother did have to replace a leaky pipe in the second floor bathroom that caused a leak in her living room ceiling, and it was replaced with a section of PVC. This was not a renovation. 6. My mother also replaced the bathtub in the first floor for a therapeutic Jacuzzi due to her arthritis. 7. The size and shape of the bathroom was never altered to my observation and knowledge and is original to the structure. Dated: Austin, Texas L October 26,2018 Angela Tese-Milner, Esq. re/teseJaffidmvitbathroo ms JEANNETTE GARCIA z'i'•�Lo=Notary Public.Stole of Texas �.:°A`•ea Comm.Expires 11 12.2019 Notary ID 7726366 r I,Angela Tese-Milner, Esq., declares under penalty of perjury, that: 1. I am an attorney admitted to practice in the State of New York and I submit this affirmation concerning the home and garage located at 1245 Jackson Street,New Suffolk, New York 11956. The property is still owned by members of my family. 2. I am familiar with 1245 Jackson Street because my family was friends of Elizabeth Truex, the original owner, and my mother,Marjorie Tese,purchased 1245 Jackson Street, from her friend,Mrs. Truex in 1973. Later, I purchased 1245 Jackson Street from my mother's estate in 2007. 3. I visited 1245 Jackson Street when it was owned by Mrs. Truex, and I inspected the home on several occasions because Mrs. Truex had offered to sell 1245 Jackson Street to me, years before my mother actually purchased 1245 Jackson Street. 4. The bathroom on the second floor of 1245 Jackson Street has always been comprised of a separate toilet room, to wit: adjoining rooms for the toilet and bath. The bathroom has the original oak doors and walls from the buildings construction in 1901. The bathroom is original to the building. The bathroom was not renovated except for a partial file - replacement which is merely decorative. 5. My mother did have to replace a leaky pipe in the second floor bathroom that caused a leak in her living room ceiling, and it was replaced with a section of PVC: This was not a renovation. 6. My mother also replaced the bathtub in the first floor for a therapeutic Jacuzzi due to her arthritis. 7. The size and shape of the bathroom was never altered to my observation and knowledge and is original to the"structure. Dated: Austin, Texas 1 L October 26, 2018 Angela Tese-Milner, Esq. re/tese/affidavitbathrooms I!", JEANNETTE GARC(A 3a°° Ln Notary Public,state of Texas =r. ea Comm.Expires 1 I.12-2019 ''�' ua' Notary ID 7726366 � . :Zq, ;?d JS a . a I, Angela Tese-Milner,Esq., declares under penalty of perjury, that: 1. I am an attorney admitted to practice in the State of New York and I-submit this affidavit , concerning the home and garage located at 1245 Jackson Street,New Suffolk,New York 11956. 2. I am familiar with 1245 Jackson Street because my family was friends of Elizabeth Truex, the original owner, and my mother,Marjorie Tese,purchased, 1245 Jackson Street, from her friend,Mrs. Truex. Later, I had purchased 1245 Jackson Street from my mother's estate. 3. I visited 1245 Jackson Street when it was owned by Mrs.Truex, and I inspected the home on several occasions because Mrs. Truex had offered to sell 1245 Jackson Street to me, years before my mother actually purchased 1245 Jackson Street. 4. The garage at 1245 Jackson Street was always observed by me to be its present size. Neither my mother nor I altered the dimensions of the garage. The garage was only kept in repair, and its structure remained unaltered. Dated: Austin, Texas October 26, 2018 Angela Tese- ilner,Esq. °" "' JEANNETTE GARCIA Notary Public, state of Texas Comm.Expues 1 1-12-2014 Notary ID 7726366 SURVEY OF PROPERTY L N 51TUATE: NEW SUFFOLK w e E TOWN : 50UTHOLD SUFFOLK COUNTY, NY SURVEYED 08-27-2018 SUFFOLK COUNTY TAX # 1000 - 1 17 - 9 - 10 CERTIFIED TO: JACKSON STREET TRUST GABRIELA TOVAR LAND NOW O DANIELLE Hq SSRLY OF: � 5g0o29,00�� E. 2.2'S 3 � I / 07,501 IW F . FRAME o GARAGE N i ' jw N � I 17.G1 I N j CONCRETE I I I O _ I � z I - w CL/z� j 00 I m CL/:�j w WELL I OZ< T j O p pitlU ---------35=3• FRAME Z STOOP —t _ p 32.4' I ' U Z -. -- 27-5-- --- I �� g N G. O I GRAVEL j 0O U Q 0 1 -112 STORY c6 LU FRAME HOUSE :Z LU ` o m i j z o j.' Q G.I ------- 329'_ j p� w _ ,� ------- Q L/ w O j 24.3' q I COVERED PORCH IC's !Ln 10 I� _ / I / � Q / 0011W m l . 901 N850201001111 -' 56.001 JACKSO FOLDS asphalt roa NI TWEET dWay NOTES- n' "Unauthorized alteration or addition to a survey ,Yf F map bearing o licensed land surveyors seal is o ® MONUMENT FOUND ® �� Violation of section 7209, sub—division 2, of the JOHN C. E H LE R5 LAND 5 U RVEYO R '��'N C.Ey/ �� New York State Education Low" �— WOOD FENCE � "Only copies from the original of this survey 'j' marked with an original of the land surveyor's —•—•—•— CHAIN LIINK FENCE N to seal shall be considered to be valid true copies" o WIRE FENCE C. EAST MAIN 5TREET N.Y.5, LIC. NO. 50202 't f,�I "Certifications indicated hereon signify that this survey was prepared in accordance with the ex— Area = I G,3G2 Sq. Ft. RIVERHEAD, N.Y. 1 1901 OFFICE: G31 -3G9-8288 r� ° A � biytIngthe NewCode York Stateof eAssrocialon Surveys Professional Area = 0.375 Acres �� ` �� Land Surveyors Said certifications shall run only �e5urvey@optonlme.net c .� to the person far whom the survey is prepared, GRAPHIC SC LE 1 a= 20' S soy �� and on his behalf to the title company, governmen— 'l'0 L s tol agency and lending nst,t.t,on fisted hereon, and P, LA AND to the ossignees of the lending institution Certifico- 1 g_I LLQ +•y7y; tions are not transferable to additional institutions SOUTyo� l�- L * # TOWN OF SOUTHOLD BUILDING DEPT. urm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL ®m c 61 (0 1 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ` & Q� or Act, o vi &4- NkdeA-, UAVIPOIVs Uj&- 6F& Tawk 'ohOL V., I Y ` vv v DATE 0 INSPECTOR �ft"fA hO�aOF SOUlyolo # TOWN OF SOUTHOLD BUILDING DEPT. �ycourm, 765-1802 INSPECT-ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINALA A6" [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: SM " 'e.4. " slant pne- 4 4�vve.16 wrft FDS b�!✓ .� wv4 M DATE INSPECTOR LOCATION: ►vH� v* OV (number & street) (municipality) SUBDIVISION: fi MAP.N•0.: LOT(S): .- NAME OF OWNER(S)': Y'� A- a �✓' n OCCUPANCY: 1' (type) (owner-tenant)• ADMITTED BY:6w.pr7TVUOV ACCOMPANIED BY: KEY AVAILABLE: SUEF. 'CO.'TAX MAP'NO. 1000- SOURCE OF REQUEST: Iki DATE: DWELLING r. I • TYPE OF CONST UCTI• N; W fy MX2 STO•-TES: EXITS: L FOUNDATION: ACO- ' �CRAWL SPACE: # OF BEDROOMS: IST FLR: -- 2ND PLR: 3RD PLR: BATHRO'OM(S): TOILET AOOM(S): 1 . UTILITY ROOM: L PORCH,TYPE; DECK, T''Y(PE: .. , PATIO;TYPE: _ BREEZEWAY:' . FIREPLACE: ARAGt: �. DOMESTIC HOT-WATER: TYPE NEATER: AIRCONDITIONING: TYPE )'TEAT: WARM AIR: HOTWATER: # OF KITCHENS:-zoo', > FINISHED BASEMENT:- YES NO OTHER: J ACCESSORY STRUCTURES GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING P'O'OL: i GUESTJT PE CONST: _ OTHER: VIOLATIONS: CHAPTER 144 &MY, STATE:UNIFORM VX PPEVENT.ION & BUILDING CODE LOCATION DFS PTION ART. SEC. �iM► lC� N! 6 � 11V A V% y vf- . `hV70W MA �V l7"% 0`N #095-9-a- 0 0 SI / REMARKS: E INSPECTED BY: h J,� 1'1 DA'rE•0F INSPECTION: 0 9 TIME START: _ END: 0