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Z-40071
ySfrFptt Town of Southold 11/28/2018 53095 Main Rd Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40071 Date: 11/13/2018 THIS CERTIFIES that the structure(s) located at: 1700 Youngs Rd, Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-6 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- 40071 dated 11/13/2018 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 garage.* Note:BP 19823 accy. shed COZ-19934• BP 43249 "as built"window replacements COZ-40070 The certificate is issued to Caufield J B Int Iry Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ut iz d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1700 Youngs Rd, Orient SUFF.CO.TAX MAP NO.: 18.-2-6 SUBDIVISION: NAME OF OWNER(S): Caufield J B Int Iry Trt OCCUPANCY: ADMITTED BY: Janice Caufield SOURCE OF REQUEST: Caufield J B Int Iry Trt DATE: 11/13/2018 DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: stone&poured concrete CELLAR: partial CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 4 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame accessory STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/15/2018 TIME START: 3:00pm END: 3:30pm CONSENT TO INSPECTION amu,-;EI t �� T P U"a!- , 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 ) 7ev . ©3?'rekyt IUV _ /Irg�s-> > which is shown and designated on the Suffo k County Tax Map as District 1000, Sectiones Block ' r , Lot_ That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C 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: 11- 1- 18 L_, ig!h�atur C 0044 --au (Print Name) (Signature) (Print Name) 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 1% 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. 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. /1--7-/a New Construction: Old or Pre-existing Building: (check one) Location of Property: -:10D YDJ f�C�S �V '��°i t;_ 7 House No. Street Hamlet Owner or Owners of Property: 0ALA friE(LD 'FANLiL,y TiRI)5rj_— Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) s Fee Submitted: $ 0� P� l I-I 3-ISS ����� Kpca ignature I tIE ;V7IL AGA DIST SUB. Lot �'_ , ... ,. ,yy * . `` . .. T�per•( /� ' ArW 21 c ` ►ry' � � S 7 J { 'r.,/it tJ �r t3WN ;.' ae ! CI1U �C1 . S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. ISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS "' e+►-� +I�►• o--d �o%&/te A T;y,� LT 0 1oA.w .Fier Pat ALI 12 ' 32 —4CAc,f • AGE <. NILDI NG CqNDITION, if NEW I.. EkLOW ABOVE -+FARM Acre Value Per Valuei ` {:� ." ;- Acre . - - Tillable I Tillable 2 f'. Tillable 3 °. ` • . >�"t5��' a>�- .'.-�?'� ' u- ' Woodland Swampland FRONTAGE ON WATER FRONTAGE ON ROAD '' Brushland ey House Plot DEPTH Total DOCK e E a COLOR i t' TRIM r' r 18.-2-6 011 M. Bldg. e foundation S 7'd,{/ Bath j Dinette Extension33 ,�.•t .� '' J S-et Y ment A. Floors 1 . — Extension X /„ �► , Ext. Walls o D Interior Finish_- ,gi — Extension 02 Fire Place Heat , 2. .il! � �4 L i�.5 Type Roof `,l9 j[' Rooms 1st Floor bR. Parch 3 a s. Recreation Roorr Rooms 2nd Flooi FIN. B. Porch /i x 7 � 7 o Dormer 0xs. o Breezeway Driveway Garage to Z 3 0 Patio CW Total :. __ Cca.M"bFL%,::i,.� - _.;.;str� «' ..... ,,: _. ;'1:p .. - _ rr..-.s:q. _ ..=F..:r.;:'R'w :y'i+.:i^ '• -. 'wr- �•_'^,wt i _ .ur.a A. W.€. s •" SURVEY OF PROPERTY N 51TUATE : ORIENT 1 s TOWN : 50UTHOLD w � E SUFFOLK COUNTY, NY SURVEYED 10-08-2018 S 5UFFOLK COUNTY TAX # 700 - 25 - 1 - 3 CERTIFIED TO: -k0� KATHERINE ANNE WILLIAMS ALL STATE ABSTRACT CORP. 0 Q° y�4 �° ° �Z�� Q O p0 - o 2" O Z / A93 Q0 n d V �2 6 L� Oct W 0- SECOND PARCEL DESCRIBED IN DEED O J 0 C / 7 V ^ N 7A�6 ZO -O 7 113 W � � ° GN ��Z�° ( ,�\\ O C 0 o O� O S- �'- � � N O � Z J 29 O_ 0 7°59�5�11� F 5� O W R FORM��Y O �tii-T. hpM Pp,SR�C1P NOTES: Unauthorized alteration or addition to o survey `'r•r map bearing o licensed land surveyors seal is o . MONUMENT FOUND "?' �� N r violation of section 7209, sub—division 2. of the JOHN C. E H LE R5 LAND 5 U RV EYO R _\ C l New York State Education Law" PIPE FOUND ,{(j��(.i��� L,7��'{�\�.� "Only copies from the original of this survey marked with an original of the land surveyor's v, b stamped seal shall be considered to be valid true G EAST MAIN 5TREET N.Y.5. LIC. NO. 50202 copies �{ �p f! 'Certifications indicated hereon signify that this {J. �, survey was prepared in accordance with the ex— Area = GO 801 S Ft. RIVERHEAD N.Y. 11501 3GO-8288 Fax 3G9-8287 '' sting Code of Practice for Land Surveys adopted �' '' — —J, by the New York State Association of Professional Area = 1 .39 Acres % \ cpr_. �Jtl� Land Surveyors Said ceriifico/,ons shall run only Jesurvey@optonline.net '�. ✓,� to +he person far whom the survey Is prepared, 30 x� jl�� and an his behalf to the title company. governmen— SF� lot agency and lending institution listed hereon, and :,l - F��l to the assignees of the lending institution Cerfifico- 18-150 - .-� � � tions are not transferable to additional institutions S Imo-/ ct wkre C �o��pF SOUIyo� * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ono ,yam v wt4oee4 �emA i v DATE I 1 INSPECTOR (ftAA,i lq4'b o�m . ,& Orw* &, C ho�y,OP SOGTy06 * # TOWN OF SOUTHOLD BUILDING DEPT. N 3e • Q` 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 'V Ll^- ov-V/ c vko S - �•► DATE INSPECTOR LOCATION: S (nu ber street) (municipality) SUBDIVISION: WO.: LOT(S): NAME OF OWNER(S)': 1 OCCUPANCY: ' (owner- tenant)-ADMITTED BY: fi. ACCOMPANIED BY: KEY AVAILABLE: SUFF. 'CO. TAX MAP' 0. 1000- •— ^'" SOURCE OF REQUEST: v DWELLING TYPE OF CONSRUCTION: C� #$TO'MS: � # XIT$: 4 FOUNDATION: vy'-.14., Lo—W&MENT: ��rWL SPACE: # OF BEDROOMS: IST FLR: I7 LR: 3RD FLR: BATHRO-OM(S) TOILET BiOOM(S): -0 UTILITY ROO'M: . ffO PORCH.TYPE:COVX6 D-E-CKI TYPE: — PATIO;TYPE: BREEZEWAY:' F PLACE: Wlb� �VYNW--RAGE: DOMESTIC HOTWATER: _ TYPE HEATER: (91 ✓ AIRCONDITIONING: TYPE HEAT: �(� WARM AIR: HOTWATER: # OF KITCHENS:—OA—A---' FINISHED BASEMENT:- YES NO OTHER: ACCESSORY STRUCTURESCo GARAGE; TYPE OF CONST.: ftA�ORAGE, TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS:. CHAPTER 144 &N.Y. STATE:UNIFORM FX PREVENTION & BUILDING CODE LOCATION DESCPUPTION ART. SEC. w WWI Ci O nti REMARKS:" aNafvO& aw I UAC W Jjr�, Or INSPECTED BY. J f\ I DATE OF INSPECTION, -usi w, TIME START: END; .�