HomeMy WebLinkAboutZ-35943 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- 35943 Date: 09/11/12
THIS CERTIFIES that the building DWELLING & ACCESSORY GARAGE
Location of Property 2395 VILLAGE LA & 25 NAVY ST ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 026 Block 0001 Lot 012.001
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- 35943 dated SEPTEMBER 11, 2012
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 GARAGE.* UPDATES COZ-30983 ISSUED
6/15/05
The certificate is issued to JERILYN & JOHN WOODHOUSE
(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.
Au hori ed Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2395 VILLAGE LA ORIENT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): JERILYN & JOHN WOODHOUSE
OCCUPANCY: ONE FAMILY DWELLING JERILYN & JOHN WOODHOUSE
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 26.-1-12.1
SOURCE OF REQUEST- JERILYN WOODHOUSE DATE': 09/11 12
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3
FOUNDATION: STONE CELLAR: PART CRAWL SPACE: part cellar exit
TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 2 31ZD FLR.: 0
BATHROOM(S) : 3.0 TOIT ROOM(S) : 0.0 UTILITY ROOM(S):
PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE:
BREE239NNY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING:
electric
TYPE BEAT: WARM AIR: gas floor HOISMTER:
OTHER: *one side downstairs mudlroom, 2nd floor 1 storage room, 1 room for
organ pipes
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME 2 CAR W/ELEC STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: across the road open dock- no structures
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
RRMAP-KS:
INSPECTED BY: i DATE ON INSPECTION: 09/10/12
GARY J FI TIMB START: END:
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-digposal(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 2l10 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_
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 egmpleteci 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. Certif cafe of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling S50.00,
Swimming pool-$50.00, Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00: -
02 Certificate of Occupancy on Pre-existing Building- $100.00
3_ Copy of Certificate of.Occupancy-$_25
4. Updated Certificate o€Occupancy- $50.00
5- Temporary Certificate of Occupancy -Residential $15.00,Commercial $15.0,0
Date.
New Construction: Old or Pre-existing Building: ✓ ' (check one)
Location of Property: UI UL-A(pC Uj
J
House No. II Street'' Hamlet
Owner or Owners of Property: m1 a J D tj tJ -UJOCZ D6 s�F'7.
Suffolk County Tax Map No 1000, Section c1 Block Lot 1 Z
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant-
Health Dept.Approvals Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ C)Vl
plicant Signature
CONSENT TO INSPECTION
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 D3 3S. -.UA_(JQ-& L IJ:
which is.shown and.designated-on the Suffolk County Tax Map as District 10.00;
Section (r , Block. Lot 1 2
Than the.undersigned.(has):(haveilled,or cause to be filed, An application in the
Southold Town Building-Inspector's Office for.the following:
That the undersigned does) hereby give consent to the Building Inspectors of*
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 a6dregulations-of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with-the knowledge
and understanding that any*formation 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:
ignature
ic.l ,�
. .tN ).
'(Sign e)
(Print Name) . .
MAP OF PROPERTY Street
51TUATM:•.OR1ENT AlowTOM OF 5OUT1-OLD �
,�� - 118. 2
_ �X�x � Land now or formerly of:
SUFFOLK GOMTY� William H. Gessell S
61 e 0 Joann T. 6esse I I
X .
SURVEYED OG-22-G8 °N 50 e1Q
dwelling
REVISED 06-05-02, 08-09-02 O
SUFFOLK COUNTY TAX # o
1000 - 26 - 1 - 12
LOT 2 NSq o'woo
or formerly Z 2® 2-1�i 5F ��'
2'IEIlt�'IDL`?�TO: Land now O '� �
rederic G. 5co lela, Jr. O .
- fn�•
DEl[�MYN 13.WOOIIDHOUSF,
dwellina jj , V, o o2N °.27W
JOHNH.WOOIIDHOUSE Opt!'- lo,otlon5 un�novan O _ 33.5' o.�s
NOBt'1<H FORK]BANK p J
F DIEE 1CgI Pd• nONAL=E O
OOP> FANY OF Ill W YOR.
3032'10"� 123'�IS
N
genre � �
41.
SP
pt corner _ �
TJK t —
59
IG.2' 5.2 t9
o
N Fram e �, 22.6'
1o.4'
o
�� _ 2 �
Ise,
U3 O„ �n o
0 ja
\ -
9 �—'O OQ o
10.01, _
7, 24.0' O O � N
,
trellis /
O irellts, OI % --A
1�2 Stof� -P ,
From Hour i.3' fl CP_ -ia3' -i4.2 Story N '�'��� �• �y � U
9 Frome o O s
y- 20:2' _ House
24.3' o
�0 I LO' 28.8' '
NOTES: Q. —00 1 1 �q.�6 \ o ° . 11' /�1 �Ac
■ MO NUM FOUND wl 0 124.45 �— 586 1820 83
0 I PE FOUND I o ' - uStreet
•unautnprfzed alteration d aamt'dn to a survey
map aear'ng a eCtensed 09. -rveyor's seal is a
vlolatsdn of section]209. sup-Osvls Son 2. of the
— - WIRE FENCE °tk New York State Eeucatlpn ufw.
�on�.sidew m"nly copses from the orlgsnal pf this s vey
NavY arked it a ors9snal o/the]ane'su c.p.as
—o—o—o- WOOD FENCE �� ¢tamped seal shad.e ppn:'dered to be vane trpe
Cgples
-Certlfi[atlons lnelc:tetl"¢rear signs fy that this
- survey was prepared In or LananSu with the e
1 IED6E siting Code York
.tact ice oci Lane Surveys adopted
Oy the New Yprk State Association 01 prof real onal
Lantl Surveyors. Safe tartsf'c:tsar:snal] run re
[o the person for whom the s vey 15 prepared,
and an his.¢half to the title company, governmen-
AREA = 42,154 SF OR O.q7 ACRES tal agenpy and lending institution listed hero°", and
to the ass lgnees of the lending lnstitut ldn. Certlfs ca-
t sons:re not transferable to additional ins t s tuti.ns
REFERENCE DEED: L. II-125 P. 54-7
i
&RAPHIG SGALE 1"= 30' �`' ' OHN C. EHLERS LAND SURVEYOR
DI ' TA E5 5HOWN OU ONH/�1{�00
RE ERE CE DEED L.98� li f 207 R EAST MAIN STREET N.Y.S.LIC.N0.50202
RIVERHEAD,N.Y.11901
369-8288 Fax 369-8287 REFERENCE # 98-0229
- i