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Home My WebLink AboutZ-23960 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-23960 Date OCTOBER 17, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 925 TOWN HARBOR LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 4 Lot 11 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 23960-Z dated OCTOBER 17, 1995 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 ONE ACCESSORY BARN WITH LOFTS & 4 ACCESSORY OUTBUILDINGS & 1 OUT HOUSE The certificate is issued to FRANCES WOODWARD (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 RE T. Building Inspector Rev. 1/81 ` BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 925 TOWN HARBOR LANE SOUTHOLD, N.Y. (number & ':street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) FRANCES WOODWARD OCCUPANCY SINGLE FAMILY type owner—tenant ADMITTED BY: MARION RING ACCOMPANIED BY: ' - KEY AVAILABLE SUFF.CO. TAX MAP NO. 100 — — — it SOURCE OF REQUEST: ALAN G. BENNETT DATE: JULY 25, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 2 # E%ITS 5 FOUNDATION BRICK CELLAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 4 3RD FI.R. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM SMALL OUTSIDE REAR PORCH TYPE FRONT,SIDE,REAR COVERED DECK, TYPE PATIO BREEZEWAY FIREPLACE NONE GARAGE DOMESTIC HO'TWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT OIL . WARM AIR HOTWATER Rg OTHER.. MUD ROOM REAR, 2 FOYERS ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. 1 LARGE BARN w/LOFTS STORAGE, TYPE CONST.( 2 STORY BARN. — 3 ACCESSORY SWIMMING POOL BUILDINGS — 1 OUT HOUSE—$UILDINGS IN OTHER: DISREPAIR ------------------------------------------------------------------------------------------- ------------------------------------------------------------=------------------------------ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED .BY DATE OF INSPECTION OCTOBER 11, 1995 TIME START END t CONSENT TO' INSPECTION 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- which is shown and designated on the Suffolk County tax map as District 1000, Section �3 Block I, Lot 1 That the undersigned ( as) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(G) 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 oes) 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: (signature) LAnI 6�', &VAI1fr (print name) (signature) (print naive) i D ro Form No. 6 T014N OF SOUTHOLD ;I:- � BUILDING DEPARTMENT 90TOWN HALL BLDG.DEFT. 765-1802 f 'IO1NN OF SOUTHOLD_ _ 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 1Z 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 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. 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. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . Location of Property. . . 's . . . . . . . . . . . . . . ./ . 04. . .�`�r'! �: .�. 1�14' . . . . . . . . C)�h House No. . ,n Street -- Hamlet . . . Onwer or Owners of Property. . . . y`:�1-;�;Tg. . . . . �, , , i/�lN�T/. . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .V3 . . . . . .B1ock. . . .14. . . . . . . . . .Lot. . . �.\. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . .Applicant. . . . . . . . . . . .. . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . t . Fee Submitted: $. . . . . Id.00 . . . . . . . . . . . . . . . . . . . . . . Q`�.• S�•b(�� APPLICANT- N/F L�y�r1S �;�5 °2 5'41'�E • � NUTTER 4 N 75780 `r LOT 3 MAP OF TOWN Qk-'31 CM. HARBOR TERRACE 78011 8° N j j FM l/5192, OCT. 21, 1968 Zg3 A9 ° / SURVEY OF RES��R �z DESCRIBED PROPER? SITUATE w . SOUTHOLD, TOWN OF SOUTHt CG SUFFOLK CO.,N.Y. f E � f° 501 Rp %, N- ovg to) z 0,310,N SURVEYED FOR DANIEL JONES 00E 5a0 Z 2 � eta .y°• LUCILLE JONES AND ° r � - :•. to- is 6 �- - TM#/000-063-04 4# SURVEYED 25 AUGUST, 1995 `D- SCALE: 1"= 40' W �N- AREA = 65,753.128 S F or 1.4636 Acres 35� o��o p{ �Np69 �4• `�� NOTES C)_ Zc+ Z � C tt Otkoo ce, . "- c,P I. THIS SURVEY WAS COMPLETED FROM ,� �jI J� T1,E FOLLOWING DEEDS: 10 t LIBER 3502, pope 209 F� Q GUARANTEED TO: S. W Np .� ° Fj LIBER 3438,pope 54B E 0 : '1� LIBER 6101, page 515 DANIEL JONES f�NO �' QW E 1.5 S � LUCILLE JONES O ENS 9 ' Pa O;\ 2. IT IS ALSO BASED ON MAP OF TOWN F?DEL NATIONAL TITLE INS. CO. k , 3° G�� HARBOR TERRACE, S41D MAP FILED/N THE TOWN GREATER OF NEWOYORK SAVINGS THE COUNTY CLERKS OFFICE AS `O- y(b MAP 5192, FILED OCTOBER 21, 1968 I SURVEYED BY: Cn 3 THIS SURVEY WAS PREPARED USING THE PREVIOUS STATED INFORMATION STANLEY J. ISAKSEN,JR. AND PHYSICAL EVIDENCE FOUND ON P.O. BOX 294 THE PREMISES. NEW SUFFOLK,N.Y.,11956 (516) 734-5835 ncuthcrize " U d clteration or addition to thl, a, !.1 wrvey is a violation of Section 7209 of o- the New York State Education Law. g901e9 of this surve mo • Y p net t•.rcring- the Land Surveyors emb:sled sae:.��ll not be considered 1z be a va„d true ' COPY. Guarantees indicated here on shall run LICENSE LAD SURVE R only to the person for whom the survey MY.S_"LI , No. 49273 is prepared, and-on his behalf to the title compcny, Govc�rn:entc! . f.pen-s-, BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 7r,7 number & street municipality SUBDIVISION _ MAP NO. LOT(s) NAME OF OWNER ff; �6 pt2d OCCUPANCY �� e� �'�� ---j> �..:��, ✓_ type (owner—tenant) a ADMITTED BY: )� ,= 7 ACCOMPANIED BY: KEY AVAILABLE SUFI-.CO. TAX MAP NO. � 7 SOURCE OF REgUEST: � �_ �. �'-s�s'��"N�t� -�- DATE• ��,�✓ DWELLING: + _ o TYPE OF CONSTRUCTION_", ONSTRUCTION fj i�C �,�/�' I STORIES «�"o EXITS o FOUNDATION----_-�� z e / CELLAR — CRAWL SPACE C3�' TOTAL ROOMS: IST FLR.—_T 2ND FLR. 3RD PLR. BATHROOM (s) _ TOILET ROOM (s) UTILITY ROOM 51n411 PORCH TYPE /Cp) SA.0I , �.r"L�� DECK, TYPE PATIO ` BREEZEWAY FIREPLACE )`"6;V '..__ GARAGE DOMESTIC IIOTWATER , %�� TYPE BEATER ✓�.s,�� AIRCONDITIONIN TYPE BEAT �,r AO' WAI2Pi AIR HOT'WA'TER / ACCESSORY STkUCTURES__lllp Q W, TYPE OF CONST. /d �!r26?�V/ �' �` �J STORAGE 'TYPE CONST. CGS^ SWIMMING FOUL GUGS �,. OTHER: ------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE REVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS INSPECTED IIY_72� � t,s,� �s DATE OF INSPECTION 16`oo c TIME START END