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HomeMy WebLinkAboutZ-30416 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- 30416 Date: 09/14/03 THIS CERTIFIES that the building DWELLING Location of Property 675 LAKE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 059 Block 0005 Lot 018 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- 30416 dated SEPTEMBER 14, 2003 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* The certificate is issued to NEAL H & DEBRA A LOVETT (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. ` 4+LZ Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 675 LAKE DR SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : NEAL H & DEBRA A LOVETT OCCUPANCY: RESIDENTIAL NEAL H & DEBRA A LOVETT ADMITTED BY. MARK SCHWARTZ ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 59.-5-18 SOURCE OF REQUEST: MARK SCHWARTZ 7/28/04 DATE: 09/14 03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: WOOD POST CELLAR: NO CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : NONE PORCH TYPE: COVERED FRONT DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: YES TYPE HEAT: ELECTRIC WARM AIR: YES HOTWATER: ELECTRIC OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #3210Z-COZ-3197 (DECK ADDITION) W� INSPECTED BY: W 1 -D1'tS ON INSPECTION: 08 10 04 CHRISTOPHER M. TALBOT TIME START: 11:00 AM END: 11:15 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 10���; 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: r, ;Vi R j'1 1. Final surveyof property with accurate location of all buildings,property lines streets ands unusual natural-or-----± . p P Y g ,p p Y , . topographic features. !' 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S=9 form). i JUL Z 8 M ,- 3. Approval of electrical installation from Board of Fire Underwriters. i 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_installafioris _a cerfifibafe 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$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. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy--$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. 4 7 10 New Construction: Old or Pre-existing Building: (check one) Location of Property: 79,5 c4KI5 okt 1/E 0u TWO (,� House No. Street Hamlet Owner or Owners of Property: 1V AL O z 1 m LOV g'f` Suffolk County Tax Map No 1000, Section S 9 Block a 5- 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) Fee Submitted: $ (D� Applicant Signat re • TOWN OF SOUTHOLD PROPERTY RECORD CARD .OWNER STREET �"�y VILLAGE DIST. SUB. LOT *m FORMER OWNER N �/� , E ACR.J S W TYPE OF'BUILDING RES. S. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS r s — zz�o z - � vet3� OOd cis 1f 00 AGE BUILDING CONDITION NEW NORMAL' BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total .g,,,,, DOCK 0 *1 IMM BEEN MEMEMEMINIMMMEMMIZENAMEMOME NONE mom ENO Dinette Interior F ihish Fire Place e Roof Rooms Ist Floor Recreation Room Rooms 2nd Hoor Dorm er 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 77r I—AlL e— Plee vc— ,5oc,V-11AC 10 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section , Block O ,f , Lot t � That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: i That the undersigned hereby give consent to the Building Inspectors of the Town of Southold to enterlupr on 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: 0 7 2 o (Signatur ,/Ucf�Zr- 4fc14w4 2 t-z- (Print Name) (Signature) (Print Name) LOCATION: I �A'�� bf—tf' (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(Sj , e. vk ; cA OCCUPANCY: s i,,,o ©•�.�-� (type) (owner-tenant) ADMITTED BY: �� s��w �- ACCOMPANIED BY: KEY AVAILABLE: N® SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: I #EXITS: FOUNDATION: CELLAR: r-3o CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOMS I TOILET ROOM(S): I UTILITY ROOM: +,4 v�= PORCH TYPE: DECK,TYPE: wuX PATIO, TYPE: �1c� BREEZEWAY: FIREPLACE: 7-3 G GARAGE: N 0 DOMESTIC HOTWATER: -4 TYPE HEATER: --c -cc AIRCONDITIONING: . TYPE HEAT: WARM AIR: ° HOTWATER: IZ:l e,c4.0 L OTHER: ACCESSORY STRUCTURES: ' �] GARAGE,TYPE OF CONST.: STORAGE,.TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATIOA DESC PTIO&— ART. SEC. @ SSooz4 Cb dv 0 �.2tvt�� Nte oo kJi hk-cfy1 C f-&I'. 8 REMARKS: CA C[e� LAN-_ 'S Ck-krAti+1 �-S 10 -co, z INSPECTED BY: DATE OF INSPECTION: f TIME START: END: 11 ' 15 �P l� •° SURVEY OF PROPERTY A . SITUATED AT ° e - °d �a4 668a( R°PO SOUTHOLD ° ° • 12 �NN�' / s �PGPNC �°�P a d —,— TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ° d\ A Al S.C. TAX No. 1000- 59 -05- 17 `� e /1 �'S . / j3� 0 1000-59 -05- 18 SCALE 1 "=20' �' � / \� '-'X f ( x' ` ` AUGUST 25, 2003 d• < e 6 d „ g JULY 16, 2004 UPDATE SURVEY 129 c\ ° P / 13.1 1 44 d OF NEST HOLE / OF Oe 9 d e FG� I '°9fl° ° AREA - - 29,217.60 sq. ft. e l/ 16� �� I ' FCG yr �C '��� (TO TIE LINE) 0.671 aC. a I L1 64A, * I, 115 o00 AFL / c , .0 �� �J3N�f CH i / / \ \ 1 \ I a1 c SS F, i �'� \ I o 12 13 - — - —/�/ / / b�ti� \ / / 1u88 I / ,a / 0,xl \S Tt '00 141 14 14=' 1J a., O00 \ 9 I 705 I 111, LqO,�O`t' ° � i � Qom" `� '�" \ � � ��• 4,I 41, OQ��O��5 ,C4•�V� e V` ^ NOTES: 1 . ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM ; / 4-7 EXISTING ELEVATIONS ARE SHOWN THUS: Y ,o� / D alh PREPARED IN ACCORDANCE WITH THE MIN'MUM EXISTING CONTOUR LINES ARE SHOWN THUS: — - - - �D-- -- - �" �� / STANDARDS FOR TANDTLE P EYE AS ESTABLISHED F F! - FIRST FLOOR / '/ 4 3 ° ✓� �� FOR SUCH USE By THE LW STATE LAND / 4 1 G�✓ ' TITLE 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO154 G _y- ,j' Q._y ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X*: AREAS OF 500-YEAR FLOOD; AREAS OF 100-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. ° 3. ANY WETLAND BOUNDARIES SHOWN ARE SUBJECT TO VERIFICATION N.Y.S 1 " _ . Lic. No. 49668 BY NEW YORK STATE AND/OR OTHER REGULATORY AGENCIES. w� UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF A sp, A. I rn cw n o 40 co SECTION 7209 OF THE NEW YORK STATE `(�T° iCtl 6 ( s EDUCATION LAW. M COPIES OF THIS SURVEY MAP NOT BEARING /'*+ (� [ ' THE LAND SURVEYOR'S INKED SEAL OR � r v cz y o L' EMBOSSED SEAL SHALL NOT BE CONSIDERED (� TO BE A VAUD TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND 727-1727631 TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax ( ) TUTION CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF RIVERHEAD, New York 11901 Riverhead, New York 1 1 901-09 65 ANY, NOT SHOWN ARE NOT GUARANTEED. 1 rY ! Ile r � , 4-4 A i i 4 to i i g� 0 d Q. ,�.r,,,...,,,, .fir ,,.. � � �',`�.+•:�' ::��9 '� ( �,{ . i t ...,. '�►_.....__.__--fir_ .. IV Ae Ail . 75 t 1 F . l ice. .. a�/�.� � d �'" L a� if -�..�"`.�": • __ . ..�_� �-�..