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Home My WebLink AboutZ-31761 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- 31761 Date: 08/15 06 THIS CERTIFIES that the building DWELLING Location of Property 430 TERRY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 065 Block 0001 Lot 007 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- 31761 dated AUGUST 15, 2006 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 ROBERT LAWRY (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. Authorized Sigrfature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 430 TERRY LA SOUTHOLD SUBDIVISION: MAP NO.: • LOT (S) NAME OF OWNER (S) : ROBERT LAWRY OCCUPANCY: SINGLE FAMILY DWELLING ROBERT LAWRY ADMITTED BY: PATRICIA MOORE ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 65.-1-7 SOURCE OF REQUEST: PATRICIA MOORE, ATTY 7/14/06 DATE: 08 15 06 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: BLOCK CELLAR: CRAWL SPACE: YES TOTAL ROOMS: 1ST FLR.: 4 2ND •FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: FRONT&SIDE CONCRETE ENTRY DECK TYPE: PATIO"TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE BEAT: FHA-GAS WARM AIR: HOTWATER: 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 I DESCRIPTION I ART. I • SEC. - R KJ%RKS: BP #32271-Z-COZ-31760 ("AS BLT" RAMP ADDITION)ol INSPECTED BY: • DATE ON INSPECTION: 07 18 06 ,MICHAEL J. VERITY TI30 START: 9:00 AM END: 10:00 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 �1L1 APPLICATION FOR CERTIFICATE OF OCCUP Y, T VVN OF s U HOLD 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$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 4. Updated Certificate of Occupancy- ;$50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. 7/q—o(,o New Construction: Old or Pre-existing Building: (check one) / Location of Property: tl 3 O �_0W_ e `ol House No. Stleet Hamlet Owner or Owners of Property: /?O btr+ L O w Suffolk County Tax Map No 1000, Section �S Block Lot r]� 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: $ Applicant Signature CONSENT TO INSPECTION 000 the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned (ism the oker(s)of the premises in the Town of Southold, located at y 5'C9 �i O l� which is sho�3'�and designated on the Suff County Tax Map as District 1000, Section (oS, Block O/ , Lot _�. 0 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: rP 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: 7—/y - O 6 (Signature) (Print Name) (Signature) (Print Name) TOs 4s _ OF SOUTHOLD P1ROPE_-TY RECORD CARD OWNER STREET 1,130 VILLAGE DISTRICT SUB. LOT 77 MY F(O- RM. ER O . NER/ In// N E ACR S W TYPE OF BUILDING US. 2fb EAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS z", A/ as - d d —UI933 5 - A A /a Law/ �fQ ,ZOO l � Od D ✓ lh 15 00 sl"r' Z a � oo a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD J� Tillable 1 BULKHEAD filloble 2 DOCK filloble, 3 Noodlond iwamplond 3rushland -louse Plot fotol , I I j i j -tt31 Bld y i Foundation C Both g , )r6 = z j I Basement lFloors ctension ��y2 � L �-p j ctension I Ext. Walls I� Interior Finish ctension I I jFire Place j iH.eat i Porch (Roof Type Porch (Rooms 1 st Floor I reezeway Patio Rooms 2nd Floor I arage Driveway Dormer B. ' --3 , /S SURVEY OF LOT 10 SUBDIVISION MAP OF PROPERTY OF JONATHAN T. • OVERTON FILE No. 1055 FILED JANUARY 4, 1932 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-65-01 —07o S s8°2 O SCALE 1 "=20' Y 8 00" JULY 11 , 2006 ISO 0j o 'AREA = 9,387.33 sq. ft. E, 0.216 ac. Q[_, CER TIFIED TO: W La o PATRICIA MOORE o _ 'a 41 WILLIAM MOORE �2.0• MET N a W RO (}� Irt W ►=O O WI CE IN RE FEN , _ OISREPAIR LOT Jg 3, 9 ^ O s >•.. 3 Z N 40a s " CONC. COVER 1O h :�y` ..• V J (q PREPARED IN ACCORDANCE WITH THE MINIMUM 0'' T AJ o�2 STANDARDS FOR TRUE SURVEYS AS ESTABUSHED �/ '.• �<v ` � 4Y 4 / BY THE L.IALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND Q . TITLE ASSOCIATION.K OV �� 4.0' C � e; NEV �� 4, ry `O \ \ �`S O s J• • � , D Co zop O f/ CY 0 OVERHEAD WIRESAt c �� N.Y.S. Lic. No. 49668 c �y UNAUTHORIZED ALTERATION OR ADDITION ^ 04 rfv TO THIS SURVEY IS A VIOLATION OFj�r N SECTION 7209 OF THE NEW YORK STATE DRn�,� CO FO Jose . Ingegno EDUCATION LAW. cKgY NC• y0N0 'Fj �y COPIES OF THIS SURVEY MAP.NOT BEARINGTHE LAND �3g La d S u r v eSEAL OR o r EMBOSSED SEAL SURVEYOSHALL INOT BE CONSIDERED ,8,•s8' Q � /�L�7/> y 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 TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 FOX (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAIUNG 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 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. LOCATION: 174,3 0 (number& street) (municipality) SUBDIVISION: ot MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY:- . f., ` (tYP (owner-tenant) ADMITTED BY: ACCOMPANIED�Y: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- — — SOURCE OF REQUEST: DATE: isr o DWELLING: TYPE OF CONSTRUCTION: G�i.��. .e # STORIES: #EXITS: iZ FOUNDATION: CELLAR: — CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 4 2ND FLR: ^— 3RD FLR: -- BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: g::i*ECK,TYPE: — PATIO,TYPE: �. BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: TYPE HEAT: :mL WARM AIR: — HOTWATER: OTHER: ACCESSORY STRIJCTURES: ;.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 DESCR.IPTIOlY-` ART. SEC. - D - O v 08 0 REMARKS: INSPECTED BY: DATE OF INSPECTION: �o D TIME START: 0 0 END: /D O 0