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Home My WebLink AboutZ-31761FORM 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 THIS CERTIFIES that the building DWELLING Date: 08/15/06 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 SUBDMSION: 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. TAY 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: ISP FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): TRY DECK TYPE- PATIO TYPE: PORCH TYPE: FRONT&SIDE CONCRETE EN BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: YES TYPE BEATER: ELECTRIC TYPE BEAT: FHA -GAS MARK AIR: HOTKATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: GARAGE: AIRCONDITIONING: STORAGE, TYPE COMET.: GUEST, TYPE COMET.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP #32271-Z-COZ-31760 ("AS BLT" RAMP ADDITION) INSPECTED BY: /y�!—� DATA ON INSPECTION: 07118/06 TMICHAEL J. VERITY TIME START: 9:00 AM BeID: 10:00 AM Form No. 6 TOWN OF SOUTHOLD 1 BUILDING DEPARTMENT N TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC y`_ L --- 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( New Construction: Old or Pre-existing Building:_ (check one) Location of Property: 3o 7Tn2e / LLvn t— rS e `./ House No. Stteet Hamlet Owner or Owners of Property: /?o % L o W O Suffolk County Tax Map No 1000, Section 05i Block Lot T Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Bnt Com 317�I Final Certificate:_ (check one) Applicant Signature CONSENT TO INSPECTION PCL7 ► c e t CL r �00 " the undersigned, do(es) hereby state: Owner(s) Name(s) 4L That the undersigned (is�'t7 the oner(s) of the premises in the Town of Southold, located at___!?3 c� which is shoyy''nn and designated on the Suffolk County Tax Map as District 1000, Section (os, Block O / , Lot -�. D That the undersigned (has) (have) filed, or cause to be filed, an application in the Id Town Building Inspector's Office for the following: i _ /f _ n 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 —IV - O ; (Signature) 11:4Lrnrt1k rAP& `C (Print Name) (Signature) (Print Name) 66! - 7 TOWN OF SOUTHOLD PROPER Y RECORD CARD-v� OWNER STREET VILLAGE DISTRICT SUB. LOT 1�UrfiNr PO ER OWNER n3q LQ i'VI"q 4, __ 0jf N E t ACR E ♦ S W TYPE OF BUILDING RES. tib S. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 12-66 -r-6 d lb LG u/ir '-fQ ,Z o0 /4ad 0 r n \5 00 o0 i 700 ="moo tao� a(oo a 71 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER �a Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD rillable 2 DOCK Tillable 3 Noodland iwompland 3rushland ^ -louse Plot rotaI Bldg. 1 y� 18 = Z �/ Foundation i"'�x I Bath (tension (tension Z2 Z �, Basement Ext. Walls �j� p i� Floors Ilnterior Finish �� 1� (tension !Fire Place j �� Heat Porch Roof Type j Porch Rooms 1st Floor — reezeway Patio iRooms 2nd Floor aroge 'i Driveway � i IDormer B. 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 -07 SCALE 1"=20' JULY 1 1 , 2006 Uj oY OE 4, moo= U i `Wao Z AREA = 9,387.33 sq. ft. 0.216 ac. CERTIFIED TO: PATRICIA MOORE WILLIAM MOORE PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TRIS SURVEYS AS ESTABLISHED BY THE LIALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. (dot- NEW O O y N.Y.S. Lic. No. 49668 8g "9,00" f IN z� IV \ �o 68>28 00., UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COW. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE- THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. O� b � Lp?, C� COW. COVER zopX93 N 1p y el' y � s\ OVERHEAD WIRES "SAY a 0 a p . LOCATION: 7,3 (number & street SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: ..�G MAP NO.: (municipality) LOT(S): r ttyPel `� v (owner -tenant) ADMITTED BY: �t ; e7 - ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- - /- SOURCE OF REQUEST: ��.,� DATE: //y o DWELLING: TYPE OF CONSTRUCTION: - G�i.�' # STORIES: # EXITS: FOUNDATION: CELLAR: — CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: -- 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: ECK, TYPE: — PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: �,vx- TYPE HEATER-. AIRCONDITIONING: TYPE HEAT: F�� -.`—WARMAIR: — HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFOPM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. -D D �' 08 a REMARKS: INSPECTED BY: DATE OF INSPECTION: �p p TIME START: d D END: /0 '0 v