HomeMy WebLinkAboutZ-31896
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-
31896
Date: 10/05/06
THIS CERTIFIES that the building
DWELLING
Location of Property 430 ORCHARD
(HOUSE NO.)
County Tax Map No. 473889 Section 025
ST
(STREET)
Block 0004
ORIENT
(HAMLET)
Lot 006
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-
31896
dated OCTOBER
5, 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 JANET HARTER
(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.
ignature
Rev. 1/81
IU/l../L
Form No.6 ....-:::::\
. TOWN OF SOurnOLD ......;~~ \),\
BUILDING DEPARTMENT .~. ..~ ~ > '..;'" .\
TOWN HALL IS \"'-' .;.'':;--
765-1802 Q )'-- ..' ')\\)'0 -' \
. .' 11) t.u
il'1 -, "c.~? ~\
APPLICATION FOR CERTIFICATE OF OC\~;\Ne'r ,... " '. '. "
This application must be filled in by typewriter or ink and submitted to the BUildin~e ;'.',:,',,' ;~e ~:llowing:
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 I % 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 nses, 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
q /1.';- / ~ "
/ I
(check one)
Date.
Old or Pre-existing Building:
v"'"
New Construction:
Location of Property: 4~ 0
House No.
o~o
Street
~-r
OLl~T
Hamlet
Owner or Owners of Property:
'Jft#l:T M-M1-TEII-
Suffolk County Tax Map No 1000, Section I Q o. _ ')...:\
Subdivision
Block
-4
Lot I,.
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Permit No.
Date of Pennit.
--:r ,..... ?)" IV B J\IL.
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
./
( check one)
Fee Submitted: $
--=~-h~
pplicant ignature
-
~.f/l15
6';1Q COf:3/ S r ~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIOlI :
430 ORCHARD ST
ORIENT
MAP BO. :
un (S)
SUBDIVISIOlI :
IIAMB OF 010JER (S): JANET HARTER
OCCUPANCY: SINGLE FAMILY DWELLING
ADMITTIID BY: JILL DUNBAR
JANET HARTER
ACCOMPANIED BY: SAME
KEY AVAILABLE:
SOFF. CO. TAX MAP BO.: 25. -4-6
SOURCE OF REQUES"l": JILL DUNBAR 10/2/06
DATE' 10/05/06
DWELLING:
BATHROOM (S), -L..Q
PORCH TYPE:
BRBBZEWAY:
DOMESTIC HOTNATER:
21l1D FLR.: -l
TOILBT ROOM(S) , ~
DECK. TYPB:
I STORIES: ~ . EXITS:
CELLAR: FULL CRAWL SPACE:
3RD FLR.: --9.
UTILITY ROOM!S) ,
2
TYPB OF COIlS'rRucrlmr: WOOD FRAME
FOUJrnATIOIf: CEMENT BLOCK
TOTAL ROOMS: 1ST FLR.: 4
PATIO TYPE:
YES
FIREPLACE:
TYPE HEATER: KEYSPAN GAS
GARAGE ,
AIRCOJIDITIORDIG :
TYPE HEAT: KEYSPANGAS 1IARM AIR:
OTHRR ,
HOTIIATER :
xx
ACCESSORY STRUCTURES:
GARAGE, TYPE OF COIlST.: 1 CAR WOOD FRAME STORAGE, TYPE COIlST.:
SlfIJlMIlilG POOL: GUEST, TYPE COIIST.:
OTHRR ,
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
1. GARAGE IN NEED OF REPAIR
2. BACK ENTRY PLATFORM IN NEED OF REPAIR.
3. FRONT STEPS IN NEED OF REPAIR
ART.
SEC.
REMARKS: BP#6844Z&6855Z-COZ-6023 (ADD TO DWELL&ACCY)BP#32405Z-COZ31895(HEAT.SYS)
IlilSPBCTIm BY:
DATE OB DJSPBCTIOB: 10/04/06
TIME START: 10:00 AM ERD: 10:30 AM
fh'kIt.r~j
Vso ()~ J7 '
CJ/b~/I
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I!!JULATION
[ ] FRAMING I STRAPPING [~INAL I~ CO
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS~l..&. ~~--uJ .;.JJ- i-
:L-f ~ kr~#~ r;p ! ~(;-- /2..t~w~~ ,/rrt-
If.eZ.. ~ ii:tc- C7,rP,w )rfF r/ *~ ~
/ '
,
DATE rr~
INSPECTOR
.~
,-
TOWN OF SOUTHOLD PROPERTY RECORD CARD
'Odo - -eM Y-(}tJt
OWNER
E
~{;vc.f oG
d ACR~ I
TYPE OF BUILDING
STREET
VILLAGE
DIST.
: SUB.
LOT
, 0 qrkr
FOR,MER WNER C>/"A .J.--
Nllhe rYJlYl.-( vY:ln,
Ja I~ I,.. V1,
W
~cI_
t'tCI,a.-6>7
~ESJ 1 D SEAS. VL.
LAND IMP. TOTAL
000 00 ':::1500
000 .3 :J- 0 Z>
(, () () 3rd () ,I
FARM COMM. CB. MISe. Mkt. Value
DATE
,It
AGE
BUILDING CONDITION
NEW
FARM
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable 1
nllable 2
r; liable 3
Naadland
;wampland
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
l )I-ew fi.~" r "co47'oJ.je '>' dee 111/;:2./'-1)
9cJ @. //--0 ~'3d
3 rush land
;ause Plat
-
rata I
DOCK
-'
,~ _" __~ --c.
1
i
..
~",,"''''-
M. Bldg. ,?,:) v.::;> 0'. tjpo
Extension ..:1 )( /;;l - 5. f
Extension 9..:2 .;
Extension
Porch
Porch
Breezewoy
Gorage
lit' )(Z2- ~ soK
Potio
O. B.
Total
I"
"
IT ~/) / .;
1 Vrl
i 1/
' ;
.~'~~i..tJ.'. i.'
- . k /,. .
c.,~~
,-i-;~/
) ! s-f /
COLOR
w~/rc
TRIM
W/-f/-rE
Foundation
C:~,
Basement
,oJL.(....
,3..-'-0 ,3:< 3'i Ext. Walls
Fire Place
l.oD
Jot?
A <;;,13
AI o.
Type Roof
Recreation Roan Y3 ft' EI+R..
Dormer
Driveway
sS'i~ .J
!2-op
, .",0
Z-
..
l- r
J
Both I~ Dinette
Floors OAA(' K.
Interior Finish wtClL-L gj) LR.
Heat V~S DR.
Rooms 1 st Floor .' BR.
Rooms 2nd Floor FIN. B.
.
___ n_ _ __
FROM :WRLKERSVILLE PHRRMRCY
FRX NO. :3018451114
Oct. 04 2006 10:20RM P2
. .
. N50092.6
PAGE 1
lia5077
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1:"111' CERTIFIES
. :1I,.q" Tit_ ~/utrk,;J' I
HE"NE'W'VORK .BOARDOF. FIREU-NPERWRltERS
. BU,R!;.UO.F,ELECTRICI'tV .
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'11935-2453
/lENE.AAL MANI\GER
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, Jller.. .' .
the ollie. 01 the _,ei It t~eorreot.' InlpoClOn m~Y' ~ IllMI"'I.d bV 111811, eMd.nllol.-
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CONSENT TO INSPECTION
:r ~ €T t+",.e<f" eo-
Owner(s) Name(s)
, the undersigned, doe es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 4 3v O~I'\-Awt C>
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 1.), Block 4, Lot v
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: ~e..e- e- / e)
,
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:
't hr 10 10
I I
.-
~~?-
~ (Signature)
:T1 ~ 1)'.( #i:> AI- 0;:€Nr)
(Print Name) t<-
1+M..il:t-
(Signature)
(Print Name)
09/21/2006 12:52
631-734-7702
SURVEY OF PROPERTY
SITUATE. ORIENT
TOHN. SOUTHOLD
5UFFOLK UllJNTY, NY
SlRVEYEO, 5EPTEH8E~ '''', 2000
$IJ1'TOL.K COlJNT'( TAX L.OT
t.(jM6eR 1000 - 025.00 - 04.00 ~ OOtJ.OOO
aomPJIlDm
LAUIA",,",,"
_BRY""
COMMOtlWlALtKJ..\ND1D1.II
""","""",""""ANY
1VIU.S PAROO 110MB YOR'IOAGB
DEBORAH DOTY ESQ
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PAGE 02
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RJVERIIBAD. N.Y. 11901
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