HomeMy WebLinkAboutZ-32207
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-
32207
Date: 02/20/07
THIS CERTIFIES that the building DWELLING & ACCESSORIES
Location of Property 550 GREAT
(HOUSE NO.)
County Tax Map No. 473889 Section 145
PECONIC BAY BLVD
(STREET)
Block 0002
LAUREL
(HAMLET)
Lot 005
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-
32207
dated FEBRUARY 20, 2007
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, ACCESSORY GARAGE, ACCESSORY SHED AND
NON-HABITABLE BATHHOUSE.*
The certificate is issued to ELIZABETH S TETER
(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.
~ho~re
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF S~UTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
550 GREAT PECONIC BAY BLVD
LAUREL
SUBDIVISION:
MAP NO.:
LOT (S)
NAME OF OWNER (S): ELIZABETH S TETER
OCCUPANCY: SINGLE FAMILY RESIDENCE
ELIZABETH S TETER
ADMITTED BY: TOM UHLINGER
ACCOMPANIED BY: SAME
KEY AVAILABLE:
SUFF. CO. TAX MAP NO.: 145.-2-5
SOURCE OF REQUEST: DEBORAH DOTY, ATTY 2/14/07
DATE: 02/20/07
DWELLING;
TYPE OF CONSTRUCTION: WOOD FRAME
. STORIES: ~ # EXITS: 3
FOUNDATION: CEMENT
CELLAR: PART
CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR.: .....?:
2ND FLR..: 3
3RD FLR..: ..J!.
BATHROOM(S); ~ TOILET ROOM(S): ----2....:...Q
UTILITY ROOM(S) :
PORCH TYPE: FRONT & REAR ENCLOSED DECK TYPE:
PATIO TYPE:
BREEZEWAY:
FIREPLACE: ONE
GARAGE:
DOMESTIC HOTWATER: XX
TYPE HEATER: STEAM
AIRCONDITIONING:
TYPE HEAT:
OIL
WARM AIR:
HOTWATRR :
YES
OTHER ,
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME
STORAGE, TYPE CONST.: WOOD FRAME
SWIMMING POOL:
GUEST. TYPE CONST.:
OTHER: WOOD FRAME BATHOUSE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS ,
~.~
DATE ON INSPECTION: 02/16/07
INSPECTED BY:
GEORGE GILLEN
TIME START:
EI!lD,
CONTACT:
Tom Uhlinger -
Darby Uhlinger
298-8000 x 290
917-816-6500
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
FEB14?
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 fOffil).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less dlan 211 0 of 1% lead.
5. Commercial building, industrial building. milltiple residences and sinIilar 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:
I. 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,
Swin1ming 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 - Resideutial $15.00, Commercial $15.00
Date.
02/09/2007
New Construction:
Old or Pre-existing Building: x
"
(check one)
Location of Property: 550 (a/k/a 490) Great Peconic Bav Blvd. Laurel
House No. Street
Hamlet
Owner or Owners of Property:
Elizabeth S. Teter
Suffolk County Tax Map No 1000, Section
145
Date of Permit.
Block 2
Filed Map.
Applicant:
Lot 5
Subdivision
Lot:
Permit No.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Final Certificate: x
(check one)
" Pre-C/O for Dwelling, detached
garage, shed, and cabana
c' ~^a~
Applicant Signature
cRJ--C.',fs ~ I
& C (j -c 3 J,J 0 '7
CONSENT TO INSPECTION
Deborah Doty as attorney for owner
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 550 (a/k/a 490) Great Peconic Bay Blvd, Laurel
,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 145, Block 2 , Lot 5
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
pre-C/O
That the undersigned doe 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 T own 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:
02/09/2007
----
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Deborah Dotv. as attornev
(Print Name)
(Signature)
(Print Name)
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OWNER STREET 5..)0 VILLAGE DIST. SUB. LOT 7- p-'
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R~.:...) 1-/0 SEAS. VL FARM COMM. ce. MISC. Mkt. Value i
LAND IMP. TOTAL DATE REMARKS
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BUILDING CONDITION ,
AGE
NEW NORMAL BELOW ABOVE .
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
fillable 3
Ncodlond
;wamplond FRONTAGE ON WATER { /3 (L 3/ - 3..r-17.,J
Jrushland FRONTAGE ON ROAD 117
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LOT NUMBERS REFER TO
"MAP OF PROPERTY OF RAVATONE REALTY
CORPORATION. LAUREL, L.I.. N.Y.. DUDLEY
PARK. MADE AND SURVEYED BY DANIEL
R. YOUNG. P.E. AND L.S.. MAY 1927" FILED
IN THE OFFICE OF THE CLERK OF SUFFOLK
COUNTY ON SEPTEMBER 17. 192B AS FILE #212
GRAPHIC SCALE
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SUfoc.vEY OF FROFERTY
A T LAUREL, TOVIIN OF SOUTHOLD
SUFFOLK COUNTY, NEVIl YORK
SUFFOLK COUNTY TAX MAP
1000-14500-0200-004000
1000-14500-0200-005000
SURVEYED JUNE 1. 1997
GUARANTEED TO:
ELIZABETH S. TETER
NUMBER
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1atlng Cede of Practice for Land Survey. adopted
by the Naw York Stat. Association of Prof.sstonal
Land Surveyore, SaId certifications ahall run only
to the P..llP80n"''fDl''o.1ltl1011 the llur-vay h prepared.
and IjIn"hi.. b,.baH1Jtt-t,~1I title coapany, IlDVllrnllllln-
hl..-ai8rll:yJiind'II_f1i1ing '.l[1l1titution listed heraon, and
to' tV ,11l..tgn81111..tl' till.,IlI!ndlng institution. Cllrtifica-
,..HIlr1" ,rli\nDt~r..~l:!jUfr.b~.\to lIoditional institutionll
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Map bearing II liceneed land aurveyor's aeal il a
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;~~~~dc~~:~aa~rg~i~~~ayr~~i~~~ y~n~h:~r=~r~~~s
stamped .eal ahll1 be considered to be valid true
cop1ee"
'f ..' L /SURVEYOR
I>/IN ,pJl'IB!l/
D:"NI;'Y~.A1901
Fax 369-B2B7