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Home My WebLink AboutZ-32404 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- 32404 Date: 06/13/07 THIS CERTIFIES that the building DWELLING Location of Property 370 TERRY (HOUSE NO.) County Tax Map No. 473889 Section 059 CT (STREET) Block 0011 SOUTHOLD (HAMLET) Lot 012 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- 32404 dated JUNE 13, 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* The certificate is issued to MARIE HERZICH (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 'PLEASE SEE ATTACHED INSPECTION REPORT. ~~ Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 370 TERRY CT SOUTHOLD SUBDIVISIOR: MAP RO.: LOT (S) RAMB OF OWNER (S): MARIE HERZICH OCCUPANCY: SINGLE FAMILY DWELLING MARIE HERZICH ADMITTED BY: JOHN DERPICH & MARIE HERZICH ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP RD.: 59.-11-12 SOURCE OF REQUEST: MARIE HERZICH 2/6/07 DATE: 06/13/07 DWELLING: TYPE OF COHSTRUCTIOR: WOOD FRAME # STORIES: ~ # EXITS: 3 FOONDATIOIJ: CEMENT BLOCK CELLAR: YES* CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: -9. 3RD FLR.: -9. BATHROOM(S): ~ TOILET ROOM (5): ~ UTILITY ROOM(S) : PORCH TYPE: FRONT DECK TYPE: PATIO TYPE: WOOD BREEZEWAY: FIREPLACE: NO GARAGE: ATTACHED 1 CAR DOMESTIC HOTWATER: X TYPE BEATER: BASEBOARD AIRCORDITIOHING: YES-CENTRAL TYPE BEAT: OIL WARM AIR: NO HOTWATER: HEAT OTHER: *FINISHED BASEMENT WITH FULL BATH-BILCO DOOR ENTRANCE ACCESSORY STRUCTURES: GARAGE. TYPE OF CORST.: STORAGE. TYPE CONST. : SHED SWIMMING POOL: GUEST. TYPE CONST.: OTHER , VIOLATIONS: CHAPTER 45 N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS , ~ ~~ DATE ON INSPECTION, GEORGE GILLEN TIME START: 03/07/07 INSPECTED BY: END, MIl _. 20Dl Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT 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: 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 uses, or buildings aud "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 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 Ntllut1-t<i Date. Location of Property: 370 House No. Old or Pre-existing Building: 7E;?'(y (Joul? r Street 11J11;(IE Ifc(2?(~rI Sj v (check one) -Su 7rfO~ Hamlet New Construction: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block If Lot 1:Z Filed Map. Applicant: Lot: Subdivision Permit No. Date of Permit. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate o()/ Fee Submitted: $ ! 00 'Ide) Final Certificate: ~ (check one) ~~ Applicant SI nature W-c-' 7JJ. 703 ~ Ccs-f:. '}j) Lfo If CONSENT TO INSPECTION /!l;1iic /-IeKz lei! 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 :3 7tJ IE Rtf'! (10()I!T s;,(J '1'1+O/- i) / AI Y which is shown and designated on the Suff6lk County Tax Map as District 1000; Section S1, Block I I , Lot ( :J- . That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: QEtnhq~ 6r o~~u~~dl 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 ofthe laws, ordinances, rules or regulations of the Town of Southold. Dated: ~iflW/ G, :Loo 7 1hJt~ ~ (Signature) /}J/f;(/ C Ifc/Z. 2/ ctl (Print Name) (Signature) (print Name) iii. iii ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY . ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ BOB EDWARD ELECTRIC JOHN HERZICK ~ ~ 57 RAIL ROAD AVENUE 370 TERRY COURT ~ I CENTER MORICHES,N.Y.11934 SOUTHOLD, NY 11971 I ~ Located at 370 TERRY COURT SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 1089095 Certificate Number: 1 089095 ~ i Section: Block: Lot: Building Permit: BDC: NS11 i ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, Outside, ~ I I ~ was inspected in accordance with the National Electrical Code and th~ detail ~f the installation, as set forth below, was ~ ~ found to be in compliance therewith on the 13th Dayof Novem er,200 . ~ ~ Name OTY Rate Rating Circuit ~ ~ ~~~ ~ ~ 1 Phase 3W Service Rating 150 Amperes ~ ~ Service Disconnect: 1 150 cb ~ ~ Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 1 of I ~ i This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. i iii. iii AFFIDAVIT OF TITLE State of New York, County of Suffolk ss: I, Rudolph H. Bruer, being duly sworn, says; That I am the attorney for John Derpich and Marie Herzich; That they are the owners of premises located at 370 Terry Court, Southold, New York; My clients have advised me that the basement was part of the original construction prior to 1956. I am making this affidavit because my clients are unavailable at this time. Sworn to before me this 12th Day of June, 2007 ~ u olph . Bruer ----. . ~0\.~ ELIZABETH A. FINNE NolaIy Public, State of New York No. 4653666 ,,--_~'lfIed in Suffolk County ......,.......on Expires Novernbet ao. ~r r;: ~'';:~ :i ' \ ~ i f- .;< :!I} , ii, DcOc..DEPT. T WN OF SQU SURVEY OF PROPERTY SITUA TE, SOUTHOLD TOI"lN. SOUTHOLD SUFFOLK COUNTY, NY SURVEYED APRIL 14, 2001 SUFFOLK COUNTY TAX . 1000 - 5C{ - II - 12 CBR11FIBD 1'0: JOlIN DBRPICII MARIIlIlllRZlCB NORTH RlU: IlANIt FIRST .t.URDICAN1TILBlNSUllANCB COMPANYOPNBWYORIt N W+E S Ii; ! ff o S' (A,^, 'l:J^, 4:"1%0,< f' l''</Iy /-f. Ie; 0'<0tc lb '<. Ie; A,l'( / '<( r '''67'ltS' A,l'(/k' Of'.. Cb"JJ. If.b.Cb' ~ !f' Q )...., '" Itf< l<::,." Q__h If. >J--.j I):',ji,;/ Q 0.0' ).. 0 rSl):< </tf 2" " --.j MONlJMENT FOUND ~ _______......._..0_ ~=-'~~";"..",:, -~-""'-'--. NOTES. """-....--..---. .....,....-::.-:......:!"".:'"::'~~ -. . ~~~~E ......-.----..-- '"='.;.~,:""'_-=:_:'7'..~ ='~=--~.:.:.--c~ ...::::::~:.....~=,= Area = 14,341 5.F. or 0052"4 Acres Hedges 05' onto subJec.t property GRAPHIC SCALE ~ I";: 30' I JOHN C. Elll..ERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. UC. NO. 50202 RIVERHEAD. N.Y. 11901 369-8288 Fax 369-8287 REF.I:I07-132.pro