HomeMy WebLinkAboutZ-32411 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- 32411 Date: 06/19/07
THIS CERTIFIES that the building DWELLING
Location of Property 1935 OLD ORCHARD RD EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 037 Block 0003 Lot 008
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- 32411 dated JUNE 19, 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 WITH ATTACHED GARAGE*
The certificate is issued to DORIS P MILLER
------ (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.
2utrized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1935 OLD ORCHARD RD EAST MARION
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : DORIS P MILLER
OCCUPANCY: SINGLE FAMILY DWELLING DORIS P MILLER
ADMITTED BY: WILLIAM MEYER ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 37.-3-8
SOURCE OF REQUEST: WILLIAM B. MEYER 6/8/07 DATE: 06/19/07
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME it STORIES: 1.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 0.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: DECK TYPE: PATIO TYPE: SMALL SLATE PATIO (REAR)
BREEZEWAY: FIREPLACE: ONE GARAGE: 1 CAR
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
OTHER: ENCLOSED SUNROOM
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 DESCRIPTION ART. SEC.
REMARKS: 11,,//.
INSPECTED BY: _ 7 w/ DATE ON INSPECTION: 06/12/07
GARY J SH / /// TIME START: 10:00 AM END: 10:20 AM
ccSJ2
(� - (46-941-lob a� y y '?7- 1 (o/
�! n k T N 0 T Form No.6
TOWN OF SOUTHOLD
Lif BUILDING DEPARTMENT
fN 8 20,7 J TOWN HALL
1 765-1802
6LUh. DEPT.
TOWN Of.Sr'ITHQI TLAPPLICATION 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 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:
11. 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
I. 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
dk Air 07007
New Construction: Old or Pre-existing Building: (check one)
Location of Property: x (3 / O
I /�
Ctp finery,9ep L,q4 L�fl� g � . f
ouse No. Strreet , IHamlet
Owner or Owners of Property: t 5 f�f r orf-StD tRI Cs p mA tiC
Suffolk County Tax Map No 1000, Section (0 37 Block o5 Lot opt-
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (cec one)
Fee Submitted: $ �
Ads' )(17
Applicant Sig.- -
(Ree. 70272‘
QtCoZiayl1
CONSENT TO INSPECTION
j_G,/f r`r /v/ y Q Ec-to4 Q
F
s' Il iA Lig/ r .d e ., undersigned, do( s) hereby state:
Owner(s) Name(s) /MI z7s'�s D
J' / AC 44,e
That the undersigned (is) (are) the owner(s) of the premises in� J�e Town of
Southold, located at/933-0i y,
/`���®�v O.PC . �/--d . /L1i9.I'io.t/
which is shown and designated on the Suffolk County Tax�vlap as f5istnct 1000,
Section /2S7 , Block t' , Lot yr .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Sou old Town Building Inspector's Office for the following:
p
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.
, Ira
Dated: (11-piLti -a00 differ
Ati-=:nature) Q
ii_i_born 4, ././e".(2
(Print Name)
(Signature)
(Print Name)
CERTIFICATE OF ' 1 File No . 137P2007
LETTERS TESTAMENTARY _1 �� p
046363
SURROGATE ' S COURT : SUFFOLK COUNTY
The People of the State of New York
To All to Whom These Presents Shall Come, or May Concern, Greeting:
IT IS HEREBY CERTIFIED that on February 9, 2007, Letters
Testamentary of the Last Will of DORIS P. MILLER a/k/a DORIS P.
RATTENBURY, deceased, late of Suffolk County, New York, were duly
issued by the Surrogate ' s Court of Suffolk County to WILLIAM MEYER,
the Executor (s) in said will named, and that the same are still valid
and in full force .
IN TESTIMONY WHEREOF this certificate is issued under the seal of
the Court .
WITNESS, HON. JOHN M. CZYGIER, JR. , Surrogate, at Riverhead, in
Suffolk County, New York on February 9, 2007 .
4f2S,
MICHAEL CIPOLLINO
SEAL Chief Clerk of the Surrogate ' s Court
33-107„5/86
• • •M _ Y.46
/606 -S _ -- TOWN OF SOUTHOLD PROPERTY RECORD CARD
7OWNER STREET / iii J 5 VILLAGE DIST. SUB. LOT1 . 4/dicE.
f
)oiC7s /`1 r LLE' Mfr/nRcha�a R 11 t.G J� �� �i v> /L 1�4.
FORMER OWNER N E ACR. 7
-Jo?
S W TYPE OF BUILDING
K,ELib:r- Q. JR � t, <1Gn, t)sy ; ,,
RES. .9l6 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
790 00 Jo0O 3/17/7? �1414ertic 4 Ciixi, 1‘,5 ��Gfl� ) io Dog's Mille)
7 o 3 G 44 1/ 0 / //'3/L‘ I31I81 nnii-\( U(? V'IILLt�irL (ol'o(LLt_i2 L-9312 P Zlo
Zoo / 34/60 9aoo / /6477/7r
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
1
Woodland FRONTAGE ON ROAD t
Meadowland DEPTH -
/ /5
House Plot I BULKHEAD
Total DOCK
.s -... d —s. - _
--. lame•••••
1 _\Q tr.
_ ,
24,-- ,
_ - COLOR '''''th-'e " I j TRIM
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- Millainnaliall111111111111.11110111...111.1111.111
11..1111111.111.EIMMIIIIMMEEMMIIMME
IMEMINIMEMIEMEIMIIIIMIMINIMMIIIIIMIS
.01.1011.1111111.1111111Enanallintlin.
IIIIIMMEMMMIIMMMIIIIIIMIIMMIMIIIIMMMIIMMIIIMII
11.111.1.111.11111111111.111111.11111natillnil
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1111111'1111MEM1111N11111E
- 1I In1rnaum1a1
M. Bldg. fin) 30 : 2230 611, 11di N
UI
Extension BEIn11111111111111111111111 1111
Extension " In 1101111111111.1.11111.111111111110.111111111111111111.1.1111.
Extension
Foundation C ) Both / Dinette
Porch Basement fiksf Lit Floors #0,,, A_ ' ,:' K.
Porch Ext. Walls 1 : ; ,„ i Interior Finish 40.2 4 j LR.
Breezeway /4, x '1 , /9 6, 1.,, 3 71,,,Vire Place Heat T r DR.
Garage
(3 X a. 7- --- 2 S' 6, / s 0 2 p4 ippe Roofer_ 1/2 ii
I:-
Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor I FIN. B
0. B. Doyner Driveway
TotalR 4 o is IN/
i
• • •
/
LOCUST COURT
N 58°58'30"E 115.95'
•
CONL 7 O.T
Z MON
w_
0
OLOT 44 (HJT in
/
+� w
0 O LOT 44A
0
CD 29.9' 26.4' _ .
0
o ti
o zs 0
I$ &
:I:
LOT 43 I a O �l N
1 A D
D r
> CONL PI CELLAR
STOOP p R1 ENTR
I roTirTI
A S _ z LOT 43A
ml_) I m
29.8' o
N '> 13.5— m —ii'.
z
2-.)
s C3
/lJ O b Y ('jam Hi
\O �3 ��
A`
oi.
—T.9'—
C
0 n CONCRETE DRIVEWAY
GARAGE
A
o LOT 42 -r
z I N
/ 22.5' 0 LOT 41A
\ 0
GRAVEL DRIVEWAY N O
IV
S 58'58'30"W 115.95'
LOT 14
FM# 275 SURVEYED: 6 JUNE 2007
DATE FILED SEPT 23, 1927 SURVEY OF
LOTS 42,43,44 SCALE TMf/ 1000-037-03-008
1.,= 20'
IN AREA = 13,914 S.F.
MAP OFR
0.319ACRES
SECTION TWO
GARDINER'S BAY ESTATES
SITUATE
EAST MARION, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: ESTATE OF DORIS P. MILLER
GUARANTEED TO:
ESTATE OF DORIS P. MILLER O o
GUARANTEES INDICATED HERE ON SHALL RUN SURVEYED BY
IS PREPARED, AND ON HIS BEHOL Y TO THE PERSON FOR ALF TO THETHE SUR VEY STANLEY J. ISAKSEN, JR.
ENDING27 TLE OINSTITUTION, IF LMPANY ISTED HEREON, ANO P.O. BOX 294
TO THE ASSIGNEES OF THE LENDING INSTITUTION. NEW SUFFOLK. N.Y. 11956
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 631 -7 ' —5835
UNAU MORIZfD ALTERATION OR ADDITION TO THIS A / AV
i
SURVEY IS A VIOLATION OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW
COPIES OF THIS SUR vfr MAP NOT BEARING L ',ENSED LA ID S ..,fEYOR
THE LAND SURVEYORS EMBOSSED SEAL SHALL YS LIC No. 4927 D 7R 1 5 9 0
NOT BE CONSIDERED TO BE A VALID TRUE
COPY
LOCATION: /73 6€.CO^ 04E. 4
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: (Air If, rACCOMPANIED BY:
KEY AVAILABLE: / SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING:
TYPE OF CONSTRUCTION: �t�t77J # STORIES: # EXITS: $
FOUNDATION: Com,,'— CELLAR: CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): OKL_ TOILET ROOM(S): — UTILITY ROOM:
PORCH TYPE: DECK, TYPE: — PATIO, TYPE: S'y -
t d
BREEZEWAY: FIREPLACE: GARAGE: / ,-
DOMESTIC HOTWATER: WI TYPE HEATER: AIRCOND TIONING. -
TYPE HEAT: 9t / WARM AIR: HOTWATER:
OTHER: a -� /1.0,,,.-1
ACCESSORY STRUCTUR r 5: ,dc9o%
GARAGE, TYPE OF CONS • STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY:6'97 r7,..c771 DATE OF INSPECTION: 4/7 4/0 7
TIME START: /O'th9 END: 0;