HomeMy WebLinkAboutZ-34238 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- 34238 Date: 03/24/10
THIS CERTIFIES that the building DWELLING
Location of Property 400 ORCHARD ST NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 0007 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
OCCDPANCY NUMBER Z- 34238 dated MARCH 24, 2010
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 FRONT SCREENED PORCH.*
The certificate is issued to LAUREN E KINNIN
(OWNER)
of the aforesaid building.
SIIFFOLR CODNTY DEPARTM@1T OF HSAI,TH APPROVAL N/A
ELECTRICAL CERTIFICATE No. 11/16/50 N i~FnaR
PLDFBERS CERTIFICATION DATBD N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth rize Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 400 ORCHARD ST NEW SUFFOLK
SOBDMSION- MAP NO_- LOT (S)
HAMS OF 01HHD2 (S): LAUREN E KINNIN
OCCOPANCY: ONE FAMILY DWELLING LAUREN E KI NNIN
ADMITI'SD HY: SAME ACCOMPANIED BY:
ICY AVAILAHI.S: SOFP. CO. TAX MAP NO.: 117.-7-12
SODRCS OF RHQOSSI': DEBORAH DOTY, ATTY DATE: 03/24 10
DWELLING:
TYPE OF CDNSTROCITON: WOOD FRAME * STORIES: 1.0 N HXTTS: 1
PO@HIATIOiH: CEMENT BLOCK CELLAR: 1/2 CRANL SPACE: 1/2
TOTAL AOOM.S: 1ST PLR.: 3 2ND FLR.: 0 3RD PLR.: 0
eAT~DZOax(s): l.o Toxxsr RaaM(sl: o.o orxLITY Roots(s):
PORCH TYPE: FRONT SCREEN DHCX TYPE: PATIO TYPE:
BRHRZBiN\Y- FIREPLACE- 1
DOM65TIC HO1SN\TSR: YES TYPE HEATER: KEYSPAN AIRCOIIDITIOHING:
TYPE DSAT: YES MARM AIR: 1 FL HEATER HOTNATSR: -
OTIDII2: THIS HOUSE IS 28.6' X 22.6'
ACCESSORY STRUCTURES:
TYPE OP CONST.: STORAGE, TYPE CONST-: BP13309 SHED CO 223603
SHIMMLRG POOL- GOSST, TYPB CONST-:
OTfQlR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE
LOCATION DESCRIPTION ~ AAT. SEC.
TERMITE DAMAGE
FRONT STAIRS NEED REPAIR
RIDIARRS:
xNSPSCx~ SY: nATH oN nisPECrION: oz/os/Io
GARY J F SH TIME START- SHD-
#3e Pre-C/0 for dwelling in southwest corner of property ~ ~ ~ ~ nn
Form No. 6 D U D
TOWN OF SOUTHOLD
BUILDING DEPARTMENT JAN 2 g 2010
TOWN HALL
765-1802
BLDG. DEPT.
APPLICATION FOR CERTIFICATE OF OCCUP CY TDWN OF SOUTHOLD
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 Boazd of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains Tess than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similaz 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 Apri19, 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 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,
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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. Ol / 26 / 2010
New Construction: Old or Pre-existing Building: x~# _ (check one)
Location of Property: 400 Orchard Street (a/k/a 1375 Third Street New Suffolk
House No. Street Hamlet
Owner or Owners of Property: Lauren Elizabeth Kinnin
Suffolk County Tax Map No 1000, Section 117 Block 7 Lot 12
Subdivision Filed Map. Lot:
Permit No. _ Date of Permit. Applicant:
Health Dept. Approval: _ Underwriters Approval: 11/16/1950; # 126048 (copy attached;
Planning Board Approval:
Request for: Temporary Certificate _ Final Certificate: x (check one)
Fee Submitte $ 100.00
~ a3~ -
r Applicant Signature
l~ I Deborah Doty as attorney for
Lauren Elizabeth Kinnin, owner
FOR ACCESS: Contact Richard Abatelli
734-6000 OR 513-0442
CONSENT TO I?~'SPECTION
Deborah Doty as attorney for owner the undersigned, do(es) hereby stale:
Owner(s) Name(s)
attorney for
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 400 Orchard Street (a/k/a 1375 Third StrePt),~;Suffolk
which is shown and designated on the Suffolk County Tax Map as District 1000.
Section 117 ,Block 7 ,Lot 12
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-Existing Certificate of Occupancy for dwelling in southwest
corner of property.
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 al]
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, rues or
regulations of the Town of Southold.
Dated: 2010 ~
(Signature)
Deborah Dotv as attorney
(Print Name)
(Signature)
(Print Name )
ho~~OF SOUTy~~
• io
~CpUNry;
l~'
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
' REMARKS:
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DATE 3 ~ ~ / f INSPECTOR
SURVEY OF PROPERTY
° SITUATE
° _ ° _ ° ° - NEVI SUFF'OL~
° TOWN OF SOUTHOLD
° ° ~ EDGE OF PAVEMENT ° ° ~
° goo' DEED SUFFOLK COUNTY, NEW YORK
- - UTILITY N 89°20'00" E _ 100.67' °
PDLE °TILI,rRDLE``\ S.C. TAX No. 1000-117-07-12
m ~ j-OVERNEAD WIRES lIL jj4~ p
CONC MON. - GRANT E MON -/-VRI V SCALE 1 "-2O'
FENCE < SPLR RAIL FENCE Fp ZC~
Z ~ D5S D2'E I I ° I ~5'W ~ ° J JANUARY 12, 2010
d I v u,~~`'-~ p l °
~ a" I I ~ I ~~~G O ~ AREA = 7,563 sq. ft.
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28.6 ° of <
r ~g~, D°D WALL ~ ~ ~ NOTE:
2zs'
R 1sT r -']]-E- ml ~ DEED REFERENCES ARE TO DEED LIBER 3744 PAGE ?72
FRAME HOUSE m z
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CEO S 89°20'00" W 101.04 0 °
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1 OO DEED o ° PREPARED IN ACCORDANCE WITH TOE MINIMUM
_ U STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
N/O/F ~i~~~F f - ° ° SORT SUCH USE BYNDTHEPNEWVEORKN 4TA~E PL4 D
JOHN VICTORIA HELEN D. KAPP nnE AssocwnoN °
° °
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N.YS. Llc. No. SG457
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE IJEW YORK STA iE
EDUCATION LAW.
COPIES OF THIS SURVE`/ MAP NOT SEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED ~\J
TO BE A `/ACID TRUE COPY.
CERIIFI~ATIONS INDICATED HEREON SHALL RUN
ONCE TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND ; Ti fIE SuNByS - Subdfvi5iOn5 - ~it2 PI0116 - COn SC•IUCii°n LOyOUt
LENDING INETD'UTON LISTED HEREON, AND
TC THE ASSIGNEES OF THE LENGING INSTI-
runoN ceRnFlcanoNS ARE NoT rRANSFERABLE PHONE {631)727-2090 Fax (631;727-1727
!
OFFICES LOCA7_FD qT MAILING ADDRESS
THE EXISTENCE OF RIGHTS OF WAY 1856 Mcin Rcod P.O. Box 16
AND/OR EASEMENTS OF RECORD, IF ~arrlesoort. New York 11901 Inn,emnrt New '^'nrb 1 tQ4?
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