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Home My WebLink AboutZ-36595 yW l Town of Southold Annex 11/1/2013 i.rNorA 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36595 Date: 11/1/2013 THIS CERTIFIES that the structure(s) located at: 530 Terry Ln, Southold SCTM 473889 See/Block/Lot: 65.-1-9 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36595 dated 11/1/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling.* The certificate is issued to Klipp, Mary Anne & Klipp, Ors (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. th rued igna re BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 530 Terry Ln, Southold SUFF. CO. TAX MAP NO.: 65.-1-9 SUBDIVISION: NAME OF OWNER(S): Klipp, Mary Anne & Ors. OCCUPANCY: ADMITTED BY: MaryAnne Klipp SOURCE OF REQUEST: Klipp, Mary Anne & Klipp, Ors DATE: 11/1/2013 DWELLING: # STORIES: 1 # EXITS: 2 FOUNDATION: cement block CELLAR: CRAWL SPACE: X BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: National Grid TYPE HEATER: AM -CONDITIONING: TYPE HEAT: Nall Grid Gas WARM AIR: HOT WATER: X # BEDROOMS: 2 # KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: ARYF DATE OF INSPECTION: 10/18/2013 CX7 TIME START: 09:30 AM END: 10:30 AM Form No.6 TOWN OFSOUTHOLD BUILDING DEPARTMENT / T 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: I. 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: 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 Date. /CPO New Construction: Old or Pre-existing Building: (check one) Location of Property: 5130 ac L E v L oI/ House No. n Street j A N E EN KO U", Hamlet Owner or Owners of Property: MRt ,y ryfigt, K~1'p~ 70sc { X6 -1FEHq&W (1 Lfh A ANQ4 ~/PRENXCr Suffolk County Tax Map No 1000, Section lc 5 Block Lot Q Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: d oSL Pri 1 ,VV E I y- of 1-i' RE 4 (1 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted: $ 100 dd { J~J~Applicant Signature I CONSENT TO INSPECTION y finnE /rLipp rAA, ~ ~ ~ ~ A G1sz G WAnPC'~ WE r) l{Cc T,.n N ru & Lnko the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at_ 536 -/t;R~y lAWE. , 5o0-f~oL b , Nx which is shown and designated on the Suffolk County Tax Map as District 1000, Section ( Y , Block I Lot 9 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: KiS -firVG ~WiL-0io! ( PRiog AoRy,6L q, 1QS7~ 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: ~ao /3 M (Signature) -Jo 6t:10 hl ? rjt 111 , 6' EE14 ~6t/6 (Print Name) Man.a Signature) _ 0.t y f7 n I ~l $ (Print Name) TOWN OF SOUTHOLD PROPERTY RECORD CARD ^'2 p OWNER STREET 0, VILLAGE DISTRICT SUB. LOT FORMER OWNER Mcirie f) ,e-(r D N E ACREAGE W, E14'v, 6FR. ! /000- - O/ - 09 S W TYPE OF BUILDING 5~~6 SEAS. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS cF FZZ~eZ-7.lyr aoo") RtLLiK6FR To ZWk'o 69 7/ s an -C- I S rkc~ l v,, , t r ~s AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot y Total f.. 'lee i i - all ' j it1 } M. Bldg. 3 c I 1 1 Foundation Both Extension z° Basement Floors T S(ne Extension 1 Ext. Walls !Interior Finish r,, c Extension Fire Place Heat w I Porch Roof Type Porch' Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway !Dormer O. B. LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: r, (type) (owner-tenant) ADMITTED BY: ~Lld i //rrNi ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING E TYPE OF CONSTRUCTION: DRIES:\_ # EXITS: a?i FOUNDATION: ~-q_~'` AS MENT: CRAWL SPACE: # OF BEDROOMS: 1ST FLR:~fY 2ND FLR: 3RD FLR: BATHROOM(S) Y TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: - GARAGE: DOMESTIC HOTWATER: ) EATER: AIRCON TIONING: TYPE HEAT: Aft 4-44 WARM AIR: HOTWATER: # OF KITCHENS aN ~ FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D SCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: ld fd~'~ TIME START: 9 ~O END: - SURVEY OF LOT 8 SUBDIVISION MAP OF PROPERTY OF JONATHAN T. OVERTON FILE No. 1055 FILED JANUARY 4, 1932 SITUATE SOUTHOLD TOWN OF SOUTHOLD E4 SUFFOLK COUNTY, NEW YORK y E-Y of r~N aS 68, S.C. TAX No. 1000-65-01-09 W v` v f ?g Opp, F SCALE 1 "=20' a W to SEPTEMBER 28, 2013 C. W C. LET y 0 AREA = 8,175 sq. ft. Wn 0.188 ac. G7 C) w O . 0 o _ 'q- ` 15~ 1.0 , . Z LOT 169 S6' o'x O 68-:0,9,00 " k„ rozT.~wE~ • O EY A~/ ~ ry A i • ~ W 1F I h a~ h ! Y . Z ,3 4 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TIRE SURVEYS EYS AS ESTABLISHED _ Ufa • ° BY THE LIA D AND ADOPTED FOR SUCH (~EA?~y_ STATE LAND y ? T • TITLE 5 AF y0 m' r~ t LOy. 0 ~ ti Q vY ~ Z Z 3 y N.Y.S. Lic. No. 50467 ~m UNAUTHORIZED SURVEY ADDITION ,[rte/' C , • TO SURVEY IS A VIOLATION DI TO THIS Nathan Taft Corwin III SECTION UCATION2LA09 OF W. THE NEW YORK STATE D O./V N p COPIES EMBOSSED OF THIS SURVEY MAP NOT BEARING Land Surveyor VV~ LAND SURVEYOR'S INKED SEAL THE LA THE SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SFWl RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. N1 IS PREPARED, AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND Tithe Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON, AND ` TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTK)N. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 33-245