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HomeMy WebLinkAboutZ-36788 Sit Town of Southold Annex 2/28/2014 `V 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36788 Date: 1/30/2014 THIS CERTIFIES that the structure(s) located at: 1110 Terry Ln, Orient SCTM 473889 Sec/Block/Lot: 20.-1-1.4 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- 36788 dated 1/30/2014 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 with two covered front porches, accessory barn and 4 accessory buildings.* (Collapsing roof on one small accessory building) The certificate is issued to Bull, Priscilla (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A leed Lgnafure BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1110 Terry Ln, Orient SUFF. CO. TAX MAP NO.: 20.-1-1.4 SUBDIVISION: NAME OF OWNER(S): Bull, Priscilla OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Bull, Priscilla DATE: 1/30/2014 DWELLING: # STORIES: 2 # EXITS: 4 FOUNDATION: stone CELLAR: 1/2 CRAWL SPACE: 1/2 BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): on first floor PORCH TYPE: 2 front DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: offboiler AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: X # BEDROOMS. 4 # KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: 4 accy bldgs SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: Barn VIOLATIONS: Collapsing roof on one small accessory building. REMARKS: INSPECTED BY: GARYF / DATE OF INSPECTION: 2/27/2014 ,Lf~ TIME START: 9:45am END: 10:30am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE 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 I . 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. 66 0 /1 New Construction: Old or Pre-existing Building: (check one) Location of Property: 0205"/~1L/~/QC). (/j'/)© /lr/ ~f ~fiNG) /~/Gh f House No. Street Hamlet Owner or Owners of Property: ~n sCll~,~ '64kd Suffolk County Tax Map No 1000, Section] Block / Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 1,0b,00 o ' Applicant Signature CONSENT TO INSPECTION 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 2 n r MArit Rd ///O which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for, the following: 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: Di /~o ce Q,e~ d X, (Signaturg) el 114 , c l (Print Name) (Signature) (Print Name) VO - ZO - fad TOWN OF SOUTHOLD PROPERTY RECORD CARD j OWNER STREET VILLAGE DIST. SUB. LOT r j'-1< <7r T ACRrl~~ RE ARILS 3 Y f&- TYPE OF $LD. 3 J41-7 r r r r r i ' d C~ S G'7o z; -Te Ljnvc( _ r'r ~0 _ 25 _ 11785 55- irr trt ;f c.. PROP. CLASS 3/! - CSI JfJ` 9140V lb(jel f .C( 120 r St y z LAN IMP_ TOTAL DATE . / 11/.L~ Ilr~~~ /t ,9C3 39daDZ) 3! N !l G ~t Van >f - r L1b8 Tr~1 ic' 3 a u -1e6 3 /r l5 a -7 70-0 J12 ? a- L 12/59 err qKa,= to sec!/ - ~o.~+' FRONTAGE ON WATER TILLABLE 2• toll FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT I ° t 6 U J TOTAL ll x,- E a~ ? - ; I n6_, i•"_ - 20.-1-1.4 9109 M. Bldg. Foundation c e Bath Dinette FULL Extension Basement cR&m Floors Kit. SLAB Extension Ext. Walls Interior Finish - s L.R. Extension Fire Place Heat D_R. Patio Woodstove BR. Porch Dormer Fin. B. Deck Attic Breezeway Rooms ist Floor Garage Driveway Rooms 2nd Floor O.B. Pool --tip` N 1 = % r- ,PI^? k , C7 J: 0 S 77'3~Hp0~~ ~ - ~ u' ~ H t oo~ ,Aa'a 4 Sf ,e ILA 81 NP. SUFFOLK COUNTY CONTROL DATA USED: ` 2 d ' JA54 t STATION NO. 10-1257 8279, • P. THIS SURVEY IS. SUBJECT TO ANY EASEMENT •O g J~ OF RECORD AND ANY OTHER PERTINENT FACTS r WHICH A TITLE SEARCH NIGHT DISCLOSE. f CERTIFICAT~TED HEREON SHALL RUN 5 --"OF 2v" s w. ONLY•TO THE FOR WHOM THE SURVEY t IS PREPARED. MID ON HIS BEHALF TO THE - EDGE • OQ p TITLE COMPANY. GOVERNMENTAL AGENCY AND 17'34 O LENDING HNSTITUrON LISTED HEREON. AND TO „ w THE ASSIGNEES OF THE LENDING INSTRUTION. a CERTIFICATIONS ARE NOT TO I ADDITIONAL INSTITUTIONS QRA''YEWENT oVR+ERS. +S~ 4 •O r S » 1 ` • Fp ff 3 • 7 T l\` a r x.. III w UNAUTHO TERATION BIT AIDDRION TO. THIS N z;~ f3 u: SURVEY 6 A V TION OkSECTgN 7204 OF THE 1 »I _•7x, ~o . NEW YORK STATEq EDUCATION IAW. ~N COPIES OF, T1RS SURVEY MAP NOT: BEARING THE x'T LAND SUIWIYORS RVED OR EMBOSSED SEAL SHALL - y H J I ` . NOT BE COMMERM TO BCA V** TRUE COPY. THE OFFSETS OWAkNSW4 r#EON. FROM SUFFOLK COUNTY TAX MAP - }i TIMEbPERRTY UF1FS TO ST{it7 ARE FOR T , A SPECIFIC PU A~ THEY Ate Y~ k IWOM T THE PROPERTY LINES pIsT{} {CT 11000 NOT INTENDED TO OR TO GUIDE THE ERECTION OF FENCES. AWTIONAL - `;,c . < STRUCTURES OR AW MER.WROVENIiWIll. SECTION 020 Y ~ ` ~ ~ ~•~~j ~1 • L RECGE . FENCE AND WALL OFFSETS SHOWN ARE 13LYr' C K 01 TO THE CENTERLINE UNLESS OTHERW]SE NOTED. ~.rNT P/Q JO l .o03 NOTE. LOCATIONS AND EXISTENCE OF AEI. r SUBSUWACE UTILITIES AN VC*. STRUCTURES. g r• ' NOT ftAD*Y VI NOT CER11M TOTAL LOT AREA = 19.52 AC. v » Yj« k~ Y f • JV- -4 i NOTES: 1. COORDINATES AND MERIDIAN USED HEREON ARE BASED ON THE LAMBERT CONFORMAL CONIC PROJECTION FOR NEW YORK STATE, LONG ISLAND ZONE - NAD 27 (SUFFOLK COUNTY COORDINATE SYSTEM) CONTROL MONUMENTS USED: S.C. MON.: 10-1257 N 343,080.12 E 2,182,092.81 2. SUBSURFACE CONDITIONS NOT SHOWN. 3. THIS SURVEY IS SUBJECT TO ANY EASEMENTS OF RECORD AND OTHER ENCUMERANCES WHICH A FULL TITLE SEARCH MIGHT DISCLOSE. 4. WETLANDS ARE INVOLVED AS INDICATED. A I HEREBY CE Y THAT THIS MAP WAS MADE ACTUAL SURVEY MADE A ^pp MAY 2005 p z ~ . P T 4 C . 14 ROBERT S. NY NO, 49128 r f O Z q a ~ MAP OF PROPERTY TO BE ACQUIRED BY SUFFOLK COUNTY FOR SUFFOLK COUNTY 1/4% DRINKING WATER PROTECTION PROGRAM RESO 284-2003 SITUATED AT LA, ORIENT A ,54't TOWN OF SOUTHOLD 82,9' SUFFOLK COUNTY, N.Y. p°'a MAY 269 2005 ,E , ,rr 243x t OWNER: PRISCILLA TERRY BULL AND KENNETH WATERS TERRY `s S.C.T.M. #1000-020-01-Pj0 001.003 2~ J CERTIFIED TO: >•R COUNTY OF SUFFOLK WASHINGTON TITLE INSURANCE CO. SCALE: 1 mi80' ' I 7H 1 p NT 11743 9 P 0 3131, 549-4744 LDA.38385 CG ONLINE.NET x xA.., fir d e ~ ~'N ISV..Y . + iA, ...4. 'a.. 1pp Via, N "~'1 A '"k# Y'rv ']Y" 74yJ Y ~ 't.nr 'y^ ~i Y 'C M.F. 4: ..V ,.JE. I ' p:,y"M1 k d • 4 .~M.ffiY'` .S'y " ,.y'J4y '1 w `y8~'Af 'e*,. ,a.6 ~?.,i~ M1 - l„,~ 'Aa ~ a•~ G... ~ S` to N M. krv. • COUNTY OF SUFFOLK CHARLES J. BARTHA, P.E. COMMISSIONER YAPHANK, NEW YORK ' N/F FRp,N` H~ ~1N5K1 " OA1NtR1Nt ~Ot ZAX 3,2 N/F JAgES ROSE 1000'1, DOROTHY ~ Z '~E w zA 5 NI JOPN KoER 1000'1 ,3 w~ N ~~p2.65 337 • w ; ~ ~ a•pp"E .r~!i ice' S-16 $ S 7` $x i w,~ 176'00i" 00 71 • t F . 8 pARCE 96 s > ~k 633 s ry ` g N~f KPjN4R GNRAN ~ Q,RFA: 641 s, QR,O '01 p ~p~Et 06 33 S.F 1 1 PSEA: ? S 7555 t A m 1 p~ jl~A ~1 w 1,,`1 O 2231.1.1 AtE DRD NP W' Ttr~~D pF~~t°U R~GN'f 5 t I I F PRA ~lE.i-0 `n ~~tr-ttvP~E~ r CD Z 4 nr~ .,(1+1.3 ~i ~ r {7 . T " T PX Lo Z-10, 1 1tJ00.19~ RDUGPf1 rO 55 N K L©P DONNP MEtD~~GHTS n LOCATION: (number & street) (municipality) SUBDIVISION: ) MAX NO. LOT(S): NAME OF OWNER(S): y OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO, 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: ZL.~"W #\STORIES: ~ # EXITS: / - r/l- FOUNDATION: -~,.,jL BASEMENT:' CRAWL SPAC~: # OF BEDROOMS: 1ST FLR: C~J 2ND FLR: 3RD\r(LR: BATHROOM(S): TOILET ROOM(S): --L- UTILITY ROO l <1~ ftyl ? r- PORCH TYPECIECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: ti Q~~, e,, DOMESTIC HOTWATER:,~ TYPE HEATER:`~~ /AIRCONDITIONING: TYPE HEAT: CP f WARM AIR: HOTWATER: # OF KITCHENS 6~_- FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CON~ST. v SWIMMING POOL: GUEST, TYPE CONST: ` OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION D C IP ION SEC. - C i REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: R END: Aa