HomeMy WebLinkAboutZ-36968 4. Town of Southold Annex 6/17/2014
54375 Main Road
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36968 Date: 6/16/2014
THIS CERTIFIES that the structure(s)located at: 145 Lakeview Terrace, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-9-10
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- 36968
dated 6/16/2014 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
one family dwelling.*
Note: BP 3421 addition to dwelling COZ-2898; BP 9082 addition to dwelling COZ-8016.
VIOLATION: "As built"accessory deck requires a Building Permit and Certificate of Occupancy.
The certificate is issued to Heroy, Laurie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
)�1116izecf Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 145 Lakeview Terrace, East Marion
SUFF.CO.TAX MAP NO.: 31.-9-10 SUBDIVISION:
NAME OF OWNER(S): Heroy, Laurie
OCCUPANCY:
ADMITTED BY: Jill Dunbar
SOURCE OF REQUEST: Heroy, Laurie DATE: 6/16/2014
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: 3/4 CRAWL SPACE: 1/4
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: X
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
Violation: "as built"accessory deck requires a Building Permit and Certificate of Occupancy
REMARKS:
INSPECTED BY: #ARYF DATE OF INSPECTION: 6/2/2014
,--67//Y--- TIME START: END:
Form No.6
TOWN OF SOUTHOLD
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:
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 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 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$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
Date. 5/12/14
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 145 Lakeview Terrace East Marion
House No. Street Hamlet
Owner or Owners of Property: Laurie Anne Heroy
Suffolk County Tax Map No 1000, Section 031.00 Block 09.00 Lot_010.000
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 100.00
Applicant Signature
William H. Price, Jr.
CONSENT TO INSPECTION
William H. Price, Jr. , as Agent for
Laurie Anne Heroy the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned (is) (are) the oviner(.$) of the premises in the Town of
Southold, located at 145 Lakeview Terrace, East Marion, NY
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section D3j_0_0_, Block 09.00 , Lot 010.000
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
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: 5/12/14
(Signature)
William H. Price, Jr.
(Print Name)
(Signature)
(Print Name)
SURVEY OF DESCRIBED PROPERTY
N 55"47 20 E 10.+j)' SITUATED AT
EAST MARION,
TOWN OF SOUTHOLD,
SUFFOLK COUNTY, NEW YORK
S.C.T.M. N0. 1000-31-9-10
AREA = 9,000 SQ. FT.
CERTIFIED TO:
WESTCOR LAND TITLE INSURANCE COMPANY
ROBERT MICHAEL DUFF AND PATRICIA DONOVAN—DUFF
WALK
-01 b. GUARANTEES OR CERTIFIC4710NS ARE NCT TRINSFERABLE 'UNDERGROUND UTILITIES
,j i ?i:r:• EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED,
THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES
ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE
ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS,
LAND NOW OR FORMERLY OF ADDITION' TO BUILDINGS AND OTHER CONSTRUCTION. THE EXISTENCE OF RIGHT
BERNARDETTE AND WILLIAM REILL7N 5547'2 OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN
10.00 ARE NOT GUARANTEED
C.LC. N 55047'20"E 90.C O' FD.MON. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF
NY SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP
FE.END FE.COR. 4'VIRE FE. NST.15-2
FE.END FE END: NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OP. EMBOSSED SEAL SHALL
0.2�E. 1 1 JS C5 W 0.5 S. :0.1:1;:: ._: NOT BE CONSIDERED A TRUE VALID COPY.
1.1s. 0-5
E. 0.1
toALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS.4RE BY LOCATIONS
y: lv FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORMATION OBTAINED FROM
1 STS'. �. � �:: n OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT
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11 k"E.1 0 ` Lr p. PROFESSIONAL LAND SURVEYOR, P.C.
W M. �NYT.15B — SUCCESSOR TO —
DONALD TASE, L.S.
RICHARD WILHELM AND ASSOCIATES
NORTHSTAR SURVEYING, P.C.
PAUL T. CANALIZO, L.S., ROBERT A. KART, L.S.
. GOOD GROUND SURVEYORS, P.C.
328A Main Street Hom�ton Atrium Unit D—?
Center Moriches, NY 11934 i8o W. Montauk Highway
/ hompton Boys, NY 11946
Phone: (631 87S--0120 Phone: (6 31) 728-5330
Fax: (631) 878—7190 Fax: f 631) 1128-6707
N Y S LIC NO 049287
William H. Price,Jr.
ATTORNEY AT LAW
828 FRONT STREET,P.O.BOX 149
GREENPORT,NEW YORK 11944
Phone(631)477-1016
Fax(631)477-0130
Town of Southold Building Dept.
P.O. Box 1179
Southold,New York 11971
May 12, 2014
Re: Premises: 145 Lakeview Terrace, East Marion,New York
SCTM#1000-031.00-09.00-010.000
Enclosed please find Application for Pre-Existing Certificate of Occupancy, together with
Consent to Inspection, Survey, and check in the amount of$100.00 to cover your fee.
Please contact Jill Dunbar at Daniel Gale Sotheby's (477-0013) to make arrangements for the
inspection. _� ,� ��. IvlQ
Thank you. C., l t�I
William H. Price, Jr., Esq.
N�
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OWNER / iVl STREET VILLAGE DIST. SUB. LOT
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LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S): .
NAME OF OWNER(S):
OCCUPANCY:
type) (owner-tenan
r ,
ADMITTED BY: Jif 'JA ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 0-
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: lJ # STORIES: tom— #EXITS: Z—
FOUNDATION: - -.moi BASEMENT: 3/ CRAWL SPACE:
# OF BEDROOMS: IST FLR: '3 2ND FLR: 3RD FLR:
BATHROOM(S): f� TOILET ROOM(S): �^ UTILITY ROOM: �—
PORCH TYPE: DECK, TYPE: 44wPATIO,TYPE: �.
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: VF-" TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:_ ��--
FINISHED BASEMENT: YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE,TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: o�� --
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
C r
✓ W
REMARKS:
INSPECTED BY: — DATE OF INSPECTION: �-
r
` ME START: �' END: