HomeMy WebLinkAboutZ-37935 Town of Southold 11/30/2015
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PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37935 Date: 11/30/2015
THIS CERTIFIES that the structure(s)located at: 1000 Marlene Ln,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-40
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- 37935
dated 11/30/2015 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 accessory 1 1/2 car garage.*
Note:BP 13499 additions COZ-14182; BP 40248 deck COZ-37937
The certificate is issued to Herrmann, Lawrence
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. /f
tho ' ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1000 Marlene Ln,Laurel
SUFF.CO.TAX MAP NO.: 144.-2-40 SUBDIVISION:
NAME OF OWNER(S): Herrmann,Lawrence
OCCUPANCY:
ADMITTED BY: Tom Gilroy
SOURCE OF REQUEST: Herrmann,Lawrence DATE: 11/30/2015
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: Cement Block CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: - 1 GARAGE:
DOMESTIC HOTWATER: Yes TYPE HEATER: Off Boiler AIR CONDITIONING:
TYPE HEAT: Oil WARM AIR: X HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: Unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: 1 1/2 car STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 11/18/2015
,....A.7)---71:41 TIME START: END:
5"6'3 -
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENTy S( '
D v
TOWN HALL > fC�
765-1802 , Govmito
APPLICATION FOR CERTIFICATE OF OCCUPANCY �A-
� �1
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:
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.
New Construction: Old or Pre-existing Building: ✓ (check one) T' TUCK
Location of Property: /0c20 i'n theLEN e. L-1iV tE m n
House No. Street Hamlet
Owner or Owners of Property: il/RIM i N N M E1Y)is ES JR (,(S /
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: $ e/ r _
/
Appl1.nt Signat -e /
� t
CONSENT TO INSPECTION
/-kleR m i4Aliki PR6m,s j 5 7S T, 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
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 194L , Block Oa, , Lot ®1/-O .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
X lole ®ECKK
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:
(I'gnatur�
/yiliqg/L N / . 6-IL-Roy
(Print Name)
(Signature)
(Print Name)
_.....- -- A — 4
N TOWN OF SOUTHOLD PROPERTY RECORD CARD
6 , . - / - a
m OWNER STREET/000 VILLAGE DIST. 54I6r" LOT .
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SEAS: - VL. FARM COMM. C . MISC. Mkt. Value
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SURVEY FOR .
EDWARD HERRMANN . _
AT MATT'ITUCK DATE• SEPT. 7, 1984
TOWN..OFSOUTHOLD . - ' SCALE: I." = 30' .
SUFFOLK COUNTY, NEW YORK - ' NO. - 84.- 895 - '
*UNAUTHORIZED. ALTERATION OR ADDITION TO THIS -
SURVEY ISA VIOLATION OF SECTION 7202 OF THE . ` ' " '
' NEW YORK STATE EDUCATION LAW '"`'-o '
*COPIES OF THIS SURVEY NOJ BEARING THE LAND �"(ti OF '�6.;;;`tp
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL S
NOT BC CONSIDERED-To 0E A VALID TRUE COPY 7„...;,------„,„_
,�.D I, �,.,
L - - *GUARANTEES INDICATED HEREON'SHALL RUN ONLY TO- ',r' ,I_ .1:, -
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 9
AND ON HIS BEHALF TO'THE TITLE•COMPANY,GOVERN- �p ti' "' ,%'
# NEAREST WATER MAIN ML± #SOURCE OF WATER. PRIVATE_._PUBLIC_ ' - MENTAL AGENCY,AND LENDING'INSTITUTION LISTED , ',':• M, ','1,,x C:
#SUFF CO. TAX MAP DIST 1000 SECTION 144 BLACK 02 LOT 40 HEREON,AND TO THE ASSIGNEES OF THE LENDING *''°� :-t '
INSTITUTION.`GUARANTEES-ARE NOT TRANSFERABLE I-},',�4n J
OTHERS ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY --"-,-N-,",,......,----° :e '
OWNERITIONAL`INSTITUTIQNS•OR„SUBSEQUENT
OTHER THAN THOSE SHOWN HEREON. - - • .; .','r - 'f ' - �
OWNERS �j
X THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS'RES I DENCE ` ;•
If DISTANCES' SHOWN HEREON FROH•PROPER TY-LINES iy /
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT ,TO EXISTING STRUCTURES ARE FOR A SPECIFIC ,`ter �., ' ,., % -
OF HEALTH SERVICES. jn�i ,�. `J r <`r
APPLICANT+ PURPOSE AND ARE NOT' BE USED TO ESTABLISH r • d
PROPERTY LINES OR FOR THE ERECTION OF FENCES a„ 1c1 yl•4s
ADDRESS . , , - r
TEL
,' • YOUNG - a YOUNG RHEAD, NEW YORK.,TRANDER AVENUE-
-
NOTE •=MONUMENT 0=PIPE
- i .' ALDEN W.YOUNG,PROFESSIONAL ENGINEER , . .. .
AND LAND SURVEYOR N.Y.S.•UCENSE N .12845 ; -•
, `
• HOWARD W.YOUNG,, LAND SURVEYOR • - '
*THE LOCATION OF WELL(W),SEPTIC TANK(sT)B CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893.
ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS ' - - - - - '
BRANDIS & SONS INC. 1046 - • , - '
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
NmiL___ (type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- .
SOURCE OF REQUEST: DATE: .
DWELLING
\ \ — \
TYPE OF CONSTRUCTION: /<-44476- '# STORIES: #EXITS: 1/
FOUNDATION: (-.%'---114"<r— ASEMENT: - __ CRAWL SPACE �Y
# OF BEDROOMS: 1ST FL'N'iN 3 2ND FLR: 3RD FLR: .�—
BATHROOM(S):�' TOILET ROOM(S): UTILITY ROOM:
P 40y
PORCHLTYPE: DECK, TYPE: ATIO;TYPE:
BREEZEWAY: FIREPLACE Ok)2-__ - GARAGE: .
DOMESTIC HOTWATER' i-4 TYPE HEATED ( AIRCONDITIONING:
TYPE HEAT: vim, WARM AIR: 'j HOTWATER: ri
# OF KITCHENS: -
FINISHED BASEMENT: YES NOS P
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: / STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENT=ION & BUILDING CODE
-LOCATION DESCRIPTION ART. SEC.
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REMARKS:
1 �
INSPECTED BY: 7
DATE OF INSPECTION: tr.��.�j
TIME START: 7_ .
..-6 0. END: