HomeMy WebLinkAboutZ-23014FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 23014
Date: 05/24/94
T~IS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 700 TERRY LANE SOUTHOLD
(HOUSE NO.) (STREET) (~AMLET)
County Tax ~ap No. 473889 Section 065 Block 0001 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
~C~PANC"f~f~MBER Z- 23014 dated mY 24, 1994
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 ACCESSORY GAR3~GE.*
The certificate is issued to ESTER MULLEN
of the aforesaid building.
( OWNER )
Rt-r~IC3%L CERTIFICATE NO.
PLD~BERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
hor~zed Signature
Rev. 1/81
LOCATION:
SUBDIVISION
NAHE OF oNNER (s)
BUILDING DEPARTHENT
ToNN OF SOUTflOLD
HOUSING CODE INSPECTION REPORT
700 TERRY LANE SOUTROLD, NEW YORK
(number & street)
HAP NO.
EST~ERMULLRN, DECEASED
(municipality)
LOT(s)
OCCUPANCY A-i EWA. O~NER
(type) (o~ner-tenant)
ADMITTED BY: BOB SCALIA ACCOHPANIED BY: SAME
KEY AVAILABLE HUFF.CO. 'fAX MAP NO. louu-65-0i-i2
SOURCE OF REQUEST: WILLIAH H. PRICE, JR., ATTY DATE: NAY 5, 1994
DNELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOHS:
BATHROOM (s)
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER
TYPE HEAT OIL
OTHER:
YES
IST FLR.
TWO FULL
WOOD FRAME # STORIES
CELLAR PARTIAL CRAWL SPACE
3 2ND FLR. 2 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK, TYPE PATIO
FIREPLACE ONE GARAGE
'rYFE HEATER LILCO GAS 'AIRCONDITIONING
WARH AIR HOTWATER XX
2 ~ EXITS 2
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
WOOD FRAME STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
ATTACUED TO GAl{ACE
V~0,LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #6945-C0 Z-$783 -ADDITION
INSPECTED BY
DATE OF INSPECTION NAY 9, 1994
TIME START 9:25 AM END 9:55 AM
Form No. 6
TOWN OF SOUTHOLD !~11!II~-~ B ~ , ~ i~..'%!I
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY~~ ~ TOW~-- -$OUTHOLD
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'3pre-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.
Co
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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building..~ ..............
Location of Property..TP~..T~Y.~.~9~!. New York '
House No. Street Hamlet
Onwer or Owners of Property.. Richard F. Mullen
County Tax Map No 1000, Section..P~:9? ..... Block. 01.00 .Lot.. 012.000
Subdivision Joqatb~n T Overton
........... - ....................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
XX
Request for: Temporary Certificate ........... Final Certicate ...........
oo
Fee Submitted: $ .... : .......................
CONSENT
TO
INSPECTION
BLDG. DEPT.
TOWN OF SOUTHOLD
WILLIAM H. PRICE~ JR. ~ ES~.,
Owner(s) Name(s)
do(es) hereby state:
attorney for owr~the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 700 Terry Lane,
Southold , which is shown and designated on the Suffolk
County tax map as District 1000, Section 065 , Block 01 , Lot 012
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: __
pre-existing two story frame-house with d~tached frame
garage
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, iucluding
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 as evidence in subsequent prosecutions for rio,
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: May 5, 1994
(print name)
(signature)
(print name)
$.f x
NOTES:
I. · = MONUMENT FOUND
2. LOT NUMBERS SHOWN HEREON REFER TO "MAP OF SUBDIVISION
PROPERTY OF JONATHAN T. OVERTON "FILED IN THE OFFICE OF
THE CLERK OF SUFFOLK COUNTY ON JAN. 4,1932 AS FILE NO. 1055.
Young dc Young, Land Surveyors
400 Oaf~'a'r~l,e'r Aven,'o,e. Ri'oerh, ead, New Y~k 11901
516 - 72 7 -2303
Alden ~r. Young, P'ro, fese'i, onat E~,ginem' & .Lo,~ $~veyo'r
Ho~ua~t~ Fl'. Young, L~n~ St~t'veilo'r
Tl'~rno, a C. If'or, er't, Professional .~ngi'n, ee'r
Ke~,efh, F. Abr'~zzo, £o~,d $t~UetlO'r
SURVEY FOR:
MARY MANNING
At: SOUTHOLD Town of: SOUTHOLD
Suffolk County, New York
Surf. Co. Tox Map: ~ iooo ~ 65 .~ .. i i 12
District Sectle~ Block Lot
CERTIFIED TO:
MARY MANNING
CHICAGO TITLE INSURANCE COMPANY
DATE :MAY 3,1994
SCALE :1"=
JOB NO. :94-0198
SHEET NO.:I OF 1