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HomeMy WebLinkAboutZ-39118 sU fat/( Town of Southold 8/10/2017 o�o� cGy 53095 Main Rd co Southold,New York 11971 4,1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39118 Date: 8/10/2017 THIS CERTIFIES that the structure(s)located at: 145 Horton Ln, Southold SCTM#: 473889 Sec/Block/Lot: 63.=5-15 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- 39118 dated 8/10/2017 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 side screened porch,rear enclosed entry and accessory wood frame garage_* Note: BP 41844 "as built"repairs COZ-39305 The certificate is issued to Terry, Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. 0 (yr ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 145 Horton Ln, Southold SUFF.CO.TAX MAP NO.: 63.-5-15 SUBDIVISION: NAME OF OWNER(S): Terry,Elizabeth OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Terry,Elizabeth DATE: 8/10/2017 DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: screened masonry DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/6/2017 TIME START: 1:50pm END: 2:15pm 1 ! 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: n 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(prio'r 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. Temporay Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. �� New Construction: Old or Pre-existing Building: t (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: s 6 /z f0�T'# Z t 7-C-� -� Suffolk County Tax Map No 1000,Section , a© Block aha 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) ® o-.0< C�,2 Ilse y E� ✓l l/ I f� r 1` -A( f r JUN _ 2 2017 /2eCC 90c),j '� Applicant Signature BUMDING DEM TOWN OF SOUTHOLD CONSENT TO INSPECTION S / aF �L<ZeEt %ese 2k ,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 6 yV 5 HbR Y-b q L N which is shown and designated on the Suffolk County Tax Map as District 1000, Section 6360 ,Block ,3100 ,Lot 15011c' That the undersigned(has)(have)filed,or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: A7"'f I-L c-A V div )f°A G ER7"�rr c r Q a � .'1?-A f C-y CW PP e^Ea cs��Al�- f3-K,,z,-A 6 , 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: 419)f L 2.c19 17 (Signature) Ric 12 , 7-c=-24 Y (Print Name) (Signature) (Print Name) Certificate# 140907 Surrogate's Court of the State of New York Suffolk County File#: 2017-528 Certificate of Appointment of-Executor IT IS HEREBY CERTIFIED that Letters for the Estate of the Decedent named below have been granted by this Court, and such Letters are unrevoked, are valid and are in full force as of this date. Name of Decedent: Elizabeth L Terry aka Elizabeth Lydia Terry Date of Death: September 27, 2016 Domicile: Virginia Fiduciary Appointed: Richard R Terry Letters Issued: ANCILLARY LETTERS TESTAMENTARY = - Letters Issued On: March 15, 2017 Limitations: NONE THESE LETTERS, granted.pursuant to a decree entered by the court, authorize and empower the above-named fiduciary or fiduciaries to perform all acts requisite to the proper administration and disposition -of the estate/trust of the Decedent in accordance with the decree and the laws of New York State, subject to the limitations and restrictions, if any, as set forth above. ->and such Letters are unrevoked and in full force as of this date. .Dated: March 15,2017 IN TESTIMONY WHEREOF,the seal of the Suffolk - _ -=-=Riireihead,;New York . County Surrogate's Court has been affixed. WITNESS, Honorable John M Czygier Jr,Judge of the Vr, - x _.' - r Suffolk County Surrogate's Court. - - "`_'�"--Fri` t_-:>."'��'y�.�}• ��` '•_- Michael Cipollino Chief Clerk Suffolk County Surrogate's Court %Ttiig-C6-tifcate i Not Valid Without the Raised Seal of the Suffolk County Surrogate's Court t SURVEY OF PROPERTY - -IN SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-63-05-15 SCALE: 1'-20' OOpf , ,O MAY 16, 2017 STN °R O 1p `p �P s �. �TIA 3 7 F�J A Q `b s A F&PSE 0 11 00 h 7x ojVP S� 251 god M =MONUMENT N.Y.S. LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. PECONIC SURVEYORS, P.C. EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CER7IRCATIONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA=6442 SD. FT. 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON [17-038 SOUTHOLD, N.Y. 11971 r - '� 1 '�,_ -w -_ - ±^"� �y.�, ��, 7�• iF, - �: .�! '1 M - _. � '.�:ti r A, k .rid' •� y r n z ,.�,. '�' -��-,'y _. �- F ,. y i iti .^kms r i.� � l4 1 } i iL ,-- .e,,.,_.,.— ,�'" N ' TOWN OF SOUTHOLD PROPERTY RECORD CARD wo OWNER — - STREET VILLAGE DIST.` SUB. LOT CLa + vr?ods -�' •��if� '�1 FORMER OWNER N S Q�• E/ � •� /ACR. S. ` TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LO 0 LAND 1Mp. TOTAL DATE REMARKS -7 ` U, LO G ,�fo b D v� d` �r.�,�� a,P.,% .c A a � q2 700 3 / d a — — 0 � �- 0 Ln LO -- mAGEBUILDING CONDITION Lo LO NEW NORMAL BELOW ABOVE m iO FARM Acre Value Per . Value Acre m Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD S'U 7— 3 5-5� m Meadowland DEPTH m House Plot BULKHEAD m Total DOCK R' ROME i!1!■!■■!■■R■!�!!i■■!NoENE1 Y _ NONE EMN � 0E MAN NEI t���■d■■■ ■■■■■■■■R E■■i■■■■ !■■■■■S■■ ■!■■!■i■l.rjV■■■■iaiBoom 1111111MMEMAME ■!■■�!■!■■■ ■!■■!■■■t��1�E!!!■ ■■■■■■■■iZONE ONME !!! iii■«�■��IME■i■IM■�iMEN!E■!■ !!�■■!!�■■■■■®S!!!■■■�� OMEN OMEN � . .. . lam■ r :osements •' n4erir En s ■• Ext. Wallsish lFire Place ' / 1 ■ ■ ■ • r i coutm,��'' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) 4, REMARKS: ff vw d� pd �V4- V�mk- I i DATE bhol2jg INSPECTOR LOCATION: �'�� C� D�' _ _ 1� y �DL44_&wLly (number & street) (municipality) SUBDIVISION: MAP wO.: __ LOT(S): .. NAME OF OWNER(S)': aLf z&6 zzffi �-- T• -� OCCUPANCY: tn41t_ Eft'%AAW JWtUtda (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000-&;__J ,-7.j; IS— SOURCE OF REQUEST: 7 kfY DATE: _4DeT, i DWELLING TYPE OF NSTRU'CTION``: Worv*Me...- • # STORIES: !� # EXITS: . ` �'OUNDATION� !/yy IWE MENT: \�� CRAWL SPACE: -# OF BEDROO S: IST FLR: (' 2ND FLR: _ 3RD PLR: . BATHROOM(S): WILET 0,00M(S): UTILITY ROOM: . . , Cncr�.e�kCov 5AK) TYPE: .. . _ PORC TYPE• ' ' PATIO;TYPE: _. D BREE EW�AY hr FIREPLACE OUO GARAGE: DOMESTIC HOTWATER:;] TYPE H ATER: AIRCONDITIONING: TYPE HEAT: 01 Lo WARM AIR: k HOTWATER: # OF KITCHENS: - C \ . 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 DESCRIPTION ART. SEC. to 5n+ e- C9 vtr � S 16 3 4 l^ r f REMARKS: INSPECTED BY': - DATE OF INSPECTION: .�tM� TI1v1E START: :SD fo) END: �•