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Home My WebLink AboutZ-29527 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29527 Date: 06/17/03 THIS CERTIFIES that the building DWELLING Location of Property 255 NAVY ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 026 Block 0001 Lot 011.001 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 OCCUPANCY NUMBER Z- 29527 dated DUNE 17, 2003 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 * The certificate is issued to CHARISSA M ROBERTS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION RT. Authoriz Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 255 NAVY ST ORIENT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : CHARISSA M ROBERTS OCCUPANCY: SINGLE FAMILY CHARISSA M ROBERTS ADMITTED BY: SUSAN MADIGAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 26.-1-11.1 SOURCE OF REQUEST: OLSEN & OLSEN, LLP 6/6/03 DATE: 06/17/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: STONE & BRICK CELLAR. PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: 2 2ND FLR.: 1 3RD FLR.: 0 BATHROOM(S) : 2.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S): PORCH TYPE: FRONT DECK TYPE: PATIO TYPE: SLATE COVERED BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: NAT.GAS WARM AIR: X HOTWATER: OTHER: ATTACHED OLD WOODEN SHED (NO UTILITIES INSIDE) ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE,. TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 06/16 03 /JLm M. BOFIS TIME START: 9:30 AM END: 10:00 AM Form No.6 TOWN OF SOUTHOLD f BUILDING DEPARTMENT S I i .JUN — 6 2003 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: 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$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. Temporar}vCerti-ficate of Occupancy-Residential $15.00, Commercial$15.00 Date. June 3, 2003 New Construction: Old or Pre-existing Building: X (check one) Location of Property: - House No. Street Hamlet Charissa M. Roberts Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 26 Block 01 Lot 11.1 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: $ 100.00 OLSEN & OLSEN LLP 32495 MAIN ROAD PO 90X 706 ( � 3 CUTCHOGUE,NY 1193 Applicant Signature 10 �fte co 15 a� o2, "w N/F STEWA RT N/F GESELL S 72 -1 0) c 22 CM 89'56'20„w `o 50.24, S 3'03"W 67.63 TCIAFD FD PIPE IN CONC. WOOD FENCE N/0 PROP. LINE Z O 0 � 4. 0 ,� 18.0' I D 0O ! m FREE fSTANDIfJ` %CEL R I m ZW CHIMNEY A o EN . I m 0 ,i 0 13.0 ` ~_ vY RIOOF J co o OVER CEL v ENT.LAR uj 9.2' 14.5 W U W CELLAR 24. 2-STORY m N/F NEUMANN L ENT. RES. Iv 3 C4 _I Q WOOD 16.0' 10.2'STOOP W a (ROOF WOOD ti OVER) IVY STOOP IVY z FD FD FD PIPE FD IN CONC. IN CONC CM N 75°52'23"E 135.50' �T �T TIE=79.3' . NAVY Y Y STREET SURVEY OF DESCRIBED PROPERTY SITUATE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: SONIA GESELL GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, SURVEYED: 2 JUNE 2003 LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO SCALE 1"= 30' ADDITIONAL INSTITU77ONS OR SUBSEQUENT OWNERS. AREA = 21,711.00 S.F. UNAUTHORIZED ALTERATION OR ADDITION TO THIS OR SURVEY IS A VIOLATION OF SEC77ON 7209 OF 0.498 ACRES THE NEW YORK STATE EDUCA77ON LAW. COPIES OF 774IS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. SURVEYED BY STANLEY J. ISAKSEN, JR' P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 TM# 1000-026-01-011.1 . 631 -7 4-5835 GUARANTEED TO: soNIA GESELL ENSED LA. D SU YOR COMMONWEALTH LAND TITLE INS. CO. NYS Lic. No. 4927 03R1237 CONSENT TO INSPECTION Charissa M. Roberts by Gary,Flanne►r Olsen the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 255 Navy St. , Orient which is shown and designated on the Suffolk. County tax map as District 1000, Section 26 Block 01 Lot 11.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-the Southold Town L'uilaing inspe(;WA. o.rrlo* ror +hn fnllowina: -Two story frame residence 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: June 3. 2003 (signature) Gary Flanner Olsen (print name) (signature) (print name)