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Home My WebLink AboutZ-31823 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- 31823 Date: 09/19/06 THIS CERTIFIES that the building DWELLING Location of Property 145 KING ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 026 Block 0001 Lot 023 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- 31823 dated SEPTEMBER 19, 2006 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 1 CAR GARAGE* The certificate is issued to DONALD B ROSE (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 REPORT. uth ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 145 KING ST ORIENT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : DONALD B ROSE OCCUPANCY: SINGLE FAMILY DWELLING DONALD B ROSE ADMITTED BY: DONALD ROSE ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 26.-1-23 SOURCE OF REQUEST: DONALD ROSE 8/30/06 DATE: 09119106 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: LOCUST POSTS CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 0.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT & REAR SCREEN DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: KEYSPAN GAS AIRCONDITIONING: TYPE BEAT: NONE WARM AIR: HOTWATER: OTHER: SMALL KEYSPAN GAS HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: ATTACHED TO GARAGE SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 09111106 GARY J F SH TIME START: 9:15 AM END: 9:50 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 3.0 _J TOWN HALL 765-1802 T�;,y; ' Jv.�.__T��o�D__�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: l. 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 a 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. U2i. Certificate of Occupancy on Pre-existine 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. 9—.2 F-06 New Construction: Old or Pre-existing Building: V (check one) Location of Property: ('(S ��n�, 7K C. House No. Street Hamlet Owner or Owners of Property: ' D)on 1-LI,) B X b S`_ Suffolk County Tax Map No 1000, Section a L Block Lot j 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: $ -t Applicant Signature Q,nD CONSENT TO INSPECTION �L W6S`� , 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 15V55 /2 1 GL� 01`?1may Z' I f Y A 7 which is shown and designated oA the Suffolk County Tax Map as District 1000, Section ,Block ] , Lot _. That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for.the following: , -�n (,9 6-�aj! GL OCC LZ n4 /1 CU 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. r Dated: (Signature) (Print Name) (Signature) (Print Name) `-F ..+;r�yy,ry��b. ,3kk,) •._-R j., '�. _ t _:.< 's^''i r.',. °:� ..: "a 4.x,x ,a4z�; r L s'`` �rd^0 s ;.::1 s - �.,. al a�i .. •,,f... '� e i :•fi k { .5� A 'r. ,„ .!e*i _'%y �r a '�. '1i« �4» ✓=!rr` a, '_�,: y2 r y,.,"^. ":. hen Ma. nly WAN Ar u Y,.:' � .Y.; r � a..._.:,:s M �„;�. .� .t .i 3 r� ,+�,_ri m"�.d r ak'^c ,G �`�?`.t y � E✓''' _ r . i-- ,�y,,� /� AGO �f•.;.7'_"' i.✓f"'.� �i nX s r - ". , PIT 44 y+y .: 5 : r y l y yy(( ..,. A _ _—2.3 TOWN OF SOUTHOLD PROPERTY RECORD CARD WN4 ccER STREET I VILLAGE DIST. SUB. LOT Ren / J A2njW E ( [ ( } /aACR. �nJ 1 l /CC cc L r h �f'" �1 o�e 4�. S W TYPE OF BUILDING �� t o �-� a s r Y e e_`I C v RES. SEAS. VL. RM COMM. CB. MISC. Mkt. Value .LAND IMP. TOTAL DATE RE RKS J 6 �5r '8 �2</U 0 6 o O /9 d G' 4 r � O 'il p 0 % !(fir ( .. "' <.1oW4ssZc b Q AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 JVoodland Swampland FRONTAGE ON WATER 3rush-land FRONTAGE ON ROAD / .ram 1 -louse Plot DEPTH " BULKHEAD --T- otalri c r a DOCK o _ • •, ■■■■■■ ■■■■■■■■■■■■■■■■■■■ ;4-K ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ,yd ■■■■■ ONE■■■■■■■■■■■■■■■■ ` ■■■■N■■■Ea■■■■■■■■■■■■■■■■■■ ■■■■ I&A M 0 MEMO■■■■■■■■■■ .* . •., ■■■Ill EMEMMEMMEN 4j �':' .4 4 ;� a ■■■■�r ■ MEMO i�■■■■■■■■■■■■■■ : OMEN ■E■■E■EMMEM■ME■■M■■E■■ M■M■■■tENMENWE "�®®i■ 'M■EOM■■ME■MEE■M ONEEMEMEM ■E■■■M■MGM■EM■E■ME■E■■MM■■■ MOM■■MM■ONE MEMME■M■■■M■■ement M■■ Foundation Bath • .. r 1 .I r •• Interfor Finish Fire Place Rooms 1 st Floor Recreation Room 12oorus 2-Ed } • : 3 N O N ad I f : . COLOR r TRIM ... d I M. Bldg. Foundation Extension e) y �? y, B Bement Extension a - 3 v ;Z. Ext. Walls Extension Fire Place Type Roof Porch ✓ Recreation Room Porch , : ,+, ormer Breezeway Driveway Garage Patio 0. B. Total LOCATION: (number street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: z (type) (owner-tenant) ADMITTED BY: 4yna" /pz ACCOMPANIED,BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION• in7ct /��A'f'1�, # STORIES: #EXITS: 3 FOUNDATION: �O�Si Si S CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: (0 2ND FLR: 3RD FLR: BATHROOM(S): 074,Y, TOILET ROOM(S): UTILITY ROOM: PORCH TYPE- ,cr„) DECK, TYPE: -- PATIO,TYPE: j BREEZEWAY FIREPLACE: jv� GARAGE: DOMESTIC HOTWATER: TYPE HEATER: � AIRCONDITIONING: TYPE HEAT: WARM AIR: HOTWATER: OTHER: flt ACCESSORY STIWCTURES: GARAGE, TYPE OF CONST.: f C,4,L STORAGE,TYPE CONST.: _ Acex��jb �yF SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION—' ART. SEC. REMARKS: f INSPECTED BY: DATE OF INSPECTION: 91,1104 TIME START: %�✓� END: