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Home My WebLink AboutZ-19373 e - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE CERTIFICATE OF OCCUPANCY No. Z19373 Date SEPT. 19, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 6390 NEW SUFFOLK ROAD NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 04 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a private one family dwelling built prior to APRIL 9, 1957 pursuant to which Certificate of Occupancy Z19373 dated SEPT. 19, 1990 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 AND ACCESSORY 2 CAR GARAGE. '�** The certificate is issued to DOROTHY E. LAKE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *** SEE INSPECTION REPORT ff Building Inspector Rev. 1/81 BUILDI. G DEPARTDIE;iT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 6 3 9 0 NEW SUFFOLK RD. NEW SUFFOLK �numoer & street Municipality) Subdivision clap No. Lot(s) Name of Owner(s) DOROTHY. E. LAKE Occupancy A-1 OWNER type owner-tenant) Admitted by: DOROTHY E.' LAKE Accompanied by: SAME Key available Suffolk Co. Tax No. 117-4-35 Source Of request DOROTHY E. LAKE Date SEPT. 12, 1990 DWELLING: Type of construction WOOD FRAME #stories . 2 Foundation CEMENT Cellar PARTIAL Crawl space PARTIAL Total rooms, 1st. Fl 4 2nd. Fl 4 3rd. Fl Bathrooms) 2 FULL BATHS Toilet room(s) ONE Porch, type FRONT ENCLOSED Deck, type -- Patio, type_-- Breezeway !/ Garage Utility room Type Heat LILCO GAS Warm Air Hotwater xx Fireplace(s) NONE No. Exits 3 Airconditioning_ Domestic hotwater LILCO GAS Type heater Other REAR ENTRY WAY ACCESSORY STRUCTURES: Garage, type const. 2 CAR CEMENT Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention & Building code Location Description JArt. j Sec. I Remarks: Inspected by: - 1 Date of Insp. 9/14/90 GARY J. sH Time start 10: 15 end 10:45 Form No. 6 D l� TOWN OF SOUTHOLD SEP + 21 41 BUILDING DEPARTMENT TOWN HALL BLDO. DFPT. 765-1802 TOWN OF SOUTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY •+ •t• This application must be filled in b typewriter inspector with the followin Ybuild OR ink and submitted to the building 1. Final survey of g= for new building or new use: Y 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 12 lead. S. Commercial building, industrial building, ' bu and installations, a certificate of Code Complianceresid fromearchitectnces andsorllar engine engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings g (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all unusual natural or topographic features property lines, streets, building and 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Additions to accessory building Swimming pool $25.00, Accessory building $25.00 2. Certificate of Occu anc on Pre-existing Building; $50.00. _ g - $100.00 3. Copy of Certificate of Occupancy y 4• Updated Certificate of Occupancy $5.00 over 5 years - $10.00 S• TemporaryOccupancy - $50.00 Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 1. /GJ .l. New Construct'on. . - • • . • . •"• •:=•�. ..... . Q Old r P e existing uil Location of Prop�rty. -•. . � g• • • • • House No. • ' i`•'•�`:.l•'��`�l. • . - - reet Hamlet• - Onwcr r. • or Owners o£ Property.. -. County Tax Map No 1000, Section. . �j . . . . .. . . . . ... . . . ........ . .. . .. 1.l. .... .Block. . . ! . . . .Lot. . .S-�.�:/. . . . Subdivision.. • • " ••--•. .. ... . ..... ... ... ... . . ... .Filed Map. . . . . . . . . . . .Lot. '. .. Permit No..Dept. . .. •• ..Date Of • • •••• •• •- .._ .- - Permit. . .... •••• •• • • - .Applicant. . . . Ffealth t_ . . . . . .. . . . . . . ........ . .Approval. . . .. •• .Underwriters .A roval. . P AP Planning Board PP . Proval. . ... . tequcst for; • , Temporary Certificate. . �^, /�� ••• • •• ... Final Certicate. lee Submitted: $.....edd C� Y^ .... ... .. . ........O............... .. (� ��s�� . 2 I CONSENT TO INSPECTION (n-;� Aj—c� the undersigned, Own r(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 which is shown and designated on the Suffolk- County tax map as Distri t 1000, Section / � Block Lot QX . That the undersigned (has) (have)_ filed, 'or 'caused to be filed, an applica- j tion in the Southold Town Building Inspector's Office for the following: 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: (signat e) (print name) (signature) (print name) T0;J-L,j OF 5OUT OLD, N. Y. �3 OU Ii_0 CODS I iS:ECTION REFO. RT Location - CU Subdivision PU �i'iu:-iyclpa , Map No . Lot( ) s Name of Owner(s) Occupancy - / typo �� o:�ner-ze:zar. r►d •d .�zd by• � . -Acs.cimp�nied by : Key available Suffolk Co. T ax No. Source of request �� ' • '� Date �.Z 990 DV L LING: Type of construction Foundation "stories _a'- " Total rooms, 1st. Fl Cellar Crawl space 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type Deck, type —Breezeway Patio, type Garage Utility room Type Heat ,�larm Air Fireplaces Hotwater )�1�,v E No. F:{i's Domestic ho iz�ater cX Aircondi Lioning Type heater Other ACCESSORY STRUCTL: FS: Garage, type const Stora� Z- S be, type const. �•liTuili ng pool L Other Guest, type const. VIOLATIO1jS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Descr-ration � Art Sec. I I I a. I I I I I I I I I , Remarks Inspected by: ` C Daie of Insp. Time start D:/J' end f r "TOWN OF SOUTHOLD PROPERTY RECORD CARD /v 'j r, /. OWNER STREET VILLAGE DISTRICT SUB. LOT r J j A '" e' ;,C' �a �✓e y/ .5�/ ��^ a! F l\_.D A/e iil/� �ryv v , FORMER OWNER N E �( � ',/ ACREAGE S ..,.- W TYPE OF BUILDING t"1 ` / _RES., (J SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND /1 IMP. TOTAL DATE REMARKS .`�: j AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD l' Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brush and-- House Plot Tota F I ' .'i" ��_..�a •y L7 �_. � I I I I 1 r,l � I � I I j i `•' ,�f�,�,r �`'+ 1 � .fl} I I 1 I I I i L� I I j art ti .x r I j l I i i j c< �:rz zi I i M. Bldg. . �; �-G � Foundation G-E-NV44. "Bath r Extension > Basement � �Floors t - Extension — ?� � ✓ Ext. Walls Interior Finish Extension j Fire Place I Heat q 9, . v�f 7�v✓ j �( G, Porch ,Q Roof Type -- LL°: J I f E y� j/ ;"�3 .(•'. Porch i Rooms 1st Floor Br'ireeway 't f Q Patio Rooms 2nd Floor Garage C. (,- X � �, �� q tv �ivewoy Dormer 0. B. i