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Home My WebLink AboutZ-22707 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-22707 Date NOVEMBER 4, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING` Location of Property 360 PRIVATE ROAD #1 ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 1 Lot 12 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 .00CUPANCY NUMBER Z-22707 dated NOVEMBER 4, 1993 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 SEASONAL DWELLING WITH GARAGE UNDER HOUSE The certificate is issued to GRACE BEVERLY LOMAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Builiding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 360 Private Road `#1 Orient, Nevi York number 6 street municipality SUBDIVISION_ 'MAP NO. LOT (s) NAME OF OWNER (s) GRACE BEVERLY LOMAS OCCUPANCY A-1 OWNER (type) owner-tenant) ADMITTED BY: . GRACE LOMAS ACCOMPANIED BY: SAME t ICY AVAILABLE SUFF. CO. TAX MAP NO. 1000-17-1-12 SOULZZ OF REQUEST: ESSEKS, HEFTER• & ANGEL, ATTY DATE: NOV. 1; 1993 DWELLING: TYPE OF CONSTRUCTION W0OD;;FRAME•_(STUCC0'XXTERIOR)# STORIES 2 # EXITS 4 FOUNDATION CONCRETE CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. 5 2ND FLR. 2. . 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) 112 UTILITY ROOM 2 Sc reen coVered front pore DECK, TYPE PATIO, TYPE . oor BREEZEWAY ^ ^ ��im FIREPLACE .3 GARAGE 1 Car under house DOMESTIC HOTWATER Yes TYPE HEATER Propane AIRCONDITIONING TYPE HEAT NONE WARM AIR HOTWATER OTHER: LaundFy room tirst rloor 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 November 3., 1993 GFish TIME START 3:30 END 4:00 JUL 08 '92- 11 t A9 TOWN OF SOUTHOL Form No, 6 TOWN OF SOUTHO'LD BUILDING DEPARTMENT i TOWN HALL. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP,�.tiCY 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: I. Final survey of property with accurate locZ4cion of all buildings, proper:_y lines, streets, and unusual natural or topographic features. 2. Final :Approval from Health Dept, of water supply and sewerage-dlsposal(S--9 form) . 3. Approval of electrical inscailation 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. S. Commercial building, industrial building, multi-Ile 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. O 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 arid 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. Fees 1 , Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swicm'inn 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 - $5.00 over 5 years - $10.00 4. Upd3ted Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -- Residential. $15.00, Commercial $15.00 Date , . November . 1., .1993 _ . , . . . . . . . ew Construction. . . . . . . . . . . Old Or Pre-existing Building. . .X . , ocati.on of Property. . . . . .N9#. . . . ... . . .Priya,te , Road . . . . : . . . . . . . .OFi.eij . . . . . . . . . . . . . . . . . . . . . House No. Street Harnler_ nwer or Owners of Property. . . . .GRACE BEVERLY. . . . . . . : ; . . . . . , . . 1.� . . . . . . . .Block . . 1. . . . . , . . , . . .Lot. . . . .12. . .ounty Tax 1Iap No 1000, Section. . . . ubdivision. .THE, CEDARS. . . . . .. . . . . . . . w ` . . . . . . . . . . . .Filed Map No 4.21 . .Lot. ?'lot . R. . . . . . . . . . . . . . . ermic No. . . .N/A. . . . . . . . .Date Of Pormit. . . N/A. . . . . . . . .Applicant. . . . . . . . . . . . . ... . . . . . . . . . . . . . . -aalth Dept. Approval. . . . .N/A. . . . . . . . . . . . . . . .Underwriters Approval. . .N/:°'. . . . . . . . . . . . . . . . . . . N/Are: lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . quest for: Temporary Certificate. . . . . . . . . . . Final Cercleace X . . . . . . . . . ee Submitted: 4: 00i. . . . . . .. . . . . . . . . . . 161qLAP . .ICANT C- . ,BEVERLY LOMAS Co �d 0 JUL 08 '92 11-50 TOWN OF SOUTHOLD �= I � CUINSr:-IT TO IINrjPcC'r10IN GRACE BEVERLY LOMAS Uwnor,(S) Namot:.) do(es) hereby state: That the undersigned (is) (:tire) the o1Nt1cr(--) of the premise:, in the To•.•,-n of Southold located at No# Private Road , Orient , New York 11957 which i- :;ho\,.n and dcSif-n::tCd on 'hc S_f 0L County tax reap as District 1000, Section 17 Block 1 Lot 12 That the undersigned (has) (have-) fiic:d, or caused to be filed, 4n applica- tion in the $authcld Town i�uildir.q Insncctor's Office for the; follovrir : CERTIFICATE OF PRE=EXISTING USE That the undersigned do(es) hereby Jgive consent to the Buildi-rig Inspectors of the Town of.Southold to enter, upon "he above dc_,crihed property, includincr am and all buildings located thereon, to conduct such insoc:ctions as :hey :-nay deem necessary %vith respect to the -for csaid application, incic:iine; insp,2c:io::s to determine that said premises comply .-:ith all of the laws-, ordinances. rules and regvla'tions of the Town cf Southold. The undersigned, in conscntin; to such inspections, do(es) so t'.Zth the l:no:•:lcd c and understanding, that any infor—mation obtained in the conduct of ,such' inspections !may be used as evidence in fubscquent prosecutions for vio- lations of the laws, ordinances, rules or r,egul-ations of the Town of Southold. Dated-.. NOVEMBER 1 , 19'.93 11� ur i GRACE BEVERLY LOMAS (priiit natne ) (Sign.1tUf'�:) � I I � r . i (print 11ame) i i i c O C011f!f• II , T3 o.:._ tK —I � any.. , f o ,ricca. 'I o t:Bty �'•I v T.4 l tA :IzAC .-ILori1AS « ,. add rrfdA Y x N ' I su 0ik. corety T—Ox �?cr_rG�e1: - ; N �44 •� 1 v7 k,pF NEW r , rk , MLS SFG NANO 9v ~ r Unauthorized alteration oraddttlon ' to this survey is a violation of • ' ;15eotion 7208 of the New York : ✓e ,ed e;Ey.a?. Judy •Z, 1. 9 93 SM a Education Law. Copies of this s the taro surveyor`�intred sew or emboaeed seat alma not be oonsiderW to be a vM Ma copy. r Only to go,arsonfor wINx. the survey p c eHL—oo -4&.,Ff ;. . rs r'v.. y is Pad WW=hl3 WO to dts t o >parry povsrrutrental aparrcy ad - - ,N G r' @ t� A i': , Y - brotitution nstea hereon t to the asst rim of the kwo. tudon:Guarantees are not franafembb to additional irutitutiotm of uftw1mg wnef& p't_43_R '77 eoj- ..ti. * t-a e_ •�a,. .. - � .,'a :}...J._ \ '_ ... - ..r• _ •-•.<. 'T! a.,. .r.. r� ..-_ - .f�.�,-�.. ._. -<J. a.� .r.-. •-..� Ah-u'�.,;A1r-. }�- .- 8... . r�... --,} -,. :'a ` ., -1'.-.<L:�, .Y.y; pgy a....er Y-'.T�'r�•,ei7a''. r_av"M s..i'4'..r�.?l'r�'"M r ..�'„35- d'�`t. ?yA'yS"r z,+ tiW . r BUILDING DEPARTMENT ` �..T ' e yin TOWN OF SOUT110LD w HOUSING CODE INSPECTION REPORT LOCATION: Q ` number S street municipality SUBDIVISION 'MAP NO. LOT (s) NAME OF OWNER (s) CcJ OCCUPANCY " � F type (owner-te a t) ADMITTED BY: . rW Cr—' S ACCO`PANIED BY: ,E KEY AVAILABLE SSUFF. CO_ TAX MAP NO.��— SOU&CO OF REQUEST: _ I�j'.�/,� �^tgw DATE: DWELLING: TYPE OF CONSTRRUC_TION G✓aoD 6AArhLr TORIES EXITS FOUNDATION CELLAR �gzcT/,f(- CRAWL SPACE TOTAL ROOMS: 1ST FLR. 2ND FLR. oZ 3RD FLR. BATHROOM (s) TOILET ROOM (s) /Z UTILITY ROOM Gov olecN for.o-er . . PORCH TYPE.7 -re tcx,d Ag-W 40S7- DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE 3 GARAGE 4 DOMESTIC IIOTWATER V4.57 TYPE HEATER �i�P •✓,�` AIRCONDITIONING TYPE HEAT A) WARM AIR HOTWATER OTHER: T ACCESSORY STRUC S: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWDIMING POOL GUEST,. TYPE CONST. OTIIER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. fd. REMARKS: INSPECTED .BY: \ DATE ON INSPECTION TIME. START 3%� E ro M-rat H TJ 1 r tr 0 TOWN OF SOUTHOLD PROPERTY'':t n�� 'j��( r5 ��.' '_ -.-• `f. �.... :,�, '- : � y�'r v � wr�,t•, y �\� rt_�L"�Ji•'� r� -' ) i.t 1 1.-. i �i 7 A£ i ..,x.. r C.w r1, s _ �y J or`-'�'r 3'.,d�.�:•+r7.�:.t t .,y.Y��•r ., RECORD•v` �CARD t u � ti Dd o j7— /- ?tiOWNER STREET 3(0� VILLAGE DIST. SUB. LOT ic� � C� - FORMER OWNER E ACR. ,. ca +rkY S ,, TYPE OF BUILDING IIES.a/d SEAS. VL. FARM COMM. CB. MISC. Mkt. Value . LAND- IMP. 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