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Home My WebLink AboutZ-27228 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- 27228 Date: 02/25/02 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 1520 FOUNDERS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0004 Lot 009 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- 27228 dated FEBRUARY 25, 2002 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 ENCLOSED FRONT PORCH AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to ANITA MARRONE (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. u oritzed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: - 1520 FOUNDERS PATH SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : ANITA MARRONE OCCUPANCY: ONE FAMILY DWELLING ANITA MARRONE ADMITTED BY: KATHLEEN DOLSON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAB MAP NO.: 64.-4-9 SOURCE OF REQUEST: GARY FLANNER OLSEN DATE: 02 25/02 DWELLING: TYPE OF CONSTRUCTION: BRICK # STORIES: 1.5 # EXITS: 2 FOUNDATION: BRICK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR_: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: KEY. GAS WARM AIR: X HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: TWO CAR BRICK 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: 02 13/02 GARY J FI TIME START: 9:50 AM END: 10:15 AM BUILDING DEPARTMENT TOWN HALL rc-u... ,. 765-1802 t5_ I,- 1T i a_r"I :x APPLICATION FOR CERTIFICATE OF OCCU G - 6 1}{{ li ? A. Thi's application must be filled in by typewriter OR ink and sLbmitt,ed•--to--:the-.buildir inspector with the following: for new building or new us 1 . Final survey of .property with accurate location of all, ui 3Tr 9",''"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 buildi 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 a '-'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 a consent to inspect signed by the applicar. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .1eb?44KYA- 200.Z . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building.... . . . . . . . . . . . . . . . Location of Property. . . JS2D.Fomdars.Path..s9wUld,.NX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. ��zQ. aunders,Path;.Southold, NY. . . . . . . . . County Tax Map No 1000, Section. . . 064.00. . . . .Block. .04. . . . . . . . . . . .Lot. 009;000, , , . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certic te. . . . . . . . . . . Fee S^u�mitted: $. .100:00 QiC �Q I D APPLICANT GARY FLANKER OLSEN Main Rd, PO Box 706 Cutchogue,NY 11935 4� 3 dry -yG� 61 aDIS c y • O O„ ��0 i obi of NF A �o\m WrT'/'a�iN J�Saa iv.,o�vT. e . ® � Yfayscr,l�o:rro:lb�RI.oC1P•9 Gf+PO N� ' . • � A'1'�Ac.+YOaZsI M�6�lyY;P,ar�b ' �J �M..o vroaw..mYr�c�bw ue v� -J(/c[J/YJiI//�J ��'S 42 �P.l��O y-:•o..-s. r�.1...�b,>.,�Fbb»�� ; j.,�l t-„-ter-.�.a��.,.:4•�..e.�,.�. 5 a'1e prwy.�•f r:e.w MR✓Q�,.uaf N. •lro3��.4 b!b!:4IIa rlr,S�rGvi!'JO.Ir+Y� f CONSLN111 TO INSPECTION Anita Marrone by Gary Flanner Olsen, as Attorney Owners) Narne(s) the undersigned, does) hereby state: That the undersigned (is) (are) tile, owner(s) of the premises in the Town of Southold located at 1520 Founders Path, Southold which is shown and designated on the Suffoli; County tax map as District 1000, Section 064.00. Block 04 Lot 009.000 . That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-tho Southold Town building 111spec;W1 0r1c:.., F„r 4hn rnllnivina: One story brick house and detached garage , That the undersigned do(es) hereby give consent to the Building Inspector:; 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 1„<<y 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 tlle knowledge and understanding that any information obtained In the conduct .of such inspections may be used as evidence in subsequent p ose utions for vio- lations of the laws, ordinances, rules or regulations t le o vn of Soutilolcl. Mated: February 1, 2002 (signature) . Gary Flanner Olsen (print name) (si9natur•c) (print name)