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Home My WebLink AboutZ-29166 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- 29166 Date: 01/07/03 THIS CERTIFIES that the building DWELLING Location of Property 2555 OLD ORCHARD RD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 037 Block 0006 Lot 006.001 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- 29166 dated JANUARY 7, 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 RALPH MARTIN, JR. (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. Authorize Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2555 OLD ORCHARD RD EAST MARION SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : RALPH MARTIN, JR. OCCUPANCY: SINGLE FAMILY RALPH MARTIN, JR. ADMITTED BY: RALPH MARTIN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 37.-6-6.1 SOURCE OF REQUEST: RALPH MARTIN, JR. 02/12/01 DATE: 01 07/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE: TOTAL ROOMS. 1ST FIR.: 6 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : MUD PORCH TYPE: REAR ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: XX TYPE HEATER: OIL FIRED AIRCONDITIONING: CENTRAL TYPE HEAT: OIL WARM AIR: XX HOTWATER: OTHER: NOTE; 2ND FLOOR UNHEATED AREA. 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: BP#29025- CO -29165 (AIR COND.& NEW FURNACE) INSPECTED BY: DATE ON INSPECTION: 03/19/02 J N M. BOUFIS TIME START: 10:30 AM END: 11:15 AM G Z Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 1 765-1802 APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. 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: 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. (ZL)For existing buildings (prior to April 9, 1957) non-conforming use or buildings and V-1pre-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 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 - s �i . :2 4. Updated Certificate of Occupancy, - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . E72.� L l 1 . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . ...n . Old Or Pre-existing Building. . , . . . . . �n� Location of Property. .i7��.6.5. . . . . . . . . . . 0�D. . �1�4!��./.✓:� . . . . . . . . . . ./.As ./mil House No. ii'' Street Hamlet Onwer or Owners of Property. . .R.�(PR . "A�1/AU. ,i. � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 10003 Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot_'/'?3V8q. . .3 Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . .'. . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.l ALLP. (. %. l7U d: . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . FinafAPPL . . . . . . . . Fee Submitted: $. . . . .fs�.. . . . . . . . . . . . . . . . . . . . Ste, l� ANT 7N-1802 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 1� REMARKS: � 24 0 PATE Df INSPECTO "! CONSENT TO INSPECTION �r/6J ,�- 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 which is shown and designated on the Suffolk y/7 'q-a ,r)o •— 6 --6� County tax map as District 1000, Section Block Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: r 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, does) 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, o wn of Southold. Dated; d/ f (s gnature) �16 t pil, di a rr✓Jt (print name (signa ure) (print name) / x 14. a' . .. ..•r.qm o- •.;,!►:�.ai+:.,...}+'i:✓::.. - ,�•,a• + , i . 'A,7' 'wir.4n i•�;.. �e a:M1. ,' :/)- PA k-yr OF 4.0• ! .l.�r r b LOT 7 y ,Ali A r \ oo l ro WAi.' .,0P �.IDtiTMoDLD, N.Y. , �f NE y qti� �4,� IL MA ifCAG0 7-/? 4A#-l- • :fli f.5'v.ANG or 1rQM/1404y v to So0 TOO aAi s.d1•��rN��f dor1Nv_ • � �� A�' �. ' •:\ ,fir' "�� "f �:�. VAJV'77'F,JM [. r c erN��o�. � -Lr�.+,�r.o ' �w'�'tl�Qe vtr r�b�t;� � ' • �,� NI�,� 01 �: ....«,,.-.� s•,+M•r r«ear .a a '�' .y.e1.��4vs� :.4�c4.•�AYMdwW.✓Mietbn Mld'�'kv.'.a.. u✓t�rtr.anMn�ew�i , ,r.r � y�j{�yti�p�l +anh.�. ,' � ,' . .... 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