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HomeMy WebLinkAboutZ-22672 V 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-22672 Date OCTOBER 21, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property, 1755 OLD ORCHARD ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 3 Lot 12.1 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-22672 dated OCTOBER 21, 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 The certificate is issued to CLARA RICHARDSON & ORS (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. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION ItEPORT LOCATION: 1755 OLD ORCHARD .RD. EAST MARION, N.Y. number S street municipality SUBDIVISION 'MAP NO. LOT (s) NAME OF OWNER (s) CLARA RICHARDSON & ORS. OCCUPANCY A=l RES. OWNER (type) (owner—tenant) ADMITTED By: . ANGIE JOHNSON ACCOMPANIED BY: ANGIE JOHNSON KEY AVAILABLE SUFF. CO. TAX MAP NO. 37-3-12. 1 SOURCZ OF REQUEST: THOMAS V. GARTH DATE: JULY 22,' 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 # EXITS 3 FOUNDATION CEMENT BLOCK CELLAR CRAWL SPACE XX TOTAL ROOMS: 1ST FLR. 6 2ND FLR. 1 3RD FLR. BATHROOM (s) 2 TOILET ROOM (s) UTILITY ROOM PORCH TYPE FRONT COVERED DECK,. TYPE PATIO, TYPE . RAISED CONCRETE BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES. TYPE HEATER PROPANE AIRCONDITIONING TYPE HEAT NONE WARM AIR HOT[dATER. OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST,- TYPE CONST. OTHER: SCREEN HOUSE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: v�L DATE ON INSPECTION OCT. 21, 1993 UARY FI 9H TIME START 9:30 END 9:50 - dml FORM NO.G TOWN OF SOUTHOLD ' . Building Dopartmont ; Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions J A. This application must be filled in typewriter OR ink, and submitted as awmA aam to the Building Inspec- tor with the following;for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual 7 natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4 Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions; a certificate of Code compliance from the Architect or Engineer responsible forthe building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. Tor existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pxnperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $.25 .00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $*5 :*0 0 , over 5 'years $ 10 .00 A .Vacant Land C.O. $ '20 .00 October 12, 1993 5.Undated C.O. $`50 . 00 Date . . . . . . . . . . . . . . . . ... . . . house and gazebo r NewCons truction, , , , , . Old or Pre-existing Building . . . X. . . . . . . . Vacant Land . . . . . . . . . . .. . Location of Property . • .1755 Old Orchard Rd. , East Marion, NY. . . . . . . .. . . . . . . . . . • • • • • • • • • • e . • . • • • • • • • . • . . . . . . . • . • . Houw No. Street Namlot Owner or Owners of Property , • , Thomas..Gart. . and,others. , . , , . , , , , . . . . . . . . County Tax Map No. 1000 Section . 37. . . . . . . . . . . . Block .3. . . . . . • . . . . . . Lot. . ,12.,1. . . , . , . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval ... . . . . . . . J. . . • • . . . • • • . . . .Labor.Dept. Approval . . . . . . . . . . • . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . • . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Cc tificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . • , 100:OfJ. . • . • • • . . • . • . • . • . . . Construction on above described building and permit m Zs al a ' able co es and regulations. Applicant . . . . . . . .,� � . . . . . . . . . . . . . . . ... . . . Gary Flanner Olsen, Esq. Rev.10.10.70 Main Rd. Cutchogue, NY 11935 C� � aA CONSENT TO INSPECTION Thomas Garth 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 1755 Old .Orchard Rd. , East Marion, NY which is shown and designated on the Suffoll: County tax map as District 1000, Section 37 Block 3 Lot 12.1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th© Southold Town Builaing lnspecWA. orflt f— +hn Pn11nwinrr: house and gazebo (summer house) see survey 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, includin "*i.nspections 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., Date d: Q�� 22� /993 �-z7/ ✓� (signature) =_ Thomas Garth (print name) P (signature) (print name) i i X.. 58'58 '30-6- - t/5. 9 i 7 t O N .fu.`rtrrlB�'%t1Gu�ti' Gi tS Uk' � YE D PC Sb 614 3 � i� it---'-- I � K�f1� 3... 1 p�'V �✓ � 4.y "�f l�A� � y�t � �y�{p-- �.� s� ; VIM Z`75 e i i 4-7� so �.J i7 ,S�,�V'•Ii�� fl�. 95t 1- ;!� i e 1 Lr' f t�r.... L e'1 C»`t��1r �..t g` �Q tC�.': /Q 0 s , 7-7378,91 } d� 'Co. No.LSD c LAND 9� t R ClnauthouNri< to this se d arterati°n Edu Seclion n208 pt a violation a�djn " Co °ati°n�W the NeW York Pies Shy the la,r�j s tP,;s surye E taboos s srsiYadsn°thearyng �C.r4: at-i'f6ee' 7" 7'PS t=ijJa5i1'ClG7F Cori . 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