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Home My WebLink AboutZ-27864FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Zo27864 Date AUGUST 14, 2001 THIS CERTIFIES that the building Location of Property 12ii5 MAIN ROAD House No. County Tax Map No. 1000 Section SI Subdivision ONE FAMILY DWELLING Street Block 5 Filed Map No. EAST MARION, NY Hamlet Lot 3 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-27864 dated AUGUST i4, 2001 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 ACCESSORY ONE CARGARAGE & ACCESSORY WOOD FRAME STORAGE SHED * The certificate is issued to ROBERT D.& GALE A. WALSH (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 A1-FACHED INSPECTION REPORT. NOTE:THIS UPDATES PRECOZ-22570 DATED 9/8/93- REPRESENTS A NAME CHANGE ONLY. ~~ui' i~nn~ector Rev, 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 12115 MAIN RD. EAST MARION SUBDlq/TSION: MA~NO.: LOT (S) N]~E OF OWNER (S): ROBERT D. & GALE A. WALSH OCCUPANCY: A-1 RESIDENTIAL ROBERT D. & GALE A. WALSH AD~I'I-£~J BY: ACCO~PANI~ BY: K~Y AVAILABLE: ~UFW. CO. TAX MAP NO.: 31.-5-3 SOURCE OF REQUEST: PAUL CAMINITTI, ATTY - 8/26/93 DATE: 08/14/01 DWELLING: ~"~PE OF CONb-r~OCTION: WOOD FRAME # STORIES: 2.0 ~ EXITS: 2 FOORDATION: CONCRETE CELLAR: FULL CRAW~ SPACE: TOTAL RO(~MS: 1ST FLR.: 4 2ND FLR.: 3 3BD FLR.: 0 BA'rHI(O(~M(S): 1.0 TOII~"~ RO(~M(S): 1.0 UTILIT"~ ROOM(S): OT~U~K: REAR ENTRY WAY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWI~ING POOL: OTH~: 1 CAR WOOD FRAME S~RAGE, ~"~PE C0~ST.: ~UI~ST, TYPE CONST.: WOOD FRANE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~IAPA~S: THIS UPDATES PREC0 Z22570 DATED 9/8/93, REPRESENTS NAME CHANGE ONLY. DATE o, ,,sPE io,.. 09/0 /93 TI~E b-~TART: 9:30 AM E~D: 9:50 AM Form No. 6 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink a6d 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. Final Approval from Health Dept. of water supply, and sewerage-disposal(S-9' form)~ 3. Approval of electrical installation from Board o{ Fire Underwriters. 4. Sworn statement from plumber certifyin~ that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple, residences and similar buildinl and installations, a certificate of Code Comp~ianoe from ardhitect-or engineer' responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings(prior to April 9~ 1957) non-conforming uses, or'buildings.an( Ypre-existing" land uses: 1. Accurate survey of property showing all propecty lines, streets, building and unusual natural or topographic features. 2. Aproperly completed application and a.consent to inspect s~gned by the applicant. If a Certificate of-Occ~pangy is denied, lhe Building Inspector s~all state the reasons therefor in writing to the applicant. ~. 1. Certificate of Occupancy - New dwelling $25.OO, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building Additions to accessory building $25.00. Businesses $50.00.~ . Certificate of Occupancy on Pre-existing Baildinm - $100.00 3. Copy of Certificate of Odcupancy - i 4. .Updated Certificate of Occupancy - $50.00 .Temporary Certificate of Occupancy - Residential $15.O0,'Commercial $15.O0 .. ' ' ' .... ~ewConstruction ........ ~..'Old Or P~e-exietin~ Build,lng~'-~V...~.~ ...... ' House No. '' . Street ' ' Hamlet' ' (k~wer or oWners of Property.~0.~. ~..~i.~[~ '~ ~.~...~. ~....~.%..~.~ ]~'~..'.' County Tax Map No 1000, Section .... .~.1 ..... Bf;ck ................ Lot .................. Subdivision ~ Filed Map LOt ..... Applicant Permit No Date Of Permit Health. Dept. Approval ........................ -...Underwriters Approval ....................... Planning BPard Approval~ ....................... Request for: Temporary Certificate ........... Final Certicate ........... · · ~e Submitted: $ "" o X' d A7 EAST "'" ;' "'~' .70~,/,k~ .GF ~!J 7' Pi 0 L D, 1~0:.-) 3t-~:' - GUAI~At'J TEE ,~ T'O iPl:' U.;~. LIFF_ TITLE ' ,-i r' ,. ~. ;M;..,,4A ', C~. 'L-O