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Home My WebLink AboutZ-23348FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23348 Date NOVEMBER 15, 1994 THIS CERTIFIES that the building. Location of Property 12832 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision O1~ FAMILY DWELLING EAST MARION, N.Y. Street Hamlet Block 14 Lot 15 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-23348 dated NOVEMBER 15, 1994 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED KERMIT WEATHEBLOW & ORS. N/A N/A N/A *P?.R%SE SEE ATTA=~u~D INSPECTION fT. / Rev. 1/81 / Bui~d-ih~ IWS~C~ ~ LOCATION: SUBDIVISION NAME OF OWNER (s) 12832 I~,IN ROAD BUILDING DEPARTMENT TONN OF SOD~HOLD HOUSING CODE INSPECTION REPORT EAST MARION, NEW YORK (number & street) HAP NO. KERMIT WEATHERLOW & ORS. (municipality) LOT(s) OCCUPANCY SINGLE FAMILY RESIDENCE (type) (owner-tenant) ADHITTED BY: LYNDA LEE SPANGEL ACCOMPANIE~ BY: SAME KEY AVAILABLE SUFF.CO. TAX HAP NO. ]000-31-m4-15 SOURCE OF REQUEST: J. KEVIN McLAUGHLIN, Al-fY DATE: OCT. 3], 1994 D~ELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: IST FLR. 7 BATHROOM (s) I PORCH TYPE BREEZEWAY DOMESTIC HOTWATER YES TYPE HEAT GAS (LILCO) OTli~;R: REAR BALCONY WOOD FRAME POSTS & CONCRETE CELLAR REAR ENCLOSED 2ND FLR. m TOILET ROOM ($) FIREPLACE TYPE HEATER WARH AIR NO 3RDFLR. 2 UTILITY ROOM nECK, ~q~ZRONT,SIDE PATIO ONE: GARAGE- LILCO GAS AIRCONDITIONING YES / HOT~ATER STORIES 2 { EXITS 4 CRANL SPACE NO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~IING POOL OTtt~R: STORAGE, TYPE CONST. METAL SHED WITH ELECTRIC · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BP {10,~-CO Z-23345- (ADD), BP {22448-Z-CO Z-23346 (ALT 2nd FLOOR), & co ~ sHED) INSPECTED BY DATE OF INSPECTION NOV. 3, 1996 & NOV. TIME START 9:00 AM END 10:15 15, 199 Form No. 6 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existia~ Building...~ ............. Location of Property ..... ~,-~,~.~,"~, ,~,, ,~,, ~,W~._.,. ~..~,...~ ........... ~, .~X ~ ........ House No. Street Hamlet Onwer or Owners of Property ................. County Tax Map No 1000, Section..~.~,'.~...Block .... .~. ..... Lot .... ..~ ...... Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~.~.~..~..~.....Date Of Permit ................ Applicant ............................. Health Dept. ~proval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicat~f...~../~ Fee Submitted: $ ............................. ~i.... ........ CONSENT TO INSPECTION Ox.mcr(s) Name(s) ~o~- do(es) hereby state: · the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of the premises in the Tow'n County tax map as District 1000, Section · which is shown and designated on the Suffolk '31 . moo . That the undersigned (has) (have) filed· or caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for th.e following: CO 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 xvith 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 cf 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 rio- lations of the laws, ordinances, rules or reg~latizns o/t~/To~ · // ----~-ignatur e} --~--~/( print name) (sifnature) (print name)