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Home My WebLink AboutZ-23566FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23566 Date MARCH 22, 1995 THIS CERTIFIES that the building Location of Propert~ 100 KING STREET House No. County Tax Map No. 1000 Section 26 Subdivision ONE FAMILY DWELLING ORIENT, NEW yORK Street Hamlet Block 2 Lot 2 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-23566 dated MARCH 22, 1995 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 DW~.ING * The certificate is issued to DOROTHY WELCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTAu~D INSPECTION REPORT. Rev. 1/81 N/A N/A N/A LOCATION: SUBDIVISION NAHE OF OWNER (s) BUILDING DEPARTHENT TOWN OF SOUTUOLD HOUSING CODE INSPECTION REPORT [00 KING STREET ORIENT· NEW YORK (number & street) (municipality) DOROTItY WELCH HAP NO. LOT(s) OCCUPANCY SINGLE F/~ILY (type) ADHI-n'~D BY: DOROTHY WI/;LCH I/2EY AVAIL.A, JBLE SOURCE OF RE~/UEST: DOROTHYWI/:LCH (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX HAP NO. lO00-zo-z-z DATE: FEB. 22, 1995 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOHS: IST FLR. BATHROOH (s) T~O PORCH TYPE BREEZEWAY UOH]gSTIC HOTWATER TES TYPE HEATER TYPE liEAT GAS - LILCO WARHAIR O'£1i~R: OUTSIDE SHOWER STALL CEMENT BLOCK WOOD FRAlqE { STORIES CELLAR NO CRARI, SPACE 5 2ND FLR. 2 3RD FLR. TOILET ROOH (s) ONE UTILITY ROOM ONE DECK· TYPE PATIO FIREPLACE ONE GARAGE FRONT COVERED LILCO GAS 2 { EXITS 3 YES AIRCONDITIONING YES HOT~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SIdEMHING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REfiARKS: BP ~7934-Z CO Z-7379 (ADDITION) DATE OF INSPECTION FEB. 28, 1995 TIHE START 9:55 AM EHD 10:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , 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 suppiy 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 er engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirement~. B. 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 sig~ed 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .............. . . . . . NewConstruction ........... Old Or Pre-existing Building.. ~ ............ Orient Location of Property ...... .1.qq. ...... . ~q$.p~r~.. ......................................... . House No. Street Hamlet 0nwer or Owners of Property ..... ~.~?~.9:.~%~ .......................................... County 1000, Section..9 .'.q9 ..... Bloe ...9 :Aq ....... ........... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ........... % .... Applicant.~Rq.~. ~?~A'..~g~'. .... Health Dept. ApProval ...................... ... . Underwriters Approval ....................... .. Planning Board Approval Request for: Temporary Certificate ........ ... Final Certicate...X.X. ..... . Fee Submitted: $....1.0.0.: .0.0. ................ CONSENT TO INSPECTION Doro.thy G. Welch 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 100 King Street, Orient, New York 11957 · which is sho~w~ and designated on the Su££olk County ~ax map as District 1000, Section 26 , Block 2 , Lot 2 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: pre-existing Certificate of Occupancy 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, 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. \ Dated: February 22, 1995 ~)~(~'(1 . /4Z~ (signature) Melissa Eckhardt for Dorothy G. (print name} Welch (signature) (print name) 0 Z