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Home My WebLink AboutZ-19338FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19338 Date SEPTEMBER 6r 1990 THIS CERTIFIES that the building~ Location of Property 340 CEMETERY ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ONE FAMILY DWF3.LING EAST MARION~ N.Y. Street Hamlet Block 10 Lot 9 Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family dwelling built prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCC. #Z-t9338 dated SEPTEMBER 6r 1990 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 ATTACHED TWO CAR GARAGE * The certificate is issued to JOHN DAVID WYDUR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Bu lding Inspector Rev. 1/81 BUILD I'.":G DE P:~qT I.LENT T0;'~; OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 340 CEMETERY ROAD ~numoer ~ szree~) Map No. EAST MARION, N-Y. (i,iunlcipa±iuy) Nmme of Owner(s) JOHN DAVID WYDUR Occupancy A-! ~type) A~itted by: SELF OWNER (owner- Eenanr) Accompanied by: SELF Key ~vailable Suffolk Co. Tax No. 31-10-9 Source of request MARIE ONGIONi'- ' Date 9/4/90 D%'~LLING: Type of construction WOOD FRAME #sTories ONE Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 4 2nd. F1 3rd. F1 .... ~.- Bathroom(s) ONE Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage. 2 CAR Utility room Type Heat~. LILCO GAS 'Warm Air .Hotwater xx Fireplace(s) ONE (BRICK)No. ~its 2 Airconditioning. - - Domestic hotwater LILCO GAS ~ype heater RUND Other ~CCESSORY STRUCTURES: Garage, type const.. Swinuning pool ,, Other NONE Storage, type const. Guest, type const. V_IOLATIONS: ~Location EXTERIOR SIDING .C~APTER 45--N.Y. STATE UNIFORM FIE pREVENTION & BUILDING CODE Descriotion EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD CONDfTION. SURFACES NOT TRIM INHERENTLY RESISTANT TO DETERIORATION SHALL BE TREATED WITH A PROTECTIVE COAT OF PAINT OR OTHER SUITABLE PRESERVATIVE. SEC.l 1242.5,,., .(E) Remarks: Inspected by: Date of Insp. SEPT. 5, 1990 ~ . F~s~ 'Time start 2:00 end 2:15 Form No. 6 TOWN OF SOUTHOLD ; .... ' BUILDINGTowN765_i802DEPARTMENTHALL ~ ~, ,~ '] ' APPLICATION FORCERTIFICATE OF OC~~O£D~~--~ 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-dis~osal($-9 form). 3. Approval Of ~lectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contn~ns less than 2/10 of 1% lead. r 5. Commercial building, indus.trial 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, 195~) 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 consentS'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 - $5.00 over 5 years - $10.00 ~. UpuaCeu C~rtificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · Date ~ .~,V~_~ ::ow Construction .... ~ ...... Old Or Pre-existing Buildinm,~, Location of Pro err .;~. .............. .~; .. 2 ~ i][]][[[ ...... ~'.~ ......... p y. -- ;_ ~ .v.~ ...... House No. StrUt Ha~et Onwer or Owners of ~roperty ........................... ; ...................................... ,oo0. ...... ?./. ...... .... LC ........ ..... ............... Subdt~ston Filed Map Lot Permit No ................ Date Of Permit. ............... Applicant ............................. [lealth Dept Approval Underwriters Approval "- Planning Board Approval ........................ Request for: ,Temp°rary Certificate ........... Final Certicate ........... ~.l~/~zz ~'~-9~ . :, . ' Z CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) th~owner(s) of the premises in the Town of Southotd located at which is shown and designated on the Suffolk County ta× map as ~i~triet ~000, Section ~ /. ~lo~ /~ , =or ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's O£fice for the following: __ 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 ~vith 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. (signature) / :~._~print name) ~ (print name)