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Home My WebLink AboutZ-20063FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20063 Date JULY 9, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1405 VILLAGE LANE ORIENT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for A Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-20063 dated JULY 9, 1991 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 WOOD FRAME GARAGE The certificate is issued to SHELIA ZUHUSKY & ANO. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 7-1 uilding Inspector Rev. 1/B1 BUILDI::G DEPART:LNT TO: -rd OF SOUTHOLD, N. Y. HOUSI.G CODE I11SPECTION REPORT Location 1405 VILLAGE LANE ORIENT, N.Y. knumoer ac street) k1-iunicipality) Subdivision Flap No. Lot(s) Name of Owner(s) SHEILA A. ZUHUSKY 6 ANO Occupancy A-1 OWNERS (type) owner -tenant) AcL-aitted by: ANNE WHITMAN Accompanied by: SAME Key available Suffolk SHEILA A. ZUHUSRY S Source of request ANNE ZUHUSKY WHITEMAN DT-IELLI-TG : Co. Tart No. 25-3-1 Date JULY 1, 1991 Type of construction WOOD FRAME stories 2 Foundation STONE Cellar 1/2 Crawl space 1/2 Total rooms, lst. F1 3 2nd. F1 2 3rd. Fl - - Bathroom(s) ONE Toilet room(s) ONE Porch, type SCREEN ENCLOSEDDeck, type Patio, type_ Breezeway Garage Utility room Type Heat LILCO GAS Warm Air f&L FLOOR Hctwater Fireplace(s) NONE No. Ecits 2 Airconditioning Domestic hotwater Type heater LILCO GAS Other ACCESSORY STRUCTURES: Garage, type const. WOOD FRAME Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: .CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE Remarks: Inspected by: l1.Date of Insp. JULY 9, 1991 GARY J SH Time start 2:45 end 3:15 FORM NO. B �.JV/ TOWN OFDSOUTHOLD yG Building apartment Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN —.- �5rc'r'w Instructions A. This application must be filled in typewriter OR ink, and submitted on thheBdilOBj Inspect; for wi?h the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, prop rty 4a sttstrgats„and urweue� natural or topographic features. SCUTi{pt� 2. Final approval of Health Dept. of water supply and sewerage disposal—tS-9 form or equa . 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 for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing” land uses: 1. Accurate survey of property 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 :00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 5.Uodated C.O. $`50.00 Date .July, l,,. JM ............. NewConstruction. , , , Old or Pre-existing Building X........... Vacant Land Location of Property .... YjaJra9P. Ldnl'.,. Or'7 eni.,. NY.. .. • .. , House No. S�G4�1 v ��o �C )JStreet Hamlet Owner or Owners of Property .'APPS. P.. ZUhUS�Y, nikld.F008 P..Idh3tR dA ...................... County Tax Map No. 1000 Section 025, 00....... Block ...43.40....... Lot ..001-.000 • , • . • Subdivision ................... ...... ...Filed Map No. .......'...Lot No. ............. Permit No........... Date of Permit ..........Applicant .... ............................ . Health Dept. Approval ..............`.::::.....Labor Dept. Approval ....... .............. . Underwriters Approval ................. ..:.Plannino�rd Approval ...................... Request for Temporary Certificate ................. /. Fin4 Certificate ....................... Fee Submitted $ .1QQ.QQ ................... Construction on above described building and par mm , I a is odes and regulations. Applicant . ......................................... Gary Flanner Olsen, Esq, R...10.10-78 P. 0. Box 706 C y�ioqs Cutchogue, NY 11935 cv a 0 0-- CONSENT TO INSPECTION s.,L6� ,Zu'hti sl, Owner(s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1450 Village Lane, Orient, NY which is shown and designated on the Suffolk County tax map as District 1000, Section 025.00 , Block 03.00 , Lot 001.000 . 1 That the undersigned (has) (have) filed, -or caused to be filed, an applica- tion ii_1'rrs.Southold Town Building 1nspecw. •o OM-- 1— +,,a fnllowinLT: 2 story frame house, two porches and detached garage 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 9Town of Southold. Dated: Jul,v 1, 1991 gnature) Anne P. Whitman ,(prin))) nt name7 ��C� cX // `ti e� / (sienatur (print name) vv i JUL - 11991 ,Wmt • I`i.. hJ l t l /4 v 4k U .1:l�r4�y r r � M1 � L ,� V nKf Mi 5NAU RUE. r<�7 NP. �anU�N ENE ww" N!5 $wV 70 171E �) w � IIS! ] t, MON, AMU IMI 0"WG VOM T"kil AU IMO, i - 11991 Loca ti -on BUILDI TOaii Or SCJTOLD, .i, Y. HOU Ii:G CCI iSF G^1IO RE -FORT r.un, oer a s ee u ) Subdivision Map N -Me of 0aner(s) Y_ 0.1unicipa i zy) No. Lot(s) Occupancy C pe o:vner-z�nar.�) by. -Ac;s�bmpan1(_-d by e Key available Suffolk Co. T ax,- No. Source of request /� •• ��/ �✓ Date ` g/ DUEL LING : Type of construction Foundation v lstories L'P7�ar /CraT / l space �� Total rooms, 1st. F1 .a2nd. F1 02 Bathrooms) 3rd. Fl -- Toilet room(s) Porch, t'y-pe' Deck, type Breezeway --4\.6p Patio, type Garab= Utility room Type Heat 7larm Air Fireplace(s) otwater No. Esti �s 02. . Domestic ho twater 4 ircondi tioni n- Other Type heater c RCCFSSCRY STRUCTL?RL'S : Garage, type const. N✓ -- Storage, type const. Swimming pool Other Guest, type const. ---------------- �7T nr CHAPTER 45--N.Y. STATE UNIFOal FIRE PREVENTION X RTTTT nTur ...,.,,.