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Home My WebLink AboutZ-22090FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22090 Date JANUARY 8~ 1993 THIS CERTIFIES that the building. 1000 MUNN LANE (PVT. RD. #4) & Location of Property 725 PRIVATE ROAD #3 House No. Street County Tax Map No. 1000 Section i7 Block 2 Subdivision Filed Map No. ORE FAMILY DWELLING ORIENT, N.Y. Hamlet Lot 14 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-22090 dated JANUARY 8~ 1993 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 ORE FAMILY DWELLING * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ESTATE OF BARBARA DORMAN N/A N/A Rev. 1/81 r :, DEP.~,T:.LENT BUI~DI.,G T0';~,I OF sOUTHOLD, N. ¥. Location Subdivision HOUSING CODE IUSPECTION REPORT 725 PYT. RD. ~3 & 1000 MUNN LANE (P~T. ~lap No. (f,iunlclpa±l~y) not( ) Nome of Owner(s) ESTATE OF BAR~ARA DORMAN · Occupancy Admitted by: A-I Res. (,type) LAWRENCE OWNER (owner-renan~) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No. Source of request LAWRENCE DOP~4AN Date 17-2-14 DEC. 18, 1992 D~'~LW~LI~: Type of construction Foundation Total rooms, Bathroom(s) Porch, ~ype %/OOD FI~ STONE & CONCKETE Cellar 1st. F1 4 2nd. F1 4 Toilet FROIFr & CO~ERED Deck, typq #stories FULL Crawl space 7 3rdo F1 room(s). Patio, type.__ Breezeway Garage. I-1/2 CAR Utility room Type Heat OIL 'Warm Ai~Nuz~l~u~OO~ Hotwater 2ND ~L~OR Fireplace(s) 4 No. E~.z ~s., . Airconditioning, Domestic hotwater YES .Type heater PROPANE Other FRONT FOYER ENTRY, 2ND FLOOR HEAT SUPPLIED BY HOT WA'I'BR 0I~ FINED 2 ACCESSORY STRUCTURES: Garage, type const. Swim. ming pool Other TENNIS CO~T Storage, 'type const, Guest, type const. VIOLATIOMS: Location .CHAPTER 45--N.Y. STATE UNIFORM FIRE PI~EVENTION & BUILDING CODE Descriotion t-Att'.] Sec. DECK Date of Insp. JAN. 5, 1993 Time start 9:30 end 10:00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OC~A~C~ ' This application must be filled in by typewriter OR ink and submitted to t~ 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 purveM of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to %np~e~ signed by the applicant. If a Certificate of O~p~6y {S 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. ~: Certificate of Occupancy on Pre-existing Bu~ilding r ~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 Date ..../?./.f.~/~..~ ......................... ~e~ Construction ........... Old Or Fre-e×isting Building ........... Location of Property. . House No. Street Hamlet Onwer or Owners of Property ..... ~..Z~..~Z..c~..c..~....~??;~ .~Q .~7..~. ................................ .. County Tax Map No 1000, Section .............. Block ................ Lot ................... Subdivision ................................ .. .. Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ............ .... Applicant ....................... .. . ... Health Dept. Approval ......................... . Underwriters Approval ............ Planning Board Approval ..................... .. . Request for: Temporary Certificate ........... Final Certicate....~.. ..... APPLICANT TO ,,3 u'ner ~ s) do(es) hereby state: That the undersiuncd (is) (are) the owner(:;) of tho premise:; in the , xvh~ch [~ ~hown and dcsir, na~ed on the ~u~olk County tax map as District 1000, Section .. 77 . , Block ~ , Lot ~hat the undersigned (has) (have) filed, or caused to be riled, an applied- tion in the Southcld To~xm ]2uildln~ Inspector's Office for thc follo::.in._~: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, inoluding an;.' and all buildings located thereon, to conduct such inspections as they ma5' deem necessary with respect to thc aforesaid application, inc!u~in% inspec:ions to de:ermine that said premises coma!;,. ~ with all of the laws', ordlna..,.es,, ~ .rules and re.~ulations of the Town cf Southoldo The undersigned, in consenting to such inspections, do(es) so with the kno::'ledgc and understandinfI, that any information obtained in the coEduct of such inspections may be used as evidence in subsequent prosecutions for la:ions of the laws, Dated: ~' ordinances, rules or regulations of tim Town of Southold. 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