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Home My WebLink AboutZ-29423FORN NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29423 Date: 05/07/03 THIS C~KTIFIHS that the build/n~ Location of Property 8325 MAIN RD (HOUSE NO.) Co%*~ty TaxMap No. 473889 Section 031 Subdivision DWELLING EAST MARION (STREET) (HAMLET} Block 0002 Lot 032.004 Filed Map NO. __ LOt No. __ conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCYNUMBER Z- 29423 dated MAY 7, 2003 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 TWO CAR GARAGE * The certificate is issued to ROBERT E HARRINGTON (OWNER) of the aforesaid building. COUNTY DEPART~F~ OF HEALTH ~PROVAL ELE~-rK[CAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DA'r~u *PLEASE SEE ATTACHED INSPECTION Rev. 1/81 N/A h~ l'la r~~''~ Authori~ BUILDING DEPARTMENT TOWN OF SOUTBOLD HOUSING CODE INSPECTION REPORT LO~TION: 8325 MAIN RD SUBDMSI(~: NA~ OF O~ (S): ROBERT E BARRINGTON O~ANCY: SINGLE FAMILY DWELLING EAST MARION NO.: LOT (S) ROBERT E RARRINGTON DWELLING: TYPE OF C(~'T~I~CTIO~: WOOD FRAME # S~REF~: 1.0 # EXITS: 2 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~: BP#:~09Z-?Z29391 (BILCO ENT E & NEW HEATING SYSTEM I I ~: 11:00 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department 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 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. Co 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: ~ Block check one) Hamlet Lot 3 ~,,' ~ Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Request for: Temporary certificate Fee Submitted: $ Final Certificate: (check one) CONSENT TO INSPECTION Owner(s)'N'arhe(s] ' , the undersigned, do(es) hereby state: That the undersigned (is) (are)the ownqr(s) of the premises.in the. Town of Southold, locatedat ~3~.~" ~;a) ~-J. , ~&~['~'~t-~..D I~ which is shown and designated on the Suffolk'County Tax Map as Distri'ct 1000, } Section 3] ,Block .~_ ,Lot 3;[.q . That the undersigned (has) (have) filed, or cause to be fil,~d, an application in the Southold Town Building Inspector's Office for the following: .~t- 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, roles 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signatu[~) (Print Name) (Signature) (Print Name)