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Home My WebLink AboutZ-29501 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29501 Date: 06/09/03 THIS CERTIFIES that the building DWELLING Location of Property 615 DOGWOOD LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 037 Block 0001 Lot 011 Subdivision 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- 29501 dated JUNE 9, 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 ATTACHED GARAGE The certificate is issued to DIANE D DUNBAR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized Signatu Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT IACATION: 615 DOGWOOD LA EAST MARION SUBDIVISION: MAP NO.: IAT (S) HAMH OP OWNHR (S): DIANE D DUNHAR OCCUPANCY: SINGLE FAMILY DIANE D DUNBAR ADMITTED BY: GEORGE PETER ACCOMPANIHD HY: SAME RHY AVAILABLH: SUFF. CO. TAK MAP NO.: 37.-1-11 SOURCH OP RSQUHST: DIANE DUNBAR 6/2/03 DATR: 06 09 03 DWELLING: TYPH OP CONSTRIICTION: WOOD FRAME # STORIHS: 1.0 # HXITS: 3 FOUNDATION: CEMENT HLOCK CHLLAR: CRAWL SPACB: XX TOTAL ROOMS: IST PLR.: 4 2ND PLR.: 0 3RD FLR.: 0 BATHROOM (S): 1.0 TOILHT ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DHCR TYPH: FRONT & REAR WOOD PATIO TYPH: BRHHZHfN\Y: ONE FIRHPLACH: ONE GARAGH: ONE CAR DOMHSTIC BOTWATHR: XX TYPH HHATBR: ELECTRIC AIRCOHDITIONING: TYPB HEAT: L.P. GAS WARM AIR: FL. FURNACE HOTWATHR- OTHHR: ACCESSORY STRUCTURES: GAAAGB, TYPH OP CONST-: STORAGH, TYPH CONST.: STORAGE SHED SWIMMING POOL: GUEST, TYPH CONST.: OTBBR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIKE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ ART SEC III I I I III III I I I ReMaee4: Bp#1819 -CO 18211 (D ECK)HP#19021-COZ19299 (DEC K)HP#286082-COZ28907(SHED) INSPHCTHD BY: DATE ON INSPHCTION: 06 04 03 SOHN M. HOUFIS TIMH START: 9:90 AM HND: 10:15 AM ~~~5, Form No. 6 TOWN OF SOUTHOLD - - - - BUILDING DEPARTMENT TOWN HALL 765-1802 2 7~n? APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department-with the following: A. 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 statemenC 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. 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 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. 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. /e o2 U3 New Construction: Old or Pre-existing Building: l~ (check one) f / Location of Property: ~c /S~ /~.p(~o~~ L,,[l , L - /~A•,t° i~0~ House No. Street Hamlet Owner or Owners of Property: ~ Ni% ~Af Suffolk County Tax Map No 1000, Section a ~ Block / Lo[ Subdivision Filed Map. Lot: Permi[ No. Date of Permit. Applicant: ~ ~/t/~ ~nJ~$'J9~, Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ _ L 4.Gfi Applicant Signature ctiu ~`ID64 ~?rt,~ crJ ~agSQl CONSENT TO INSPECTION t fytl~ /~IB~?L ,the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (i (are) the owner(s) of the premises in the Town of Southold, located at /S oop ~ 1~1A~.i~d~J , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 3~, Block Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: /ARE- e o 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: 6 ~ 03 (Si tore) ~J + ANr ~un/~ (Print Name) (Signature) (Print Name) A '9 ~ wN vA O O („li`I =~0 ~1 ~ ~ G ~ ~~~0 to ; s ~ ~ / sQ,, Oj, dry/ ~ / ~ ~ O VQ ~ 4 to /V~ v p0 ~~p / !O .ham ~ ~ ~ Qr ~~o 0~ ~ ~ ~ ~ ~ a0 ~B - "tom \ / ~T j r ~ 0 sT ~,o /e / ~ ~ ~ ~ a.4 R- 25.00' ~ f ~ ~ ~ L~ 40.50' ; ~\'q- / CH' N. l 36 250" W ~ v / O , ~ , ~ - ~ ~ .Q ~ 'tp y ~ . F~F a ti0 ~ 9e2, ' ~ SURVEY OF PROPERT Y ~ A T EAST MARION 9~'F TOWN OF SOUTHOLD AAA = ~segs sc~ fr. SUFFOLK COUNTY, N. Y. ~ooo-a~-o~-» SCALE• 1" ~ 90' CERT/F/ED TOE SEPT. ~4, 200 DIANE DUNBAR Sept. 2~ Zooi !re~s~o.,s`~ NOTEr LOT NUMBERS ARE REFERENCED TO " GARDINERS BAY ESTATES, SECTION TWO " FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON SEPT. 23, /927 FILE NO. 275 ANY ALTERATION OR ADDITION TO SURVEY lS A woc,anav ,~F,OF NE{y yo OF SE&TAOA/ 7209 OF TIC NEW YORK STATE EDUCATION LAW. c't~' a MErto 9.f EXCEPT AS PER SECTION 7209 - SC~DlVlSK1N 2. ALL CERTIFICATIONS o~ FQ hEREON ARE VALID FOR ThpS MAP AND COA7ES THEREOF ONLY lF ' SAS MAP OR COPIES BEAR THE NAPRESSED SEAL OF THE SURVEYOR v` WHOSE SKs/VA TCM7£ APPEARS HEREON. ?'~L Y. ~ . L;IC. NO. 4961 B i AD0I7YDC•AALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' EC S MUST BE QED BY ANY AMD ALL SURVEYORS UTILIZING A COPY (63/) - 020 F~1XP 1 765 - (797 Of ANOTHER SURVEYS MAP. TERMS SUCH AS INSPECTED' AND P, 0• 49pi - . BROUGHT - TO -DATE' ARE NOT MI COAfPLIANCE WITH THE LAW. 1230 ~ p ET - SOUTHOL , Tl 01-241