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Home My WebLink AboutZ-29527FORM NO, 4 TOW~ OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29527 Date: 06/17/03 T~IS CERTIFIES that the building Location of Property 255 NAIrY ST (HOUSE NO.) County Tax Map No. 473889 Section 026 Subdivision DWELLING ORIENT (STREET) (HAMLET) Block 0001 Lot 011.001 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 f×2C~J~AMC~fAU3MBER Z- 29527 dated JI/NE 17, 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 * The certificate is issued to CHARISSA M ROBERTS (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPARTI~ENTOFt~L%LTEAPPRO%rAL ELE~-£KICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DArmu *PLEASE SEE ATTACHED INSPECTIO~ Rev. 1/81 ~ N/A N/A A'~.thor±~ S~-~nafure BUILDING DEPARTMENT TOWN OF SOUTHOLD BOUSING CODE INSPECTION REPORT LOCATION: 255 NAVY ST ORIENT NO.: LOT ($) CHARISSA M ROBERTS SODI~CH OR P~b~T: OLSEN & 0LSEN, LLP 6/6/03 __ DAT~: 06/17/03 WOOD FRAME O'~: ATTACHED OLD WOODEN SHED (NO UTILITIES INSIDS) STORIES: 2.0 # I~ITS: __4 CEIl: PA/{T C~I~L SPACE: PA~RT ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON I~SpECTION: 06/16/03 OHN [~. BORIS f TI~ ~TART: 9:30 AM I~D: 10:00 Form No. 6 TOWN OF SOUTHOLD 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: Ao For new building or new use: 1. Final survey ofpropertywith accurate location of all buildings, property lines, street's, 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. Bo 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. 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. Temporar3,,Cer~i-ficate of Occupancy - Residential $15.00, Commercial $15.00 Date. June 3, 2003 New Construction: Old or Pre-existing Building: X LocationofProperty: 9~ w~,,y ~v:; House No. Street Charissa M. Roberts Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 26 (check one) Hamlet Block 01 Lot 11.1 Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check one) OLSEN & OLSEN LLP ~ 82495 MAIN ROA~ f./' ~ PO BOX 706 / / CUTOHOGUE, NY 11958~ Applicant Signature .~-S.--79Z23 '03"W WOOD F~NOE ~ N/O PROP LINE N 75'52'23"E NAVY ~ ~ S 72 22 0 W ~'~- Sr~WA~r · ~' 22.19'.L-'V ~. 67.65ml ~ TIN ROOF- ENT* CELLAR £NT. STOOP (ROOF OVER) 135.50' N/F NEUMANN IN CON~.,~ SURVEY OF DESCRIBED PROPERTY SITUATE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: SONIA GESELL TM// 1000-026-07-07 GUARANTEED TO: SONIA GESELL COMMONWEALTH LAND TITLE INS. CO. SURVEYED: 2 JUNE 2005 SCALE 1"= 50' AREA = 27,77~.00 S.F. OR 0.498 ACRES SURVEYED BY STANLEY d. ISAKSEN, dR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 CONSENT TO INSPECTION Charissa M. Roberts by Gary Flann~r 01sen Ovzner (s) Name(s) do(es) hereby state: of Southold located at · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town 255 Navy St., Orient · which is shown and designated on the Suffolk County tax map as District ~[000, Section26 , Block 01 , Lot 11..1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th~ Southold Town Bullciing lnsp~ut,~ 'o orf~o £o., ~h,~ fnllnwin~: Two story frame residence 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'41nspections to determine that said premises comply with all of the laws· ordinances· rules and regulations of the Town of Southold. Thc 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 or the Town of Southold. Dated: June 3. 2003 (signature) Gary Flanner 01sen (print name) (signature) (print name)