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Home My WebLink AboutZ-29749 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- 29749 Date: 10/02/03 THIS CERTIFIES that the building DWELLING (aka 2415 Old Orchard Lane) Location of Property 40 SOUTH LA EAST MARION (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 037 Block 0006 Lot 004 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- 29749 dated OCTOBER 2, 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 SIDE PORCH AND UNHEATED GLASSED PORCH.* The certificate is issued to DONALD & ELIZABETH FRAZIER TR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTP OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION PORT. ' Authorized nature This Certificate of Occupan replaces CO#2986 I Rev. 1/61 i BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT (aka 2415 Old Orchard Lane) LOCATION: 40 SOUTH LA EAST MARION SUBDIVISION: NAP NO.: LOT (S) NANB OP OWNHR (S): DONALD & ELIZABETH FRAZIER TR OCCUPANCY: SINGLE FAMILY DONALD & ELIZABETH FAAZIER TR ADNITTHD BY: ROBERT FRAZIEA ACCOKPANIID] HY: SAME REY AVAILABLE: S[IPF. CO. TAR NAP NO.: 37.-6-4 SOURCE OP RHUUSSE: JENNIFER GOULD, ATTY DATE: 10 02 03 DWELLING: TYPE OF CONSTRIICTION: WOOD FRAME # STORIES: 1.0 $ BRITS: 2 FOUNDATION: CONCRETE BLOCK Cxr.r.au- PART CRANL SPACH: PART TOTAL ROOMS: 1ST PLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOK(S): 0.0 UTILITY ROOM(S): PORCH TYPH: SIDE PORCH & SEE OTHER* DECK TYPE: PATIO TYPH: BRHSZHNAY: PIRHPLAC6: 1 GARAGE: UNDER DONSSTIC HOTNATSR: YES TYPH HEATER: AIRCOIIDITIONING: YES TYPE HEAT: iU1RN AIR: X HOTNAT®t: OTHER: *FRONT GLASS ENCLOSED UNHEATED PORCH ' ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGH, TYPH CONST.: SNLNlIING POOL: GUEST, TYPH CONST.: OTHBR: I VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ~ ART. ~ SEC. I RRYnRxR: HP#29 A/C ALTER COZ-29748 ffiSPBCTBD BY: DATE ON INSPBCTION: 09 OS 03 III JO M BOUFIS TINS START: 9:45AM END: 10:45AM i Form No. 6 - 3 ~ TowN of souTxoLD BUILDING DEPARTMENT TOWN FIALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or itilc and submitted to the Building Departtnent with the following: A. For new building m' 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 % ~ead. 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 Plamring Board Approval of completed site plan requirements. B. F'or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pro-existing" hand uses: 1. Accurate survey of property showing all property lines, streets, building and auusual natural or topographic features. I 2. A properly completed application and consent to inspect signed by the applicant. Cf a Certificate of Occupanc}' is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. C utificate of Occupancy Ncw dwclling~ $25 00, Additions to chrcllmg $25.00, Altu~ations to d~rcllin~ $25.00, S~~ unming pool $25.00, Accesso~} building $25.00, Additions to accessory building $25.00, Business s $50.00. Z Certificate of Occupancy on Prc-existing Building - $100.00 3. Copy of Certi(cate oC Occupanc}' - $.25 4. Upda~cd Certificate ofOccupancy - $50.00 5. "temporary Certilcate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~1 - 3 - 2003 - ~ New Construction: _ Old or pre-existing Building: _ (check otte) Location of Property: _~Q Sou-F !n 11~yve ~US.? __/~3 g2tart _N`~_ _ House No. Street IIaml t Owner or Owners of Property: ~l x'24 !gyp-} ~ ~~~Y~~ c~Qo Suffolk County Tax Map No 1000, Section 7 Block ~ Lot Subdivisiopn (jrp rrl t NPrs _BQ~ fs>'ade S _ Filed Map. ~ ~ ~ Lot: i o PermiC No{' C U Date ofPermit. Applicant: Health Dept. Approval: _ _ Underwriters Approval: I Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) ~~i Fee Submitted: $ / U 0 ~l ~ ~ ~ ~ ~ App/lJi/c~ant Signat C/ i i ~~uu SEP 3 O ~ PROFESSIONAL ENGINEER 176 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 I I ~ ~f/S~f~/~l ~it ~.z~ _isoz BUILDING DEPT. ~~'"3~-~-~ INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE A CHIMNEY REMARK'S: N- CZ~r ~ DATE INSPECTO ~l If'Ase roirtac+ 2ol~r-r FrG~i~Pr, SUr..a CONSENT TO INSPECTION O~ Fl,~ub-ri~ti Frg2~~P~ -tD SC'I,~OCIU,C2_ ihSPpC-6,oIJ , E{~s vlv»~IoPrs Q~e CPt1 `i 1-~ G2'2. woek# alt- X32- c-{uS6 E 1 ~ ~u br+ti ~rA ~ w ~ , Teas 1e~ - ,the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 40 Ouk fw¢-1 akt;. 40 Sg~ftnl-.pwe Ukt.~ Z41S UId,U~thu•d Lgr,R which is shown and designated on the Suffolk County Tax Map as District 1000, aLi VY1a+,ro,U Section 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: c~,ur~ulPaC ire- px~'~F~'vtc, CO e-h~-f'; rad-t v~ Df'f to ~G,7~t - O r.`e, tip I ,Orp - e ~ .ncnoF-t,pw, 'i J ~u-'~ -r GI 'Flarlno ^I - ')~Q lPs~ ? - & - goner 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. z'1.~ub~J~ ~rw~.,pr h II ,,p 7 Dated: q - 3 - 2 UU3 ~ """~--1 ~.~D~ d -h~l ~ r~_ Tit- (Signature) J PrIH,'~r ~ ~T'dUl~ (Prlnt Name) (Signature) j (Print Name) it q~'7 H643 P 4 Realty S31 25 03 01:19p Rgawam Rldertson 'ti, ~ 0~ J ~y ~ ~ g~ ~ ~ Ytp a~ ~~L ~ h' { Oll ~ Q 31:roi f z Pw uS ~ y ~ r V y" ~ ~ u_ 1 w ~ ql p _-t. ~n ui ~ 1 Q ~ Q ~ ' l II' > ~ a ~ ~ ~ ~ ft d2JO ~ ia-7 i ~I Q Q{ p i p I ,5 _ ~,.oE. . _ _ _ Ij . ~ 'M )IvM'ouoo 'N.l ~ 10`7 I I ,7nC ,S 'I ~ z - : - ~ t++° 9 ~ ~ ` L. I ~NC7'7 o;C ws.,~,o~ _ 009 ~ Y. `j0 O"70 i IS i ~ y r ` _ g p 1 l ~ y1~ C~ ~ ~ ~P'¢~'s' 0 Y;4 4 1 O b ~ s P ~ -al 4