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Home My WebLink AboutZ-29796FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29796 Date: 10/27/03 THIS CERTIFIES that the building Location of Property 20999 9L~IN RD (HOUSE NO.) Co%u/ty Tax Map NO. 473889 Section 017 Subdivision DWELLING ORIENT (STREET) (F~IMLET) Block 0004 Lot 007 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 NI~WBER Z- 29796 dated OCTOBER 27, 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 SINGLE FAMILY DWELLING * The certificate is issued to EDWARD B & ESTELLE ADAMS (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTM]~T OF I~JkLTH APPROVAL ELBC~rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u N/A N/A N/A *PLEASE SEE ATTACHED INSPECT~N RE~ORT. -- Authorized~ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 20999 MAIN RD ORIENT S~i=;ISION: MAP NO.: ~ (S) N~ OF (~ (S): EDWARD B & ESTELLE ADAMS NCC~IPANCY: SINGLE FAMILY ADMi"rZ~ BY: KEVIN MCLAUGHLIN ~]~YA~AII~[~: S~F. CO. TAX ~ NO.: 17.-4-7 SO.CE OF P. EQ[]F~qT: KEVIN MCLAUGHLIN 10/10/03 EDW~LRD B & ESTELLE ADAMS DATE: 10/27/03 DWELLING: TYPE OF CONS~UCTION: WOOD FRAME FO[~DATION: CEMENT BLOCK --3 2ND FLR.: 2 TOILET RO~(S): DECK ~PN: FIP~EPI4%CE: · "fPN H~: GAS EXITS: 3 ACCESSORY STRUCTURES: SHED - WOOD VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~EW~: BPP ~79671-~-C0Z-19843 (ACCY SHED) DATE ON INSPECTION: 10/22/03 TI~ START: 10:00 AM ~qD: 10:30 AM i~pu~ca~ wich chu following: for new building "p~c-~xia~in~" land u~uu: ~. Accurate survey of property zhowin~ all property line~, ~:roe~s, buildin~ and 2. A properly completed appllca~iu~ and a consen= to in~poc~ signud by tho al)pii~anc. reasons ~horcf~r in wri~in~ =o ~hu applicant. Cur~ifica=e of Occupancy - N~w dwcllinE $2~.00, Addirio,{s =a dwellinZ Allure[ions ~u dwullinE $25.00, S~in~ pool $25.~0, Accessory building Addicion~ Ko accessory building $~5.00. BuSinu~u~ $50.00. 'r~mporary C~r~ifi~u~ of Occupancy - Rusid~n=ial $15.00. Commercial $15.00 Con,truer&pa ........... 01d Or Pre-ux~l~- guLlding ........... Tax ~=p No . ~=~on,..~.~ ........ Ulo=~.,..,...,.......~oc .................. .. J. KEVIN MCLAgGIILIN A~omeyAtLaw Winds WayPro~ssion~ Center 44210Rt. 48, P.O. Box 1210 Sou~old, New York l1971 Telephone (631 ) 765-6085 Facsimile (631 ) 765-1856 October 23, 2003 Southold Town Building Department Southold Town Hall 53095 Main Road Southold, New York 11971 Re: Pre-CO for Edward B. Adams & Estelle E. Adams - 20999 Main Road, Orient, NY Gentlemen: I have enclosed a copy of the Inspection Repot[ dated October 22, 2003, along with my affidavit setting forth that CO2 detectors and a smoke detector have been installed at the subject premises. Based on the foregoing, it is my understanding that a Pre-CO for this dwelling can now be issued. Kindly call me as soon as the Pre-CO is ready, so that I can pick it up from your office. Encs. McLaughlin ' 4 20n3 STATE OF NEW YORK) COUNTY OF SUFFOLK) J. Kevin McLaughlin, being duly sworn, deposes and says: 1. That I am the attorney for Edward B. Adams and Estelle E. Adams, the owners of premises commonly known as 20999 Main Road, Orient, New York, which bears Suffolk County Tax Map No. 1000-135.00-02.00-001.000. 2. That I accompanied John Boufis from the Southold Town Building Department on a Pre-CO inspection of the subject premises on October 22, 2003. 3. That pursuant to the Inspection Report, I have personally installed a CO2 detector on the wall of the second floor hall and I have personally installed a Sdemt~ck~rdeotneCtt~er Ow~ltlhoeu~;iljentgl:;utside the first floor/b~rdro~fn and.~/GO'2~ ~ J. Kevi~ M~-Laughlin Sworn to before me this kx ~q't3 day of October, 2003. ~x"x'~.~ N6~'ARY P~J1~LIC' eONmE i. ~ Notary Public, State Of New'tlkds No. 0]D06095328, Suffolk ~ Term Expires July7,20 ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPE DEBORAH DOTY ESQ FAX