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Home My WebLink AboutZ-30982FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-30982 Date JUNE 15, 2005 THIS CERTIFIES that the building. SEASONAL DWELLING Location of Property 95 NAVY STREET ORIENT House No. Street Hamlet County Tax Map No. lO00 Section 26 Block i Lot 12.2 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Seasonal Dwelling built Prior to: APRIL 9, i957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-30982 dated JUNE 15, 2005 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 SEASONAL ONE FAMILY DWELLING & 2 ACCESSORY STORAGE BUILDINGS* The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE A1-FACHED INSPECTION REPORT. Rev. 1/81 JERILYN B. & JOHN H. WOODHOUSE N/A N/A N/A LOCATION: 95 I~I/Y :$L,'~I' ~ (number & street) (mum¢ipality) SUBDIVISION: MAP NO.: NAME OF OXVNER(S): .~2~LY~I B. & ~ H. ln~3~l]i-13L~ OCCUPANCY: ~ (1~ F~41LY I/,~II.tl~g LOT(S): (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST:JERILYN B. M2t]O~E ACCOMP.MNIED BY: SUFF. CO. TAX MAP NO. 1000- 26-l-12.2 DATE: blay/4, 20U~ D'WELLING: TYPE OF CONSTRUCTION: ~0{]D ~ FOUNDATION: ~ & I~STS CELLAR: TOTAL ROOMS: IST FLR: 6 2ND FLR: 2 BATHROOM(S): ~ TOILET ROOM(S): PORCH TYPE: DECK, TYPE: BREEZEWAY: FIREPLACE: DOMESTIC HOT~VATER: YES TYPE HEATERgEYSP331 TYPE HEAT: ~ WARM AIR: OTHER: ~ T33K OFF Krl_L~n~ # STORIES: 2 # EXITS: CRAgVL SPACE: 3RD FLR: UTILITY ROOM: * PATIO, TYPE: GARAGE: AIRCONDITIONING: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: s'6rIM1HING P,~.O Li OTHER: ~:lO xl8 & 48~ x STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: ClfAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: I]Iq/3755-Z'-(XE-23538 (AI~kALT) Ela#31196Z~l (FLE~ ~) ~SPECTED BY: - DATE OF ~SPECTION: ~ 12~ ~ T~IE START: I0:~ ~ END: 11 :(13 kM Form No. 6 TOW~N OF SOUTHOLD BUILDING DEPARTMENT TO~,~ HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP.SdNCY Tiffs application must be filled in by typewriter or ink and subnfftted to the Building Department with the tbllowing: 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 Undecwriters. 4. Sworn statement from plumber certifying that the solder used in system contaius less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Co~npliance from architect or engineer responsible tbr the building. 6. Submit Planning Board Approval of completed site plan requirements. B. I/or AccurateeXisting buildingSof (prior t~o April 9. a1119575 non,conforming uses. or buildingSand unusualandnatural"pre-existing" land uses: ~/~. suv,,ey propert5 showing propert3 lines, streets, building or topographic features. 2. A properly completed application and consent to inspect sig~led by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor m writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelliug $25.00. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accesso~' bnildiug $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 ofOccupaucy - Residential $15.00. Connnercial $15.00 New Constmction: Location of Property: House No. Owner or Owners of Property: dO ,//do Suffolk County Tax Map No t000, Section Subdivision Pernxit No. Health Dept. Approval: Plamfing Board Approval: Request toE': Temporary Certificate Fee Subnfftted: $ ()Id or Pre-existing Building: (check one) Hanffet / 0 o O mock Filed Map. Date of Permit. Applicant: Lot ,/'~, T,..- Lot: Undem'riters Approval: Final Certificate: I, cbeck one) .2¥fi~li~ant Signature File ~lew Toolbar Help iI~ ~]E~':iii i4-4 I~ ~1 ~' l~~ ~ Print~ ~he soeen ~'~.,: Fire ~ew Toolbar Help Print.~ the .~c,'een L~: Inbo:, - IVl~cro$ol-~: OuL., ~ .~ S tll~ ~' ~'-~ i~ Se~c,n A b [24 >. ~30] "~ : ' ~. F',F'S ',/er ~ion 4 - [Snap.,. CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at '~s'~ /L/.,~,--',~' .._c' 7--- which is shown and designated on the Suffolk County Tax Map as District 1000, Section/o~o , Block c~ , Lot ! ~. '~. That the undersigned (has) !have) filed, or cause to be filed, an aflplication in the Sout,,hold Town Buil.ding Inspectors Office for the follo,,ging: 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 laxvs, 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: ature) d/der, /¥~ ~ ~,O0~C'/~-,~- (Print Name) (Signature) (Print Name) 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [[]] ~ROAUMNiD~ION 2ND [[]] IFNINSAULLATION [ ]FIREPLACE & CHIMNEY [ ]F~IRE SAFETY INSPECTION REMARKS: ~,~. ~~, ~ LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 June 9, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residence John Woodhouse Navy Street Orient, NY To Whom It May Concern: I have inspected the above mentioned residence as to the floors in the kitchen and the living room being spongy and found that the deficiency has been corrected by the installation a 6"x6" timber girder along side of the existing 4"x6" girder as shown on the attached plan. Sincerely, Lawrence M. Tuthill, P.E. .......... -~ ~" "~- SUBD~SION FOP-- JOHN H. WOODHOUSE & JERILYN B. WOODHOUSE AT ORIEl, TOWN OF SoIYrHOLD 2 9 2005 SUFFOLK COUNTY, NEW YORK NOTE: THIs PROPERTY IS LOCATED IN I'H ~: ORIF, NT HISTORIC DISTRICT 1000-2&-1-12 I JOHN MOODHOUSE JERILYN MOO~HOUSE P,O. BOX DO0 ~JJ J O~-IENT, NEW YO~-~- \~ ~ Willow CC Street ¢_ MOT LOT 2 1~,~04 SF O O NSq °56'00"E 54.D5' LQnOl C, OJ/i Or- FOlCrn¢cl~ OF Joonn · Gessell d,o SDS 18 20 ~ Street N S /OOATION MAP SCALE I" = ~00r N SUFFOLK COUNTY DBPARTMENT OF HEALTH SERVICES Haappsu§e, NewYork ~[~ ~ g ?nnq ~ToCowNA~TS ~ ~[STRiCT~ONS Lt;ER t~ I TO~'¢ "' ~ D 11245 #FILE, No. 15444#ABS, No, FILED APR 19 2005 FILED APR 1 9 0 30 60 90 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 N.Y.S. LIC. NO. 50202 REF-\~-Ip serverkflpros\98-229d.pro