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Home My WebLink AboutZ-31107FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31107 Date: 08/15/05 THIS C~RTIFIEE t~t the building Location of Property 370 MUNN LA (HOUSE NO.) County Tax Map NO. 473889 Section 017 subdivision DWELLING ORIENT (STREET) (HAMLET) Block 0004 Lot 001 Filed Map No. __ Lot No. -- conforms substantially to the Require~_nts for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC~OPi%/qCYI%~3~IB~ Z- 31107 dated AUGUST 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 i~sued is ONE FAMILY DWELLING WITE ATTACHED TWO CAR GARAGE* The certificate is issued to MARY B TUTHILL of the aforesaid building. ( OWNER SUFFOLK COUNTYDEPART~D~T OF flEDJ~THAPPRO%rAL ELEC£~ICJU~ CERTIFICATE NO. pLUMBERS C~KTIFICATIONDA'a'~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/~ N/A N/~ /~Aut orized Signature Rev. 1/81 BUILDING DEPARTME}TT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ORIENT MA~ NO.: LOT (S) ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. GEORGE GILLEN ~DATE ON INSPECTIONS: 05/12/05 T~ S~T: 10:10 AM ~: 10:40 AM Form No. 6 ~f~.~ TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TO~ ~L .~PLICATION FOR CERTIFICATE OF OCCUP~C~ ~is application must be filled ~ by ~pewfiter or ~ ~d sub~ued to the Bulldog Depa~¢qth th~~, ~ For new bulldog or new use: .' 1. Final s~ey of prope~' wi~ accurate location of all bnil&gs, pr°pe~ l~es, streem, ~nd ~ual n)~M~'- topo~aphic features. 2. Final Approval kom Heal~ Dept. of wat~ supply ~d sewerage-disposal (S-9 fora). 3. Approval of elec~ical ~tallation kom Bo~d of Fie Unde~fiters. 4. Sworn statement kom plumber ce~i~ing that the solder used ~ system conings less than 2'10 of 1% lead. 5. Co~ercial buildhg, ~dus~al build,g, multiple residences and s~il~ bulldogs ~d ~stallations, a ce~ificate of Code Compliance from arc~tect or eng~eer respo~ible for ~e buildhg. 6. Sub~t Pla~g Bo~d Approval of completed site plan requkements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. [fa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co Fees l. Certificate of Occnpancy - New dwelling $25.00, Additinns to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessoD' building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Ne'&' Construction: Old or Pre-existing Building: LocationofProperty: 370 MUNN LANE X (check one'} ORIENT Street Hamlet TUTHILL 17.00 Block 04.00 Lot 001 .000 Filed Map. Lot: Applicant: Underwriters Approval: House No. Owner or Owners of Property: MARY B. Suffolk County. Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 1 00.00 Final Certificate: X (check one/ LOCATION: 370 (number & street) (municipality) SUBDIVISION: ~ MAP NO.: -- ~ LOT(S): NAME OF OWNER(S): /~ ~ ~ , OCCUPANCY: O~A/~" .~]~'~ ) 2.-,,V (t~e) (owner-ten.t) ADMITTED BY: ~ ~. ~/J/~ ACCOMPANIED BY: ~Y AVAILABLE: ~l 1) ~F~ ~O. TAX M~P NO. 1000- SOVaCEOFaEQVEST: ~ ~, ~~ ~nTE. 8-- *- DWELLING: C~r~ EA/T t~ L o~< TYPE OF CONSTRUCTION:~ x3J00 1~ Fr/e/y-,r,q ~ # STORIES: i # EXITS: FOUNDATION: C._ ~-~ ~-At T lg ~ c/[' CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: ~ 2ND FLR: ~ 3RD FLR: ~ BATHROOM(S): o~ TOILET ROOM(S): I UTILITY ROOM: [ PORCH TYPE: ,---'-- DECK, TYPE: ~-- PATIO, TYPE: ~,,~ ~----~.~ BREEZE~VAY: , ' FIREPLACE: ~ GARAGE: /q7"7-/~1.~ DOMESTIC HOTVvATER: ~/E..5 TYPE HEATER: t~8~) i3-/qT AIRCONDITIONING. TYPE HEAT: ~ ]/- WARM AIR: ~ HOTWATER: ~/~--'~ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: .~. ~ DATE OF INSPECTION: TIME START: I 0: I CONSENT TO I_NSPECTION MARY B. TUTHILL Owner(s) Name(s) the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) o£the premises in the Town of Southold, locatedat 370 MUNN LANE, ORIENT, NEW YORK which is shown and designated on the Suffolk County. Tax Map as District 1000, Section 1 7 ,Block 4 ,Lot 1 That the undersigned (has)8}llt~) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-ex±stincj Certificate of Occupancy 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 al1 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, roles or regulations of the Town of Southold. Dated: August , 2005 (Signature) MARY B. TUTHILL (Print Name) (Signature) (Prim Name l