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Home My WebLink AboutZ-31690 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- 31690 Date: 07/18/06 THIS CERTIFIES that the building DWELLING County Tax Map 2145 OLD (HOUSE NO.) No. 473889 Section 037 ORCHARD RD (STREET) Block 0003 EAST MARION (HAMLET) Lot 005 Location of Property 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- 31690 dated JULY 18, 2006 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 HENRY DE LISLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT EAST MARION MAP RO.: LOT (s) HENRY DE LISLE ACCOMPAIlIED BY: SAME KEY AVAILABLE: SOURCE OP REQUEST: SUPF. CO. TAX MAP RO.: 37,-3-5 HENRY DE LISLE 7/5/06 DATE: 07/18/06 DWELLING: TYPE OF COHSTRUCTIOR: TOTAL ROOMS: 1ST PLR.: ..2 BATHROOM(S}: ~ PORCH TYPE: BREEZEWAY: DOMESTIC HOT'ifATER: YES 2ND PLR.: -.Q TOILET ROOM(S}: ~ DECK TYPE: :J STORIES: ~ # EXITS: CELLAR: FULL CRAWL SPACE: 3RD PLR.: 0 UTILITY ROOM(S} : 2 WOOD FRAME FOmIDATIOlI : CEMENT BLOCK PATIO TYPE: TYPB HEATER: OFF BOILER GARAGE: AIRCONDITIOlIING : FIREPLACE : ONE TYPE HEAT: OIL OTHER , WARM AIR: BOT'ifATER : ACCESSORY STRUCTURES: GARAGE, TYPB OF CORST.: SWIMMING POOL: OTHER , STORAGE. TYPB COIilST.: GUEST, TYPB COlIST. : VIOLATIONS: CHAPTER 45 N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC, REMARKS: BP #5666Z-COZ-4684 (ADDITION) IRSPEC'l'BD BY: DATE OIl IRSPBCTIOlI: 07/11/06 TIME START: 9:30 AM EBD: 10:00 AM . Form Jr; c,f~:L r;~I-~r;~- ---, TOWN OF S~UTHOLD BUILDING DEPARTMJfT 5 ( S TOWN HALL 765-1f02 ,---- I -- . APPLICATION FOR CERTIFteJrlE OF OCCUPA~ -~l-oq\. ~ ' I ~ \ "7-IJ-OIo i~ This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of properlY with accurate location of all buildings, properlY 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 2/1 0 of I % 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of properlY showing all properlY lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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. C. Fees I, 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 - $25,00 4, Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15,00 Date, '1 /~(oc.., Old or Pre-existing Building: ~ (check one) New Construction: Location ofproperty: Q.I 't 5 House No. OLl) oeel-\ 1$Li) Street P- $ . / f~~'T MM.-\uN I4 Nt I ,q3~ amlet Owner or Owners of Property: tk!\J 11-,/ 1)6 31 L..-\,:p...G Suffolk County Tax Map No 1000, Section Block 3 Lot 5 Subdivision Filed Map. Applicant: Lot: Permit No. Date of Permit. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate ';OOIC..tifi'~'n ('h':'100)~ U " Fee Submitted: $ ~. 7tlS'b~ 6'At to q; 'Wo 9 0 Applicant Signature I-( efl.r"i De. l.- dsc- TOWN OF SOUTHOLD PROPERTY RECORD CARD 'HI ' 'I 0 'tJtJj -,?7-,?-..)' OWNER STREET Z I L.) 5 VILLAGE DIST. SUB. LOl: /02./ -ffi~'c<-! .. j) . ;; :.,;; (aY OL1J OfVlAlfiJ ld U.J)~,7V eS I A'h,.t...&,bf.[~ &.L/ ~.~.&-....I FORMERJ)WNER V N E , ~;YJ h ~ . S W TYPE OF BUILDING . i , _...~.- . ... ~~~. ......~~.= - -----, ., . lES'~J 6 SEAS. VL. FARM COMM, CB. MISe. Mkt, Value REMARKS , '. LAND IMP, TOTAL DATE , Joo / fCoo / 7~() ? Yn,7 '1L I), II:)/,?} . AJ..l\." ,. , Jr. -,\-~ ~ C. '. /000:0 ..!k(d / 7 -J-iJ /,j ..' , /.J-O CJ /, /<>- //1': \:L q", (~-\' ~.{' 0 .330 0 .3 6,~i'l1 r/I'~ /7 ~ d. 50 3& u 0 38' S/ 1 Jld; 3- ;)00 3(.,00 :3 g"o I' /0/),(./7 r AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ......; J . I :....& ~ 'I' fl1"1 .. FARM Acre Value Per I Value Acre rillable 1 'illable 2 "illable 3 Vaadland . FRONTAGE ON WATER .wampland FRONT AGE ON ROAD , ;Lg 0 :rushland li (I (! 7 ~ ~ louse Plat DEPTH II.!;- I M..{'4---<2AJ>J.. .- BULKHEAD 0 - ~ ... ..... - 'atal -- DOCK I. Bldg. dension xtension xtension orch orch :reezeway iarage 'otio ). B. rotol ~ I~' . . .~... .'7'1..... :- ,,~. (' ... ". __:'1:1/ '. " ~ i;l~ , , . " .' ,r . COLOR ....... \ . . .' . Gy,,~.v1 I~ . , <,- TRIM h' }- 0 , i~' , . I., '-'c=-'::___",="" FOlJl'ldotion ~BL. Both / --.- . ~6'" ~ L'> L Basement r .uD.- Floors (!JaK . St:. ~.. r ? Ext. Walls Os b sf" Interior Finish .,..",(.1 Fire Place VcS Heat 2$101'-<...1 Type Roof G "" f),/..It Rooms 1 st Floor Recreation Roam Roams 2nd Floor Dormer Driveway -;: S'o X:l.~ '" ~MAA {'Ii;()..~ 3t. I"'!( -' /' 3(,"'~ .; a. Dinette K. LR. DR. BR. FIN. B. CONSENT TO INSPECTION ___~H~~R~ ~ L'~~2 Owner(s) Name(s) , the undersigned, doe es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at c2 I L{ S- 0 l.- 1) 0t:Z- <?" F\;1l \) (I.. 1) . . eft"... ('1\'+ (l../ ~N / r-J '/ which is shown and designated on the Suffolk County Tax Map as District 1000, i I q '3 ct Section .3 7 , Block .3 , Lot S . 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"'~, FI C 4Te 01'" CL CJ I'\-N ~ fOct- 1'f1..C: - E. ><- \ J T\ N f,- (r( "" LA N & +., S, That the undersigned doe es) hereby give consent to the Building Inspectors of the Town of South old 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 South old. 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: ') (~ ( D L ~~/I~ (Signature) J:::lf"ON ~1 DE: Ll S L. t ( rint Name) (Signature) (Print Name) oJ cJ) ~ I C) ~ .( (JJ 1 SURVEY OF LOT 12 lIMAP OF SECTION TIt'lO, GARDINER'S BAY ESTATES" FILED 5EPTCH6ER 23. l't21. RLE No. 215 51TUA re, EAST MARION TOJi'lN. 5OIJTHOLD 5t.FFOLK COIJNTT'. NY ,,>;"t- 0"- y \ ./' \ -' ~RVEYEO Ob-lb-200b SUFFOLK GCtNT1" TAX ,. lOaJ-37-:>-5 -' t..r.IU.B'lISU'nl: ,'j?- 0"- V nmdL~ IliaJoK_ CIlkogo ndo """""""Coaqlmy BaIIlof _1l.A. 1<. ,"J yO " 0"- V NOTES, . HoNJHENr FCI.tID AREA = 4,625 SF. or 0.1062 krs 6RAPItlG SGALE ~-,;. ,"= 20' N W+E S /' -' -' ,,~ O' y .~._'''- -- - dK't~;11 """~~";"Y ~7/!i.~y JOHN c. EHLERS LAND SURVEYOR 6 EAST MAINSTREEJ: N.Y.S. UC.lIQ, 50202 iUVERHIlAD, N.Y. 11901 :369-1188 Pax369-8287 REF. \lComp"l'eneo'Pro$\D6\ll6-'21l4.ptO '::7~.{.~,::;;'i;:t"f;~:r:+:'z .....-.~..."._,......-....- "'";~':!.~~:~~~t;:,~~~,f.S c..,--,~~ .....,_....._...-~~......,.~ ~.....,,''''............,:,.~..-.~_.-. .:t~iltt~~ft~