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Home My WebLink AboutZ-31823FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31623 Date: 09/19/06 THIS CERTIFIES that the building DWELLING Location of Property 145 KING ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 026 Block 0001 Lot 023 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- 31823 dated SEPTEMBER 19, 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 WITH ACCESSORY 1 CAR GARAGE* The certificate is issued to DONALD B ROSE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL ffm PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A uth ized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 145 KING ST ORIENT SU13DMSION: MAP NO.: _ LOT (S) NAME OF ONNER (S): DONALD B ROSE OCCUPANCY: SINGLE FAMILY DWELLING DONALD B ROSE ADMITTED BY: DONALD ROSE ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 26.-1-23 SOURCE OF REQUEST: DONALD ROSE 8/30/06 DATE: 09/19/06 DWELLING: TYPE OF COMSTRUCTION: WOOD FRAME # STORIES: 1.0 # EKITS: 3 FOUNDATION: LOCUST POSTS CELLAR: CRAML SPACE: TOTAL ROOKS: IST FLK.: 6 2ND FLR.: 0 3RD FLR.: 0 HATHROOK(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: FRONT & REAR SCREEN DECK TYPE: PATIO TYPE: BREEZEKAY• FIREPLACE- ONE DOMESTIC HOTHATER: YES TYPE HEATER: KEYSPAN GAS AIRCONDITIOMING: TYPE BEAT: NONE NARK AIR: BOTHATER: OTHER: SMALL KEYSPAN GAS HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: 1 CAR WOOD FRAME STORAGE, TYPE COMET.: ATTACHED TO GARAGE SMIKKING POOL: GUEST. TYPE COMET.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE : INSPECTED BY: DATE ON INSPECTION: 09/11/06 GARY J F SH TIME START: 9:15 AM END: 9:50 AM dol -F35- 75M Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Q,? __PPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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% 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: 1. Acute survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 1. 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. C2� Certificate of Occupancy on Pre-exictin¢ Buildine - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: V (check one) of Property: �i 5 C t /1 u S 71e L -;:T- Location House N, c Street Hamlet Owner or Owners of Property: yvh,q-j P � e65� Suffolk County Tax Map No 1000, Section ( Block Lot a 3 Subdivision Filed Map. Lot: Permit No. Date of Permit Applicant: Health Dept. Approval: Underwriters Approval: — Planning Board Approval: — Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant gignature �o�� C�� 0-1-1 3iea3 CONSENT TO INSPECTION '13 W6 5 6, 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 (i —,K-1/4 5�"R6:C--r O IC4'r V V /�7 which is shown and designated oil the Suffolk County Tax Map as District 1000, Section a / , Block I Lot a 3 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ± _Q bj�-al� cL, Cert -ham .4 o4 9Cfan4 aCu 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. Dated: (Signature) DOAIA- ,D 13 90-<� (Print Name) (Signature) (Print Name) Y ; E �'✓NG.F �� y' y ,.-�, t'X10��yy (� ia.<M rim t i y `\�-pF9"�v efS b a C R1 7tl7" /V !s r Jt 9 {� fray �G/trGdrs'J4ee �r� �o 5.63 4r ov ry-�i� 0 4e a H AA,L','In TOWN OF SOUTHOLD PROPERTY RECORD CARD I YPE OF BUILDING v• c C- � l� Y !. YI S RES. SEAS. �(ob VL. RM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE RE KS J 6 �S�O 0 SAO 0 /6 V o o a`o o /9 o B / —L 11si, K6s -e- 47' d a d000 `/OC 10 I - r 71�02/qi o p AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 /Voodland swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD 6z/ -louse Plot DEPTH DLA BULKHEAD 'otah DOCK I/ I i i } M. Bldg. .. ,, —� T� Foundation Extension F 4e9 ement Extension a - g ,- _ ry y �; Ext. Walls Extension Fire Place Type Roof Porch X Recreation Room Porch Breezeway Driveway Garage Patio O. B. Total A, LOCATION: (numbers street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: T (type) (owner -tenant) ADMITTED BY: I�o.rE ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONST UCTION-�_ # STORIES: 6-ne.., # EXITS: 3 FOUNDATION: tc S AS; S CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR: (0 2ND FLR: 3RD FLR: BATHROOM(S): OAA— TOILET ROOM(S): UTILITY ROOM: PORCH TYPE; DECK, TYPE: PATIO, TYPE: BREEZEWAY. ,,` FIREPLACE: �_ GARAGE: -------, DOMESTIC HOTWATER: WE TYPE HEATER: *-CAIRCONDITIONING: �--- TYPE HEAT: ✓` WARMAIR: HOTWATER• OTHER: &.Al )be",-O.AJ w ACCESSORY STRvUCTURES: GARAGE, TYPE OF CONST.: CM- Qb.4 STORAGE, TYPE CONST.: hiA C411;;j IZ« SW MMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFOPM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION--- ART. SEC. REMARKS: J INSPECTED BY: DATE OF INSPECTION: 91,1104 TIME START: %/✓� END: