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Home My WebLink AboutZ-32413 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- 32413 Date: 06/19/07 THIS CERTIFIES that the building DWELLING Location of Property 12632 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 031 (STREET) Block 0014 EAST MARION (HAMLET) Lot 008.002 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- 32413 dated JUNE 19, 2007 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 2 ACCESSORY STORAGE SHEDS. The certificate is issued to MARY H DIAZ (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 LOCATION : 12632 MAIN RD EAST MARION SUBDIVISIOll: KAME OF OKNKR (S): MARY H DIAZ OCCUPARCY: SINGLE FAMILY DWELLING ADMITTED BY: TONY DIAZ MAP HO.: LOT (S) MARY H DIAZ ACCOMPANIED BY: SAME KEY AVAILABLE: SUP'F. CO. TAX MAP HO.: 31.-14-8.2 SOURCE OF REQUEST: TONY DIAZ 6/5/07 DATE: 06/19/07 DWELLING: TYPE OF CONSTRUCTION: TOTAL ROOMS: 1ST FLR.: ~ BATHROOM(S): ~ PORCH TYPE: BREEZEWAY: I>OIIESTIC HO'l'WATER.: 2ND FLR.: ~ TOILET ROOM(S): ~ DECK TYPE: # STORIES: ~ I: EXITS: 3 CELLAR: 1/3 CRAWL SPACE: 1/3 * 3RD FLR..: -2. UTILITY ROOM(S) : WOOD FRAME FOUNDATION : CEMENT BLOCK PATIO TYPE: YES FIREPLACE: TYPE HEATER.: OIL GARAGE , AIRCOHDITIONDlG : TYPE HEAT: OIL OTHER: *1/3 SLAB WARM AIR: xx HO'l"NATKR. : ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMIHG P<X>L: OTHER: DECK ON BULKHEAD STORAGE, TYPE CONST.: 2 STORAGE SHEDS GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. RIlIIAllKS , DlSPECTED BY: DATE ON DlSPECTIOH: 06/08/07 TIME START: 2:00 PM END: 2:30 PM GAR Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'rn ~ ~:~ i~::\ .WlM u ~ BCD\" DEPT. T lli.Qf_S..Q.l.'lliOL~-.J APPLICATION 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: I. 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 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 Plaruung 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. Accurate 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinurung pool $25.00, Accessory building $25.00gto accessory building $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 of Occupancy - Residential $15.00, Conunercial $15.00 (p~ New Construction: Old or Pre-existing Building: 1.2"32 1111\-(M D.A Date. V- (check one) ~,4s f /IJ 1112/ (),J Nc/ Hamlet Location of Property: House No. Street Owner or Owners of Propel1y If} Af?-Y 1) f It Z Suffolk County Tax Map No 1000, Section .3 I Block IL/ Lot g,L Subdivision Date of Pemut. Filed Map. Applicant: Lot. Pennit No. Health Dept. Approval: Plaruung Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) IfllJ - Fee Submitted: $ I CI /' ~ .7.?-IJ l' d~ Ctt ~ 31"1 I J CONSENT TO INSPECTION tf/JlRt( j) f /12 Owner(s) Name(s) , the undersigned, doe es) hereby state: That the undersigned (is) (are) the ow~r(s) of the premises in the Town of Southold, located at 12 ~ 32 //7/1 (l.J o.0PA b. ~ ;751- l/!,tJer'OtV which is shown and designated on the Suffolk County Tax Map as District 1000, Section .j I , Block / L/- ,Lot t . 'J..-- , That the undersigned (has) (have) filed, or cause to be filed, an appJication in the Southold Town Building Inspector's Office for the fol owing: 'PR{; C 10 l4l~ clJllil/qe EX/Sir ~s ,CR.. tel- 8 frJ ..f)rA () &Jf- @. 1-- R<:' A-IJbL, A. eft. I' 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 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 South old. Dated: ../ 1o\~\Or ~/ ~l~ (S~'ture) ~ /lJA JJ 1/t-2- (Print Name) (Signature) (Print Name) <5/~? /J{ GUARANTE:ES INDICA FtD HERE ON SHALL RUN ONL Y TO THE PeRSON FOR IIHOM THE SURVE"r 15 PR[PARED. ANO ON HIS BEHALF" TO THE nTLE COI./PANY. GO>IFRNMENTAL AGENCY. L(NDING INST/TlmON. IF LIS reD HEREON, AND TO THE ASSiGNEES OF mE LENOJNG INSTlTUnON. GUARANrt:ES ARE Nor TRANSFFRABLE TO A{X)InoNAL INSTITUTIONS OR Si./8SEOUENT OllNfRS. IJNAUTI-IORIZEO Ai TERA nON OR ADDITION TO THIS SURVU IS A VIOlA nON OF SECTION 7209 OF /'HE N[W YORK STArE EDUCATION LAIf. COPIES OF TI-IIS SURVE"r MAP NOT BEARING THE LANO SURYfYORS EMBOSSEO SfAL SHAL( ,,"'or BE CONSIDERED TO BE A VALID TRUE CO"'Y TM# 1 OOO-OJ 1 - 14-008.2 MAIN l?OAlJ Nys . l?]' <5 STONE MON. + I I ~ " ~. '" TM LOT #008.1 I ~ " ~ " " <0 N/F HUI(ILL ~ I 0 ~ ~ ~. PIPE FOUND I N 1.6'N 54'39'OO"E 103.35' ~ ~ ~ ~ g :z 1 ~ '" I '0... tn "'... ' ~. N I '" Ol ~ g ~w8:1 8 ~WI '0 ~ ~ ~ <0 ~ <;: ~ & Q .0 0'" ,p "y " 0'> <" ~(y & ~ (J "," " y iv" " lJ) '" CO ~ ..., 0 0 rTi I ~. ~ I c; " " I " ~ z ';; I n '> I ~ <0 Z I I ... !" I Ol "', FRAME SHEOS(2) 21 k!/ tn "!I o <:;/ "'I O' SI1EOROOf O\It:RHANG CONe '-ION. ONLINE ~n 5 ~O rz rn ~ 'C\ '" Ne( \<.(\.I~Ci<- 0' -(1)O~ \\~P \f.~'\ O~ SURVEY OF DESCR/BED PROPERTY SURVEYED: 7 JUNE 2004 SITUATE EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. GUAR),NTEED TO: ~ f A.RY DIAl SCALE 1 "= 30' AREA := 17,493.37 S_F OR 0.40 ACRES SURVEYED FOR: MARY DIAZ SURVEYED BY STANLEY J. /SA/(SEN. JR. P.O. BOX 294 NEW SUFFOLK. N.Y. /1956 631-73 -5835 _. e e e (000 - 31- 14 -8. ~ TOWN OF SOUTH OLD PROPERTY-RECORD CARD -..... (Viet-' 43_ OWNER I STREET I Z-03.;2. I VILLAGE I DIST'I' SUB. LOT-2 \r0tt r- 'Z-- lV/6t1 () Kd Rouie Z~ r=-c~4 rvlc~l\ YI~>I-\ r ~ 1 fI tv! ;HOY -51.-1"'''' . FORMER OWNER N' If E HL'I (<I 'Jk;c ( S W ><~.ro ~ CB. MICS. TYPE OF BUILDING TOTAL I 1 .. I FARM DATE . COMM. Mkt. Value VL. IMP. REMARKS ~.t .};. " " .." ~ ......zA'TIY.z ) _ . "11 j:: f--;; 7): ~.#/c::._~= r - - --- F ------ . . ---.-------- --- -- ----- -- -------- -...----...------ ---------- ---------- . --- -- Tillable FRONTAGE ON WATER , .~ 3J. of> ' ~/2D 1.2'~ ~ - Woodland FRONTAGE ON ROAD ------- Meadowland DEPTH 182 , -f.:N. House Plot BULKHEAD Total 1 -~ - ; --- , e 1 , ..0/, ~ ~ I ~ 1 - , - - - - It ,- ~ i I" . --' ,- 29J'..?~ ::; 7~ -- M. Bldg. Foundatio'1 C,B. Bath OW(";O' Extension }4)<..23':- '3:zz. Basement F~I I( Floors f)' r~ ::sla+ Extension IQ-r~ ,3.!!' 3Z~ F.xt. Walls A~.b. S~, Interior F in ish St1,Yo"!.. . Extension Fire Place No Heat \-Iof ,'\1\" ,. porch Pool Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage O. B. 327c"3 -- - - T1 m I ~I < )( I ~ ~ ~ D CD J :0 e. ",. J 0 J :0 . -L 1\1. < \() , '. , . 1;:\ . jo- -' ij , .. . ! i l~ \,\ ~ i '<< -_\ , ~- , I: 'n J , I '~ .~ , 'f", I --j ,E. I l , I ., , ! ;to):; CD "T1 I '" I 0 ll: c I :0 3 Q CD '" :0 ~ ~ 5 . :'J -,," I - I ... ,....., I I - ~ . 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