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Home My WebLink AboutZ-32629FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY 32629 Date: 09/26/07 THIS u~KTIFIES that the building DWELLING Location of Property 845 MAPLE LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 064 Block 0001 Lot 029 Subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Require~_nts for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs--~nt to w~ich C~KTIFICA~ OF OC~2u~ANC~Y N~BER Z- 32629 dated SEPTEMBER 26, 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 & ACCESSORY CARRIAGE HOUSE* The certificate is issued to ELISABETH J TODD TRUST (OWNER) of the aforesaid building. SuF~O~KCOUNTYDEPA~T~TOFHEALTHAPPROV~J~ R~CTRICAL CERTIFICATE NO. PLDMB~ c~KTIFICATION DA'r~u3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 845 MAPLE ~ OF ~ (S): ELISABETH J TODD TRUST SOUTHOLD MAP NO.: ~OT (S) ELISABETH J TODD TRUST · d~ABII~BY: SAME ~uFF. (~O. TAX MAP NO.: 64.-1-29 JAMES P.O'MEARAI ATTY DAT~: 09/26/07 REAR ENTRY (PANTRY WASHER DRYER) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 1~: BP#1760-COZ~1392 (ADDITION) DA~ (~ l~l~(~: 09/24/07 START: 10:00 AM ~: 10:45 AM · ' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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 arrhitect 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. 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. Ifa Certificate of Occupancy is denied; the Building h~spector 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. 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. Temporal~y Certificate ofOccnpancy - Residential $15.00, Commercial $15.00 Date. August 30, 2007 New Construction: Old or Pre-existing Building: Location of Property: 845 blaple Lane~ Southold~ I, IY House No. Street Owner or Owners of Property:R1 ~gahal-h .1. Todd Suffolk County Tax Map No 1000, Section 06/400 Subdivision Pemz/t No. Health Dept. Approval: Plarming Board Approval: Date of Permit. X (check one) Hamlet Block 01000 Lot 02900 Filed Map. Lot: Applicant: El±sabeth J. Todd Trust Undetwvriters Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 Final Certificate: _ X (check one) /'Applicant Signature CONSENT TO INSPECTION Elisabeth J. Todd Trust 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 8outhold, located at 845 Maple Lane, Southold, NY which is shown and designated on the Suffolk County Tax Map as District 1000, Section 06400 , Block0100 , Lot 02900 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Cert±ficate 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 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, roles or regulations of the Town of Southold. Dated: 2007 (Print Name) (Signature) (Print Name) /6~ o - ~ ~Z- / ->? TOWI~ OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~--~ t/.~,~ VILLAGE DIS'r, SUB. LOT W ~PE OF BUILDING ~,,. ~r~ ,~,. ~, ~ ~o~.'-c,. ~,,c. ~ND ~ IMP. TOTAL DATE REMARKS ~, ~, X~Ct p~~-~ . f~ t N ~ NOR~L BELOW ABOVE F,kRM Acre Value Per Value ~cre Tillable 1 Fillable 2 fillable 3 ~dland iwampland FRONTAGE ON WATER ' ~ru~hl~nd FRONTAGE ON ROAO qouse Plot ~PTH BULKH~D Fatal D~K COLOR ~;~ ~/ ,, ~- o I TRI,M ~ension Fl~rs K. fenslon ~ ~ x,' , ~ / G ~; I 5~ / ~t. Walls : ¢.m~ Interior Finish LR. tension ~ ~ 7 ~ ~ = .~ ~re Place Heat ~ DR. / ~ K ~ ~ ~ p ~ Type Roof ~(%:f. Rooms 1st Floor BR. * Recreation Roo~ fl Rooms 2nd Floor FiN. B. rch ~';~ ~ ~ t ~ ~ ~- :: ~ormer 'eezeway Driveway aria 'B'j SURVEY OF PROPERTY AREA