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Home My WebLink AboutZ-34643FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPA/~CY No: Z- 34643 Date: 11/01/10 THIS c~KTIFIES that the building DWELLING AND ACCESSORY Location of Property 1125 NAVY ST (HOUSE NO.) County Tax Map No. 473889 Section 025 subdivision ORIENT (STREET) (HAMLET) Block 0003 Lot 005 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 ~cu~ANC"f ~B~ Z- 34643 dated NOVE~ER 1, 2010 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 ENCLOSED FRONT PORCH AND ACCESSORY ONE CAR GARAGE. * The certificate is issued to LL HOSSENLOPP REV TRUST & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTYD~PART~ENTOFHEALTHAPPROVAI3 ELECrKICAL CERTIFICATE NO. PLU}~ERS CERTIFICATION DA'r~a3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ACCESSORY STRUCTURES: GAP~I~E, ~'FPE OF C(~ST.: ONE CAR VIOL~%TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~ATE (~ ]]~SP~CTIO~: 10/04/10 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 Depatlmeat with i A. For new buildl~g or new use: "1. Final. survey ofpropeRy with accurate location of all buildings, prop~ty liaes, struts, and unto topographic features. ' .2. Fbaal Approval from Health DePt. 0t~ water supply and sewerage.disposal (S_9 form). · 3. Approval ofelocffical installation'l~om Board of Fire Underwriters. : 4. Sworn statement fremplumber certifying that the lolder used in system contains l~ss than 2/10 of 1% lead.. 5. Commercilll bRilding~ industrial building, multiple residences'and ilmih~tr buildings and installations, a eeRifieate . o f Code Compliance from archiiocto~ engineer responsible for the building. '6. Submit Plannlng Board Approval o~6omPleted site plan requirements.. ~r existing.building~.iprio? to April 9, 1957) non-conforming uses~ or I~ulldinns nnd 2. A preper~y compIetexi app~ioatinn and c~nseat t~ inspoct signed by the apphcant~ If a Cef~cate ~; ~ccupan~y is denied,/he Building Inspector shall stat~ thc reasons therefor in Writing to/he applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dWetling $25.00, Swimming pool $25.00, P~.c'cessory building $25.00, Additions to accessory building ~25.00, Businesses $50.00. 2. C~rtificateofOo~upaneyon.Pre~e~istingBuilding_ $100.00 3. Copy of Certificate of Oceupancy£ $.25 4. Updated Certificate of Occupancy - $50.00 5. TempoFary Certificate ofOcoupancy - Residential $15.00, Con~ercial $ I5.00 tqew Co~sLract~on: Old or Pre-existing Building: LocationofPmpcrty: /lbS- '" /~/~V~/ House No, 'Street OWner or'Owners 0f P~operty:. i'/' / ,,v t)~ ,cio ~ ~:,,,ff/._o 0° p Suff°m county Map 1000, Section'' S- Subdivision P~ini.t No. - .. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ It')F), DF) ' 'Date0fPermit. Date· t,/ (check One) Hamlet Block- ' .3 Lot . Filed Map. Lot: Applicant: Underwriter~ Approvah .' Final Certificate: - (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ROUGH PLBG. INSULATION FINAL FIRE SA~-,-, ~' INSPECTION ]F~RE FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY F~E ~ZS~STJ.T C0.SrRUCn0. R! INSPECTOR CONSENT TO INSPECTION /,/,v~ ~ /,t~2g. ~,~ o ~p//~,'~-/' ~¢,~,~3~c ,d~"e-7~e undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) ofthe premises in the Town of Southold, located ak //o? 3'- A/q. ~Z S 7', tg,,~ r ~',~' Z' which is shown and designated on the Suffolk ~:mnty Tax Map as District 1000, Section ,,~ ~- , Block 3 , Lot X' That the undbrsigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give eon§ent to ~he Building Inspectors of the Town of Southold to enter upon the above described property, including any and ail 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 ail of the laws, ordinsnees, rules and'regulations of the Town of South61d. 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: (Signatur'e) ~rint N~u~.~) '(Si a (Print Name) SURVEY OF PROPERTY SITUATE ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCTM # 1000 - 25 - 3 - 5 AREA = 12,062 sq ft 0.28 acre N22°07'30 ~3.25' S87o46'20"E 28.00' $81 °50'50"E 11.9' NOW OR FORMERLy PETER DOODY RUTH DOODy GST EXEMPT UFETIME TRUST ORCHAI~ STREET / 1~2.~0' 17.5' sto~7 frame house N83°13'20"W stockade fence 0 NOW OR FORMERLY SHIRLEY ANN REITER SURVEYED: SEPTEMBER 26, 2010 iron found pipe LA/CD SURVEYOR 59 FLORENCI~ DRIV~ MANORVILLE, N.Y. 11949 ( 631 ) 874 - 0400 20'