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Home My WebLink AboutZ-35823Town of Southold Annex 54375 Main Road Southold, New York 11971 7/17/2012 No: 35823 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 7/17/2012 THIS CERTIFIES that the structure(s) located at: SCTM ti: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requir~nents for a 12785 Route 25, East Marion 31.-5-7.1 Filed Map No. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35823 dated 7/17/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with enclosed front porch.* NOTE: BP 1258 garage addition COZ-1131; BP 11247 addition COZ11785. The certificate is issued to Oysterponds Hist Soc Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. BUILDING DEPARTMENT TOVqN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 12785 Route 25, East Marion SUFF. CO. TAX MAP NO.: 31.-5-7.1 NAME OF OVqNER(S): Oysterponds Hist Soc Inc OCCUPANCY: ADMITTED BY: Tazewel! Smith SOURCE OF REQUEST: Oysterponds Hist Soc Inc SUBDIVISION: DATE: 7/17/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 3 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: oil # BEDROOMS: OTHER: stone CELLAR: 2ND FLR.: TOILET ROOM(S): DECK TYPE: FIREPLACE: 3 TYPE HEATER: WARM AIR: # STORIES: 2 # EXITS: 2 1/2 CRAWL SPACE: 1/2 3RD FLR.: UTILITY ROOM(S): PATIO TYPE: GARAGE: off boiler AIR CONDITIONING: HOT WATER: x BASEMENT TYPE: 5 # KITCHENS: I ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: wood~ame VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 10/5/20 TIME STAR : ./'fY :30. 6-t ENO: r/:wo Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy This' applioation must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form). 3.. Approval of electrical installation from Board 0f Fire Underwriters. 4. 'Sw. om statement from plumier certifying that tho solder used in system contains less than 2/10 of 1% lead.. 5. Commercial building, indnstrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for lhe building= 6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-eanforming useS, or buildings and "Pre-existing" land uses." 1. Aceuratesurv~y~fpr~p~rtysh~winga~~property~ineS~streets~bui~dingandunusua~natura~~rt~pographic features. 2. A properly completed application and c0nscnt to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the rcnsons therefor in writing to thc applicant. C. Fees 1. Ce~ificate of Occupancy - New dwelling 250.00, Additions to dwelling 250.00, Alterations to dwelling 250.00, Swimmir~g PO01 250.00, Accessory building 250.00, Additions to accessory building 250.00, Businesses 250.00,. ~. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of.Occupancy - 2:25 · 4. Updated Certificate of Occupancy - 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 Date. New Construction: 0Id or Pre-existing Building: / (check one) Location of Property: /..~ 7~''~ ,,~,~,n~ ~o~r~ ~--~'~.ff7 House No. Street Hamlet Owner or Owners of Property: OJ, q. rT~ Suffolk County Tax Map No 1000, Section 8ubdivisi0n Pet'mit lqo. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submilted: $ /~o '""- Date of Permit. Filed Map. Lot: Applicant:. / Underwriters Approval: Final Certificate: / (cheek one) Applicant Signature CONSENT TO INSPECTION O~l/$~,~tOta¥/)F /~/,$~-, t.,~l ~/-~ 7,n~. 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 /.,f7o°5'' ,,~,,~,~ which is shown and designated on the Suffolk County Tax Map as District lO00, Section ~91 ,Block O- ,Lot 7. That the undersigned (has) (have) filed, or cause to be filed, an application in the SouthOld Town Building Inspector's Office for-tho following: That the undersigned do(es) hereby give conSent to ~e 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 Southo~[d. The undersigned, in ~onsenting 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.subsequant prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: .5'~/,"f~ ~o// (Signature) (Print Name) '(Signature) (Print Name) OWNER / TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VL LAND IMP. TOTAL 09o RES. FARM DATE COMM. VILLAGE E REMARKS AGE NEW NORA~AL ABOVE FRONTAGE ON WATER ~.~ ,3- Farm Acre Value Tillable Tillable 2 DISTRICT SUB. ACR~GE ~ TYPE OF BUILDING CB. MISC. LOT Est. Mkt. Value Total Woodland Swampland Brushland House .Etot Tillable 3 BUILDING CONDITIOF BELOW Value Per Acre V DOCK FRONTAGE ON ROAD Breezeway Foundation Basement Ext. Walls Fire Place Bath Floors Interior Finish Heat Porch Roof Type Porch Rooms 1st Floor Patio Rooms 2nd Floor Driveway Garage Dormer 3 LOCATION: (number & street) (municipality) SUBDIVISION: NAME OF OWNER(S):. OCCUPANCY: MAP NO.: LOT(S): (type) ADMITTED BY: 7"~Z ~-~ (a.)/Jf--J KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) &th~ ACCOMPANIED By: '-~'~. SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: (/x.)~ ~ ,z_ # STORIES: FOUNDATION: ~r C~i~y~¢~ BASEMENT: ~ OF BEDROOMS: 1ST FLR: ~ 2ND FLR: ~ BATHROOM(S): ~ TOILET ROOM(S): PORCH TYPE: Y CK, TYPE: BREEZEWAY: ~ FIREPLACE: ~ ~ DOMESTIC HOTWATER: TYPEHEAT: tl OF KITCHENS: FINISHED BASEMENT: YES CRAWL SPACE: 3RD FLR: -- UTILITY ROOM: PATIO, TYPE: ti EXITS: GA~A~GE: ._~__~ ~ TYPE HEATER: OA/, /f. _AiRCONDiTiONiNG: r WARM AIR: NO HOTWATER: OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: ~ GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIMESTART: /'dT,-'~//~ END: