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Home My WebLink AboutZ-35943FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 35943 Date: 09/11/12 THIS CERTIFIES that the building DWELLING & ACCESSORY GAR-AGE Location of Property 2395 VILLAGE LA & 25 NAVY ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax F~ap No. 473889 Section 026 Block 0001 I~Dt 012.001 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 ~C~J~ANC~f ~q~BER Z- 35943 dated SEPTEMBER 11, 2012 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 GARAGE.* UPDATES COZ-30983 ISSUED 6/15/05 The certificate is issued to JERILYN & JOHN WOODHOUSE (OWNER) of the aforesaid building. EL~t-£KICAL CERTIFICATH NO. PLU~BRS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTBOLD HOUSING CODE INSPECTION REPORT II)CATION: 2395 VILLAGE LA ORIENT ~OBDMSIC~: ~ NO.: LOT (S) ~ OF OWNER (S): JERILYN & JOHN WOODHOUSE OCCUPANITf: ONE FAMILY DWELLING JERILYN & JOHN WOODHOUSE DWELLING: CELLAR: PART ~ SPACE: part cellar exit electric u~it *one side downstairs mua room, 2nd floor 1 storage room, organ pipes 1 room for ACCESSORY STRUCTURES: C~E, TYPE OF CON~'F.: WOOD FILAME 2 CAR W/ELEC ~FOl~, ~"fPN C~ST.: OWmm: across the road open dock - no structures VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOP~ FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DITR ON INSPECTIOn: _09/10/12 T]~ START: END: Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPgaNCy 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 survoy of proporty with accurate'location of all buildings, property lines, streets, and unusual natura~ or topographic features. 2. Final Approval from Health D0pt. of water supply and sewerage-disposal (8-9 form). 3. Approval of electrical installation from Board 0fFire Undenvriters. 4. Sv~om 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 eeffifieate of Code Complianea'from architect or engineer responsible for the building: 6. Submit Planning Board Approval of completed site plan requirements. ~). For existing buildings (prior to April 9, 1957) ~ion~conforming uses, or buildings and "pre-existing" land uses~ I. Accurate survey of property showing all property lines, streets, building and unusual natumi or topographic features. 2_ A properly ca2.mpleted 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmilig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00: Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $_25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ;check one) Old or Pre-existing Building: Ui L L4qO Cc) Street Hamlet ~t: New Construction: Location of Property: ~:~:] ~- House No. Owner or Owners of Property: ,.~l a Suffolk County Tax Map No 1000, Section 8ubdivisi°n Permit No. Health Dept. Approval.' Planning Board Approval: Date of Permit. Filed Map. Applicant: Underwritem Approval: Request for: Temporary Certificate Fee Submitted: $ ..~'~' Final Certificate: (check one) Ajbtp~ica nt Signature CONSENT TO INSPECTION 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 Southold, located at ~D'ga/g L) ~C-L i~l 6~ L I[_.) which is shown and designated on the Suffolk County Tax Map as District 1000; Section -.~ ~ , Block I , Lot I ~ That the und6rsigned (has) (have) filed, or muse to be filed, an application in the Southold Town Building Inspector's Office for.the following: That the undersigned do(es) hereby give con~ent to ~he Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such iuspectious 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 o f 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 proseeutious for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: lgna e ,-- 'tN ) (Print Name) NOTE~: · IviO NU pIlDN"i'~iDU N O PIPE FOUND FIlRE FENCE FLOOD FENCE HED®E AREA = 42,t54 SF OR O.q3 ACRES REFERENCE DEED: L. fl325 P. 547 ®P-.APHIC SCALE I"= ~O' /~ -- -- DISTAI~2ES SHOWN SUCH 100' REFERENCE DEED L.980 CP 207 ~ou~¢ O~ Street JOHN C. EHLERS LAND SURVEYOR 6 EAST MAiN STREET N.Y.S. LIC. NO. 50202 RIVERHF~D, N.Y. 11901 369-8288Fax369-8287 REFERF_N£E # 98 0229