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Home My WebLink AboutZ-35985No: 35985 Town of Southold Annex 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 10/15/2012 10/3/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a APRIL 9, 1957 23600 Route 25, Orient 18.-5-15.1 Filed Map No. Lot No. built prior to pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35985 dated 10/3/2012 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 two family dwelling {four bedrooms total - two on each floor) with front and rear enclosed porches, and accessory wood frame two car garage and accessory shed.* The certificate is issued to Gloria, Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 23600Route 25, Orient SUFF. CO. TAX MAP NO.: 18.-5-15.1 SUBDIVISION: NAME OF OWNER(S): Gloria, Robert OCCUPANCY: ADMITTED BY: Robert Gloria SOURCE OF REQUEST: Gloria, Robert DATE: 10/3/2012 DWELLING: tl STORIES: 2 FOUNDATION: BATHROOM(S): 2 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: yes TYPE HEAT: natural gas ti BEDROOMS: 4 OTHER: ti EXITS: 2 stone and cement block CELLAR: 75% CRAWL SPACE: 25% TOILET ROOM(S): UTILITY ROOM(S): pantry offkitchen DECK TYPE: PATIO TYPE: FIREPLACE: GARAGE: TYPE HEATER: natural gas AIR CONDITIONING: 2nd floor WARM AIR: X HOT WATER: X # KITCHENS: 2 BASEMENT TYPE: unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWIMMING POOL: OTHER: VIOLATIONS: wood frame 2 car STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: accessory shed REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: 9:30am 9/6/2012 END: 10:00am 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 tine Building Department with the following: A. For new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and tmusual 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 esed 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 architect 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 nses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or ~opographic 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 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 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. August 27, 2012 New Construction: 23600 Location of Property: Old or Pre-existing Building: Main Road x (check one) Orient House No. Street Hamlet Owner or Owners of Property: Snffolk County Tax Map No 1000, Subdivision Robert Gloria Section 018.00 Permit No, Date of Permit. Health Dept. Approval: Planning Beard Approval: Request for: Temporary Certificate Fee Submitted:S_ 100.00 Block 05.00 Filed Map. _ Applicant: Underwriters Approvah Lot Lot: 015.001 Final Ce~tificate: x (check one) Applicant Signature William H. Price, Jr. CONSENT TO INSPECTION William H. Price, Jr., as Agent for Robert Gloria , 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 $outhold, located at 23600 Hain Road, Orient, New York which is shown and designated on the Suffolk County Tax Map as District 1000, Section 018 , Block _ 05 , Lot 015.001 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C*r~-- Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described prope~-ty, 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, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with tile 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: August 27, 2012 William~. Price~ Jr. (Print Name) (Signature) (Print Nalne) ATTORNEY AT LAW 828 FRONT STREET, P.O. BOX 149 GREENPORT, NEW YORK 11944 Phone (631 ) 477-1016 Town of Southold Building Dept. P.O. Box 1179 Southold, New York 11971 TOt','~,~ OF S( ;uOLD August 27, 2012 Re: 23600 Main Road, Orient, NY - SCTM#1000-018.00-05.00-015.001 Enclosed please find an Application for Certificate of Occupancy, together with Consent to Inspection, Survey, and my check in the amount of $100.00 to cover your fee. Please contact the owner, Robert Gloria, at 323-3578, to arrange for the inspection. Thank you for your courtesies and assistance in this matter. Re: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ' FORMER OWNER, ~E/~& - VL FARM ]COMM. CB. MISC. . ~ IMP. TOTAL DATE i REMARKS - i I AGE NEW FARM Tillable 1 Tillable Tiilable 3 Waodl~nd Swampland NO~kL BUILDING CONDITION BELOW ABOVE Value Per Value Acre r Mkt. Value FRONTAGE ON WATER J ~'~', Brushlond '/ FRONTAGE ON ROAD DEPTH BULKHEAD DOCK Bldg. ~ension ~tension ~rch 6111 ~X ~ ; Foundation Basement Ext. Wails Fire Place Type Roof Recreation Roorr arch Dormer reezewoy j Driveway aria 'oral Both Interior Finish Heat Rooms 1st Floor Rooms 2nd Floa Dineffe K LR. DR. BR. FIN_ Receipt ]N~. 8 2 ~) 8 3 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Annex Sauthold, New York 11971 Date ½tOODollars Fee for Fee for Fee for [] Sign [] Flood Development Pmt. [] Building Permit [] Cash Fee for Electrical Inspection Building Department LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) C~-~I.. ACC OMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: x. FOUNDATION: 5~OL~ t C/~''/'~ ~Oq¢'df~BASEMENT: # OF BEDROOMS: 1ST FLR: ~ 2ND FLR: BATHROOM(S): ~ TOILET ROOM(S): PORCH TYPE~~.~ DECK, TYPE: - BREEZEWAY: FIREPLACE: STORIES: # EXITS: CRAWL SPACE: ~ 3RD FLR: "-'-'-' UTILITY ROOM: PATIO, TYPE: GARAGE: .... DOMESTICHOTWATER: ~-~ TYPEHEATER:~IRCONDITIONING:__~~, TYPE HEAT: ~ /ot~-Z.-~.ARM AIR: HOTWATER: # OF KITCHENS: ,,~ A/o~ ,"JTd.~_ FINISHED BASEMENT: YES OTHER: .~ ..O.,,ff-a.~ ~ ~ ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: NO STORAGE, TYPE CONST.: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ]ART. SEC. 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