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Home My WebLink AboutZ-22384FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22384 Date JUNE 10f 1993 THIS CERTIFIES that the building Location of Property 795 LOVE LANE House No. County Tax Map No. 1000 Section 141 Subdivision ONE FAMILY DWELLING Street Block 3 Filed Map No. MATTITUCKf N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22384 dated JUNE 10g 1993 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 D~T.nING * The certificate is issued to MARGARET A. ASHTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A - /~il~ing Inspector LOCATION: SUBUIVISION BUILDING DEPARTMENT TOWN OF SOU~tOLD HOUSING CODE INSPECTION REPOET 795 LOVE LAN~ (number & street) NAME OF OWNER (s) MARGARET A. ASHTON OCCUPANCY A-I Res. NATTITUCK,.N.Y. (municipality HAP NO. LOT (s) OWNKR (type) (owner-tenant) ADMI'I-I'zD BY:. MARGARET A. ASETON ACCOMPANIED BY: S~ KEY AVAILABLE ' SUFF. CO. TAX MAP NO. 141-3-27 £~OkCL OF II, QUEST: ~d~GARET A. ASHTON DATE: JUN~ 9, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) WOOD F~ STORE & C~IIT IST FLR. 6 2ND FLR. 4 3 TOILET ROOM (s) ~ STORIES 2 STORY ~ EXITS 2 CELLAR PARTIAL CRAWL SPA~IfARTIAL 3RDFLR. O1~ UTILITY ROOM PORCH TYPE BREEZEWAY DOHESTIC DOTWATER TYPE HEAT OIL OTHER: PANTRY ACCESSORY STRUC~uK~S: COVERED,FRONT&PEAR DECK, TYPE FIREPLACE YES TYPE HEATER WARM AIR GARAGE, TIME OF CONST. S~I~HING POOL OTHIiR: PATIO· TYPE 2 GARAGE OIL AIRCONDITIONING · HOTWATER ST~AH BRICK STORAGE, TYPE CONST. WOOD · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PKEVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #7724-C0 Z-8032 ADD BP ~21475Z-CO Z-22383 FOR ACCY INSPECTED BY: ~~ ~ DATE ON INSPECTION JUNE 9, 1993 TIME START 9:15 END 10:15 · ',' , 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 inspector with the following: 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 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) 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 a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 ' 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... .~. ~. q ~..~.~.. ................. ...... .. New Construction ........ · .. Old Or Pre-existing Building / Location of Property .......... / House No. Street Hamlet Onwer or Owners of Proper ..................... , ............. County Tax Map No 1000, Section...Z~./ ...... Block...~. ......... Lot...~.~.. .... Subdivision .................... '' ''--..- -- · .... Filed Map ............ Lot ................ . .. .. . Permit No ............... · Date Of Permit ............ ... . Applicant ....................... .. . . .. Health Dept. ApProval ................. Underwriters Approval ............. Planning Board Approval ...... Request for: Temporary Certificate ........... Final certicate.'~..~.'.....C~. Fee Submitted: ................. .......... CONSENT TO INSPECTION Owner(s) do(es) hereby state: Name(s) · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at · which is shown and designated on the Suffolk County tax map as Distriot ~000, Section !W · Block 3 , Lot ~? That the undersigned (has) (have) filed, or caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for the following: 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 xvith respect to the aferesaid application· including inspections to determine that said premises comply with ali of the taws, 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (siggature) (print name) (signature) (print name) A'T'