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Home My WebLink AboutZ-25792FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25792 Date: 06/23/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 7005 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 031 EAST MARION Subdivision (STREET} (HAMLET) Block 0001 Lot 003 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 OCCUPANCY NUMBER Z- 25792 dated JUNE 23, 1998 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 & STORAGE SHED * The certificate is issued to EDNA A BROWN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A N/A N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 *PLEASE SEE ATTACHED INSPECTION REPORT. / v Building In~ector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION= 7005 MAIN RD EAST MARION SUBDIVISION: MAP NO.: -- LOT (S) -- NAME OF OWNER (S): EDNA A BROWN OCCUPANCY: SINGLE FAMILY ADMITTED BY: MARILYN OUINTANA KEY AVAILJkBLE: SUFF. CO. TAX MAP NO.: 31.-1-3 SOURCE OF REQUEST: MARILYN OUINTAS~A - JUNE 5. 1998 EDNA A BROWN ACCOMPANIED BY: SAME DATE: 06/23/98 TYPE OF CONSTRUCTION: FOUNDATION: STONE TOTAL ROOMS: 1ST FLR.: BATHROOM(S): ~,~ PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OIL OTHER: WOOD FRA~ 2ND FLR.: ~ TOILET ROOM(S): DECK TYPE: FIREPLACE: ONE YES TYPE HEATER: LP ~ WARM AIR: HOTWATER: PANTRY. REAR STORAGE ROOM. EILCO CELLAR ENTRANCE # STORIES: 1.5 # EXITS: ~ CELLAR: PART CRAWL SPACE: __ 3RD FLR.: ~ UTILITY ROOM(S): __ PATIO TYPE: GARAGE: AIRCONDITIONING: GARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHER: WOOD -1-1/2 CAR STORAGE, TYPE CONST.: WOOD FRAME GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N,Y. STATE UNIFOP. M FIRE pREVENTION & BUILDING CODB DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 06/23/98 TIME START: 10:30 AM END: 11:00 AM Form No. 6 OF SO HO - ~ TOWN HALL [ ~-~' ~"[~ ~ ' "~ OCCUPANCY [~7~.:~ ~4~:~PLICATION FOR C~TIFICATE OF This application must be filled in by t~ewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final su~ey 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 fo~). 3.Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of 1% lead. 5. C~ercial build,g, ~dustrial build,g, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6.Submit Plann~g Board Approval of completed site plan requir~ents. For ~istimg build~gs (prior to ~ril 9, uses, 1957) non-confo~ing or bulldogs and ~-~pre,~ist~g" land uses: , ~. Accurate su~ey of property sho~g ~1 property lines, streets, budding and ~ unusual natural or topographic features. ~. A properly c~leted application and a comsent to inspect si~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~itin9 to the applicant. ]. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~Tming pool $25.00, Accessory building $25.00, Additions tO accessory building $25.00. BusinesseS. 2. Certificate of Occupancy on Pre-existinR Buildine ~$100.O0~ 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ate .... .9~.~.~..~.~.~.~..~. .............. ~ew Construction ........... Old Or Pre-existing Building .... ~ .......... House No. Street Hamlet ~,,er or o,~ers of ~roperty..~..~..~..-~..~.."~-~-- ..................... :ounty T,~ ~ap ,o 1000, Section .... .~\ ...... Bloc~ ..... .~ ......... ~ot..~ ................. Subdivision ................................... . Filed Map ............ Lot .................... .. Permit No Date Of Permit Applicant . ~ealth Dept. Approval ............. .... . ........Underwriters Approval.. .................... ... ~lanning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... .~..~.0.~ ............... ~ A~L~C~ 108,60' MAIN ROAD (ST~T~ ROU~ ,~) license no. 050149 SURVEY OF PROPERTY SITUATE AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY,, NEW YORK SCALE: I"=40' DATE: JULY 2, 1998 $.C.T.M. DIST, I000 SEC. 31 BLK. I LOT3 Mare E. C~ar,~t. L.$. Paul T. Canalize, t.S, Rc~a~t ~. Kerf, L$~ G~d Ground SucYeyom, P.C. CONSENT TO INSPECTION ~k~-~x'~x ~× ~.x~,-eckX',O,._. . the undersigned, O~er'(s) Names)- do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the To~ of Southold located at ~¢~ ~k~ ~ ~*~ which is shoxm and designated on the Suffolk County tax map as District 1000. Section ~ __. Block ~ . Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow,g: 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 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 Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained tn the conduct of such inspections may be used as evidence in subsequent prosecutions for rio- rules or regulations of the Town of Southold. lations of the laws, ordinances, Dated: %u,~',,~ ~'l q ~ - (si~[fiature) (~rint name) (signature) (print name)