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Home My WebLink AboutZ-20487FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20487 Date JANUARY 16r 1992 THIS CERTIFIES that the building Location of Property 7175 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ONE FAMILY DWELLING EAST MARIONr N.Y. Street Hamlet Block 1 Lot 4 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-20487 dated JANUARY 16r 1992 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 TWO CAR GARAGE & ONE ACCESSORY SHED & TWO MILK HOUSES* The certificate is issued to of the aforesaid building. LILLIAM BROWN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. /? N/A N/A IBuilding Inspector Rev. 1/81 Location Subdivision BUILDING DEPARTMENT TO¥~N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 7175 I~IN ROAD EAST MARION, N.Y. (number & street) (Municipality) Map No. Lot(s) Name of Owner(s) LILLIA~ BROI~I Occupancy Admitte~ by: Key available Source of request A-I RES. (type) LILLIAN BRO~,~ O~'ER ( owner-, genanz) Accompanied 'by: s~ Suffolk Co. Ta~< ~,[o. 31-1-4 KEVlN J. McLAUGR~IN Date DEC. 31, 1991 p.~LLING: Type of construction CEMENT BLOCK 1st. F1 5 I FULL ENCLOSED wood FP~ME #stories l-I/2 Foundation Cellar FULL Crawl space Total rooms, 2nd. Fi 3 3rd. Fi Bathroom(s) Toilet room(s) ONE Porch, type Deck, 'type. Patio, type Breezeway Garage Utility room Type Heat OIL Warm Air Hotwater xx Fireplace(s) NO No. Exits 2 Airconditionin~ Domestic hotwater xes Type heater OIL Other ACCESSORY STRUCT!~ES: Garage, type const. Swimming pool , . Other 2 CAR Storage, type const. I ACCY SHED & 2 MILK HOUSE~ Guest, type const. VIOLATIONS: Housing Code, Chapter 52 ..,Location Description J Ar.t: t Sec. Remarks: Inspected by: Date of Insp. JANUARY I0, 199 Time start 9:30 end 10:00 FOrm No. 6 TOWN OF SOUTHOLD BUILDING DEPA~TMENT TOWN I[ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thi~ applicacion mus~ be filled in by typewriter OR ink and submitted to the building i~l~peccor with ~h~ following: for new building or new use: 1. Final survey of property wi[h accurate loca[ion of ail buildings, proper~y lines, ugreets, an~ unusual nagural or topographic feagureu. 2. Final Approval from Health Dep[. of water supply and suwerage-disposal(S_9 form). Approval of ~lecErical installs[ion from Board of Fire UnderwriEars. 4. Sworn u[atemenE from plumber ccr~ifyinE EhaE Ch~ sold~ used i~ aysEem 5. Couu,~ercial building, indusErial building, mulEiple residences and similar ~uildings and insEallaEions, a cerEificaEc of Cods Compliance from archi~ecE or engineer responsible for ghe boilding. 6. Submi[ Planning Board Approval of Completed site plan requirements. ' For existing buildings (prior ~o April 9, ~957) non-conforming uses, or buildings and Pre-~xi~[ing- land uses: 1. ACcurate survey of proper~y showing all proper~y lines, s~r~m~s, building and unusual na[ural or gOpographic fua~ures. 2.A properly comple[ed applica[iol~ and a consen~ ~o inspac[ signed by ~he applican[. If a Cgr~ifica[c of Occupancy is denied, ~he Building Inspecgor shall s[a[e reasons [her~for in wrigi,g co ~h~ aPDliCan[' Fees 1. Cer[ificate of Occupancy _ New dwelling $25.00, Additions ~a dwelling $25.00, Al~eracions go dwelling $25.00, Swillmling pool $25.00, Accesso[y building $25.00 AddiEions EO acce~gory building $25.00. Businesses $50.00. 2.Ccr~ificage of Occupancy on Pru-cxi~;~ing Buildi~lg - $~O0.00 Copy of Ccr[ificage of Occupallcy - $5.00 over 5 years - 4.Upda[ed Cer~ifica[e of Occupancy - $50.00 5. l'c~q)orary Cer[ifica[e of Occupaucy - Re,idea[iai $15.OO, Commercial $15.OO Dace ...~cember 31,_ 1991 Coos~ruc~ion ........... Old Or Prm-cxi;:cin~ Building. XX Location of ProperLy .......... Main Road ''' ...................... arion llou~;e No. , ' ............................... Scrcc~ Ila[ule g ' ' or 0~ners of Property .... .~Lillia~ Bro~ co~t~ ~ n~p No Z000. s~tio. .... q~ ....... xx~o~k. 01 004 ~ubdivision .... .................... · Filed Map No ............... DaLe 0f ~mi~ ................ AppLicant ............................. DeI Approval )t. ' ......................... Underw~iter~ Approval ~miin~ Bolrd '''' ..................... ; Approval ........................ ~ foL. Temporary Certificate ........ Final Certi~t~ .......... ' ......... ' ......... CONSENT TO INSPECTION VIN~ttorney ~for LILLIAN BROWN Owner(s) Name(s) · the undersigned· do(es) hereby state: attorney for That the unders~ned (is) ~ the owner(s) of the premises in the Town of Southold located at Main Road East Marion · which is shown and designated on the Suffolk County tax map as District 1000, Section 031 Block 01 004 - _' _ , Lot That the undersigned (has)~/ha~kfilcd· or caused to be filed, an applica- tion in the Southold Town Building Inspector,s Office for the following: Certificate of Occupancy on Pre-exist;ng Building That the undersigned do(es) hereby give consent to the Building Inspectors of the To~vn 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 reaulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understandin~ that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for Dated. December' 31, 1991 ' (print name) (signature) (print name) POLE MAP OF PI?_OPE. P. TY '-'-?"' P '--'-PE PAi-2,:~,A SEPEk Al' TOWN OF -3~JT~,OLD , M ¥: SCALE- 40': f'