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Home My WebLink AboutZ-21042FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-21042 Date SEPTEMBER 24r 1992 THIS CERTIFIES that the buildinG Location of Property 1300 MARLRNE LANE House No. County Tax Map No. 1000 Section 144 Subdivision OWE FAMILY DWELLING LAUREL f NEW YORK Street Block 2 Lot Filed Map No. Lot No. Hamlet 37 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NhrMBER Z-21042 dated SEPTEMBER 24f 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 OWE FAMILY DWELLING WITH ACCESSORY GARAGE * The certificate is issued to (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 DONALD BUCKLEY & ANO. N/A N/A Location Subdivision ~[.no No. Name of Owner(s) DONALD BUC~.~Y & AND. 0ccupan~y A-! Res. ~type) Ad.mitred by: DONALD BUC~.~.y Accompanied by: SAME Key available Suffolk Co. T~{ N°. 144-02-37 Source of Pequest CHA~;.~.S CUDDY, ATTY... · Date 9/2 !/92 D!'~LLING: ,Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 ~OOD FRAME ~S ' ~ tot!es ONE Cellar Crawl space 5 2nd. Fi 3rd. FI Bathroom(s) Porch, Breezewaz Type Heat OIL Fireplace(s) NO Domestic hotwater Other ONE FULL BATH Toilet room(s) Deck, type Garage · Warm Air xx No. Fz~it s YES Patio, tYPe_ Utility room Hotwater Airconditicning_. Type heater PROPANE ACCESSORY STRUCTURES: Garage, type const. S%'~ir. ming pool Other J Storage, type Const. I CAR~DOD FRAME Guest, type const. ViOLATIO~[S: L___~cation .CIIAPTER 45--N.y. STATE UNIFOIhM Fllfl{ PREVENTION & BUILDING CODE Dezcriotion I Art. [ Sec. Date of Insp. 9/22/92 · Time start 9:30 end 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF SOUTHOLI~ A. 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: I. 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-exlstzng land uses: 1. .Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application an~'~ 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. ~ Cer.tificate 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 September 18, 1992 ~ew Construction ........... Old Or Pre-existing Building .... ~ ........... .ocation of Property~ 1350 Marlene Lane, Mattituck .... House No. Street Hamlet Donald Buckl~ .aqd Kenneth H Buckley nwer or Owners of Property ........ . · ounty Tax Map No 1000, Section. ~44.00 ..Block.. .~2.00 ' t 037 000 ubdiviaion .................... .; .... ; ........ Filed Map ......... . . ermit No ............ Dat~ Of Permit ........ ~ ~-~ for owners ealth Dept. Approval .......................... Underwriters Approval ..... lanning Board Approval ........................ ~quest for: Temporary Certificate ........... Final Certicate ........... Submitted: ...................... CONSE?;T TO INS[~EC'F[ON CHARLES R. CUDDY, as Agent for Donald and Kenneth H. Buckley t3',vncr t s) Buckley do(ea) he~'eby state: BLDG. DEPT. TOWN OF $OUTHOLD Donald Buckley and Kenneth H That the tN'~Wmgcxi~xm~xOi~):~.u e' t' ..,Buckley · ' ~ ne owner(z) of the premise:; in ~he To,tm of Southold located at ~:LS0 Ma_rlene~ Lane. Matt~_Lt~ck · which is :shown and desiEn, ated on the Suffolk County tax map as District 100O, Section~44.00, I31ock 02.~, Lot037.000 . That tile undersigned (has) (;~x,~) filed, or caused to be filed, an applica- tion in the Southcld Town I3uildin.g Inspector,s Office for thc followin.~: - A £~rtificat~ Qf 0¢¢upa~c¥ on Pre-E×istin~ Building Dated:_ September 16, That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including an3' and ail buildings located thereon, to conduct such inspections as they deem necessary with respect to the aforesaid application, inc!ufLng inspections to de,er,mine that said premises comply with ail of the laws; ordinances, rules and regulations of the Town cf Southold. The undersigned, in consenting to such inspections, do(es) so with the knott'ledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lation$ of thc laws, ordinances, rules or regulations of lhe Town of Southold. (prin~ nan]e) (S ifJ~]a[Ll ['C) (print name) /~o-/v',,/-,~'-a~, TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET//~_~) 0 VILLAGE DIST. ~b,'l~uckle:~ s., , W RES. I ~ lO S~S. ~VL FA~ COMM. CB. MISC. Mkt. Value ~ND ~ IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION hArM NOeL BELOW ABOVE F Acre Value Per Value Acre Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER J Brushland FRONTAGE ON ROAD Ho~se Plot DEPTH BULKH~D Total DOCK I M. Bldg. Extension Extension Extension Porch Porch B reezewa, Garage Patio Total COLOR TRIM Foundation Basement Ext. Walls Fire Place Type Roof Recreation Dormer Driveway Bath Floors Interior Finish Heat ~ Rooms 1st Floor Rooms 2nd