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Home My WebLink AboutZ-22596FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22596 Date SEPTEMBER 17{ 1993 THIS CERTIFIES that the building Location of Property 925 ORCHARD STREET House No. County Tax Map No. 1000 Section 25 Subdivision ONE FAMILY DW~.LLING Street Block 2 Filed Map No. ORIENTt N.Y. Hamlet Lot 18 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-22596 dated SEPTEMBER 17{ 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 DW~.LLING WITH ACCESSORY BARN & SHED * The certificate is issued to SHIRLEY CARLSSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. / ~llding Inspector Rev. 1/81 BUILDING DE PA RT~LENT TOWN OF SOUTIIOLD tlOUSING CODE INSPECTION REPORT LOCATION: 925 ORCHARD STREET (number & street) - SUBDIVISION NAME OF OI~NER (s) SHIRLEY B. CARLSSON ORIENT, N.Y. MAp NO. (municipality I.OT (s) OCCUPANCY ONE FA)lILY uW~IAING (type) ADMITTED BY: OWI~R KEY AVAILABLE SOURCE OF REQUEST: OWI~R (owner-tenant) ACCO~IPANIED BY: SA[HE SUFF. CO. TAX M~P NO. 25-2-18 ~ILLIA[i PRICE, Arr¥ FOR OWI~R DATE: SEPT. 1, 1993 DWELLING: TYFE OF CONSTRUCTION FRAME FOUNDATION 'STOI~, CONCP. ETg, C~NT BLOCK TOTAL ROOMS: IST FLR. 4' 2ND FLR. 3 BATHROOM (s) I TOILET ROOM (s) 1 PORCH TYPE I OPEN DECK, TYPE WOOD BREEZEWAY FIREPLACE l DOMESTIC UOT~ATER XX TYPE HEATER OIL TYPE HEAT OIL WAP, H AIR O~tER: ~ STORIES 2 # EXITS 3 CELLAR 50Z CRANL SPACE ]RD FLR. 50Z UTILITY ROOM PATIO· TYPE GARAGE AIRCONDITIONING HO~ATER X~ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. S~IMMING POOL OTteR: STORAGE, TYPE CONST. · GUEST, TYPE CONST. BARN & SHED FP. AI~ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~16523Z-CO Z-18849 ENCLOSED EXISTING PORCH ~ z DATE ON INSPECTION SEPT. 16, 1993 TH0~AS~ J. F~SHER TIME START 9:50 ENI~ i0:15 A~ INSPECTED BY: Fo~m No. 6 bUILDING DEPARTMENT 765-1802 · APPLICATION FORCERTIFICATE OF OCCUPANCY ~-~.~ - TOWN O1~ 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 limes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.' of water supply and sewerage-disRosal(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, indus.trial 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 uses: 1. Accurate survey of property showing all property lines, streets, building amd ,.. 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. 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. $15.00 September .1 % ~.3. . .x.x. New Construction ........... Old Or Pre-existing Building ............. Loc~tion of Property ........... ~.5..O¥~%~. ~.~., .Or£~, ............................... ' House No. Street Hamlet Shirley B. Carlsson Onwer or Owners of Property ...................................................... ''''' ....... ' 025 02 018 County Tax Map No 1000, Section ..... ~ ........ Block ................ Lot ...................... ' Lot ' SubdiVision ............... . ..................... Filed Map .................................. Permit No .... ,, .......... Date Of Permit ................ Applicant ............................. ;{ealth Dept. Approval .......................... Underwriters Approval ....................... ;~.,.. Planning Board Approval ........................ Request for: .Temporary Certificate. i ......... Final Certicate..,$g ...... $ 100.00 · Fee Submitted~ ............................. APPLICANT William H. Pric~, Jr., Esq. CONSENT TO INSPECTION TOWN O~ :'~: WILLIAM ~H. PRICE, JR., Esq., attorney for o,.,,~ O%vner(s) Namc(~0 -.er, . the underSi~nedo do(es) hereby state: That the undersigned (is) fare) the Owner(s) of the premises in the Town of Southold located at 925 Orchard Street, Orient, NY v,'hich is show-n and designated on the Su£folk County tax map as District 1000, Section__025~, Block 02 , Lot 018 That the undersigned (has) (have) filed, or caused to be filed, an applies tion in the Southold Town Building Inspector,s Office for the ~-story frame house, shed and barn That the undersigned do(es) hereby give consent to Qze 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 %vith respect to the aforesaid application. ~clud~ inspections to determine that said Premises comply with all of the laws. o~dinances, ~ules and regulationa 0f the TOwn of Southold. The undersigned, in consenting to such ~spections, do(es) so x~th the knowledge and understanding that any ~form~tion obtained tn the conduc~ of such inspections ma~ be used as evidence in subsequent PPosecutions fop vio- lations of the laws, oPd~ances, ~ules or re.la, ions of the Town of Southold. Dated:_ September 1, 1993 ~ (si~[ure) WILLI~ H. PRICE, JR. (print name) (prLnt name) N