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Home My WebLink AboutZ-28043FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPDR{TMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28043 Date: 10/30/01 CERTIFIES that the building DWELLING & ACCESSORY Location of Property 705 MARLENE LA (HOUSE NO.) County Tax Map No. 473889 Section 143 Subdivision LAUREL (STREET) (HAMLET) Block 0003 Lot 025 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- 28043 dated OCTOBER 30, 2001 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 ATTACHED ONE CAR GARAGE AND ACCESSORY METAL SHED.* The certificate is issued to ROSE M CARTY of the aforesaid building. (OWNER) SUFFOLK COUN/FYDEpARTMENTOFH]~a-LTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U3 *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A Signature BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT 705 MARLENE LA NAME OF OI~NER (S): ROSE M CARTY OCCUPANCY: SINGLE FAMILY LAUREL MAP NO.: LOT (S) ROSE M CARTY KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 143. -3-25 SOURCE OF P.F~: GARY FIa~NNER OLSEN ATTY DATE: 10/30/01 ~ STORIES: 1.0 # EXITS: ~3 CELLAR: PART. CI~ SPACE: 2ND FLR.: --0 3RD FLR.: __0 TOILET RO0~(S}: 0 . 0 IFFILITY ROO~(S): ACCESSORY STRUCTURES: SMALL METAL SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P-~: BP#9687 ADD COZl1451 IIATE ON INSPECTION: 07/26/01 TIME START: 10:15AM I~ID: 10:35AM 765-1802 , APPLICATION FOR CERTIFICATE OF OCCUPANCY JO[ 2 0 % This application must be filled in by typewriter OR ink an~ suJ~mitted to th~uil~in inspector with the following: for new buildin~ or new use~ , ~ 1. Final survey of property with accurate loc~tion of all--oum%di[:~,--P~e~ 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 build~ 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 a ~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 applicar If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~p~y 1~, 2QQ1 . .. Location of Property...~'~.l~%~ .I~l~,....~s.~ ..................................... House No. Street Hamlet Onwer or Owners of Property .... ~Ol~Kt~Y.~d..6~r~t.ipD.~Y-~-~9vF-~9~q~qK~. .. . '~ .t]~e ...... Estate of Rose H. C~rty County Tax Map No 1000, Section...Ll~ ........ Block .... 03 .......... Lot..~25 ............ Subdivision. .Filed Map ............ Lot ................. Permit No ................ Date Of Permit ................ Applicant ........................ Health Dept. Approval .......................... Underwriters Ap~l .................... Planning Board Approval ........................ / / Request for: Temporary Certificate ........... Final Cert~te~ ....... Fee S, ,itted: * .... ................... / ,-- a O /B .......... : .... GARY FLANNER OLSEN Main Rd, PO Box 70G Cutc~,ue, NY ll~-J5 CONSENT TO INSPECTION Gary Flanner 01sen as Attorney for, the Estate of , the undersigned, Owner(s) Name(s) Rose ~1. Carry do(es) hereby state: That the undersigned (is) (are) the owner(s) o[ the premises in the Town of Southold located at 775 Harlene Lane. Hattituck. New York · which is shown and designated on the Suf£olk County tax map as District 1000, Section 143 , Block 03 , Lot 025 That the undersigned (has) (love) filed, 'or caused to be f/led, an applica- tion in"th. Southold Town ltutlding lnsp~u~v.'o ort:oo ro~ Dh,, fnllowinf: One story frame house, breezeway and attached garage That thc undersigned do(es) hereby give consent to the Building Inspectors of tile 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 tile laws, ordinances, rules and regulations of the Town of Southold. Dated: The undersigned, in consenting to such inspections, do(es) so with tile knowledge and understanding that any .~ information obtainl e conduct of such inspections may be used as evidence in subseque~ o uttons for vto- lations o[ the laws, ordinances· rules or regulatio sn/f/h~/~own o[ Southo~l~____ July 16, 2001 (glgnature) Gary Flanner Olsen (print name) (signature) (print name) MAIN ROAD N¥C~ Rt. 25 ( NEW ROAD LINE ) N/F AIELLO A! 69' 20' 50" E CHAIN LINK FENCE 151.10' ~ 152. 84' BLDG ID I,?PT. I'OlWl OI~ $OUTHOI.D N/F PRICE 21' 49' 50" E ~ N/F LINCOLN N/F DIESENBURG SURVEY OF D£c~CR/BED PROPER TV SI TUA TE MA TTITUCK, TOWN OF SOUTHOLD ~UFFOLK' COUNTY, N. X SURVEYED 24 SEPI:, 2001 SCALE 1"=50' AREA= 11,3,95.9 SF OR 0.262 ACRES SURVEYED FOR THOMAS M. OILROY MARILYN X GILROY TM 1000-14,3-03,-25 G'UARAN TEED TO THOMAS M. GILROY MARIL YN E GILROY EAST COAST ABSTRACT, INC. ABN AMBRO MORTGAGE GROUP INC. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW ~'~JFFOLK, NY 119/g~ /CENS / ND S EYOR /zNYS LI¢/ NO. 492~ 01R1058 I / f ,~U~OLI~ COU~TY~