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Home My WebLink AboutZ-24030FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. pRE EXISTIN~ C~RTIFICAT~ OF OCCUPANCY No Z-24030 Date NOVEMBER 16r 1995 THIS CERTIFIES that the building. OWE FAMILY DWELLING Location of Property. 1655 TRUMAN'S PATH EAST MARION NY House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 13 Lot 6 Subdivision 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-24030 dated NOVeMBeR 16, 1995 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 A OWE FAMILY DWELLING* The certificate is issued to SUSAN CLICK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTA~D INSPECTION REPORT. Rev. 1/81 I.OCATIOtt: ]655 TRONAN"S PATH ~ & street) ,qUill) 1 V 1 S I ON NAHE DF ()~/NEI( (si S~S~ ~ICK lid I I,l} I ti(; IIEI'ARTHI,~NT 'l'OUtt OF SOUTIIOLD IIOIIS 1 N(; CODE 1H$1'Ir. CTI()N REPORT EAST ~ION (~pa I i t ~ ) HAP HO. I.OT(s) OCCIII'ANI;Y A-I RES. AI)i'IITTF. I} IIY: ROBIN CLICK KEY AVAI I.Alll.F. -qOllltCl'~ I)F Itl~.(J]ll;S'l': SIISAN CLICK I)t41,l,l,1 N[, · 'I'YPI'.' (Ilr CONS'I'IIIICTION WOOD FRAI~ FDIINI)ATION CEllUlar PIERS '& C~NT BLCK CEI.I,AR *I'OTAI, ROOH$: IST Fl,Il. II^TIIItOOH (si OlfE I'OIICII 'I'Y I'1'~ ENCLOSED IIREEZI~.¥/AY DOHIr-ST I C IIOTI4^TE R ~S 'I'Y I'1~ IIEAT OIL O'UIIER: J S'FOR1ES ONE 2Nil FI,R. TIIII.ET ROOH too) IiECK, TYPE F I RI'~I'I.A(]E NOlq~ TYPE IIEATEI{ ELECTRIC ~/AIIH Alit EXITS C R A~.qL SI;ACE 31ti) I"I,R. II'I'ILITY RDOH PATIO SLATE GARAGE AIRCONI) ITIONING IIO'[MA'I'E R' Y~S ACCESSORY S'fRIICTUI{I~S: GARACE, 'I'YPI~. OF CONST.ONE CAR WOOD F~ S'FORAG[~-, *I'YPI'.' CONS'F. S~/IHHING POOl, , CUEST, TYPE CONST. O'I'IiF. I},: CONCRETE PAD BY THK WATER .................................................................. ZZZZZZZZZZZZZZZZZZZZZZZ_-_-7 VIOI.A'I;1ONS: CIIAP'FEll /.sS N.Y. S'rATE IINIFORH F'IRE PREVENTION & IIUII.I)INC CODE I,OCATION DESCI{I I'T1ON AE'F. ItI<H^RKS: BP#22554-Z - CO~Z-23744 - (ABD) I)ATE OF INSI'I~.C'I'IOII I 1/15/95 'l'ltll'~ STAIIT 9:50AH END lO: ISAI~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. 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-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 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. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 II- %'- Date ...................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property ................. House No. Street Hamlet Onwer or Owners of Property ..... ~.~.~..~. .~. County Tax Map No i000, Section ..... ~.l ...... Block ...... ~.~. ....... Lot....~. ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: o APPLICANT O~;qler (s) Name(s) do(cs) herel)y state: CONSENT TO IN~;PI£CTION tim nndersigned, That tile undersigned (is) (are) the owner(s) of the premises in the Town · which is shown ancl deslRnated on lhe Suffolk County tax map as District 1000, Sectioa 5~ __, Block lA , Lot ~ That the undersigned (has) (have) filed, or caused tobe filed, an applica- tion in tl~e Southold Totem Building Inspector's Office for tim followh~g: Dated: That tim undersigned do(es) hereby give consent to tile Building Inspectors of the Town of Southold to enter upon the above described proper~y, iueluding any and all buildings located thereon, to conducl such inspections as they may deem necessary with respect to tim aforesaid application, including inspections Lo determine that ~aicl 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 knowledge and understanding that any Ln£ormation obtained in the conduct of such inspections Jnay he used ns evidence in subsequent prosecutions for vio- lations of the laxvs, ordinauces, rules or regulations of the'Foxvn of Soutbold. /' (s~gnatu~ e) (prinl name) (si~'nature) (print name) · TOWN OF LOT MAP OF ~'~.~.~,~'/.~.~, / SCALE 1" = SUFFOLK CO. TAX MAP DATA:- DIST. ~/~d~ , SEC. ~'?--~/' BLK. /..~,~ LOT /~,~, , CO. CLK. NO. , SUFFOLK COUNTY N.Y. FILED DRAWN BY NYS LIC. 34401 FILE NO. /.~Z, ~.._~.~ SURVEYED ,L~',/~" ~.~, lg ~'.-~ BY RAMPART SURVEYING P.C. PlO BOX 377 JAMESPORT, L.I., N.Y. 11947