HomeMy WebLinkAboutZ-19824FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19824
Date APRIL 2~ 1991
THIS CERTIFIES that the building
Location of Property 9625 MAIN ROAD
House No.
County Tax Map No. 1000 Section 31
Subdivision
ONE FAMILY DWELLING
Street
Block 3
Filed Map No.
EAST MARIONr N.Y.
Hamlet
Lot 21
Lot No.
conforms substantially to the requirements for a Private One Family
Dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19824 dated APRIL 2r 1991
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 TWO ACCESSORY SHEDS *
The certificate is issued to
FRANCIS J. & KATHERINE M. CONWAY
(owners)
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.
VIOLATIONS:
1. ITJ.RGAL ACCESSORY APARTMENT ON 2ND FLOOR.
2. SMOKE DETECTORS IN WRONG LOCATION. 3. PERMIT
REQUIRED FOR WOOD STOVE. 4. ELECTRICAL UNDERWRITERS
CERTIFICATE REQUIRED FOR ACCESSORY SHED. UNSAFE
WIRING.
- +yB~~spector
Location
BUI~DI..G DEP.~J{T:.LENT
OF SOUTHOLD, N. Y.
HOUSIi~G CODE IHSPECTION REPORT
9625 MAIN ROAD EAST MARION, N.Y.
~numoer ~ s~ree~) ~I'iunzcZpali~y)
Subdivision
Nmme of 0wner(s)
~ap No.
FRANCIS J. & KATHERINE M. CON~/AY
Lot(s)_
'Occupancy
A~mitted by:
A-!
(type)
MARGARET COI~4AY
( own er- 5 enan~
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 31-3-21
Source of request
FRANCIS J. CONI4AY
.Date 3/29/91
D%~ZLL!NG:
Type of construction
Foundation STONE
Total rooms, 1st. F1 5
Bathroom(s) 2 FULL BAT~S
Porch, type ~ & s-~. ~Deck,
Breezeway Garage
Type Heat OIL
Fireplace(s) NONE
Domestic hotwater
Other
I,/OOD FRAHE
Cellar i/2
2nd. F1 4
Toilet room(s)
type
'Warm Air
No. ~cits 3
Type heater
#stories 2
Crawl space_l/2
3rd. F1
Patio, typ e.~
Utility room
.Hotwater xx
Airconditioning
PROPANE
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.2Acc~-~ns
Guest, typ'e const.
Lncation
VIOLATIOMS: _C~APTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description I-A~t-. '1 Sec.
SMOKE DKTECTORS ARE REQUIRED TO BE NO LOWER THAN I' $
12" FROM THE CEILING UHEN MOUNTED ON THE WALL. ~'
UNDERWRITERS CERTIFICATE REQUIRED FOR ~-I-~-CTRICAL (A)
WIRING IN REAR YARD IN ACCESSORY BUILDING. '
WOOD STOVE IN RITC~EN AR~.A NOT INSTALLED ~ (A)
~ ACCORDING TO NFPA REGOLA?IONS. PERMIT REQUIRED
4. ~)~Lf~R ILLEGAL ACCESSORY APARTHENT ON 2ND FLOOR
Remarks. BP #8167-z CO Z-7036 for Add. & Alt.
Inspected by: .~z.~,_:~ish~ 'Time start9:40A~ end iO:30AM - ~ Date 'of Insp. AP~L I, ~991
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 chat 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a cer~ificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prier 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 ~haii state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwetiing $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swifnming pool $25.00, Accesmory building $25,00,
Additions to accessory building $25.00. Businesse~ $50.00.
2. Certificate of Occupancy on Pre-exis~ing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 yea=s - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ate .~&..~...?.g../.g~. ~ ...............
New Construction .......... ~ Old Or Pre-existing Build~ng.~.~.~ ..........
~oc~t~on o~ ~rop~=y .... ......... ....... .... ~i~_~..~.~...
House No. Street Hamlet
.VT .*.
County ~ mp No 1000, Section.C?.,~f./,~-'2£~.~lo~k..~2.~o~P~...~ot...ZZ?,Z~.~Cy.~. .....
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Ilealth Dept. Approval .......................... Underwriters Approval ..........................
Planning Board Approval .........................
R~quest for:
Fee Submitted:
Temporary Certificate ........... Final Certlca[e ...........
$ ............................. ~,~//_~ ,,~.
APPLICANT
CONSENT
TO
INSPECTION
Ourner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
· which is sho~ and designated on the
That the undersigned (ha~) (have) filed, or caused to be flied, an applica-
tion in the Southold To~ Building Inspector's Office for the follow,g:
Th ~ o(es) hereby give consent to the Build~g Inspectors
of the Town of Southold to enter upon the above described property, including
~uy and all buildings lo~ted thereon, to conduct such inspections as they may
deem necessary wi~h respect to the aforesaid application, mclud~g inspections
[o determina that said premises comply with all of the laws; ordinances, rule~
and re~ulatioas of the Town ~f Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any ~n£ormation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or re~'ula~ion,~f~ the Town of Southold.
. ('si n"t(ssX " ,/
(signature)
(print name)