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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)