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Home My WebLink AboutZ-27858FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27858 Date: 08/07/01 THIS CERTIFIES that the building DWELLING Location of Property 240 BUITNY LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0006 Lot 027 Subdivision Filed Map No. __ Lot No. co~orms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCcuPANCY NUMBER Z- 27858 dated AUGUST 7, 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 ACCESSORY SHED * NEW SUFFOLK The certificate is issued to LOIS M D'ALLIESSI (OWNER) of the aforesaid building. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT NEW SUFFOLK MAP NO.: LOT (S) LOIS M D'ALLIESSI SO~C'E OF ~: ABIGAIL A. WICK~, 7/24/02 DATE: 08/07/01 DWELLING: T~PE OF CONS~UCTIO~: WOOD FR3%ME FO~ATION: CEMENT BLOCK TYPE H~ATER: NATURAL GAS ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP#3786-COZ3066(ADD&ALTS) BP #4977Z C0Z4118 (PATIO ADD) DA~ O~ INSPECTION: 08/03/01 TI~ START: 10:30 AM ]~D: 11:05 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY JUL 3 0 ~ ' 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: 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 Comp!ianee from architect or engineer responsible for the building. 6. Submit Planning Board ApprOval of completed site plan requirements. B. For exksting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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-existing Buildinm - $I00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date Julys. 24, 2001 - Pre-Existing Use Certificate New Construction ........... Old Or Pre-existing Building .... 'x''"~'d~d~ancy for dwelling. Location of Property .... 2.4.0. Bunny Lane ''' New Su.ff.~k. ........ House No. · Street Hamlet Lois M D'Alliessi P~:operty ' ' Onwer or Owners of ................... · ............................................. ............... county T~ ~p No ~000, Section...,.~...IJ......Block~ ~ ....... .S ...... Filed Map Lot · Subdivision - .............................. Applicant .... Permit .......... Date Of ' Permit No . · · Underwriters Approval · · .... Health Dept Approval ..... Planning Board Approval .. - .... X tifi -- · · 1 Certicate ........... Request for: Temporary Cer cate ....... Fina Fee Submitted: $..~qq'-~q ...................... _.. ....... ~ ~'~ ~ ~*~ ~ ibi~aii :~. 'Wild'am, agent ' CONSENT TO INSPECTION LOIS M. D'ALLIESSI · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 240 Bunny Lane, New Suffolk, New York 11956 · which Is shown and designated on the Suffolk County tax map as District 1000· Section 129 , Block 6 , Lot 5 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: a Pre-Existing Use Certificate of ~0ccupancy for the dwellin$. That the undersigned do(es) hereby give consent to the 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 with respect to the aforesaid application, including inspections to determine that said 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 the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. -/ /// (signature) ~ Abigail A. Wickham, agent (print name) (signature) (print name) N/F FOOARTY N/F YOZZO .S 06' 49' W FD SHED N 06' 49' E 106. 69' BUNNY LANE N/F HARTUNG liE= 197.48' SURVEYED 25 JUNE, 2001 SCALE 1"--JO' SURVEY OF DESCRIBED PROPER TY SI TUA TE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. AREA= 20,991 OR O. 482 ACRES SF TM 1000-117-06-27 GUARANTEED TO MONICA BENNETT lAN L. MOUNTY PECONIC ABSTRACT INC. NORTH FORK BANK SURVEYED FOR MONICA BENNETT lAN L. MOUNTY GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR ~HOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE COPIES OF' THIS SURV~ZY MAP NOT ~EARING THE LAND SURVEYORS EMBDSSEO SEAL SHALL SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW /ISUFFOLK, NY ' NYE LIC. NO. 49fJ 01R1025