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Home My WebLink AboutZ-20733FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20733 Date MAY 147 1992 THIS CERTIFIES that the building Location of Property 29335 MAIN ROAD House No. County Tax Map No. 1000 Section 13 Subdivision ONE FAMILY DWELLING Street Block 2 Filed Map No. ORIENT? N.Y. Hamlet Lot 10.1 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 97 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20733 dated MAY 147 1992 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 TWO CAR WOOD FRAME GARAGE* The certificate is issued to PENELOPE DEMAREST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A /~uilding Inspector Rev. 1/81 Loc~ ~lon TO',','~.[ OF SCUTI[OLD, ?L Y. HOUSI::C CODE IiiSPECTI0[,; REPORT 29335 ~IN RO~ ORIEl, ~ Subdivision Name of Owner(s) PENELOPE DENAREST 0ccupan~y_ A~mitted by: A-I 1~$. (~¥pe) JEFFREY DEMARE ST Key available Source of request ~R (Owner- tenanT) __Accompanied by: s~ Suffolk Co. T~c JEFFREY D19CAREST- · _Date MAY 11, 1992 D~.'?~LL I~D: ,Type of Construction ~OOD FRAME Foundation CONCaETH Fuu,u - Cellar Total rooms, 1st. FI 4 2nd. Fi Bathroom(s) I FULL BATH -- -- Porch, type. FRONT ENCLOSED ~Deck, type Br eez e;.;ay_~ Garage Type Heat OIL -- '/farm Air Fireplace(s) NONE No. Fzcit s 2 Domestic hotwater ~S -- Other ~ E WfRY~~ #stories FULL ~ " Crawl space 4 5rd. F1 Toilet room(s) ONE Patio, typ~ Utility room _Hotwater s~ Airconditioning_. Type heater OIL 2 ACCESSORV S~oUC~,jR~S. Gar~, type const. 2 CAR ~OOD S~'/ir~ming pool FRAt~ Other Storage, type const. Guest, type const. REAR__PORCH I Exterior Description V!OLAT-r0~[S: .ClL4PTER 45--N.y. STATE UNIFOI~I FIEE PREVENTION & BUILDING CODE lASt. t See. I and the raili"§s there°" shall he--aintained in i-pARTI a sa~e and sound condition. . Exterior surfaces shall be ~intained in Eood T. 1242.5 (e) ~ces not i~erent y resistant to~ ~ioration shall be treated vlth a protec~e~ ~E of paint 9r other sultable prese~ative WINDOW & DOOR TRIM Remarks: .. - Inspccted by: Date of tnsp. May 13, 1992 · Time Start 9:00 end 9:20 · '" Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ali 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 Complian, ce 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 J~ .. "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. ~ Certificate of Occupancy on pre-~existin~ Building- $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................. New Construction ........... Old Or Pre-existing Build, lng ..... ~ ......... Location of Property..~ ~.~. ~.~. ................ ~/./.,f/~.. ~.~.. ........... ~./.~,~ .~. .......... House No. Street Hamlet Onwer or Owners of Property ......... ./~. g. ............ County Tax Map No 1000, Section..../.~. ....... Block ..... ~ ......... Lot.../.~..'. ( .... Subdivision .................................. Filed Map ........ Lot .......... Permit No .............. Date Of Permit .............. Applicant ........................ Health Dept. Approval .................... Underwriters Approval ............. Planning Board Approval .................... Request for: Temporary Certificate.I ......... Final Certif~at-~% .......... Fee Submitted: $ ........................... ~ ~ ~ '-~-" ~ % 0qf APPUCA T ..... (D%~er(s) Namcl:D do(es) hereby state: CONSENT TO INS PEC'FION , the und{~rsigned, That the undersigned (is) (are) the owner(s) of thc premise:; in thc Terra of Southold located at ~, q t q - P/Crl ~_ _, which is Ghol,.rn and design, ated on thc Suffolk County tax map as District IOOO, Section~. Block ~ , Lot/O, / . That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Tox~m Building Inspector,s Office for the follov,~. _ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town Of $outholdto enter upon the above described property, including any and all buildings located ther;on, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to deter,nine that said premises comply with all of the laws; ordinances, rules and refulations of the Town cf Southold. The undersigned, in COnsenting to such inspections, do(es) so x;ith 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~ofSouthold. ' ~ (signature) - --~ ¢' ~prtnt flame) - - (si~nat ur.e) (print name) ,%, i-TTM ' '-m ' F ~] }ri tS, LO :1