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Home My WebLink AboutZ-22150FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22150 Date FEBRUARY 22r 1993 THIS CERTIFIES that the building Location of Property 1695 BAY AVENUE House No. County Tax Map No. 1000 Section 31 Subdivision ONE FAMILY DWELLING EAST MARIONr N.Y. Street Hamlet Block 9 Lot 20 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-22150 dated FEBRUARY 22~ 1993 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 DW~.LLING WITH ATTAC~]{.D GARAGE & ACCESSORY SHED The certificate is issued to EDITH DIMON (owner) 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. Rev. 1/81 LOCATION: 1695 BAY AVE. (number & street) SUBDIVISION NAME OF OWNER (s) EDITH DIMON BUILDING DEPARTMENT TOWN OF SOU~IOLD DOUSING CODE INSPECTION REPORT EAST MARION, NO, (mun~c~pali£y LOT (s) OCCUPANCY ONE FAMILY DWELLING OWNER (VACANT) (type) ADMI'i-r~D BY: SHELLY KEHL KEY AVAILABLE SOURCE OF REQUEST: WILLIAM H. (owner-tenant) ACCOMPANIED BY: SAME SUPF. CO. TAX ~ NO. 1000-3]-9-20 PRICE, JR., ATTY DATE: FEB. 10, 1993 DWELLING: TYFK OF CONSTRUCTION FRAME FOUNDATION CEMENT BLOCK & CONCTRETE TOTAL ROOMS: I ST FLR. 7 2ND FLR. BATBROOM (s) I TOILET ROOM (s) - ~ STORIES I # EXITS CELLAR 80%+ CRAWL SPACE 3RD FLR. · UTILITY ROOM 2 20%+ PORCH TYPE CLOSED BREEZEWAY DOMESTIC HOTWATER TYPE HEAT 01 L OTttER: IN STOOP BECK, TYPE FIREPLACE XX TYPE REATER WAR, AIR PATIO, TYPE CONCRETE GARAGE I CAR LP GAS AIRCONDITIONING XX HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIIfl~ING POOL OTHER: CONCRETE BLOCK WALL STORAGE, TYPE CONST. · GUEST, TYPE CONST. FRAME VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~LLAR & Chimney connector water heater & furnace are to close :ARAGE to combustibles - connector in garage rusted through. 1243.1 lb) :ELLAR Protect fuel oil lines 1243.3 ~LLAR-GARAGE Electric fixture & wiring to be maintained in safe working conditions. 1243.8 XTERIOR Exterior surfaces, roofs 7 surfaces to be maintained in good condition. 1242.5 d) (e) DATE ON INSPECTION FEB. 18, 1993 TIME START 9:40 END 10:lO TO~ OF SOUTHOLD BUILDING DEPARTMENT TOWN 765-1B02 APPLICATION FOR CERTIFICATE OF OCCUPANCY '~ This application'must be filled ia by typewriter OR ink and submitted to the building inspector with the following: for new bu£1ding or now use: 1. Final survey of property with accurato location of all buildings, property llnes, 2. Final Approval from Health Dept. of water supply and seworago-di$~osal(S-9 form). 3. Approval of ~leccrical lnscalla~lo~ from Board of Flr~ Unde~wr£rers. 4. Sworn stace~heut from plumber certifying that the solder used in system COntn~ns less than 2/10 of 1% load. " 5. Commercial building, indus~trial 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 co April 9, 1957) non-conforming uses, or building~ and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, street~, b~ilding and .. unusual natural or topographic features. 2. A properly completed application and a consent to lnspec~ signed by the appllcaut. If a Certlficat~ of Occupancy ia denied, the Building Inspector shall state the reasons therefor ill writing to the applicant. C. Fees l. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Switching pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy om Pro-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 ~. Temporary Certificate of Occupancy - Residen£ial $15.00, Commercial $15.00 Date Februar% 9, 1993 New Coamtructiofl .... ~ ..,~. Old Or Pre-existing Building..]O~ ............. House No, SCree~ Hamlet Edith Dimon Onwer or Owners of Property .................................................................. County Tax Map No 10OO, Section.. 031 Q~ p~ ...~ ........ Block .............. Lot ................... SubdiVision Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. liealth Dept, Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: .Temporary Cercificate. i ......... Final Certicace...~ ....... Fee Submitced~ $ 100.00 ' ~ ~. i ' William H. pr~I~Ff CONSENT TO INSPI~CTION Fti ti William H. Price, Jr., attorney for t~e owner Owner(s) Name(s) · the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at _ Bay Avenue, East Marion, New York, 11939 " , which is shown and designated on the Suffolk County tax map as District 1000, Section .. 031.00_, Block 09.00 · Lot--020.000. 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: pre-existing certificate of occupancy for 1 story frame house with attached garage, and shed That the undersigned do(es) hereby give consent to Um 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 wiU~ 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. Dated: February 10, 1993 ' (print name) (signature) (print name) %UFE CO,TA~ r,,1A¢ PATA, I~OO -O-~t