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Home My WebLink AboutZ-23388FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFI~TE OF OCcupANCY No Z-23388 Date DECEMBER 2, 1994 THIS CERTIFIES that the building. OWE FAMILY DWELLING Location of Property 50 MILL C~EEK DR. & 375 GRO~E ~D. SOu'£~OLD,N.y. House No. Street Hamlet County Tax Map No. 1000 Section 135 Block 3 Lot 48.1 Subdivision 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-23388 dated DECEMBER 2, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ia issued is ON~ FAMILY DWELLING WITH ACC~SORY TWO CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *P?.~SE SEE ATTA~D INSPECTION~EPORT. Rev. 1/81 MARIAN T. DIRt-'-xPU5 N/A N/A N/A uilding fnsp~tff BUILDING DEPARTMENT TO~q~ OF SOUTilOLD DOUSING CODE INSPECTION REPORT LOCATION: 50 HILL CREEK DR. & 375 GROVE RD. (number & street) SUBDIVISION NAP NO. NANE OF OWNER (s) I~.RIAN T. DIRCHERL SOOTHOLD, NEW YORK (nunicipality) LOT(s) OCCUPANCY SINGLE FAHILY O~ELLING OilieR (type) (owner-£enant~ ADHIi-I'5D BY: VII~IIE TIRELLI ACCOHPANIE~ BY: SAI4E KEY AVAILABLE SUFF.CO. TAX HAP NO. SOURCE OF REQUEST: LUNBSTEDT & FOY, ATTYS DATE: NOV. 199/4 DWELLING: TYPE OF CONSTRUCTION ~OOD F~ FOU~IDATION CEmeNT BLOCK CELLAR TOTAL ROOMS: IST FLR. 6 2ND FLR. BATHROOH (s) TWO TOILET ROOH (s) ~ STORIES I ~ EXITS 2 I/2 FULL CRAWL SPACE 2 UTILITY PO(Ri PORCH TYPE ~KMIENCLOSED BREEZEWAY NONE DOMESTIC HOT~ATER YES · ~FE HEAT OIL O~al~R: BILCO BOOR BECK, TYPE FRONT WOOII FIREPLACE NONE GARAGE T~PE HEATER WARH AIR 011 AIRCONOITIONING 2 WALL UNITS HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD WITH STORAGE, TYFE CONST. b-'~III'~IING POOL ATTA~tH~ a,N,S ~l*:-'~l~.~l~pg CONST. O~miR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFOI~I FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. , /UN N. ~O~IS / DATE OF INSPECTION NOVKMRRR 30, 1994 TIHE START 9:20 END 9:40 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~cDG ~ 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 Compliance 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 "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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 1994 Date .~p.v.e..~.~.r..2.2. ~ ..................... . .. . . New Construction ........... Old Or Pre-existing Building...]~ ............ Location of Property...~O .......... Mill Creek Drive S..o.utho.l.d. NY House No. Street Hamlet Marian .T. Dirscher 1 Onwer or Owners of Property ........... · County Tax Map No 1000, Section..~.5...Qp ..... Block. .0.3 ........ Lot 48.1 Subdivision ....................... Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................ . Health Dept. Approval ...................... · -. . Underwriters Approval ....................... .~. Planning Board Approval ...................... . . Request for: Temporary Certificate Final'Certicate Fee Submitted: $. ~.~q, OD ..................... 3 B ' APP iCANT ........... CONSENT TO INSPEC'FION MARIAN T. DIRSCHERL Ox~er(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of tbe premises in the Town of Southold located at 50 Mill Creek Drive, Southold, New York --- , which is shown and designated on the Suffolk County tax map as District 1000, Section 135 , Block 03 , Lot 48.1 . That the undersigned (has) (have) filed, or caused to be filed, an applica- 'tion in the South01d Town Building Inspector's Office for the f'ollowing: Certificate of Pre-Exls~ing Use for dwelling and detached garage 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 afcresald 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:November 22. 1994 (siguature) Marian T. Dlltscherl (print name) {si~znature) (prin~ name)' ' 5 I994