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Home My WebLink AboutZ-30983FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-30983 Date JUNE 15. 2005 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property. 2395 VILLAGE LANE & 25 NAVY STREET ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 26 Block I Lot 12.1 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-30983 dated 2UNE 14, 2005 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 * The certificate is issued to JERILYN B. & JOHN H. WOODHOUSE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES PRECO Z-23539 DATED MARCH 10. 1995. Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP)~NCY Tiffs application must be filled in by t)hoewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograpNc features. 2. Final Approval from Healttt Dept. of water supply and sewerage-disposal (S-9 tbrm). 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 1015 lead. 5. Cormtmreial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance front architect or engineer responsible for the building. 6. Subnfit Planmng Board Approval of completed site plan requirements. ~._" B. ~or existing buildings {prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land nses: /l. Accm'ate survey of property showing all property lines, streets, building and unusual natoral or topographic featnres. 2. A properly completed application attd 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, ?dterations to dwelling $25.00, Swimrmng pool $25.00, Accessory building $25.00, Additions to accessoD' bnilding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate ofOccnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $ l 5.011) New Construction: Old or Pre-existing Building: '/,,"~ (check one) Location of Property: _~. ~ ~5 ~//-~ }louse No. Sffeet Hamlet Owner or Owners of Property: ,,,,,/O,'~W v~ ',,~(_,.~.J Suffolk County Tax Map No 1000, Section Subdivision ~ Pemfit No. Health Dept. Approval: /000 Date of Permit. Platming Board Approval: ~ Request tot': Ten'tporaD' Certificate Fee Subnfitted: $ Block ~,O ~, Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: check one) 3~1~ lic-ant Signature OF sOUTHOLD P~'OPERTY RE4 :ORD RES. LAND ~o~ 2 ~'oo SEAS. VL IMP. 6 yao 7,~'e o G$oo NORMAL TOTAL VILLAGE ~o 0 / DATE COMM. CB. MISC. REMARKS iT.r SUB. LOT ACR. ~ TYPE OF BUILDING Mkt. Value / FARM Acre Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER ~_~4 FRONTAGE ON ROAD Brushland House Plot Total BULKHEAD DOCK Bldg. xtension :xtension [xtension )orch 3orch Saroge I Foundotion ~asement "xt. Walls , P~ace ~ Roof :reotion Dormer Driveway Floors ?//V ~-- K. Interior Finish ~eat Rooms 1st Floor Rooms 2nd FIoo FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Pi~E EXISTING CERTIFICATE OF O~uu~ANCY No Z-23539 Date MARCH 10, 1995 THIS CERTIFIES that the buildin~ Location of Property. 95 NA~ STREET House No. County Tax Map No. 1000 Section 26 Subdivision ONE FAMILY DWELLING ORIENT, NEW YORK Street Hamlet Block 1 Lot 12 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-23539 dated MARCH 10, 1995 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 GARAGE, BARN & COTTAGE* The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pr.~SE SEE ATTA~D INSPECTIO~ Rev. 1/81 ~ GERALD D. & LOIS A. DOi~MAN N/A N/A LOCATION: 95 NAVY STREET (number & street) SUBDIVISION MAP NO. NAME OF OWNER (s) GERALD DORMAN & WIFE BUILDINC DEPARTHENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT ORIENT, NEW YORK (municipality) LOT(s) OCCUPANCY SEASONAL COTTAGE (type) AI)MI'i~'~O BY: GERALD DOP, MAN KEY AVAILABLE SOURCE OF REQJJEST: GERALD DORMAN (owner-tenant) ACCOMPANIED BY: SAME SUFF.CO. TAX HAP NO. lOOo-zb-I-iZ DATE: JAN. 23, 1995 COTTAGE: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOT~ATER TYPE HEAT NONE OTI~R: WOOD F~ BRICK & STONE CELLAR IST FLR. 4 2ND FLR. 2 2 TOILET ROOM (s) FRONT COVERED, SIDE COVERED FIREPLACE YES TYPE HEATER WARM AIR ~ STORIES 2 ~ EXITS CRAWL SPACE YES 3RD FLR. UTILITY ROOM SIDE DECK, TYPE PA~'IO GARAGE LILCO AIRCONDITIONING HOT~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. /o~n 1~. ~outis~ DATE OF INSPECTION FEB. 2, 1995 TIME START ll:O0 END 12:05 LOCATION: BUILDING DEPARTMENT TOWN OF SOUTDOLD HOUSING CODE INSPECTION REPORT 95 NAVY STREET ORIENT, N.Y. (number & street) SUBDIVISION NAME OF omrgR (s) MAP NO. GERALD DORMAN& WIFE (municipality) LOT(s) OCCUPANCY DWELLING (type) ADMITTED BY: GERALD DORMAN KEY AVAILABLE SOURCE OF RE~.IJEST: GERALD DORMAN (owner-tenant) ACCOMPANIED BY: SAME SUFF.co. TAX MAP NO. 1000-26-1-12 DATE: JAN. 23, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOIINDATION STONE TOTAL ROOMS: IST FLR. 6 BATHROOM (s) 3 PORCH TYPE FRONT ENCLOSED BREEZEWAY DOMESTIC HOT~ATER TYPE HEAT OTHER: CELLAR 2ND FLR. 2 TOILET ROOM (s) DECK, TYPE FIREPLACE ONE YES TYPE HEATER LILCO GAS ELECTRIC BASEBOARDwAI~H AIR GAS FLOOR UNIT { STORIES 2 { EXITS 3 + PART. CRAWL SPACE PART-CELLAREXIT 3RD FLR. UTILITY ROOM UTILITY & PANTRY PATIO GARAGE AIRCONDITIONING HOTWATER ONE SIDE DOIOISTAIRS MUD ROOM - 2ND FLOOR ! STORAGE ROOM, I ROOM FOR ORGAN PIPES ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD 2 CAR WITHELEC.sTORAGE, TYPE CONST. ACCESSORY BARN-2 STORY S~It4HING POOL , GUEST, TYPE CONST. 2 ~yS~ ~CT~]C OTHER: :ACROSS THE ROAD - OPEN DOCK (NO STRUCTURES) VIOLATIONS: CfIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP t3755Z - CO Z-23538, BP #18128Z-CO Z-18064 (REPAIR PORCH) DATE OF INSPECTION FEB. 2, 1995 TIME START !I:00 AM END 12:00 BLDG. DEPT. TOWN OF SOUT~IOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Thi~ application must be filled .in by t'ypewriter OR ink and submitted to the building r inspector with the following: for new building or new use: 1. .Final survey of property with accurate location of all buildings, property lines, ~treets, 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 2/1.0 of 1% lead. 5. Commercial bu'ilding, 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. B. 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 applicati, on 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 January ~.9. ~ Date ........ ..... ., ....... .----......... New Construction ........... Old Or Pre-existing Building...X. ............. Location of Property .... .~.5.... Navy Street. ......................................... Orient ............. House No. Street Hamlet )nwer or Owners of Property. Gerald D. Dorman and Lois A. Dorman 2ounty Tax Map No 1000, Section..p.2.6.qq ...... Block...P. .qq ........ Lot. 0 200Q. ;ubdivision .................................... Filed Map ............ Lot ..................... 'ermit No ................ Date Of Permit ................ Applicant ............... ~ealth Dept. Approval .......................... Underwriters Approval. ianning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate..:.]~ ...... S bmit ed:_ .................... APPLICANT: GERAP~D D. DORMAN, M.D. ' ......... '.. ¢ · 49.g ~ f I/V' I /-- /.-. 0 W N/~VY /V/.4P OF ~::~ROPERTY ,Su,~v~y~-~) ~-O R GERALD DALE DORMAN To~m OF ~OU~OL~ ~UFFOL~ COUNT~. ~