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Z-22012
' ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22012 Date DECEMBER 8, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 7970 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 6 Lot 32.1 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-22012 dated DECEMBER 8, 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, ACCESSORY ONE CAR WOOD FRAME GARAGE, TWO SMALL ACCESSORY STORAGE SHEDS & WOOD FRAME ONE ROOM GUEST COTTAGE The certificate is issued to LENIS D. DOYLE ESTATE (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. Building Inspector Rev. 1/81 ~ HUILDI':G DE?:',?.T?LTiT TO:,^,d OF SOUTHOLD, N. Y. I:OUSZiiC CODs Ii1~?~CTIOTI RL•?ORT Location 7970 MAIN ROAD EAST MARION NEW YORR • ~nu:.ocr ~ s~reeL) ~i-iun~cipallry) Subdivision t-!an D1o. Lot(s) Name of O~mer(s) LENIS D. DOYLE HSTATE Occupancy A-1 RES. OWNER l tyP e) (o~rner- cenan ~ ) Admitted by; DAVID RAFFLE Accompanied by: SAME Key available Suffolk Co. Ta:c Tdo. 31-6-32.1 Source of request DAVID RAFFLE AS AGEHT~ Date NOV. 24, 1992 D';~'LLI~rG Type of construction WOOD FRAME ,;stories TWO Foundation STONE Cellar YARTIAL Crawl space Total rooms, 1st. F1 4 2nd. F1 3 3rd. F1 Bathroom(s) 1 FULL BATH Toilet room(s) Porch, type COVERED WRAP ARO~k types Patio, type_SLATH IN REAR Breeze:•ray o Garage Utility room Type Heat NoNH +Jarm Air Ho torater Fireplace(s) NONE No. E:cits 3 Airconditioning Domestic hot'.oater YES Tyae heater LILCO Other YANTRY OFF KITCHEN WITH GRAPE ARBOR RCCESSOay gTorrrTU;ac~g. Garage, type const. 1 cAR WooD Storage, type const. 2 SMALL sNED wooD FRAME S~ri^~ning pool Guest, type const.W~D FRAME ONE ROOM Other WITS TOILET ROOM VIOL.4TIOPIS: ,CUAPTER 45-N.Y. STATE UNIFORM FZRE P12L'VENTION d BUILDING CODE Location 4 De~c~irtion ~Art.~ Sec. (TERMITES)FLOOR JOISTS BUILDINGS 6 STRUCTURES SHALL BE MA 9(B) I NYCRR 1ST FLOOR OF INSECT INFESTATION. 1242.19 SHED 6 GUEST I ROOFS SHALL BE MAINTAINED IN A WATERTI 9(B) I NYC COTTAGE 1 CONDITION. 1242.5) d I-_-~~ Remar!CS • BUILDING PERMIT ]k2l 1302 ISSUED FOR FENCE Inspected by: Date of Insp. DEC. 2, 1992 GARY ISN Time start 9:30 end 9:50 Form No. 6 CG TOWN OF SOUTHOLD / • BUILDING DEPARTMENT fl/ TOWN HALL NOV 2 5 E9~1Z 76s-lso2 9~~C~ . APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 lead. • s. 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. B. For existing buildings (prior to April 9, 19s7) 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. C. Fees 1. Certificate of Occupancy - New dwelling $2s.00, Additions to dwelling $2s.00, Alterations to dwelling $25.00, Swimming pool $2s.00, Accessory building $2s.00, Additions to accessory building $2s.00. Businesses $s0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $s.00 over s years - $10.00 4. Updated Certificate of Occupancy - $50.00 s. Temporary Certificate of Occupancy - Residential $1s 00, o~m`mercial $1s.00 Date ......~.~~``L.l//~C. 1. z New Construction.......--. 77. Old Or Pre-ex istin~uilding....y?~......^.. Location of Prop erty....l ~..~ua. C?. ~.4": ~ ~ House No. Street Hamlet Onwer or Owners of Property..~S'~... 1;er: ~©.`-1J.~~.~ County Tax Map No 1000, Section.... \......Block..... :°........Lot....~. Z :.I.......... Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: APPLICANT ~ ~ ~ ~ >r c .~F NFL G,, M ~ l hj ~.~,"p/~ pr'c„~r~~®!~ ti 4~~J N J ~ ~ 3'~as0~ ~~ncr~'t M~"o' y>~rk v ~ ti 3 i Qog7p~ o ~ tis~cs z e ~ . h b 2 ` r`. ONH~ ~1~ C f t rct ~ N r~ 1~r t ~ c.n _ y porch v ~I ~c a ~ i M j ' zrly ~ n n 0 her~s~ ~ 1~ H ~ ~ ~ ' ~ ~ J I: N M ~I ~ ` L D v p .r f tf o L ~ o ~ ! ~ e. ro 4 ~ .C~'~G. . C. ~ ~ .~n a ~.~1 ~ ~ cab)) ~ y, Slf ~ 111 J ~ Ga K CGr1ri-e C g9nrL CO~~C/G ~`t mN).) g. 'I S°7'r.i0 ~YS' 97' !~n -T"r ~ISC~~ ~ I L• Mn~'v!-` !-'f'?%JF'F..-f~7-•/ Cc,arAn trrd fs~ fhe Socr'f/rA/t~' ~ .suliViYEh FU,~ 54viI~lfSrt$w,Fa„dlflea'/ntat~m~~~rt,~ A• G~:`2~LL> L`~>Y'..F 1.~ 1'~/~ ~ 7i~'1e ~r.~~'noril~;`Andn-~a+~!`gsry+~tCso. _ ,q-r ors surv~yre+ Uec. Z0~19~•/ ST IVJ~/?1 JrJ Orr-o w sr,9nr~'vyc. ~ sdiv 5LF`r"oi.it c~UNry, N'•Y Lic`rss-cay L,wru~ arVeytifrS Grcdn~or~'`~ N, Y: j 1 . Co~sr,::T p I\Gf'GC'i IOi`1 1h~_~~~ca~C'e ~^Sr" ~Wn] t ~ ``1l'e-. t'ir~ unrf~~r:ir,n~;d, U:vncrls) Namr.l;;) do(es) hereby state: That the undersi~ncd (is) (arc) Utc ovrner(~) of the prcmice:: i? the To::-n o: Southold located at ~3 Op ~ . ~4~'0.,d"~-~e~f ~ t) , mhict: is :;horn and dcsirnatcd on :hc Suiioh County tax map as District 1000, Section 3\ >?loclc Cp Loc ~z- ~ , Tha: the undersigned (has) (have) filed, or caused to be filed, an applica- tion is the Seuthcld To:c'n L'uilding Inspector's OlFice for the tollo:ci.^.g: C ~ That the urders~ned do(es) hereby give consent to the building Inspectors of the Town of Southold to enter upon the above described property, including an,; and all buildings located thereon, to conduct such inspectiens as they :nay' deem necessary :vith respect to the aforesaid application, inclcdizg inspections to determine that said premises coma?;• :rith atl of the laws: ordinances, ..-ales • ar.d regulations of the To:vn cI Southold. The undersigned, in consenting to such inspections, do(es) so nzth the l:no:.ledtc and understandin[; that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosec;aions for vio- lations of the la•,vs, ordinances, rules or regulations of the Tou•n of Southold. • (si;naturc) ' r ~ b-V . ~ ~ ~ adS a ~ eS~"y" (print name) (sit;naurre) (print name)