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Home My WebLink AboutZ-24892 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Towri Hall Southold, N.Y. PRS E%ISTING CERTIFICATE OF OCCOPANCY No Z-24892 Date FEBRUARY 7, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 655 GROVE DRIVE SODTAOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 4 Lot 5 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-24892 dated FEBRUARY 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ONE FAMILY DWELLING WITH ACCESSORY GARAGE The certificate is issued to PATRICIA DVONCH (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 ATTACBRD INSPECTION REPORT. ~7 uil ng inspector Rev. 1/81 I11111.UINC Uh.I'Alt'(MICNI' '1'(IWN OP S(71I'1'1101.U IIOUSINC CODR LNSPfi C'I'ION 1(I?1'OR'i' LOC:A'rloN: 655 GROVE DRIVE 50171'BOLD, N.Y, r-- - Znamber F sCreeCj --~munictpnC).Cy - SUIIULVT 570N h1AP NO. ).O'I'(s) NA)U: or OWNRR (s) PATRICIA DVONCB OCCIIPANCY A-1 RESIDENTIAL OiiNER ~(y(ej owner-CenanC AI7MIl"(RD RY: ACCOMPANII?D RY: KRY AVAII.A Ii1,F---~-----~-- - - 511PP.C0.~~'I'AX MAP NO. 1006-~~i 0~ SOI/RCR OP IUCOUI?S'I': PADL A. CANINITI, ATTY OATR: FEB. 3, 1997 UWKLT,LNG: 'I'YI'IC OP CONS'1'Rll(:'1'ION WOOD FRAME # S'I'ORIRS ONE f RXI'I'S 3 POIINUA'P1pN PIERS S CElIBNT BLOCK (;I'.LI,AI( 10' x 12' CRAWI. SPACR '(O'I'Al, ROOMS: IS'C PLR. 5 ZNU PLR. JRD Pl.lt. RA'I'1IR00M (s) 1 FDLL BATB TO I LR'C ROOM (s) II'1' 1 L L'1'Y ROOM Pottcn 'rYPR ENCLOSED SIDE PORCN nRCK, Tvl'P. PA'CCO IIRGIS7,I?WAY PLItRPLACR (:ARAGIS U(7MR S'1'IC IIO'I'WA'I'P.R YBS '1'Y PP. IIGA'I'ICR ELECTRIC AI RCUND )T1.ON lNG 'I'YPR IIRA'I' OIL WARM AIR gg IIO'1'NA'I'RR o'rnP.lt: LOFT AREA ABOVE ACCRSSORY S'I'RIICTURRS: UA RAGR, '1'Y I'R UP CONS'1'._ ~IOOD_FBAME_. I_ ~.11R_____. 5'1'OI(AFI?, '1'Y PIS CONS'1 SWIMM LN(: PU01. (:IIP, ;'f, 'I'YI'R CONS'1'. O'I'IIICIi: V IOI,A'CLONi: (:IIAP'I'RR 45 N.Y. STA'I'R 11NIPURM PIRR PIIRVP.N'P )ON b RIIII,D I.NG CODR LOCKf10N UIiSClil.l''CLON ARi. SRC. RI~.MAItK is I NSPI (J ICU IlY IIA'I'P OI LNSI I (1 )ON FEB. 3, 1997 ~ - G SA TIMI. S1'AR'1' 10:45 AM RND _ 11_00 AK Form No. 6 TOWN OP SOUTHOLD BUILDING DEPARTMENT 765N1802L 7 APPLICATION FOR CERTIFICATE OP 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 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, 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. 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, 'ons to accessory buildine ~ 2~_9D_ iessQS $50.$ 2. Certificate of Occupancy on Pre-existing Ruilclire - 3. Copy of Certificate of Occupancy - -25C - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential1$15.00, Commercial $15.00 Date New Construction...........COld Or Pre-existing Building....n _.4,~~ Location of Property...~..-I~......~~V.~:......~!~.......~~-tl.n.lV~:~J. House No. nn 'Street Hamlet Onwer or Owners of Property~rt~le-!~ ~.....~v~tic . County 'Pax 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........... Final Cert' a Fee Submitted: $...l.W,`.`-!~! ~~J i Cis.c ~ ~d 5~~ . r ~~~n ~ PLICANT N l q ~E ~R ~vF W p' ' `y8 y0 0.3 i ~ 0 Wo N= ~ o 0 ~.O 5 R ` a ~f a L" m~ M 3I o' E• LOT ~ ~ ,v° 11 q ~ COQ 0 ~ cZi V ~ 6, zo.: _ ~ ~ isfy 3z.e - - _ ~ F~ P'~ ti fr ti ~`h alp z hs~ ~ I L D~ 0 'p /O./' y 4G f'OCC s'PF ~ oZJ V ~o h ~ ~ ~ - Q' V 0 /26 ~S. C~•AiC V 0O N CJ~ SURVEY OF LOT 2 BLOCK G , . 7 'WErDON SNORES" RED ~I~L Y218.91 AS AfAP MD. 831 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. ~ooo-so-o4-as Scale: 1" . 30' Jan. 24, 1997 CERTIFIED TOE JEFFREY OAK CAROL PINKHAM OAK PECONIC ABSTRACT, INC. NORTH FORK BANK ~wr y"F ode A~r,~ ~'p~t ~aNr ac rya nr~v ar aoarAaa ro rrrs survEr ~s a vrxa rav of s~cnav 7209 a~ r~E,~EIr ram sfa re Eouca reav uw, ~ ~ 19~~ IXc~Pr as PER sECrlAV 7209-5(.BOYVL9gy z att cFRTFKa rpNS lC. NO. 496/8 FEREAV A!E VALD fQ4 7HS MAP AAD COPES nErrEa' OAC Y F SAD MAP A4 Ca',ES BEAR rrE ~PIdESSiEn SEAL a' rhE sf,RVErar ECONIC SUR , P. C. WHOSE Si19NATf.IAE APPEARS FEAEA+L (5/61 765 - 5020 aaanoMUC r ro carp r w/rH saD caw rn~ >~u ;u rEram er• P. O. BOX 909 Musr 9E tASEO BY AHY aM7 a« SurvErals urunuG a ccwr 1230 TRAVELER STREET a' aApriER SU4VEYQ45 MAP. rERAE SUCH as 7VSP£crEO• aH7 SOUTHOLC, N Y. 1197/ aeot.~svr-ro-na re~ a/w• Mvr N caMrtu~ wtr~ rrE uw. 97 - 102 CONSI?NT TO ~ INSPI?CTiON A C. A ~ the undersigned, Otivner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of th~e /premises in the Town of Southold located at ~ ~ ~ S C~,,e.~~ ~ ~...xG- ~ ~ u which is shown and designated on the Suffolk Couttty tax map as District 1000, Section ~ , Block ~ Lot ~ That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town L'uilding Inspector's Office for the f\ollowing:~'e., ~ , ~ ~ ~ Gta i \ ~1 - 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 aforesaid application, including inspections ! to determine that said premises comply with all of the lays, ordinances, rules and regulations of the Town cf 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 he used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations oft Town of Southold. Dated:~C~~ ' / (si ure C c~lJ ~ A c-T ~ /Int ~l M1 u r T7 ~~a2~~1c3Y a~J)/Z ' ~ ~v ~ ~C~~ (signature) 1 - Z1 - ~ ~~--~~7~. (_,~k µ j, (print name) ~aM)~ ~ -ata- ago- Z~3~ , ~ (~)cTt : Key fo a~ovsF ~u~Ee 1~R i