HomeMy WebLinkAboutZ-23764 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRS E%ISTING
CERTIFICATE OF OCCUPANCY
No Z-23764 Date JULY 13, 1995
THIS CERTIFIES that the building ONB FAMILY DWELLING
Location of Property 3670 ROCKY POINT ROAD EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 21 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-23764 dated JDLY 13, 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 ONS FAMILY SEASONAL DWELLING
The certificate ie issued to FEDERAL HOME LOAN MORTGAGE CORP.
(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.
/Y I
Building inepe or
Rev. 1/81
- ~ BUILDING DEYARTlSENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3670 ROCKY POINT RD. EAST MARION, NEW YORK
number ~ street municipality
SUBDIVISION HAP NO. LOT(s)
NAME OF OWNER (s) FEDERAI. HOME LOAN MORTGAGE CORP.
OCCUPANCY SEASONAL SINGLE FAMILY
type owner-tenant
ADMITTED BY: MARIA SEAS ACCOMPANIED BY: SAME
REY AVAILABLE SUFF_CO. TAX MAP NO. 10 - - -
SOURCE OF REQUEST: MARIA SEAS DATE: JUNE 30, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME / STORIES 1 ; ERITS 2
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 6 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE ~ PATIO
BREEZEWAY FIREPLACE GARAGE
DOMCSTIC flOTWATER YES TYPE UEATER ELECTRIC AIRCONDITIONING
TYPE HEAT ELECTRIC WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: SOME ON FRONT RIM JOIST IN BASEMENT
OPEN BUI NG P BMIT #22878-Z FOR ELECTRIC HEAT.
INS'Pr•_CTED BY ~ DATE OF INSPECTION JULY 6, 1995
JOHN M. BO IS TIME START 12:00 PM END 1:20 PM
r 1'U rfII 1'fU. (r
ToLa,l vF sournoLn
1JUILDING 0(;PAR'CCICDIT
'C041td NA1.1.
7G5-11107_
AYI'l.LCATION FOR CGRTCFICKI'I: OY OCCUL'ANCY
A. Tlris application must be filled in by typewriter OR ink and submitted to the building
inspector with Che following: for nett building or. new use:
1. Final survey of property with accuraCe location of all buildings, property lines,
streets, and unusual naturol or topographic Features.
2. Pina.l Approval from health Uept-, of water supply and sewerage-disposal(S-9 Eorm).
3. Approval of electric<v1. installation from Uoard of fire Underwriters.
4. Sworn statement £rom~plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
5. Commercial building, industrial building, multi.pl.e residences and similar buildings
and installaCions,~a certificate of Code Compliance from architect or engi-Weer
responsible for. the building.
G. Submit Planning Elvard 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 consenC to inspect. signed by the applicant.
If a Certificate of Occupancy is denied, the [luildi.ng Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling $7.5.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swinuning pool. g, 7.5.00, Accessory building $25.00,
Additions to accessory building $?_5.00. Businesses $50.00.
~2; Certificate of Occupancy on Yre-existing Buildine - $_LOO.Op
3. Copy of Certificate of Occupancy - $7.0.00 -
h. Updated Certificate of Occupancy - X50.00
5. Temporary Certificate of Occupancy - Residential. $15.00, Commercial $15.00
llate
iJew ConstrucCion.........//.~~. Old Or Pre-exisC'ipng Building „ ~p...........
Location of Ytoperty...3.Q'.~.5~... l:!~.1... F.lt2l~.~
1[ouse No. d Street Hamlet
Onwer or Owners c:f Property .f.{~.4r~:Ri:. ~??r11:..t~ilAn1 „1.J.QaTGflGt,..~,!~.,~
C~
County 1'ax i~fap No 1000, .5ection........~.....Bluck........`.......Lot
Subdivision ....................................Filed Pinit.,..,.......Lot......................
'ermit No ................Date Of Permit................Applicant.~.Qi~..t`A
wealth Dept. Approval ...................Underwriters Approval...
'lanning Board Approval
tequest for: Temporary Certificate........... Final Certicate...~....
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INSPI?CT1ON
F~:E};~ fL ~ ~ ~ ~ j~ fl r? L!J ~?lrN G E COkIl the undersigned,
Ovmer(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s)nnof the premises in the Town
of Southold located at ~ 7t) ~ ?Oi~~-/ ~ ~OvV
N' 1 l(g j j which is shown and designated on the Suffolk
County tax map as District 1000, Section~_, Blocic Lot-~-.
That the undersigned (has) (have) filed, or caused to be (filed, an applica-
tion in the Southold Town Euilding Inspector's Office for the following:
`f ~ GLN
That the undersigned do(es) hereby give consent to the Building Inspectc.rs
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 Keith all•of the laws, 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 be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the~~T,,oQQwn of Southold.
Dated: ) ~ ~ i~:/~,~.Q/1
• (signature)
l~f} ~I fl S c RS
(print name)
(signature)
(print name)