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HomeMy WebLinkAboutZ-20208No Z-20208 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date SEPTEMBER 11, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 140 PRIVATE ROAD #5,(PARSONS BLVD -)EAST MARION,NY" House No. Street Hamlet County Tax Map No. 1000 Section 37 Block 1 Lot 13 Subdivision GARDNERS BAY ESTS. Filed Map No. 275 Lot No. 82 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20208 dated SEPTEMBER 11, 1991 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 MARGARET GABBERT (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. Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 140 PRIVATE ROAD #5 EAST MARION, N.Y. number & street (Municipality) Subdivision Map No. Name of Owner (s) MARGARET GABBERT Lot(s) Occupancy A -I Res. OWNER type (owner -tenant Admitted. by: PAUL HEFFERNAN Accompanied by: SAME Key available Source of request PAUL HEFFERNAN DWELLING: Suffolk Co. Tax Iqo. 37-1-13 Date 9/4/91 Type of construction WOOD FRAME #stories ONE Foundation CEMENT BLOCK Cellar Crawl space xx Total rooms, 1st. Fl 5 2nd. F1 3rd. F1 Bathroom(s) FULL BATH Toilet room(s) Porch, type Deck, type Patio, type ROOFED Breezeway Garage Utility room Type Heat PROPANE Warm Air FI:OORl-AHEATER Hotwater Fireplace(s) No. Exits 2 Airconditi.oning Domestic hotwater YES Type heater ELECTRIC Other ACCESSORY STRUCTURES: NONE Garage, type const._ Storage, type const. Swimming pool Other Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: Date of Insp. SEPT. .10, 1991 Tirde start 9:30 end 9:45 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF 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 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. B.• For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: Is 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, 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 5.00, Commercial $15.00 Date .-' .' . `..`./................. . New Construction........... Old Or Pre-existing Building. Location of Property.. Lf A. �' :�'.� : .... V (Z_(� .hV T.,. '.. ...W-4 Al!�(j ;.�� r.......... . House No.StreetHamlet Onwer or Owners of Property.. I '!C:'...3Ago ............................ County Tax Map No 1000, Section.../... ....Block...1............Lot...t3................ SubdivisioSQA(LJ) N .. R K ..E .Filed Map ............ Lot..U. ................ Permit No ............. 4 ... Date Of Permit................Applicant............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate........... Final e tica ... $....D�.�.4�................ Glu, gas1 130 co 21,.70a Of Q1 t 0 J 0 c � 0 N � Nf NOtc : Lot t%%AV tiers al+owt, veileY *O n Map of S -CA �o a 2, Gard i e, ers Bay F-st at e s t �� tett 1'1, t1'1C 'S%A-Vf o1 k COUM*'t� MAP of L.ANo MUSXV@Y80 wows REV. PAU t W GABBER AT t=AS'T MAR 10 N TOWN of Sou-r%AOt_o, N.Y_ Sccm % s : 40' Guc��ar-�+e ea -to �1c ire t �nte�r - G4u lnty Ti t1 a Guard, t,iry +1• Mo�r�kc�c►aia Ca, ttf Sw'CVolk CO%A"ty Federal Sa►v�r.r3s +� Looe% Asst, t-tou%%;%,c; Gu; %ct , %"c-. as Mcm 'S, 1954. OfitO W. VctK Tut-I� sJvt aAl, k&,- L ic�et,se:d 1_c►r+d S v¢yorr� Gate a �n po,r fi . N Cw Cor k Location BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT kv- Subdivision Map No. Name of Owner(s) A Occupancy t pe Admitted by: Key available Source of request_ DWELLING: rt, Lot(s) owner -r, Accompanied by: a-. Suffolk Co. Tax _i.1 Date 7 AI Type of construction rt 11d rx�� #stories 69� Foundation Cellar Crawl space .� Total rooms, 1 F1 2nd. F1 3rd. Fl .-- Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type HeatWarm Air Hotwater Fireplace(s) x No. Lxits ,!77, Airconditioning Domestic hotwat er A Type heater. Other ACCESSORY STRUCTURES: A/Mbe, Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Remarks: Inspected by: r Date of Insp. Time start ei CONSENT TO do(es) hereby state: . the undersigned, That the undersigned (is) (41rs) the owner(04) of the premises in the Town of Southold located at xAR 1N I MV H�: EAJ W V` which is shown and designated on the Suffolk A County tax map as District 1000, Section Block Lot That the undersigned -ft* (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the followinrr- 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 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 regulation o th Town of South Id. Dated: au i�L' fI (print name) (signature) (print name)