HomeMy WebLinkAboutZ-23819FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
No Z-23819 Date AUGUST 16, 1995
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Property 2595 VILLAGE LANE ORIENT, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 26 Block 1 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Multiple Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23819 dated AUGUST 16, 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 MULTIPLE RESIDENCE -3 -APARTMENTS & ACCESSORY STORAGE BUILDING*
The certificate is issued to PIERRE GAZARIAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECT
Rev. 1/81
FI
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BUILDING DE' PAR'TMF,NT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2595 VILLAGE LANE ORIENT, N.Y.
number b strec�)- municipality_
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (,) PIERRE GAZARIAN
OCCUPANCY MULTIPLE DWELLING - 3 APARTMENTS
---------
ADMITTED BY: JOAN HAMILTON ACCOMPANIED BY: SAME
KEY AVAILABLE: SUI'F.CO. TAX MAI' NO. IO0D_-2W—_T—_E1 — —
SOURCIi OF RE UE.ST: JOAN HAMILTON, PIERRE GAZARIAN DAZE: AUG. 10, 1995
UWELLING:
TYPE OF CONSTRUCTION
FOUNDATION STONE
TOTAL. ROOMS: IST FLR. 8
BATHROOM (s) 3
PORCH TYPE FRONT COVERED
BREEZEWAY
DOMESTIC UOTWATER YES
TYPE UE -AT LILCO GAS
OTUE R :
GARAGE, 'TYPE OF CONST.
SWIMMING POOL
OTHER:
CI?LEAK PART.
/ STORIES
CRAWL. SPACE
2 / EXITS 5
2ND FI.R. 5 3RD PLR.
TOILET ROOM (s) UTILITY ROOM COMMON LAUNDRY ROOM &
DECK, TYPE PATIO
FIREPLACE ONE
TYPE UE'ATER LILCO GAS
WARM AIR
GARAGE
AIRCONDITIONING
I101•WA'TER XX
S'T'ORAGE, TYPE CONST. OUT BUILDING
GUEST, TYPE CONST.
f:C.^'1',I:r:1:!:'1'!:'1:h:l:Y�.��.�.1.�.
LOCATION DESCRIP'T'ION OF UNITS
ART. SL'C.
ONT APARTMENT
3 ROOMS 1 BATH & 1 EXIT
EAR AFAR
NT 5 ROOMS - 1 BATH 1 FIREPLACE 3 EXITS
AIRS APARTMENT
5 ROOMS - 1 BATH 6 1 EXIT
:ST FLOOR
COMMON LAUNDRY ROOM & UTILITIES_
-
ONE OUT BUILDING (PRE EXISTING)
REMARKS: BP 120209 -CO Z-20881 - ALTERATION
1N`:PrCTT.D BY
DATE OF INSPECTION
TIME START 9:40
AUGUST 13, 1995
END 10:15
Form No. 6
NA
Ion TOWN OF SOUTEIOLD �} 71
l-��1
BUILDING DEPARTMENT
TOWN HALL ('
765-1.802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by..tirpewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
I. 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 sewer age-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:
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 P
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 - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - ResidentiQQa/l, $15.00•, Commercial .$15.00
Date .11K��f/,/[� l7,! `�..................
New Construction........... Old Or Pre-existing Building............ /
O
Location of Property.... r�r? 9.� ....Glt/��� e ............ ;6 -
Hous e
LEHouse No. Street Hamlet
Onwer or Owners of Property. /.!.��� .. &f4Z�'1ig�
..............................................
lounty Tax Map No 1000, Section..... a.(0 .... L'.luck...... I ........ Lot ....... '.?.!...........
Subdivision....................................Filed Map ............ Lot ......................
Permit No................Date Of Permit ................ Applicant ... I ....... I.................
health Dept. Approval..........................Underwriters Approval.........................
'lanning Board Approval ........................
Request for: Tempornry Certificate........... Final Certicate...........
lee Submitted: $.............................
eR.e-.�• y 9'53
Co�_'Q_;................................................
CONSENT
TO
INSPECTION
Owner(s) Name(s
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at0? S-)
, -,vhich is shown and designated on the Suffolk
County tax map as District 1000, Section of 6, Block I_, Lot �.
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
-6 KIr7lVr ('.
// Avell/�-ICIS
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 regulations of the Town of Southold.
�N
Dated: } _
(siunature)
,s I ow
Y
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: (95W y / •�' � y V � e,
r & sVeet) - (municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) r
OCCUPANCY ..._..
type ow r -tenant
ADMITTED BY: A'j— 1/ ACCOMPANIED BY:�io Zw
KEY AVAILABLE SUFF.CO. TAX MAP NO. ��e .- 2-
SOURCE OF `REQUEST :� DATE :���ge
DWELLING:
TYPE OF CONSTRUCTION
STORIES # EXITS
FOUNDATION
� 7N"
. - CELLAR Q�.j "` CRAWL SPACE
TOTAL ROOMS:
1ST FLR.
2ND FLR._ 3RD FLR.
BATHROOM (s)
TOILET ROOM (s) *�UTILITY ROOM
PORCH TYPE
r^ DECK, TYPE PATIO
BREEZEWAY
FIREPLACE Q/j��. GARAGE
DOMESTIC HOTW TER ' TYPE HEATER %Y � 6 9;L!r AIRCONDITIONINNGG
TYPE HEAT
/_
WARM AIR HOTWATER !/
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, TYPE
GUEST, TYPE CONST.
V 45 N.Y. UNIFORM FIRE PREF T'CODE
LOCATION DESCRIPTION b, " ART. SEC.
REMARKS:
INSPECTED BY DATE OF INSPECTION
TIME START END
S