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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 T UPS7 FII 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