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Home My WebLink AboutZ-28573FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28573 Date: 07/08/02 THIS CERTIFIES that the building DWELLING Location of Property 9625 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 031 Block 0003 Lot 021 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- 28573 dated JULY 8, 2002 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 WITH ACCESSORY STORAGE SHED * The certificate is issued to PATRICIA GARABRANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECT NOTE: THIS REPLACES PRECO Z- Rev. 1/81 1058136 6/14/02 N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 9625 MAIN RD EAST MARION SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): PATRICIA GARABRANT OCCUPANCY: SINGLE FAMILY PATRICIA GARABRANT ADMITTED BY: PATRICIA GARABRANT ACCOMPANIED BY: SAME KEY AVAILABLE: BUFF. CO. TAX MAP NO.: 31.-3-21 SOURCE OF REQUEST: PATRICIA GARABRANT - DATE: 07/08/02 DWELLING: TYPE OF CONSTRUCTION: WOOD BUILDING # STORIES: 2.0 # EXITS: 3 FOUNDATION: STONE CELLAR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 219D FLR.: 4 3RD FLR.: 0 HATHROOM(S): 2.0 TOILHT ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: 2 - OPEN DECK TYPE: PATIO TYPE: BRICK BREEZEWAY: - FIREPLACE: GARAGE: DOMESTIC HOTWATER. YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: *REAR MTTn ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD FRAME WITH ELECTRIC GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: •••'� o G— L4 llA'1' ' APRII, 2 2 1991. TE ON INSPECTION: 07/02/02 M. BOUFIS TIME START: 10:00 AM END: 11:15 AM 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 OF, 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 ""P��e-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, �, Additions to accessory building $25.00. Businesses 0,98__ l 2 Certificate of Occupancy on Pre-existing Buildine 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date �ay.4otiiier-.1[�.�.19.98................. New Construction........... Old Or Pre-existing Building .................. Location of Property .... 9jo�..Jr' ........... 1 Q jm.?.44-rl.............. House No. Street.I Hamlet Onwer ur Owners of Property.. �:�Q:?!:�A�w...�o !'Q!?ran r ............ ..................... County Tax Map No 1000, Section.CM. RO ....Block. 0 S CJ...... Lot. . Pal. •.P.O........... Subdivision....................................Filed Map ............ Lot ...................... PermitNo................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate...tI-I ..... FeeSubmitted: $..AQ Q.•.AP.0....................�� ... ........................ 619yQ PLICANT Q) .295 73 T rJ�r�J�rJ�rJ�rJ�rJ�rJ�rJ�rJ��.I�rJ@PrJ�rJ��.I�rJ�rJ�rJMLLIBPREPR��rJ�r.1rJMPLfI3r.PrJ�3[111rJ��PrJ'r�3113c.l�cPrJ�rJ�rJ�cJ�r11�r..1'rJ�Il lir J�tJ�rJ�rJ�r..J'rI PER i 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS INK 5 BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 Pfi 5 Ld 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 GARABRANT PATRICIA PATRICIA GARABRANT rR 9625 MAIN RD 9625 MAIN ROAD C E. MARION NY 11939 EAST MARION, NY 11939 5 M Located at 9625 MAIN ROAD EAST MARION, NY 11939 Application Number: 1058136 Certificate Number: 1058136 1 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consistid( of electrical devices and wiring, described below, located in/on the premises at: �S 5 Basement, First Floor, Second Floor, Detached Garage, Outside, 5 vjas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, 5 fc}und to be in compliance therewith on the 14th Day of June, 2002. 5 i Name OTY Rate Rating Circuit Type C5 Additional Charges detached is building 5 garage storage 5 No jvisual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory C condition was found. c 5 I'I'I 5 S 5 S 5 � 5 5 5 sea L� 5 � 5 I of I 5 130 � 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 T CONSENT TO INSPECTION s) Name do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at q( a s , which is shown and designated on the Suffolk County tax map as District 1000, Section ogj.op Block 03.r> Lot oa ). o o. 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: r .. n, 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. Dated: III1ol4g' A > �'✓ 1 sign re) 0.T�`i c cLy o. ro6-6 rcLn (print name) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ 1 FRAMING [ ] FINAL OWNER FORMER OWNER IaLt_� IVAL i V-1 RES. b SEAS. LAND `IMP. o v 7 Doo 00 /SOU Ob AGE NEW NORMAL FARM Acre Tillable 1 E; P. L i I<a KAS ACRS O.T50 Tillable 2 S Tillable 3 W TYPE OF BU14DING Woodland 3wompiand 3rushlond L -louse Plot CB. MISC. Mkt. Value iv V-% .•. rotal FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET �a�! VILLAGE DIST. SUB. LOT e. N C. O i- - 5 T11Ys Nidi»o E; P. L i I<a KAS ACRS O.T50 S W TYPE OF BU14DING L FARM OMM. CB. MISC. Mkt. Value iv TOTAL DATE REMARKS X&Ad0 /i 6-S'9/ �7 'l d •, aid'k, ;f �. 00 go (gp I_ - BUILDING CONDITION BELOW ABOVE Value Per Value Acre FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH �, �� I: 9 ' . _ _„ - -- __- � �r :�� BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: number street municipality SUBDIVISION MAP N0. LOT (s) NAME OF OWNER (s)— OCCUPANCY > d,�G' ' y�jr�yj r r ty -t—� owner -tenant ADMITTED BY: "" ACCOMPANIED BY: Sr1'1Nt.L.. KEY AVAILABLE _ SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: ,r.P��DATE: r DWELLING: TYPE OF CONSTRUCTION e�s.�, STORIES 4 # EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. S� 2ND FLR. 3RD FGR. BATHROOM (s) %'` TOILET ROOM (s) UTILITY ROOM Awl ...- PORCH TYP��J 4P ei►� DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE w --- DOMESTIC HOTWATER >4eS TYPE HEAT OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: TYPE HEATER�/� G�j AIRCONDITIONING WARM AIR HOTWATER STORAGE, TYPE CONST �14 GUEST, TYPE CONST. --------------------------------------------------------------- ------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE INSPECTED BY: m