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Home My WebLink AboutZ-24195FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24195 Date MARCH 7, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 640 VILLAGE LANE ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 1 Lot 12 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-24195 dated !ARCH 7, 1996 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 A ONE FAMILY DWELLING WITH ACCESSORY WOOD SHED & WOOD WELL LO /:i; ;i:i0 The certificate is issued to TABEA & lELITTA HOFMANN (owner's) 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 INSPECT Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD DOUSING CODE INSPECTION REPORT LOCATION: 640 VILLAGE LANE number 6 street ORIENT NY Zmunicipali.ty SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) TABEA 6 MELITA HOFMANN OCCUPANCY SINGLE FAMILY type — owner—tenant ADMITTED BY: MARILYN NORKELUN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.Co. TAX MAP NO. 1000—Z-5-1—IZ SOURCE OF REQUEST: RUDOLPH iRl1ER ATTORNEY DATE: 2/27/96 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION STONE TOTAL ROOMS: IST FI.R. BATHROOM ( s ) 2 PORCH TYPE REAR ENCLOSED BREEZEWAY DOMESTIC HOTWATER YES TYPE HEAT LILCO GAS OTIIER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL oTUER: 6 / STORIES 1 4 CEI.I.AR PART CRAWL. SPACE 2ND FI.R. 2 3RD F1,11. TOILETROOM (s) _ UTILITY ROOM DUCK, TYPE NONE PATIO I EXITS 3 PART FIREPLACE 2 GARAGE TYPE HEATER LILCO GAS AIRCONDITIONING WARM AIR IIOTWATER I WOOD SHED & 1 WOOD STORAGE, TYPE CONST. WELL COVER _SHED GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: INSPECTED BY . BOUFIS DATE OF INSPECTION 3/1/96 TIME START 9:45AM END 10:15AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . 765-1802 F 7 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: 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 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: 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 $15.00, Commercial $15.00 Date .. February..27: 1996 ................. New Construction..........Old Or Pre-existing Buil ding ...... X.......... Location of Property ..... 44V ......Village Lane,.Orientt New York.,. ... . House No. .• Street Hamlet Onwer or Owners of Property..... Darius. L:. Thieme. ... .... ..... County Tax Map No 1000, Section. ,025: 00..... Block .... 9 L -A Q ...... Lot ... 012...000........... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit...... .......Applicant.................... ...... Health Dept. Approval... .......... o ............ Underwriters Approval...... ................. Planning Board Approval ....................... Request for: Temporary Certificate........... Final Certicate... X...... Fee Submitted: $... 100:00 ................... 2tc-110- 5013to9 PCS I !�j APPLICANT �f CONSENT TO INSPECTION Darius L. Thieme the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (no#) Village Lane, Orient, New York , which is shown and designated on the Suffolk County tax map as District 1000, Section 25 , Block 1 , Lot 12 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: one family dwellinq and shed 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: February 27, 1996L4 j / ( ignature) arius I,. Thieme by Rud ph H. Bruer, Attorney (print name) (si,anature) (print name) cv CID �r- U C� C 1 i • Q t �'r ii c -�i 65711 � c i': t: 1 `C s t ` • f 00 Unatftrind alteration or WNW to this survey is a violation of Section 7208 of are New York StaM ECuoation Law• Copies of this survey map not bearing r Me land aaMyofa Inked teal or v .� t t. S,J 4 r � I iT t r 2"i(-', w�p(�/. � • � � T _ `I ambo �e.�ed shel not be considered P �Q� -K 1.44, ki wand be a lnM� (� O \ \�.�Y.. _ -S.� Guafa*@"-MNanthtpN onlytotMpwwf*rwAMm thesurvat' `* j '�*. t * .,: AC .: 1! t% �� ✓ r; %..,r - _ 't .. k prepared end an his behalf to 1116 t'RiscWWW. 9WAMMMWattwKyand 6 �o r.., - ` r' t ;: ✓ - lending institution rated tataon and 6y o, to the cssignees a the lending hall* sFo JP tution. Guarantees am not tranatemble IANC 5 • - T to additional uistowtuns or subseatxnt owners • r- - t �'r ii -�i 65711 � vi v i': t: L1 zw t^ X' LL s_ S' C11,• <- -' ti 17-7 • f 00 Unatftrind alteration or WNW to this survey is a violation of Section 7208 of are New York StaM ECuoation Law• Copies of this survey map not bearing r Me land aaMyofa Inked teal or v .� t t. S,J 4 r � I iT t r 2"i(-', w�p(�/. � • � � T _ `I ambo �e.�ed shel not be considered P �Q� -K 1.44, ki wand be a lnM� (� O \ \�.�Y.. _ -S.� Guafa*@"-MNanthtpN onlytotMpwwf*rwAMm thesurvat' `* j '�*. t * .,: AC .: 1! t% �� ✓ r; %..,r - _ 't .. k prepared end an his behalf to 1116 t'RiscWWW. 9WAMMMWattwKyand 6 �o r.., - ` r' t ;: ✓ - lending institution rated tataon and 6y o, to the cssignees a the lending hall* sFo JP tution. Guarantees am not tranatemble IANC 5 • - T to additional uistowtuns or subseatxnt owners r- - n a2LV !r� vi v i': t: t^ X' LL s_ S' C11,• <- -' p .9 • f 00 Unatftrind alteration or WNW to this survey is a violation of Section 7208 of are New York StaM ECuoation Law• Copies of this survey map not bearing r Me land aaMyofa Inked teal or v .� t t. S,J 4 r � I iT t r 2"i(-', w�p(�/. � • � � T _ `I ambo �e.�ed shel not be considered P �Q� -K 1.44, ki wand be a lnM� (� O \ \�.�Y.. _ -S.� Guafa*@"-MNanthtpN onlytotMpwwf*rwAMm thesurvat' `* j '�*. t * .,: AC .: 1! t% �� ✓ r; %..,r - _ 't .. k prepared end an his behalf to 1116 t'RiscWWW. 9WAMMMWattwKyand 6 �o r.., - ` r' t ;: ✓ - lending institution rated tataon and 6y o, to the cssignees a the lending hall* sFo JP tution. Guarantees am not tranatemble IANC 5 • - T to additional uistowtuns or subseatxnt owners !r� �r • f 00 Unatftrind alteration or WNW to this survey is a violation of Section 7208 of are New York StaM ECuoation Law• Copies of this survey map not bearing r Me land aaMyofa Inked teal or v .� t t. S,J 4 r � I iT t r 2"i(-', w�p(�/. � • � � T _ `I ambo �e.�ed shel not be considered P �Q� -K 1.44, ki wand be a lnM� (� O \ \�.�Y.. _ -S.� Guafa*@"-MNanthtpN onlytotMpwwf*rwAMm thesurvat' `* j '�*. t * .,: AC .: 1! t% �� ✓ r; %..,r - _ 't .. k prepared end an his behalf to 1116 t'RiscWWW. 9WAMMMWattwKyand 6 �o r.., - ` r' t ;: ✓ - lending institution rated tataon and 6y o, to the cssignees a the lending hall* sFo JP tution. Guarantees am not tranatemble IANC 5 • - T to additional uistowtuns or subseatxnt owners TOWN OF SOUTHOLD PROPERTY RECORD CARD #' OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNEP N E L L a ACR. S W TYPE OF BUILDING do ZTASTivis, RES. ��A SEAS. VL. FARM COMM. CB. MISC. Mkt. Value s. . LAND 1 IMP. TOTAL DATE REMARKS J OD • AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE r FARM Acre Value Per Acre . Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK "MmAll w4 LOCATION: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT r & street) ® (municipality SUBDIVISION MAP NO. I.OT(s) NAME OF OWNER (s) f OCCUPANt,Y !Ln�. -(type) o' (owner -tenant ADMITTED BY: I ACCOMPANIED BY: 5,40 KEY AVAILABLE SUFF.CO. TAX MAP NO./dam � 0 ON SOURCE OF REQUEST: 42 /�"�%�� " DATE —A— x% DWELLING: TYPE OF CONSTRUCTION (''� 1 STORIES�f/f EXI'IS — FOUNDATION ��-j ��'� CELLAR _ CRAWL. SPACE TOTAL. ROOMS: IST FLR.— _2ND FLR.—C:�_'_ 3RD FI.R.— BATHROOM TOILE.T ROOM (s) --_ _ UTILITY ROOM _ PORCH TYPEA.;#_C�as�� DECK, TYPE-� PATIO_ BREEZEWAY - / FIREPLACE o9, GARAGE DOMESTIC HOTWATER (/ TYPE HEATER AIRCONDITI:ONING TYPE HEAT X"/Co WARM AIR %�I LIOTWATER OTHER: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: ---------------------- STORAGE, TYPE CONS GUEST, TYPE CONST. ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: a INSPECTED Bf DA'L'E OF INSPECTION (o TIME START S END ./ Q /�