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Home My WebLink AboutZ-19627No Z19627 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY PRE EXISTING Date JANUARY 2, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING AND ACCESSORIES Location of Property 8440 MAIN ROAD FART MARION House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 07 Lot 03 Subdivision Filed Map No. Lot No. conforms substantially to Requirements for a private one -family dwelling built prior to APRIL 9, 1957 pursuant to which Building Permit No. Z19627 dated JANUARY 2, 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 AND 4 ACCESSORY BUILDINGS The certificate is issued to BARBARA HOISINGTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ***SEE INSPECTION REPORT Building Inspector Rev. 1/81 BUILDIP:G DEP:',RT:LNT T0.9N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 8440 MAIN ROAD EAST MARION (number & street) (i-iunicipaiity) Subdivision Map No. Lot(s) Name of Owners) BARBARA HOISINGTON Occupancy A-1 type owner -tenant) Admitted by: SUSAN CHEREPOWICH Accompanied by: SAME Key available Suffolk Co. Tax No. 31-7-3 Source of request DAVID E. KAPELL Date 12/18/90 DWELLING: Type of construction WOOD FRAME #stories 2 Foundation STONE Cellar PARTIAL Crawl space PARTIAL Total rooms, lst. F1 5 2nd. F1 2 3rd. Fl -- Bathroom(s) ONE FULL BATH Toilet room(s) ONE Porch, type REAR SCREENED INDeck, type Patio, type_ Breezeway --- Garage --- Utility room --- Type Heat LILCO GAS . 'alarm Air FLOOR ITER Hotwat er Fireplace(s) 2 CLOSED OFF No. Exits 3 Airconditioning -- Domestic hotwater YES Type heater LILCO GAS Other ACCESSORY STRUCTURES: TWO Garage, type const. WOOD FRAME Storage, type const. WOOD FRAME SHEDS Swimming pool Guest, type const. Other WOOD FRAME PUMP HOUSE AS SHOWN ON SURVEY Remarks: Inspected by: Date of Insp. 12/19/90 GARY J. FISH Time start 2:00 end 2:20 p.m. ntion Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 OEC 18 � eLoaoerc I" OF SOUTH" APPLICATION FOR CERTIFICATE OF OCCUPANCY �/" 4v r /-cam 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: 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............`.....�.................. New Construction........... Old Or Pre-existing Buil--de�in .. X.. Location of Property. ......................:.1�:..�.� House No. l3RRgA Q fl N61St/Ne IA( Hamlet Onwer or Owners of Property. S n►6r ` , J' County Tax Map No 1000, Section... ........ Block ..... .........Lot ..................... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Ce1rti`cate. /.r.\�...... Fee Submitted: $ ..... I.QQ:..................Stc A_e, `f 10 93 10 /y/a�/ APPLICANT 444 1;P300 Fofe� 0 'o N CERT/F/ED TO ESTATE of A&DRED D/ESERUD BARBARA HOINNOTON SURVEY OF PROPER T Y AT EAST MARION TOWN OF SOUTHOLD SUFFOLK CCOUNTY, N 0 1000 3 Scale 1" - 30' Oc t. 25, 1990 Prepared an accordance with the erwinr mm etanafrds for Wb surveys as estabWed Zbr the LIA.LS� and approved and meted :Z=for such uw by The )Maw York State Land Title Assoc�ieban 0jh AREA = 25,820 sq. ft. VA p1 01 .y x'416 a%0 �P . h� p� � �o� yC,�I►P b �P _ gry PQM fps p N 40 0100 de v Ay F. Y.S. UC NO. 49618 YOBS, P,C. 90-291 'm ,/, J, a a �� _ - , \? TOWN OF SOUTHOLD PROPERTY RKMD CARD -",% 0— OWNER ISTREET VILLAGE DIST. SUB. LOT LAND foISt'r)q'Z)r p/i✓ Rz fnS7-N/4&/pe REMARKS � c FORMER OWNER E ACR. Soo S W TYPE OF BUILDING 'i�( v RES. 4/0 SEAS. VL. FARM COMM. CB. U MICS. U Mkt. Value LAND IMP. TOTAL DATE REMARKS Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD o Meadowland DEPTH House Plot BULKHEAD Total ¢fit x i 15.E Ar t CONSENT TO INSPECTION the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town r 16 I I o w rN of Southold located at f I , which is shown and designated on the Suffolk County tax map as District 1000, Section 3 j , Block 1 , Lot That the undersigned (has) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: I 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: cam',toa �g (signature)o f•► . t,-��t I . oLh Q 9 exn-V (print name) (signature) (print name) BUI,DI:: TO��i•I OF :=T::OLD, N. Y. HOUSEM CC?EE' I:,iSP-ECTIO►i \ r • T• 4n� V. l Locaticn Subdivision Map Na1me of Owner(s) (:�' /11. clpa! i- No. Lots) Occupancy v (-yp e Ly o:vner-z�nar.�� tacu.li -. �zd by: -Acs�cimpanied by: Key available - Suffolk Co . Tax No. Source of request Date DUEL LING: Type of construction G/ Foundation �� _ lstories aj Cellar Crawl space, Total rooms, 1st. Fl S 2nd. F1 a3rd. F1 Bathrooms) Toilet room(s)� Porch, typel�� Deck, type Patio, Breezeway _ Garag= � type Type Heat c;7. .ca------------- -Utility room Fireplace (s )� ,'[arm Air Ho twat er „ .3 No . ax -it's i 's Domestic hotwater Aircor_diLioning Type heate Otherr_ ACCESSORY STRUC-LTR Garage, type const. A/ovW/'_ Storage, type const.,,,,) Swi;r.,'J, ng pool 1 Guest, type const. 0 �her� Lucat 2. on Descr_-0ticn Art. f -Sec. Remarks: Inspected by; Date of Time start Z;vo end d" . _._