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HomeMy WebLinkAboutZ-24042FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24042 Date NOVEMBER 22, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 8335 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 2 Lot 32.1 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-24042 dated NOVEMBER 21, 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 TWO (2) ONE FAMILY DWELLINGS * The certificate is issued to DONNA INGLESIAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 RI) I LD I NG DE PARTHEN'T ']'OWN OF SOUTIIOLO "OUSING CODE INSPEC'T'ION REPORT LOCA'T'ION: 8335 Main Road East Marion, N.Y. SUM)IVISION_ NAME OF OWNI:I( (s) OCCUPANCY SINGLE FAMILY — �—t ypcj` ---- (ovncr- -LenanCy -- AI)MI'r'rEN BY: DONNA IGLESIAS SAME KEY AVAII.AIII.1 _�. __-.—____ACCOHPANIED llY: >I1FF.00. TAX HAP NO. 1000=3T --2---37:-r----- - SOIN(Cl: OF RE(111ES.F: Donna Iglesias Wexler DATE: Oct.28, 1995 uni n i c I Im HAI' NO._ _ 1.01, s ) DONNA IGLESIAS ty ------------- TYPE OI" CONS'rltllCTION WOOD FRAME _--_—_---------- __ STORIES 2 1 EX[rs 3 FOUNDATION STONE — ------ --------------------------_ IOLA'r10NS: CIIAPTElt 45 N.Y. S'L'ATE IINIFOItM FIRE PREVENTION S R11ILDING CODE LOCATION DESCRIPTION u SE'C. I(EMAIMS: BP #15442Z -CO Z-17505 _Acey Gazebo BP #15566Z -CO Z16443 Addition h Altera—ic 1NS:PrC'IT.D BY _ DATEOI' INSPECTION NOV. 21, 1995 -- ohn M. Boufis TI"E' STAwr 9:45 END 10:15 _CELLAR PST' CItAWI. SPACE TOTAI. RoowS: IS'r rLR. 5 —2ND FI.R. 2 31(U Fut.IIA III(OOH (s) _ 2 TO I.ET I(OOH (, ) Il'1'ILl't'Y ROOH ' FRONT COVERED -SIDE TRELLIS 1 ORC11 TYPE — DECK, 'TYPE PATIO III(1: I1NIt.u1Nc ul:PnlrrllENr TOWN ON SOU.r110LU IIOIISING CODE INSPECTION REI'OR'I' LOCATION: 8335 MAIN RD. EAST MARION, N.Y. _-------(number 6 s(r(ctjy� -�--' SlIU1)IVISION LLAT NO._ LOT(s) NAMIs 01' OWNI?It (s) DONNA INGLESIAS ------ OCCIII'ANCY ONE FAMILY DWELLING ------------ - — Z— Zowner-tenanC�- _-- AUpll'1"1'IsD I1Y: DONNA INGLESIAS SAME KI -'.Y AVAII.Alllj- - _51JF1- _ I. ACCOHI'ANIEN IIY: .CO TAX MAP NO. 1000---3--2-32:-fi-- - SOt1RCE, of., REQIJIiS'r: DONNA INGLESIAS WEXLER DATEOCT. 28 19995 -- _ ---------- : I'YI'li OF CONSTItDCTION WOOD FRAME -- / STOlUES 1 / EXITS 2 FOIJNDATION POURED CONCRETE CELLAR FULL ; _ CRAWL SIACE TOTA1, ROOMS: IST FLR. 6 --- 2ND FI.R.31lD F1.1t. --- I1ATIIROOM (s) _ ONE TOILET ROOM(s) __ UTILITY ROOM PANTRY PORCH 'I'YI'l? FRONT COVERED -REAR ENCLOSED I]ECK, 'TYPE PATIO BRI:IiLEWAY F IREI'LACE — GARAGE DorIJ:STIC DOTWATEIt YES _ TYPE Inin'rr•.Ii LILCO GAS -- LILCO GAS _ AIItCONUI'rIONING TYPE HEAT WARM Alit — - - — I10111A'l'ER' ACCESSORY S_I'Ittl(:'I'URES: -- GARAGE, TYPE. OF CONST. STOIZACE, 'TYPE CONST. WOOD BARN SFIIMMING fool. GUMS'[, TYPE CONST. -- O'1'iIER: — --------------------------------------- --------------------__ -------------- -- ----------- -____ [OI.A'TIONS: CIIAPTElt 45 N.Y. S'L'ATE ONIF012M FIRE PREVENTION 6 IIIIII.DING CODE ]ACA'1'ION DESCRIPTION --- ---AltT. SI:C. ItIiMAItKS 1Nf:PrCTI:U fly u a DATE OF INSPECTION NOVEMBER 21 19995 M. BOUFIS--------.-_— ' _ T1t1E STAR'r 10:15 AM END 10:45 AM Form No. 6 TOWN OF SOUTHOLDirl BUILDING DEPARTMENT TOWN HALL r 765-1802 3 p,95 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: 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. $. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-exir st_n e" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusua natural or topographic features. 2. A properly completed application and a consent ro is___ nsp-ject 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, � l Additions to accessory building $25.00. Businesses $50.00. 2 Certificate of Occupancy on Pre-existing Buildine - $100,QO _ 3. Copy of Certificate of Occupancy - $20.00��-�� ,� S 4. Updated Certificate of Occupancy - $50.00 /� 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 i� 0'7 S Date.... �....................... New Construction........... Old Or Pre-existing Building.(qo Location of Property ... 833 �. Z�YaO:-�...� ...... r. House No. Street 1 Hamlet Onwer or Owners of Property.. �� ��� �S-C� 1cA �?_AQ County Tax Map No 1000, Section ... 0 3!.......Block.. 6 L .......... Lot ... .1/................. Subdivision...'.....................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval... ............Underwriters Approval.t:� ..................... Planning Board Approval._'�) .......... Request for: Temporary Certificate........... Final Certicate.:_ ...... Fee Submitted: $ .............. Qom. S Q �.S(7 .. ......... .................. APPLICANT �e c,o ��?Y©yam. LOCAT I ON: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE: INSPECTION REPORT Sl111DIVISION HAI' NO. 1.0,1, (s ) NAME: OF OWNER OCCUPANCY type —7--- (owner—[en r— ADML"I"1'EU liY:�—� /4vfi,/QS ACCOHPANIED BY: KEY AVAILABLE TAY MAP / N(1 JAA o, SOl1RCE OF RIsyUEST: nC DATE.:_ Z 9�'__ DWEI.1,1 NG:or— --- TYPE OF CONSTRUCTION `%" / STORIES_j / EXITS FOUNDA'T'ION (,�/) CELLAR CRAWL. SPACE "TOTAL. ROOMS: IST FLR. _2ND FI -R. '^" 3RD PLR. BATHROOM (s) — —_ ,TOILET ROOM (s) '"` U'I•ILITY ROOM PORCH TYPE �I� Q,� AC4� BECK, TYPE PATIO — BREEZEWAY "�� _ FIREPLACE GARAGE DOMESTIC IIOTWA"I'ER _ TYPE IIEATER / j_ ----G AIRCONDITIONING _ ✓r TYPE HEAT WARM Alit irI101VA'T'ER O"TUER: ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. SW I MM I NG POOI. OTHER: V 101.ATIONS STORAGE, TYPE CONST.�f1 4, 9 IV GUEST, TYPE CONST. ------------------------------------------------------------ ------------------ CIIAPTER 45 N.Y. S'L'ATE UNIFORM FIRE PREVENTION b BUILDING CODE LOCATION DESCRIP'T'ION ART. SEC REMARKS: ]N!PFCTED BY DA'Z'E? OF I NSPE- CTION "TIME' START �j� END zo-zy BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: -' ►er & street S11111)1vISION _L ;/ t_ un�11icipa MAI' NO. 1.0,i,(..;) Ly NAME. OF OWNER OCCUPANCY type -- Zowner-tenant�- ADMIAVAI I B A.� ACCOMPANIED,�-- KI:Y AVAIi.Al11.1: IF ---.- SIIFI� .CO. !'AX MAI' NO�dplyT- s(nHtcG OF ItEquESr: DATE.:— DWELL NG: — --- — _ I'YI'E OF CONSTRI1CfION— jt. / STORIES / EXITS FOUNDATION - �10tv—CELLAR��— CRAWL SPACE 'TOTAL ROOMS: IST I -LR.-- _2ND FI -R. 3R1) FLIt. -- BA1'i1R00M (s) 'TOILET ROOM (s) UTILITY ROOM PORCH 'I'Yl'EZ'4"l ,- 1 , — SQ� /���J llECK, 'TYPE . PATIO �- 11RI' EIZ.EWAY F lltEA, LAC,E 3 GARAGE — DOMrsT)c 110TWATER �,,j_ TYPE HEATER �C//, —�� _ AlRCUNDITIO I'YL'E r", �-Cj WARM Alit _ 11OTWA'rElt' OT lli R : ACCESSORY STRIICI-UltliS : GARAGE, 'TYPE OF CONST. SWIMMING POOL OTHER: V IOLA'TI ONS : , GUEST, STORAGE, 'TYPE CONS"r141 ' TYPE. CONST. ---------------------------------------------------- -------------------------------------- - CIIAI'TEit 45 N.Y. S'L'ATE UNIFORM FIRE PREVENTION b BUILDING CODE �.vw�i ivr� DESCRIPTION A.R'r. SGC REMARKS: I Nf:PrC"1'I:D ISY DATE. OF INSI'I-C'PION TIME'START 9i y I,ND �l7 C07' INSPECTION U\vner(sP 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 at -,c,hirh is shown and designated on the Suffolk County tax map as District 1000, Section p , Block 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: km o 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: (signature) (print name) signature) print name) I S. /Z 0 0 S , So *44F. 7 Z-1 - ow,.. 1 -171 - I- 14 o rtOs -* / 4 & i'j 1087.15 S. IZ,349*0. • SCAi-e: /001=/*" 18.16 Y ACiZE5 L—., — ='©a -X. C. C.; u " I y- .7 #59 K I -A a C. a L .6 : 1016W - 0 3 / -,Z - r4 f 3Z 6 C/rf% /"'td CrGYfdr�a Assoc. r�-�,E © � Zi 04 6 .;go-gs'e,-4 -7-10 -- cv V ro So .56 r 001:g Id 4p V4 0wxdp4w-0> ok — — — %.-w W. -.v -f O - ---, , �. ij - Rol" 7- 0 V�iS 3 8.07 JV- 9.36 ' w. AZ 0 OQ D IWA P (Dic �v Q A0Pi9,r,;:? 7- Y 7, - 7 5 T C40ootN**UF'vym&Pn0fb,,jV von ft kNi ow"Ya'1k A4 embee"d s fund scisaalor "at h" net be consid,'d ft 60 0 vaW ftSe copy. 77 Gua"S""kated h0roon to Me Parson for whom the SU Al. Y, shall run -0mrad, OnO On his behalf to the y al:= PAny, GoVernmental MgnCy MW 11 9 ingthut* to theO . 'on IlStod Ossignogs hOr0M and "On- Guaranta, Of the Jend" Inoti. to "*Ww , 03 are not trsis(orabr, *Nwx lkMkuffIIIIAwq,"