HomeMy WebLinkAboutZ-23090 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EBISTING
CERTIFICATE OF OCCUPANCY
No Z-23090 Date JULY 8, 1994
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 600 BAY AVENUE EAST MARION, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 8 Lot 10
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-23090 dated JULY 8, 1994
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 DWBLLING WITH ACCESSORY STORAGE SEED.
The certificate is issued to MARIE ROCH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLBASE SEE ATTACHED INSPECTION REPORT.
Bui ding `Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 600 BAY AVENUE EAST MARION
number ~ street municipality
SUBDIVISION 21AP NO. LOT(s)
NAME OF OWNER (s) MARIE ROCH
OCCUPANCY A-I RES. OWNER
type owner-tenant)
ADMITTED BY: MARIE ROCH ACCOMPANIED BY. SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-31-08-10
SOURCE OF REQUEST- J. KEVIN McLAUGHLIN DAB; 6/30/94
DWELLING:
TYPE OF CONSTRUCTION WOpD FAME # STORIES ONE # EXITS TWO
FOUNDATION CONCRETE CELLAR FULL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. FIVE 2ND FLR. 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE ~ PATZO CEMENT
BREEZEWAY FIREPLACE pNE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING
TYPE HEAT LILCO GAS WARM AIR HOTWATER STEM
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SMALL METAL SHED
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
V1pj.ATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIKE PREVENTION r~ BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BPS16181Z CO6Z16569
INSPECTED BY DATE OF INSPECTION 7/6/94
GARY S
TIME START 9-30 END 9:50
- \
_ Form No. 6 ,^,~.r.--~
4-1~-~ TOWN OF SOUTHOLD , D
l' BUILDING DEPARTPIENT
TO[dN 1iALL ,JUN 0 {994
• 76s-laoz
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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 17 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.
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 - Residential $15.00,,,C``ommercial $15.00
Date ro 1a9.~ 4Z"
New Construction..... Old Or Pre-existing Building...~~..........
Location of Property.~~..~'~.~~nl)-~~.-_••.•-••••••.••••••••••'r••S~•~Crc~!'~-•..
House No. Street Hamlet
Onwer or Owners of Property..~Cy-~.~~.Koh-
County Tax Map No 1000, Section... 31......Block... ~ Cj........Lot...~Q
Subdivision ...Filed Nap............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Cefr-t~ificate........... Final Ce ti te......... .
nF~e/e~~Su'btmitted: $..~~~.0~•.•.••••••••-••••• ~
nom, .~~3~0 APPLI,AN -
I~ ~~w_
f. u V U ~ U ~ '
.iUN ~ 0 1994
COZ~'SENT
TO swc. Dever.
INSP);CTION ~ TOWN OFSOUTHOLD
I ~ \~C ~ e-- ~ the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigne/'d,(is) (are) the ofw~ne'r^(s) of the premises in the Town
of Southold located at ~OOQ ~s~. 1~-~. ~ S'~ ,
whir_ii is shotivn and designaated on the Suffolk
County tax map as District 1000, Section d 31 Block ~b Lot
That the undersigned (has) (have) filed, or caused to be Filed, `an applica-
tion in the Southold Totivn Building Inspector's Office for the following:
-~ce - C~
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 cf 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 oft of old.
Dated: P
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(signature)
S ~
(print name)
(signature)
(print name)
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JUN 3 0 1994 l