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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 ewe. o~ 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 3~- (signature) S ~ (print name) (signature) (print name) ~n.._. _ n. z i ny` ~ . ~ c> ~ a V z 3! ~i ~ ''~f1 ~ ~ a ~I N.- o; ' 37 IO T~W V ,n C + ~ - _ _ "'666 ~ ~ ~ c ~ a ~W ~ 1 ~ ti ' C ~ i J ' ~ ~ ~ t=- ~ to L -s,.._ pGC~ W/:4'~fj~i!/ V •l`~' ~i~r/iy'i 9'...a~~ i _~---~~~_~._~.~_-7 Si L. ~ _ ~ ~ I~ 1 ~ ~ { Q ~ ' a ~ ` 0 b t u ~ ~z2~--~ , Cj ~ ~ ~ - ~ i ~ ~ 4 s~ s i x ~ ~ a , , ~i ~ t d ~ ~ s,Yl+' r 1 n a~ h~ Q ~ h ~ ` a w; ~ ~ 1 4 ~ ~ . -t ~ n e .C~ S ~ ~ ~ J r 1 l ~ ~ _ _ l ~ O SG - iv~,.Od. ~?.62YV ~•.I C~~~nd~~ N~~~ I ._._._--.as----. JUN 3 0 1994 l