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HomeMy WebLinkAboutZ-22982 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE SBISTING CERTIFICATE OF OCCUPANCY No Z-22982 Date MAY 3, 1994 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 525 FOiJNDERS PATH SOIITHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 gurauant to which CERTIFICATE OF OCCUPANCY NUMBER L-22982 dated MAY 3, 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 ONS FAMILY DWELLING WITH ACCESSORY ONE CAR GARAGE The certificate is issued to MARION ROPHSN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-302481-JAN. 19, 1994 - (NSW SERVICE) PLUMBERS CERTIFICATION DATED N/A +~PLSASE SSE ATTACHED INSPECTION REPORT. Building Insp or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 525 FOUNDERS PATH SOUTHOLD, NEW YORK number ~ street municipality SUBDIVISION PiAP NO. LOT(s) NAME OF OWNER (s) MARION ROPHEN OCCUPANCY SINGLE FAMILY DWELLING OWNER type owner-tenant) ADMITTED BY: MARION ROPHEN ACCOMPANIED BY: SAMB REY AVAILABLE SUFF.CO. TAX MAP NO. 1000-64-2-36 SOURCE OF REQUEST: MARION ROPHEN DATE: APRIL 25, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # EXITS 2 FOUNDATION CONCRETE BLOCK CELLAR FULL WITH EXIT CRAWL SPACE NO TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) NONE UTILITY ROOM NO PORCH TYPE NOME DECK, TYPE REAR WOOD' PATIO NOME BREEZEWAY NONE FIREPLACE NONE GARAGE - - DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING - - TYPE HEAT LILCO GAS WARM AIR YES HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME STORAGE, TYPE CONST. NONE SWIMMING POOL , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS; BP #18911-Z-CO Z-22982 ISSUED FOR DECK ADDITION INSPECTED BY DATE OF INSPECTION MAY 2, 1994 OHN M. O IS TIME START 9:35 AM END 9:55 AM Form No. 6 TOWN OF SOUTHOLD ~~;oc~ BUILDING DEPARTMENT Z 5 ~ TOWN HALL z= 765-1802 'TOWN ~ LD AppLICATION FOR CERTII'ICATE 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 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, 1_957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accur~at_e survey of_prop_P~v 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 Buildine - $100.00'- - 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $(15.010, Comme dial $15.00 Date .......~L / ~.~1. ~ . New Construction.........~~.jj. Old 0 Prea-'existing,Bui-ld}i-ng.~ Location of Property.. ~r4.?...~. r.4 J-~!?..1?.~2.~.... C.~7'~ ~J J.H. 1 1.,. l ~~~f House No. //Street Haml~t Onwer or Owners of Property....~~Ya.~ ~:1/.....f~~ ~~!~Y County Tax Map No 1000, Section. L~ B1ocJJk.. ~ ~ .~.4-r....LOt. ~.V....... . Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $.r~,D,. G'.Z~ ~.QiC.. ~7~ / ~ APPLICANT. ~i~e Cp ~ q 8~ oZ. ~ ~ f. COA'SENT ~ ? ~ ~ ~ TO INSPECTION ~1/f / rouvN~• ~o~o f ~ ~ F?. i D/'V p ~ the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (a-~e) the owner(-s-) of the premises in the Town of Southold located at ,S~ ~ ~p~,f 12r-~~` ~~T.f-f ~~UL~j~,[, ~'V, ~ which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot Q bDp That the undersigned (has) (hate) filed, or e~usedt6~e ~"iled, an applica- tion in the Southold Town Building Inspector's Office for the following: C ~ ~{~i f o ~ d ~.cv P~1 N 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 of the Town of Southold. Dated: (signature) A-~ I v~ U P f t~V (print na e) (signature) (print name) a fro ~ ~ zN. do age ~ ~ ~ ~ o ~ t r V , a ~ p _ ~ :~..7i• 'io~o $~W~ do ~O-`~3 {Ury O i o ~ Ql ti Q ~7 ~ ~ ~ EI _x. pj ~ , ~ 1 ~F. ~ ti i 1 _c Q j ~y t ~ ~ O(tt ` ~ ~ - i _ t~ t ~ ~ ~ © ~ y j , f w ~ ~ s } ! a ~ 111 ~ d ry - , - . . - _ ~ _ 147.27 fo N.25'S5'vt'. - 5a.0 , - _ _ i _ i F"C? Unr.Q Eta S PATt-~ Q _ ~