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Home My WebLink AboutZ-22630FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22630 Date OCTOBER 1~ 1993 THIS CERTIFIES that the building. Location of Property 320 SAILORS NR. RDLE ROAD House No. Street County Tax Map No. 1000 Section 144 Block 5 Subdivision Filed Map No. ONE FAMILY DWELLING MATTITUCK ~ N.Y. Hamlet Lot 28 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-22630 dated OCTOBER 1~ 1993 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 DWR. IJJNG WITH ATTAC~r~3 GARAGE & ACCESSORY PLATFORM WITH TRRT.LIS NEXT TO BULKHEAD * The certificate is issued to PHILIP & JEANNE MARRINER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *pT.~SE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 TOWN OF SOUTHOLD ii~ S~, 2 8 .-~'~ BUILDING DEPARTMENT fi !~i TOWN HALL 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. B. ' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ' "pre-existing" land uses: !~/t. 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. V~. 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 $15.00 Date ............................. New Construction ........... Old Or Pre-existing Building. v/~ -- Location of Property ~DD ~4! / ~ S 4/~b/~ ~ ................................. , House No. Street Hamlet ............ 0nwer or Owners of Property.. ~;/~. ~ ~g unty Tax Map No 1000, Section..K~.~... ..... Block... *-- ..Lot. g~ ................ .......................... Filed Map .~ ot?f .................... Permit No ................ Date Of Permit ................ Applicant ............................. tIealth Dept Approval ........................... Underwriters Approval ......................... Planning Board Approval' Request for: Temporary Certificate ........... Final Certicate Fee Submitted: ~ .~ .......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS SURE^~ o~ E'~CTRICITY ~ I 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS C~TIFI~6 THAT only the el~ ~u~me~z ~ ~Hb~ ~ ~ int~ by ~ ~l~n~ ~m~ ~ the .~ ~i~ti~ numar in the praises of in th~ following Iocationt ~ R~ement ~ Ist FL ~ 2nd Fl. Section ~l~k ~st u'as examin~ on ~l~t t~' ] ~] ~ .} ?~ and fo.nd to be in compliance wi~ h th~ r~q.irements of this R~mrd. RANGES COOKING DECKS OVENS DISH WASHERS ! I~N~..CI:~S$'] J TRi~A~S. J~t NA~.HEtT. t, ~!~)~T I C -- E . - EXHAUST FANS r' DIMMERS 192 U AMOUNT THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIfiCATE OF COMPLIANCE· THIS BIU. PAYABLE AT THE NEW YORK OFFICE, 85 JOHN STREET, NEW YORK, N. Y. 10038 iF. P26 TOW~ CONSENT TO INSPEC FION OImmr (s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town ofSoutholdlocatedat ~ P'~ ~"'4; /°l'L~ A/~- l)]~'' 1~4.~ ,~/~] T~lc,tl~ · which is shown and designated on the Suffolk County tax map as District 1000, Section / , Block ~" , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Tox~m Building Inspector,s Office for the [ollowing: 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 ~hereonl 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. T~gnature) - (print name) - (signature) (print name) r ~; I~0 0L NO I. SL/80/VISION M~U° PI/ ~O IN T/~&' O~PICE OF CI.~RK O~ 5MF~OL~ CO~TY ON M&Y/O, 19~ AS MAP N~I~IO. ~. SUFFOLK COUNTY TAX MAP )T .~o° ' REViSiONS YOUNG & YOUNG SEp7:.~,~'I~/,.~.95 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: PHILIP R. LOT ~0. II, 'SALT L~KE VIL~ I