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Home My WebLink AboutZ-19057No Z-19057 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date MAY 17, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 815 OLD SHIPYARD ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 5 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19057 dated MAY 17. 1990 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 DWELLING WITH ATTACHED 2 CAR GARAGE & ACCESSORY RADIO ANTENNA. * The certificate is issued to JOHN & LINDA M. MARTIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Buil ng Inspector Rev. 1/81 BUILDII•:G DEPART'-1ENT T0. -IN OF SOUTHOLD, N. Y. HOUSIiIG CODE INSPECTION REPORT Location 815 OLD SHIPYARD ROAD SOUTHOLD, N.Y. (numoer & street) P4unicipality) Subdivision clap No. Lot(s) Name of Owner(s) JOHN 6 LINDA MARTIN Occupancy OWNER (type) owner -tenant Admitted by: TERRA SCHIAVONI Accompanied by: SAME Key available Source of request DITEL LING: Suffolk Co. Tax No. 64-5-19 JOHN & LINDA MARTIN Date 4/ 17/ 1990 Type of construction WOOD FRAME #stories 1-1/2 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 5 2nd. F1 2 3rd. F1 Bathroom(s) ONE Toilet room(s) Porch, type Deck, type Patio, type Breezeway ENCLOSED Garage 2 CAR Utility room Type Heat LILCO GAS '',farm Air Hotwater xx Fireplace(s) -- No. E:tits 3 Airconditioning -- Domestic hotwater LILCO GAS Type heater KENMORE Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other RADIO ANTENNA Storage, type const. Guest, type const. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE Remarks: Inspected by: GARY J. FISH Date of Insp. MAY 9, 1990 Time start3:00 end 3:20 Form No. 6 RI 7Cc BUILDING DEPARTMENT DTOWN HALL MAY — 71990 '{ 765-1802 s, LIGATION FOR CERTIFICATE OF OCCUPANCY TOS N C;`:> A. is 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consept„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. 2. 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 Buildin_gJ..............r... {� Location of Property.... ? ...... d elt.`.......� J�u.?`17Q.�� ........... House No. Street Hamlet Onwer or Owners of Property.: .. 1, I .n. a /.!. ✓ .✓.. County Tax Map No 1000, Section...... ✓.0/...Block...... I.......Lot ...l .................. 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: e .............. '+o c-o?-- iw 7 ...? ANT CONSENT TO INSPECTION h -r� LI -),\A Owner(s) Name( do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at I C6 Y\ , which is shown and uesignr:.ied or, the Suf o n County tax map as District 1000, Section (, V, Block S- , Lot _/ 9 . 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: U 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: l/—/ %- qd .� I� (signature (print name) (signature) 1'r) da tT . Iklif2r 4) (print name) iM-AP OP t� QT Y 5,'JfZVEYED . PQ Nt Ali owl LLA I Z AT o e 216..II --t .6$ I V /A\\i C.At�iP 3V' , a F[.AOS'tGt.t+dE N.Now (104'`i TV. MMST ..: T�j.I � i AVE MV. ` Z �'`�' LOT OF 10, ra F F. CO, Ar £f= V9,26 LST Y i • i 9 j �: 0 -lucatlon LaLY ,h4 !anti S.j ✓ r in.• o 4"?13S 'e9UA 5931 Sh3� d y3 r'e Gc to be s s'Giid ttuo copy. y r Guarantees Indicated ha pon q enly to the person `or i IS PrBoar - . and on his, `�sjT;l M a'y:3 ccrr anv, 9overnmc l gg r Sr'�J/ T5..+► 1! Q- F lvnda r en iii rFr�n Est&J CID t 1 �!\aD � ►-t✓� ti . �•, ,� � .. :.: _ _ _ _ t /� y}�►s QMAP to ih�: a es of Yr;, a - c rF 'M4 ".r= i r_ "t;rcS are lio, ii 4i�', Yf Le,10 i til : -- ,- Q to"��, o��; ar4tizutions or sutsequenj -CO, oK ;ees. { ' . { C3QA2ANT; P 7O . , TIT .��-� i�tW k 3•; w' CO:I*X MAP � AP t � 26 1