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Home My WebLink AboutZ-14277FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z.l.q ¢7y .......... Date ....M.a.r..c.h..1.3. .................... 198..6. THIS CERTIFIES that the buildings .... 0 n e..f. am £.ky.. d ~.e. ]. $ & n.g ..................... Location of Property 11~15 MAIN ROAD RT. 25 EAST MARION hSd County Tax Map No. 1000 Section . .9 .1 ........ Block ..... .5 ......... Lot ... J .' .1 ........... Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a private one-family dwelling built prior conforms substantially to CERTIFICATE OF OCCUPANCY ·...A.p.r..i.1..2. 2. ........, 19.5. 7. pursuant to which;~allit~ l~Wfi~i~l~iX ....... # Z.~A 27.7 ...... dated .I~ ar.c.h..12 .................. 19.8.~., 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. £.ami2Yy..dwe2.1ing ....................................................... The certificate is issued to STANLEY J. MALINAUSKAS ..................... ? o¥.'o) ...................... of the aforesaid building. Suffolk County Department of Health Approval . .N../.A..r.r..e..e.x.i..s .t.i.n. ~ ..................... UNDERWRITERS CERTIFICATE NO .......... N../.A..~ r..e..e.x.i..s .t.i.n.g. ..................... *** Please see attached inspection report. Building Inspector to Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLO Building Department Town Hall ~'~)uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD , Instructions A. This application must be filled in typewriter OR ink, and submitte~to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling[ land use --?re-Ex±st±ng C.O. $15 · O0 3. Copy of certificate of occupancy $1.00 Vacant, land C.O. $ 5.00 Date December New Building ............. ,Old or Pre-existing Building .... X. ....... Vacant Land ............. S Location of Property ~ Main Road East Marion,. House No. Street Ham/et Owner or Owners of Property . . .S.~..a~.!.e.~. ~....tt.~.a.]_.~.qa.p.s~.a.s. ............................... County Tax Map No. 1000 Section ...3.~. .......... Block .... ,5 .......... Lot ..... .1.,..I ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... .X. ............... Fee Submitted $ 15....0.0 ...................... Construction on above described building and permit meets all applicable codes and regulations. ..v. o¢ r¢/ CONSENT TO INSPECTION STANLEY J. M~LINAUSKAS do.es i' hereby That the undermined, is of Southold located at tho undersigned. the owner... ~ of t~e premises in the Town 108~65 Main Road, East Marion, New-'York which is shown and designated ~n the SuHoik County tax map ss District 1000, Section $1' ' , Block 5 , Lot l' . That the undersi~ned' has , filed, or causqd to be filed, au applica- tion la the Southoid Tow~ Bu~idtn~ Inspector,s Office for the following: Certificate of Pre-existin$ Use That the undermined do,es, hereby give consent to the Butldh~ Inspectors of the Town of Southold to 'enter upon the above described property, including any and all butldia~s located thereon, to conduct such iaspectlons as they may deem necessary with respect to the aforesaid applicat~on, including inspecti~..us to determine that said im'emises comply with all of the laws, ordinances, rules and regulat~on~ of the Town of Sonthold. The undersigned, Sa consenting to such inspections, does so with the knowledge and und~rstmadh~ that any information obtained tn the conduct of such inspections may be used as evidence in subsequent ~rnsecutions for viso lations of the laws, ordlnaocea, rules or re~lations .of t_he Town of Southold. Dated: December . Stanley J~. Malinauskas - (prJ~,na.n%e) . · (si~nmt~lre) ' (p~int name) BUILDING DEPARTI~NT TO~'~N OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location (numoer Subdivision Map No. Lot(s) N~e of Ow ner(s)~~ Occupancy (owner-t~nan~) Key available Source of request~~ ~ Suffolk Co. No. 3/--3---- /, / ?;~LLIMG: Type of construction Foundation Total rooms, 1st. F1 Bathroom(s) Porch, type Breezewax Type Heat~~~ Fireplace(s); / Domestic hotwater Other Ce!lar~Crawl sp ac e~~-~ 2nd. F1 ~ 3rd. FI Toilet room(s) Deck, type Garage 'Warm Air No. Exits Patio, type Utility room Airconditionin~ Type heater ACCESSORY STRUCTURES: Garage, type const. Storage, type const.~/~ Swimming pool Guest, type const. VIOLATIONS: Housing Code, Chapter ~5'N.Y. Stat¢ Uniform Fire Prevention ~ull~in~ Location Descriotion I-Art. t Sec. Remarks: ~ ~~' ~/~7~~' Ti'me start '....>.. : :', '~ :