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Home My WebLink AboutZ-22398FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22398 Date JUNE 16, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 25650 MAIN ROAD ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 6 Lot 11 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-22399 dated JUNE 16, 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 DWELLING WITH ATTACHED GARAGE The certificate is issued to FRANK MILLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 F� jum Form No. b TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN 1L%LL 765-11102 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 t. 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 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 L. 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 ,.,,,,,,,June..14l, 1993... .............. Ncw Construction........... Old Or Pre-existing Building., XXL .. Locy,tion of Property.... Main, Road ..... .9,rAe.4r. AQTe. X.Qz1�..................................... House No. Street Hamlet Onwer or Owners of Property. Frank J. ,Miller , ...... ..... .. ......... ..... County Tax Map No 1000, Section...01.........Block ..... Q�......... Lot........D1.1.......... Subdivision....................................Filed Map ............ Lot ....................... Permit No................Date Of Permit ................ Applicant ............................. Ilealth Dept, Approval..........................Underwriters Approval......................... Planning Board Approval., ...................... Request for: Temporary Certificate........... Final Certicate... Fee Submittedt $...... 104sP.0............. .. y6a�o ............................................ APPLICANT BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 25650 MAIN ROAD ORIENT, N.Y. number S street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) FRANK MILLER OCCUPANCY A-1 RES. OWNER (type) (owner -tenant) ADMITTED BY:. MATTHEW KLARITCH ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 18-06-11 SOURCE OF REQUEST: WILLIAM H. PRICE, JR., ESQ. DATE: JUNE 14, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 11 STORIES 2 $ E%ITS 4 FOUNDATION CEMENT CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 4 3RD FLR. BATHROOM (s) ONE FULL BATH TOILET ROOM (s) ONE UTILITY ROOM PORCH TYPE SCREENED SIDE&REAR DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE 2 GARAGE 1 CAR DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT OIL WARM AIRHOTWATER OTHER: PANTRY OFF KITCHE ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION ART. SEC. TAIRS TO STAIRWAYS SHALL HAVE HANDRAILS ON AT LEAST ONE SIDE. NYCRR 9 (B) NO FLOOR. 1242. (d) TAIRS TO n if if ASEMENT ,EAR STEPS REMARKS: INSPECTED BY: DATE ON INSPECTION JUNE 15, 1993 TIME START 10:00 am END 10:20 am O *I Y'O MAP of LAND 5ucz1,1e.1y1:-o FOOL F.2ANK. J. iV11 t_LER "„ •if' •.; Q2.t EN'{'. .GHavar,%-k to tilt' .i5¢r-uYi,4y T(t\c •F To c}'oF.�ou-r►�A�a.N`A'i •GLAc4Y4tityy !Co. 4:+Q t4ra Liv, i " ScryIt' y+r'unk af'Pc�tcFt0Cj-4 as t ., i• IsWN(Yaq-MCA 1scpi. i"i 1`.359. '4. Otta`'W;:'.`✓uvt TNy�`+i Sor•r .,:... li.�G.( �/J7/f� L.icerrctrd 1_arrd 5t.�fiva��.�rs. 1 J j qj 01 qa till r� I_3 .� N J O *I Y'O MAP of LAND 5ucz1,1e.1y1:-o FOOL F.2ANK. J. iV11 t_LER "„ •if' •.; Q2.t EN'{'. .GHavar,%-k to tilt' .i5¢r-uYi,4y T(t\c •F To c}'oF.�ou-r►�A�a.N`A'i •GLAc4Y4tityy !Co. 4:+Q t4ra Liv, i " ScryIt' y+r'unk af'Pc�tcFt0Cj-4 as t ., i• IsWN(Yaq-MCA 1scpi. i"i 1`.359. '4. Otta`'W;:'.`✓uvt TNy�`+i Sor•r .,:... li.�G.( �/J7/f� L.icerrctrd 1_arrd 5t.�fiva��.�rs. 1 JUN 4 G96 CONSENT TO INSPi2CTION FRANK J. MILLER by his attorney, William H. Price, Jr., O�,mer(s) Name(;) the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at Main Road, Orient, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 018 Block 06 Lot 011 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; _ 2 story frame dwelling with attached garage and porch 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 Willi respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the `.Gown Of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained to the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lation; of the laws, ordinances, rules or regulations of the Town of Southold. Dated: June 14, 1993 N (signature) (sl nature) (P 'it name)