HomeMy WebLinkAboutZ-20079FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No 7.-20079 Date JULY 16, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1730 OLD ORCHARD LANE EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 37 Block 2 Lot 7.1
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-20079 dated JULY 16 1991
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 STORAGE SHED & WOOD DECK*
The certificate is issued to HERBERT & KATHLEEN MUNCy
(owners)
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.
A'(.� - zd2
Aui ding Inspector
Rev. 1/B1
BUILDI,,G DEPART, -LENT
TOWN OF SOUTHOLD, N. Y.
HOUSIiZ CODE INSPECTION REPORT
Location 1730 OLD ORCHARD LANE EAST MARION, N.Y.
�numDer 6( street) �Plun.icipai,.izy)
Subdivision _Map No. -Lot(s)
Name of 0,•jner(s )_ HERBERT & KATHLEEN MUNCY
Occupancy A-1
stype owner-Lenanz)
Ad,-aitted by: KATHLEEN 1, HERBERT Accompanied by: SAME
MUNUX
Key available _Suffolk Co. Tax No. 37-2-7.1
Source of request HARTF nxr_7 IZ_—, Date JULY 2, 1991
D',,ELLI`1G :
Type of construction WOOD FRAME _ 1
stories
Foundation CF.bEN1 BLOCK Cellar 1/3 Cra,11 space 2/3
Total rooms, lst. Fl 4 _2nd. Fl. 3rd. Fl
Bathroom(s) 1 FULL BATH Toilet room(s)
Porch, type_ Deck, type WOOD Patio, type_
Breeze: -jay Garage Utility room
Type Heat PROPANE Warm Air cEyTRAL AIR —Hotwater
Firerlace(s)_ No. Zits 3 Airconditioning
Domestic hotwater YES Type heater ELECTRIC
Other STORAGE SHED ATTACHED TO HOUSE(IN GROUND)
ACCESSORY STRUCTURE'S:
Garage, type const._
Storage, type const.
Swimming pool _Guest, type const.
Other 500 GAL. PROPANE TANK IN REAR YARD -
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Remarks: BP #5457 CO Z-5629
Inspected by:
Date of Insp. JULY 10, 1991
Time start 9:15 end 9:45
Owner(s)
CONSENT
TO
INSPECTION
A-&� 1t *7_/tLEF✓ hi un c t�
r_)V 6 /D N/ , J-�,eh P h �
do(es) hereby state:
Namc(s)
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at �7 30 L3Le� DAG/ �� ;� --L
which is shown and designated on the Suffolk
County tali map as District 1000, Section , Block Lot 7./.
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southcld Town Building Inspector's Office for the following:
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: %1L
�tv
(signature)
/ `1413?/r t�)/1 6
(print name)
(signature)
(print name)
Form No. 6
T011N OF SOUTHOLD
BUILDING DCPARTMENT
TOWN (TALL
765-1802
APPLICATION FOR CERTIFICATE OFOCCUPANCY
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 archi--ect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) tion -conforming uses, or buildings and
"pre-existing" land uses:
I. 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.
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... 1.°2./ ...........................
'w Construction....... ... Old Or Pre-existing Building .............. .
,cation of Property... / ?� b.... 06 .17�C rd . (,a--vv...........4�? !vcQ!LG�1...........
House No. %�7 y Street Hamlet
wcr or caner : !.L�Lv�a!i ... .t G......... .0 ::.. �/Gt9C
owners of Property. 77 -7
unty Tax Map No 1000, Section..... .L.......Bloc(c......0 .......Lot...... ... .7..j.......
division................................. ..Filed Map ............ Lot ........... ...........
`mit No................Date Of Permit ................ Applicant...�+1
C
.1th Dept. Approval..........................Underwriters
Approval.........................
nningBoard Approval ........................
uest for: Temporary Certificate...........
Filial Certicatc...........
Sub tiCtcd: $-i'. .... .... ............
%
i ....... ..... .. . . ........
APPLICANT
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BUII,DI?• G
T0.1lid OF SJGUT.'-:OLD,
HOUSING CC::-'-:' I iSFFCT IO RL_ ORT
Locati-on
lr•L.:z0er a s tree z
,(4-r` R441-,,
Subdivision1111U:11Clpa 1 zY)
i�iap No . -Lo-u(s)
Name of 0:•mer(s)
Occupancy A - 1
(_y e
n '� owner- cenar..)
r,c�.l��
.zd by :
AC;.cc;mpanied b
Key available Suffolk Co.
Tax No. ,3% - 7.1
Source of request��r`,�
•• �('�v�i Date AZZ,
DV'LLING
Type Of construction � f
Foundation 'stories
Cellar Crawl space �?
Total rooms, 1st Fl
2nd. F1 3rd, F1
Bathrooms)
Toilet room(s) Porch, type y Deck, type .
Breezeway Patio, type
Garag' Utility room
Type Heat '
Warm Air r Hotviater
Fireplace(s)
o. Exit's Aircor_
Domestic ho .,water (/�S d tioni,-��
Other--TS'-De heater ,
ACCESSORY T�?UCTLTRFS _
Garage, type const. .
Storage, type const.
S�'�i;,,,;�i ng pool
�- Guest, type const.
Other
VIOLA'j'TQ1?S : CHAPTER 45--N.Y_ STATE UNIFORM TIRE PREVENTION & RTTTT nT7vr I,,-
Remarks:
Inspected
ej) W_ G V -
:e of Insp. '111101V
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