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Home My WebLink AboutZ-29082FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29082 Date: 11/15/02 · ~{IS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 1155 MARLENE LA (HOUSE NO.) (STREET) County Taxx Map No. 473889 Section 144 Block 0003 Subdivision Filed Map No. __ Lot No. __ LAUREL (HAMLET) Lot 003 conforms substantially to the Requirements for a ONE F/~4ILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPAI~C"f lqL~4BER Z- 29082 dated NOVEMBER 15, 2002 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 REAR WOOD DECK AND ACCESSORY i 1/2 CAR GARAGE. * The certificate is issued to LISA LEENON HOLOBIGIAN (OWNER) of the aforesaid building. SUFFOLK COD/FI~fDEPARTM~CT OF I~]~nJ~T~APPROVAL EI~t-£~ICA~ CERTIFICATE NO. PL~I~BERS CERTIFICATION D~f~u3 *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1155 MARLENE LA LAUREL SUBDIVISION: ~ NO.: LOT ($) NAME OF OWNER (S): LISA LEENON HOLOBIGIAN OCCUPANCY: SINGLE FAMILY LISA LEENON HOLOBIGIAN ADMI'I-I'~ BY: PAUL EOLOBIGIAN ACCOMPANI~) BY: SAME K~"f AVAILABLE: SUFF. CO. T~Jf ~ NO.: 144.-3-3 SO~/RCE OF RF~UEST: RONALD A POLLI0, ATTY DATE: 11/15/02 DWELLING: ~"fPE OF CONS~UCTION: WOOD FRAME ~ STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: RATHHOO~ (S): 1.0 TOII~T ROO~(S): 0.0 UTILITY ROO~(S): PORCH TYPE: DECK TYPE: REAR WOOD PATIO BREEZEWAY: FIREPLACE: NO GARAGE D(kMESTIC HOTWATER: YES TYPE HEA'r~: KEYSPAM GAS ~IRCONDITIONING: TYPE HEAT: KEYS. GAS WArM OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING PfK)L: 1 1/2 CAR WOOD FRAME b~TOP~AGE, ~"fPE CONST.: G~3EST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Pd~/~KS: BP5336 GARAGE COZ4555; EP16499 PATIO C0Z16753. RE-INSPECTED 11/14/02. INSPEc-I'~ BY: ~ DATE ON INSPECTION: 11/08/02 / OCT ~4 '0~ 0~:00P~ $OUTHOLD ~UILDING 6~1 76~ ~0~ P.I ~orm No, 6 TOWN OF $OUTHOLD BI.rlI2)ING DEPARTMENT TOWN HALL 76~-1S02 APPLICATION FOR CERTI~~ · ~ r~u r~r~r~u~Nr~v This application must be filled in by P/pewriter or irik and sub: Post-it' Fax Note 7571 A. For new building or n~w use: 1. Final survey ofpropa'W with accurate location of all ! topol~raphic features. 2. Final Approval from Health Dept. of water supply ant 3. Approval of electrical i~tallation from Board of Fire 4. Sworn statement from plumber certifying that the soldcr used in syst~m~ .'csntains less $. Commercial buildinE, industrial buildir~, multi_plo residences and similar buildin~ and hlstallations, a certificate of Code Complianoo from architect or c~ncer responsible for tho build.lng. 6. Submit Plarmlng Board Approval ofcompl~ed site plan requirements. B..F~r crusting buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-ex, sting land uses: ,,/~l. Accurate survey of property showlr~ all property lines, stre=ts, building and unusual natural or topo~repbic 2. A properly completed application and consent to inspect signed by the applicant. Ifa Ccrtificate of Occupancy is denied, the Bufldill~ Inspector shall state the reasons therefor in writin~ to the applicant. C. 1. Certificate of Occupancy - New dw¢llins $25.00, Additions to dwelling $25.00, Alter~tlons to dwelling $25.00, Swimming pool $2~.00, Accessory buildinE $25.00, Additions to accessory building $25.00, Businesses $$0.00. 2. Ce~ificst¢ of Occupancy on Pr~-~xistin~ BuiMi~g - ~100.00 3. Copy of Certi~catc of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cornm=rcial $15.00 New Construction; Location of Property: Houa= No. Owner or Owners of Prop=r~y: Z./'~',,~- SuFfolk County Tax Map No 1000, S~tion Subdi~sion Old or Pre-existing Building: //3-5 Peirnit NO. Date of Permit. Health Dept. Approval: Pla~mini/Board Approval: l~cliuost for: Temporary Certificate Street (check Hamlet Lot ~0~. ~ Film Map, Lot: Applicant: Underwriters Approval: Final C~rtificatc: d (check one) oCT ~4 '0~ OB:OOPM SOUTHOLD BUILDING 6B1 76~ ~S08 P.~ CONSENT TO INSPECTION thc undersigned, do(es) hereby state: That the undersigned (i~) (are) the owner(s) of the preraises in~c Town of which is show2 {md desigrmted on the Suffolk County Tax Map as District 1000, Section ] q~, Block _ ~. ~/gLot _ gte?. dC). That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the ~mdersigned do(es) hereby give consent to thc Building Irmpectors of the Town of Southold to enter upon the above descr/bed prop~, including any and all buildings located thereon, to conduct such inspections ~ they may deem necessary with respect ~o the ~oresaid application, including inspections to dctm'mine Bat said pr~nises comply with all of the laws, ordinances, rules and re~lations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledg~ and understanding that any information obtained in the conduct of such inspections may be used in subs~luent prosecutions for violations of the laws, ordinances, rules or regulations of thc Town of Southold. Dated: /o--gl.OZ (Signature) (Print Name) (Signature) (Print Name) AREA = DID I~' VF..I~""- ~, ~ N/OiF f:~/xH NiOIF & K/~I'HLEEN ....c:EP .,~lO1'TO SURVEY'OF PROPERTY A T MA TTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY, N 1000- 144 - 03- 03 SCALE: 1"= 30' NOV. 1, 1994 .~CO~lC ~ (516) 765 - ~ P, O, BOX 909 MAIN ROAD $OUTHOLD, N, Y. P, IC~. NO. 49618 11971 ' I, IUST BE U,.~ BY ANY AtJ) ALL SURVEYCWS UTI DWG A COPY OF ANOTiiE~ $URVEYOR'~ I44P. TB~,~ ~I. ICH A~ ~-¢TED' AND 'BIIOUEHT-TO-DAI'E' ARE NOT JV COIIPL~4NCE ~TH THE LAtl. 94-373