HomeMy WebLinkAboutZ-19845FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19845 Date APRIL 11. 1991
THIS CERTIFIES that the building STRUCTURE
Location of Property 170 ORCHARD STREET ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 25 Block 3 Lot 3.1
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a building structure built
prior to: APRIL 9, 1957 pursuant to which CERTIFICATE
OF OCCUPANCY NO. Z-19845 dated APRIL 11, 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 UNOCCUPIED BUILDING FORMERLY USED AS A FIREHOUSE. *
The certificate is issued to ORIENT FIRE DISTRICT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N
Building Ins'pecitor
Rev. 1/81
BUIL _.G DEP ,RT:L:iT
T01.11\1 OF SOUTHOLD, N. Y.
HOUSIi:G CODE INSPECTION REPORT
Location 170 ORCHARD STREET ORIENT, N.Y.
knumoer 6c street) kI,iunicipaiity)
Subdivision riap No. Lot(:,)
Name of Oviner(s) ORIENT FIRE DISTRICT
Occupancy UNOCCUPIED
(type) (owner- cenanz)
Admitted by: SELF Accompanied by:
Key available
Source of request ELBERT E. LUCE
D 1, -TELLING :
Suffolk Co. Tax No. 25-3-3.1
Date MARCH 22, 1991
Type of construction WOOD FRAMED Ustories 2
Foundation CANT Cellar PARTIAL Crawl space
Total rooms, lst. F1 2 2nd. Fl 3 3rd. F1
Bathroom(s) Toilet room(s) 2
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat OIL FIRED Warm Air Hot-water STEAM
Fireplace(s) No. Exits 4 Airconditioning
Domestic hotwater YES Type heater GAS
Other SOME ELECTRIC HEAT
ACCESSORY STRUCTURES: NONE
Garage, type const. Storage, type const.
Swi.:ming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
Ln_cation
Description lArt.`
Sec.
NO SMOKE DETECTORS I
CH.45I
774.3
CELLAR
NO RAIL
CH.4
1242.3 (d
Ii
I
This building until a couple of months ago was occupied as a
Remarks: firehouse. It is empt located in a R-40 Zone.
01
Inspected by: `"bate -of Insp. April 10, 1991
CURTIS HORTON Time start 2:45 end 3:15
Form No. 6
TOWN OF SOUTHOLD
• BUILDING DEPARTMENT
Z TOWN HALL
765-1802
CATION 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
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
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 ........., March .22, 1991
......................
New Construction........... Old Or Pre-existing Building .... X............
Location of Property......./ 7!} Orchard Street .. Orient . .
House No. Street Hamlet
Onwer or Owners of Property......,,... ent. Fire District ........... ..........._.. ......
County Tax Map No 1000, Section..25.......... Block ..... 3.......... Lot .... 3 ?J ..............
Subdivision....................................Filed Map ............ Lot ......................
Permit No..... N/A.......Date Of Permit...N/A.........Applicant......N/p....................
Health Dept. Approval..........................Underwriters Approval...... N/A...............
Planning Board Approval .....N/A ...... .... .
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $...... Exempt .....�. ...
.. `
...........
Su ct) � 1 9 �q5 APPLICANT-
7
._ __.-.3 ! I!
MAR Z Z AM ' ` CONSENT
TO
BLDG. DEPT. INSPECTION
ORIENT FIRE DISTRICT the undersigned,
Owner(s) Name(
do(es) hereby state:
That the undersigned (is)XXthe owner(1s*of the premises in the Town
of Southold located at / 7d Orchard Street, Orient, New York,
11957 , which is shown and designated on the Suffolk
County tax map as District 1000, Section 25 , Block 3 , Lot 3,
That the undersigned (has) k) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for "pre-existing" building
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: March 22, 1991
3.X 3 -
75-03
(signature)
Elbert E. Luce, Chairman
(print name)
Board of Fire Commissioners
(signature)
(print name)
F -
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MIR 2 210
ORIENT FIRE DISTRICT
Owner(s) Name40
do(es) hereby state:
CONSENT
TO
INSPECTION
, the undersigned,
That the undersigned (is)*the owner(z: of the premises in the Town
of Southold located at 17d Orchard Street, Orient, New York,
11957 , which is shown and designated on the Suffolk
County tax map as District 1000, Section 25 , Block 3 , Lot 3 •
That the undersigned (has) (0) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for "pre-existing" building
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: March 22, 1991
epi a•�e
3-t 3 -
3.sd3 3
(signature)
Elbert E. Luce, Chairman
(print name)
Board of Fire Commissioners
(signature)
(print name)
TOWN OF SOUTHOLD PROPERTY RECORD CARD � �
?v5 ��- �' 4
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
FORMER OWNER
N
ox' ,ff`q/: � s f
E
� o y1l 1; c cl
ACR.
'lig S
SW
II
TYPE OF BUILDING
RES.
SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value c
LAND
IMP.
TOTAL
DATE
REMARKS: �6 y �/ a f �1 �d� ±
C o z
7,6
F f
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
"
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
�3S� �0 '
Meadowland
DEPTH
HousePlotBULKHEAD
Total
DOCK
1Xd3 C HOD38 Alaidvc
BUIT DI:•;G DEPART: -Ir -LIT
T0.111,1 OF SOUTHOLD, N. Y.
HOUSII;G CODE INSPECTION REPORT
Location
knumoer 6c street
Subdivision
Name of Owner(s)
ici.pa.iitY)
clap No . Lot(s)
..11 a—
Occupancy
(type')
Admitted by: Accompanied
Key available
owner -tenant)
by:
Suffolk Co. Tax No. Ar:-,3,1Yj
Source of request Date /
D - ELLING • • •'
Type of construction
stories_ �,
Foundation Cellar Crawl space
Total rooms, 1st. F1 19 2nd. Fl—, -3 3rd. F1
Bathroom(s) Toilet room(s)--
Porch,
oom(s)_Porch, type Deck, type Patio, type
Breez e,aa ---
Y Garage Utility room
Type Heat ' • Idarm Air
Fireplace(s) No. Exits_ Airconditioning_
Domestic hotwater Type heater
Other -4 _—__ . A Z 77:- - / _ --A-/I
ACCESSORY STRUCTURE'S:
Garage, type const. Storage,
Swi=ing pool
type const.
Guest, type const.
Other
VIOLATIONS : _CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
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