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Home My WebLink AboutZ-23633FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~ERTIFICATE OF OCcupANCY No Z-23633 Date MAY 11, 1995 THIS CERTIFIES that the buildin~ Location of Property 302 DIAMOND LANE PECONIC, N.Y. House No. Street County Tax Map No. 1000 Section 68 Lot 3 Subdivision Lot No. ONE FAMILY DWELLING Block Filed Map No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23633 dated MAY 11, 1995 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 * The certificate is issued to JOHN & JOYCE PALMER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A SEE ATTA~D INSPECTION REPORT. //Budding Inspector Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNEg (s) JOHN PALMER OCCUPANCY A-l RES. (type) ADHI'I-r~D BY: E~ELYN GORDON KEY AVAILABLE SOURCE OF REq..UEST: JOHN PALMER BUILDING DEPARTHENT TOI~I OF SOUi'nOLD HOUSING CODE INSPECTION REPORT 302 DIAMOND LANE PECONIC, NEW YORK (number & street) (municipality) HAP NO. LOT(s) OILIER (owner-tenant) ACCOMPANIED BY: SA~E SUFF.CO. TAX NAP NO. 1000-68-1-3 DATE: AUG. 25, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION CI/I~I/T BLOCK TOTAL ROOHS: IST FLR. 2 BATHROOH (s) ORE PORCH TYPE BREEZEWAY DOHESTIC HOT~ATER YES T¥~E HEAT OIL OTHER: WOOD FRAME CELLAR 2ND FLR. 3 TOILET ROOM (s) FIREPLACE TYPE HEATER WARH AIR FULL 3RDFLR. BECK, TYPE OFF BOILER { STORIES 2 CRAWL SPACE UTILITY ROOM PATIO GARAGE AIRCONUITIONING HOTWATER XX EXITS ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REi~RKS: BP ~21828-Z CO Z-23632 (DECK) INSPECTED BY DATE OF INSPECTION OCTOBER 4, 1993 TIME START 9:30 AM END I0:00 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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). 5. 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. ~. Commercial building, industrial building, multiple residences and similar builJings 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. ~ For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2.. A properly completed application and a consent to inspect si~ned by the applicant, If a Certificate of Occupancy is denied, the Building Inspector shall state ~he 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.D0. Businesses $50.00. 2. Certificate of Occupancy on Pre-exisging Building - $10Q.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 ~/Z1193 ' Date .............................. New· Construction ........... Old Or Pre-existing Building .... X. ............ Location of Propert . p¢~pp¢, p.ap¢,. ~¢¢9~¢. ~ ............................... House No. Street Hamlet 0nwer or Owners of Property....Jp~.n..L... ,P.a.l~.e;'. ~. ~f ............................................ County Tax Map No 1000, Section....6.8 ......... Block...~. ..Lot..',.~ ................ [Subdivision..M.a.p .qf..A. qr.r.e.s..of..D.i.a~o.n.d.s..I.N.C ...... Filed Map.. ¢~2~ ...... Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............... ' Health Dcpt, Approval .......................... Underwriters Approval ................. - ........ Planning Board Approval ............. ~ .......... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... !qg~qq .................. .......... J~to2ph. H..BRUER,~.aggOrney.f~.dq~q.Palmer APPLICANT' CONSENT TO INS PI~CTION John L. Palmer · the undersigned, O~er(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at34)~ Diamond Lane, Peconic Ne.w York · which is sho~vn and designated on the Suffolk County tax map as District 1000, Section 68 , ]Block 1 , Lot 3 That the undersigned (has) (have) filed, 'or caused to be filed· an applica- 'tion in the Southold Town Building Inspector's Office for the {ollowing: PRE-EXISTING C/O Dated: 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 aferesaid 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 ~vith 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. /// (signature) (print name) (signature) (print name) ,.5 dF-- O UT,¥