HomeMy WebLinkAboutZ-192340U. k*
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
PRE EXISTING
No 219234 Date JULY 24, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 39405 MAIN ROAD AKA 81 RT. 25 ORIENT
House No. Street Hamlet
County Tax Map No. 1000 Section 15 Block 08 Lot 17
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 Occupancy Z19234 dated JULY 24, 1990
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 AND ACCESSORY GARAGE
The certificate is issued to GEORGE L. PROFERES
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
****SEE INSPECTION REPORT
building Inspector
Rev. 1/81
BUILDIi'.G DEPART:•L iT
T0:•1N OF SOUTHOLD, N. Y.
HOUSI"M CODE INSPECTION REPORT
Location 39405 MAIN RD. RT. 25 ORIENT
�numoer & street) Nunicipality)
Subdivision Map No. Lot(:-)
Name of owner(s) GEORGE L. PROFERES
Occupancy
type owner -tenant)
Admitted by: WILLIAM HANDS III Accompanied by: SAME
Key available Suffolk Co. Tax No. 15-08-17
Source of request GEORGE GEORGE L. PROFERES
D' TELLING :
Date 6/15/90
Type of construction WOOD FRAME #sttories 2
Foundation STONE CellarPARrm Crawl space
Total rooms, lst. Fl 4 2nd. F1 3 3rd. F1
Bathroom(s) 1 full Toilet room(s) --
Porch, type SIEE & FRM Deck, type — Patio, type —
Breezeway Garage 1 CAR Utility room
Type Heat om Warm Air Hotwater XK
Fireplace(s) ONE No. Exits Airconditioning
Domestic hotwater OIL Type heater
Other PANM OR 1st FIAOR
ACCESSORY STRUCTURE'S:
1 CAR
Garage, type const. WoOo FR-'
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS- CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Location
Descrintion lArt.`
Sec.
ACCESORY
FENCES, WALLS AND OTHER MINOR CONSTRUCTIONS
PART 1 1244
1 CAR GARAGE
SHALL BE MAINTAINED IN SAFE, GOOD AND SUBSTAN-
SECTI N 1244.10.
TIAL CONDITION
FRONT PORCH
EXTERIOR STAIRS, PORCHES, ENTRANCE PLATFORMS
PART 11242
FIRE ESCAPES AND THE RAILINGS THEREON SHALL BE
MAINTAINED IN A SAFE AND SOUND CONDITION
CTIO 1242.5 (C
_..
Remarks: B.P.19169Z AL
Inspected by: "�
GARY
N C.O. Z19231
Date of Insp. 6/21/90
Time start 10:30 end 11:o0_a.m.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
JUN 11H
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BLDG.
ucr.
.TOWN OF SO-UlHG_.
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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
S. Temporary Certificate of Occupancy - Residential $15..00,/Commercial $15.00
Date .......�./ �SJ!ld........................
New Construction..... .. Old Or Pre-existing Building... ...........
Location of Property. P. MR i^�,QD. -PrA 3%7��/ZiF 15 ................. 10k fCA)7— .........
...
House No. .Street Hamlet
Onwer or Owners of Property..... G �O..... L........ E.. .................. ................
County Tax Map No 1000, Section.....�.r�.......Block...... ........Lot......................
Subdivision.... ............Filed Map ............ Lot ................}......
Permit No ........ !��1.�...Date Of Permit.... NIA....... Applicant.. �! :�fl:: t.G;;�A�f�
rIAHealth Dept. Approval ........ PJ�,� ............Underwriters Approval .... :lJ...............
Planning Board Approval...... ................ . �.
Request for: Temporary Certificate........... Final Certicate. .....
Fee Submitted: $.... 10o'4)D
// \ APPLICANT
e0 Z W1LLli}r-� �, .6
Gr-ot?-(,i L.
wner(s) Name(s
do(es) hereby state:
CONSENT
TO
INSPECTION
P2 a rr,2'es
P
JUN 1 81y)W
i;; ;J
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at /A MA,4) !t 1?, �r4 KA _39'/05 kd4 yV`? S
VR-- l tcv T A-) Y , which is shown and designated on the Suffolk
County tax map as District 1000, Section %5 , Block g , Lot /7
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:
PRS UE C�2 Ti �rC,i rE
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 regulati of the Town of Southold.
Dated: S &
—! si atu e)
6601z6f L
(print name)
(signature)
(print name)
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BU�D Dii:.-RT T
TO1,111 OF SCUT OLD, N. Y.
EOUSI:;G COL.. I-' SF77GTIGN RS?ORT
Location ?005- 14a /C�.(
kr.uMoer ex szreez)
Subdivision
Na.Me of Owner(s)
cipa11 Zy)
No. L,ot(S)
Occupancy U
C Cyp e
• �� r Owner-zenar.
r►c.�.�� � _ ad by : ---�ti� �Acs�cim )
by :-
Key available Suffolk Co
. Tax
Source of request
Date
Type of construction
stories oZ
Foundation
Cellar_, .Crawl space
Total rooms, 1st. F1 2nd. F1 3
Bathroom(s) / __.3rd - Fl
Toilet rooms) —
Porch, type 'f 1c Deck, type
Bree Patio, type
z e gay
Garage / �,� Utility
Type Heat---� .- ,")arm Air room
Fireplace(s) Hotwater v'
No. E:ti Cs Aircondi ;.nC
Domestic hotwater� Type heater
G=; . d-,
ACCESSORY STR m v
U � L?R7....S : �
Garage, t
ype const. L4_' Fes. o Stora
Swi„-,,;li'n' bei type const.
CD pool Guest type ype const.
VIOLATTOATS_ CHAPTER 4--N.Y- STATE rnvTWI%IM"
Remarks: '9P4 /q ((„ i4 r Y;t
Inspected by: _
Date
Time
of InsP . or/ 90
start end 11 o -o
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