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Home My WebLink AboutZ-27914FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27914 THIS CERTIFIES that the building DWELLING Location of Property 295 OLD ORCHARD LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 031 Block 0007 Subdivision Filed Map No. Lot No. Date: 09/05/01 EAST MARION (HAMLET) Lot 021 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27914 dated SEPTEMBER 5, 2001 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 ACCESSORY SHED & GARAGE WITH WORK & SCALLOP SHOP WITH OUTDOOR STORAGE OF EOUIPMENT CONNECTED WITH The certificate is issued to DOUGLAS & JEAN ROGERS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A AuthorizedClSignature * BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 295 OLD ORCHARD LA EAST MARION SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): DOUGLAS & JEAN ROGERS OCCUPANCY: SINGLE FAMILY DOUGLAS & JEAN ROGERS ADMITTED BY: DOUGLAS ROGERS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 31.-7-21 SOURCE OF REQUEST: DAVID KAPELL, 2/19/98 DATE: 09/05/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: STONE CELLAR: 1/3 CRAWL SPACE: 2/3 TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): YES PORCH TYPE: FRONT UNHEATED ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL FURNACE AIRCONDITIONING: TYPE BEAT: OIL* WARN AIR: HOTWATER: OTHER: * BASEBOARD ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME WITH * STORAGE, TYPE CONST.: WOO SWIMMING POOL: GUEST, TYPE CONST.: OTHER: ACCY WORK & SCALLOP SHOP -OUTDOOR STORAGE OF EQUIPMENT FOR AQUACULTURE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: BP#5491Z-COZ5348-ADD TO GARAGE INSPECTED BY: DATE ON INSPECTION: 03/04/9 TIME START: 10:25 AM END: 11:30 AM APPLICATION Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 FOR CERTIFICATE OF OCCUP A. This application must be filled in by typewriter OR ink and submitted to the building gspector 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 d7curate xisting" land uses: survey of property showing all property lines, streets, building and unusual natural or topographic features. 11.1 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. Certificate of Occupancy on Pre-existing Buildin¢ - $100.00 Copy of Certificate of Occupancy - .25v, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential (I$15.00, Commercial $15.00 Date................... . New Construction........... Old Or re -existing Buildin . Old yr r .�� Location of Property......... . y ... House No. Street Hamlet Onwer or Owners of Property... �? 45�� . �. �4z^...1 �1�� ....................... . County Tax Map No 1000, Section.... ....... Block ................ Lot. .. �............. Subdivision.,........... ., ...................Filed Map.. 1.A...Loot...... 1.A ........ Permit No...7� 1 ..... Date `Of Permit .. N�Z.'A.......Applicant.....4J.� ................. Health Dept. Approval.......``? ............Underwriters Approval..... �4A.............. Planning Board Approval.......? A .......... Request for: Temporary Certificate........... Final Certicate..X�..... Fee Submitted: $..\��:.��..................�� \cala V� �� Z� s GaK - APPLICANT e -V w �a�91y f) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET o2 /S ?1-7-2/ f) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET o2 /S VILLAGE DIST.I SUB. LOT 64b ARa LANIfau c3 �. FO MERO ER N • .t:! E S W TYPE OF BUIL'DIN� _ RES. SEAS. VL. FARM 'COMM. CB. MISC. Mkt. Value 4 LAND IMP. TOTAL DATE REMARKS Y 0 0 60 c u • 3 o 0 110 o J 6"/Z i7 r AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ' FARM Acre Value Per Acre Value Tillable 1 Tillable 2 r Tillable 3 Woodland i Swampland FRONTAGE ON WATER t j Brushland FRONTAGE ON ROAD y House Plot DEPTH a 3 BULKHEAD �. Total IDOCK u �/t sR/y, 37 1 he O e' Porch Hous Gina -®meed fo fh� o wnsr and �'o {fic Norffi Fork Bonk and 77vs->Ct vwP"li os surveyed Amari/ /3, /9SS. Ofi`o fV t/wn Tuyl,* .Son LicensedLo 3"urvcyrors 6>nrenpor t, A/ Y. Dyke�it'a gga�e orrd shod -Qs. S/ 0-12'oo" W t Z3. Ko w of Pos*.s r- y T'hiarirs9Br M,q P OF PROPERT Y SURVEYED FOR DOUGLAS ROGERS S/TUATE AT EAST M.9R/ON TOWN OF SOUTHOLO .SUF'FOLKCow y, N.Y. Cc JN N� 0 yAe Ll El Sca/e 30'= /" CONSENT TO INSPECTION Owner(s) Names) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 25f -Q1.0 oc- el.c t llz ` , which is shown and designated on the Suffoll: County tax map as District 1000, Section , Block , Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town P.,uilcliug Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the 'i,own 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 re 1) ate d: - ions ions of the 'Town of Southold. �\O-a-•4�ec��p� signature \ signature c9A tea`, r APT ■■■►1;■� ■�I■■■MEN ■■■IN■il■■ Nis ' !11■■��I !/9■!■■■■■■�71�■tl■�■IN !■Iii■ �I ■■■■ ■■■■■■■t�■�I■■■1� ■■■!q_�� U2111 �1!■ NNIS NMI 620■■ ■■11■■■/ ■ � r■■mi1C7H II■ ■��/■■■ C 'ld■■■■■■■■ ■SII■! ■■■nm iMMI■ ■ �0 Ord,!: � vi/ ��I■■r■■■■■ ■■■11■�■M M■■■■■ ■■■■■■■■■■■■■■■■ ■ BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: /"" ��✓�� HOUSING CODE/INSPECTION REPORT C/ /� L r number & street municipality SUBDIVISION NAME OF OWNER (s) OCCUPANCY MAP NO. LOT (s) ADMITTED BY:ACCOMPANIED BY: KEY AVAILABLE SUFF . CO. TAX MAP NO. SOURCE OF REQUEST: DATE: % DWELLING: TYPE OF CONSTRUCTION C�% # STORIES FOUNDATION CELLAR I� TOTAL ROOMS: IST FLR. 2ND FLR.—_ 3RD FLR. BATHROOM (s) OILET ROOM (s) PORCH TYPE 4ECK, TYPE BREEZEWAY FIREPLACE # E%ITS CRAWL SPACE_ UTILITY ROOM PATIO, TYPE GARAGE 1 41 DOMESTIC HOTWATER (i/ TYPE HEATER (-IRCONDITIONING_ TYPE HEAT (y[.� WARM AIR HO'TWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL - — GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE v REMARKS: WO S `I 9 I - CA INSPECTED BY: DATE ON INSPECTION TIME START �� _END 3 w2va, OWN t v REMARKS: WO S `I 9 I - CA INSPECTED BY: DATE ON INSPECTION TIME START �� _END 3