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Home My WebLink AboutZ-27888FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27888 Date: 08/24/01 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 757 ORCHARD RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 066 Block 0002 Lot 010 Subdivision Filed Map No. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27888 dated AUGUST 24, 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 FRONT PORCH AND ACCESSORY 1 1/2 CAR GARAGE.* The certificate is issued to MONA E STOLZ TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 757 ORCHARD RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) HAMS OF OWNER (S): MONA E STOLZ TRUST OCCUPANCY: SINGLE FAMILY MONA E STOLZ TRUST ADMITTED BY: BENJAMIN STOLZ ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 66.-2-10 SOURCE OF REQUEST: MONA E STOLZ TRUST DATE: 08/24/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOK(S): REAR PORCH TYPE: FRONT OPEN DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: X TYPE BEATER: OIL HEAT AIRCON TYPE BEAT: OIL WARM AIR: X HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 1 1/2 CAR STORAGE, TYPE CONST.: SWJ34SIHG POOL: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP 3108 ADD CO Z2503; BP 3538 GARAGE CO Z2799 BP 248 ALTER -COL. -Z27863 CENTRAL INSPECTED BY: DATE ON INSPECTION: 08/22/01 J BOUFIS TIME START: 9:30AM END: 9:55AM - Form No. 6 I i TOWN OF SOUTHOLD ? f'' BUILDING DEPARTMENT ' i_ TOWN HALL 765-1802 APPLICATION 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 buildin; and installations, a certificate of Code Comp.lianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bor existing buildings (prior to April 9, 1957) non -conforming uses, or buildings an( - "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and a unusual natural or topographic features. 2. A properly completed application and a.consent to inspect signed by the applicant. If a Certificate of Occgpancy 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 Buildine - $100.00_ 3. Copy of Certificate of Occupancy - .21 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..0f0, Commercial $15.00 :Date ..... // ✓ ....................... . New Construction........... 01 Or.Pre-existing Building..k-" ..... Location of Property..1J ..(,/.YG GLV:ctl VU�S'-yJ .��'LCZ�KD(¢ ,... . . . . . . .. .. ... House No. F Street HamletMOOA•. Onwer or. Owners of Property .�..L� ......................... County Tax Map No 1000, Section.. i).W (,,.: ...... v.� /. :....Lot.. d/Q. ... . . Subdivision. ......�c,............................. Filed Map....... .Lot.. ................ Permit No ........ .......Date Of Permit................Applicant .......�:....rtUL �..... Health Dept. Approval ........................ Underwriters Approval.................... Planning Board Approval..' ...................... Request for: Temporary Certificate........... Final Certicate..Y........ Fee Submitted:............ ...... 6��23........................................ CONSENT TO INSPECTION RA/MFt, the undersigned, s1 ivamels do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at %,5 % ( ,Irc-90-ki4 7\dot4 `7DlL which is shown and designated on the Suffolk County tax map as District 1000, Section, Blocke�, Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspectors Office for the following: 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: , U l _ /�� e #4 (A "") (signature)cl z 6tkM c,-te e2) print name (signature) 'l V 1� m r� / H �o ser lr � sea J 41k S6 �W `,g3,gyy� Gc•'�1e4.rJt".c/T ��e�vr hti V o v t s3F. o� �p LANp 5 �s� I �, LEIwq 9 N, L/aE *Lev : hyo eE �36g6 0 OR lb w lsrer�ry>gae � �.9T.5�i�'Y,t/ � G�iQ.NSaBELC L.+�•vvewe�%Ercw �W,>° //97r `ai- rrGs•AtR3 � z4w Fav, y� F o • .eY Th1/act - 6 -o z /O LOCATION: SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY type • r -tenant) • ADMITTED BY:ACCOMPANIED BY: / KEY AVAILABLE SUFF. CO. TAX MAP NO. SOURCE OF REQUEST: aA-n 37 t DATE: DWELLING: TYPE OF CONSTRUCTION STORIES /' # EXITS f-� FOUNDATION C.. -i CELLAR� CRAWL SPACE_ TOTAL ROOMS: 1STFI.R. 2ND FLR. 3RD FLR. BATHROOM (s) OL TOILET ROOM L.) ZrAg& UTILITY ROOM PORCH TYPE BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OTHER: if 0723 k 7' f DECK, TYPE PATIO, TYPE FIREPLACE CP /9/-0-- GARAGE TYPE HEATER 10// JA--AIRCONDITIONING.q— WARM AIR HOTWATER Y' " I ACCESS'RY STRUCTURES: GARAGE, TYPE OF CONST. W6�6� STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------ ~-- -------------------------------- -_--_-�---------------- ------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE. � �• ym- INSPECTED BY: DATE ON RE INSPECTION_ TISTART • /�