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Home My WebLink AboutZ-27370FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27370 Date: 10/23/00 THIS CERTIFIES that the building ACCESSORY Location of Property 15919 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 023 Block 0001 Lot 008.001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ACCESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27370 dated OCTOBER 23, 2000 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 ACCESSORY TWO CAR WOOD FRAME GARAGE * The certificate is issued to THEODORE P SWICK (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 INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15919 MAIN RD EAST MARION SUBDIVISION: NAP NO.: IAT (S) NAME OF OWNER (S): THEODORE P SWICK OCCUPANCY: SINGLE FAMILY THEODORE P SWICK ADMITTED BY: THEODORE P. SWICK ACCOMPANIED BY: MARY ANN BOLLMAN KEY AVAILABLE: SUFF. CO_ TAX MAP NO_: 23.-1-8.1 SOURCE OF REQUEST: EDMOND FRANCO - 10/14/00 DATE: 10/23/00 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TYPAL ROOMS: IST FLR.: 0 HATHROOM(S): 0.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: 2ND FLR.: 0 TOILET ROOM(S): DECK TYPE: FIREPLACE: TYPE BEATER: # STORIES: 0.0 # EXITS: 0 CELLAR: CRAWL SPACE: 3RD FLR.: 0 0.0 UTILITY ROOM(S): PATIO TYPE: TYPE BEAT: WARM AIR: HOTNATER: OTHER: GARAGE: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. Y. DWELL INSPECTED BY: DATE ON INSPECTION: 10/23/00 HN M. BOUFIS TIME START: 9:50 AM END: 10:10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit rlanning Board Approval of compieLed site plan requirements. QFor 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. r; 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15./00, Commercial $15.00 Date .. �.//..l.�//d O ......................... . New Construction........... Old Or Pre-existing Building.... Ll_ . ...../� Location of Property.. S .y�.��...........rl �.A./ A..K :s............ ��% A.'f'(C/ O W ........ . House N c Street Hamlet Onwer or Owners of Prope ty��_ o'`/d fi�ioA/C U �......Fox iFiC . .. / , SGU/ CK ) l County Tax Map No 1000, Section..,a. 3........Block....I...........Lot. ' �................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ / Request for: Temporary Certificate........... Final Certicate..✓ ....... Fee Submitted: $ �U 0, a U . 37 D y APPLICANT- " /k0At F,L/1 Al u — P/ap&_Ar/ CONSENT TO INSPECTION CA AL)WA F/C/V ^/C o I , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at /y A e -/"-7-/2f Ate/ a� , which is shown and designated on the Suffolk County tax map as District 1000, Section o2 j Block / Lot 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: ts 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 .Qf the Town of Southold. Dated:_�D signatu e) C -U print name (signature) Si,.AT4 U Z:POOND �WNW �Ni%V� 0 Y) �L^age J �j HOW se / iQ I ;t. APPROVED S PLANNING BOA TOWN OF SOOT 1 0 FUM TION OR ADDITION f0 THIS SURVEY IS A VIOLATION OF SECTION 7409 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT REARM THE LAND SURVEYOR'S INKED SEAL OR EMSOSSED SEAL SHALL NOT ISI CONSIDERED >'O BE A VALIDTRUECOPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE =RV" IS PREPARED, AND ON HIS BEHALF TO THE VILE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEUON, AND TO THE ASSKMES OF THE LENDING R%TI- TUTION. GUARANTEES ARE NOT TKANEFBARLE 7 A, TO ADDITIONAL IIISTITUTION6 OR SLMSEOVEN, _...... Y t14T, O F W4 Y DWHERU MAP OF L ANO SURVEY" FOR z AT 0 "i`owr,r GF z su'Fot-w, cG.-FAX 1pq"ELI iQ';!4:%QZ$+T+:B J rata t Area::. G1�GISi. 0p T p `c. . r v ,-* ♦�i4kar r y u llj}�j (r ' .r lvwa yr SUUTHULU HOUSING CODE INSPECTION REPORT LOCATION: r & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY W/ 101 MAP NO, .(municipality LOT (s) V.--- yp" -� (owner-tenant) � f ADMITTED BY: ACCOD(PANIED BY: KEY AVAILABLE. SUFF. CO. TAX MAP NOlD� SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUCTION STORIES # EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE BREEZEWAY FIREPLACE PATIO, TYPE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR OTHER: HOTWATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST._ 44 vow, STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: --- --------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION �U ziv TIME START /, 'J�. END