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Home My WebLink AboutZ-26967FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26967 Date: 03/09/00 THIS CERTIFIES that the building DWELLING Location of Property 1425 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 025 Block 0002 Lot 022.001 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- 26967 dated MARCH 9, 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 ONE FAMILY DWELLING WITH ACCESSORY BARN & TWO STORAGE SHEDS* The certificate is issued to LYNDA J TABOR of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A LOCATION: SUBDIVISION: 1425 ORCHARD ST NAME OF OWNER (S): LYNDA J TABOR OCCUPANCY: SINGLE FAMILY ADMITTED BY: LYNDA TABOR BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ORIENT MAP NO.: -- LOT (S) -- LYNDA J TABOR ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: DEBORAH DOTY ESO. DATE: Q3/09/00 TYPE OF CONSTRUCTION: WOOD FP,~ME FOUNDATION: CINDER BLOCK & STONE TOTAL ROOMS: 1ST FLR.: _~ 2ND FLR.: _~ BATHROOM(S): 2.0 PORCH TYPE: SIDE BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: GAS OTHER: TOILET ROOM(S): 0.0 DECK TYPE: FIREPLACE: QNE TYPE HEATER: ~ WARM AIR: HOTWATER: ~ # STORIES: 2.0 # EXITS: CELLAR: FULL CRAWL SPACE: 3RD FLR.: ~ UTILITY ROOM(S): MUD RM PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: 2 STORY BARN STORAGE, TYPE CONST.: GUEST, TYPE CONST.: 2 STORAGE SHEDS VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ~ ART. SEC. REMARKS: BP~6890 - ~ ALT - CO~Z6122. JuM~m BOUFIS TIME START: 9:45 END: 10:20 / 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 Planning Board Approval of completed site plan requirements. B. For existing buildings (pripr to April 9, 1957) non-conforming ut~es, ~r(~u~ldings andTM "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streetS, building_and unusual natural or topographic features. ~ug~i ~ A properly completed application and a consent to inspect signed by the app~icanto If a Certificate df Occupancy is denied, the Building Inspector ~haI~ 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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 2/17/00 Date ......................................... New Construction ........... Old Or ?re-existinE Buildin§..~.(~r~r{a.~. ~puse & outbuilding~ Location of Property ..... ~..O~.~.r~..~.t~..e~.~..O~.~.e~.~ ......................................... House No. Street Hamlet Oyer or Owners of Property.. Lynda J. Tabor County Tax Map No 1000, Section. 25 .Block. 2 .Lot. 22.1 Subdivision ..................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..ye$ ...... Fee Submitted: $. 100.00 c_o_-z 1~-_ 535~ APPLICANT CONSENT TO l NY, I~I!JCTIO N Lvnda J. T/~bor , lhe ond(;rsigned, Owner(s) Name(s) do(es) hereby state: Tha~ the underslff.~d (is) (are) the owner(s) of the premises in Um Tow. o[ Soothold located at 1425 ~c~ S~t, ~i~t , which is shown a.d desi~nnted on Hm Suffolk County tax map as District 1000, Section 25 . Block 2 , Lot 22.~ That the undersig.ed (has) (have) filed, or- caused to be filed, an applica- tion tn the Southold Town Buildin~ Inspector's Office for the following: pre-~sting ~ifi~te of ~~ for origi~l house ~d o~uildinqs _ 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 dud all buildings located thereon, to conduct such inspections as they may · deem necessary with respect to the aforesaid application, including inspections to determine that gaid premises comply with all, of the laws, ordl.ances, rules and regulations of the Town of Southold. The undersigned, In consentl.g to such inspections, 'do(es) so with the knowh~dge and understandi.g that a.y [.formation obtained In the co.duct of such i.~speetions hmy be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules of regulations of the Town of Southold. Dated: 2/~7/00 (s~gnalu,'e~--- Deborah Doty, as attorney for owner (print name)