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Home My WebLink AboutZ-27885FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27885 Date: 08/23/01 THIS CERTIFIES that the building DWELLING Location of Property 195 VILLAGE LA ORIENT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 018 Block 0005 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- 27885 dated AUGUST 23, 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 2 CQR GARAGE * (HAMLET) Lot 008 The certificate is issued to WENDELL & RAMONA E. TABOR (OWNER) of the aforesaid building. SUFFOLK COUIffYDEPARTMENTOF~ALTHAPPROVAL ELEt~£gICAL CERTIFICATE NO. PLUMBERS CERTIFICATION *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT L~3CATION: 195 VILLAGE LA ORIENT SUBDIVISION: MAP NO.: LOT (S) ~s~E OF O~EH (S): WENDELL & RAMONA E. TABOR O~C~]PANC"f: SINGLE FDJ4ILY WENDELL & RAMONA E. TABOR R&)MI'A'rl~3 BY: SUZI~NNE L. HAHN ACCO~PANIIED BY: SAME KEY A~FAII~%BLE: ~U~F. CO. TAX ~ NO.: 18.-5-8 SOURCE OF REQ~IEST: DEBORAH DOTH, ATTY 7/13/01 DA~: 08/23/01 DWELLING: FOUNDATI(~;: CONCRETE · X)TAL ROO~S: 1ST FISH.: 6 ~OOM (S): 1.0 WOOD FRAME STORIES: CEIJ~%R: FULL TOILET ROO~ (S): 0.0 PORCH TYPE: FRONT & SIDE COVERED DECK TYPE: BR]~EZI~Ay: FIP, EPI~%CE: ONE DO#ESTIC H(YI'~A~R: YES TI~PE I~EA'I'~K: OFF BOILER 1.0 # EXITS: 2 ~ SPACE: 3RD FLR.: 0 ~TILITY R00~(S): REAR* PATIO TYPE: GARAGE: XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING POOL: 2 CAR WOOD ST~P,~d~E, TYPE CONST.: ~u~ST, TYPE ~3NST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPB~_-i'~U BY: ~/-~7~,~/~ ~T~/~,,~ DA~ 019' INSPECTION: 07/23/01 ,,. BOU~S ' ' ~--?u~ ST~T: 9:40 AM ~mo: lO:1O AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 call Mary Ann Bollman for access (477-0551) 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 ali 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 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 6f 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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................... one-family dwelling with New Construction ........... Old Or Pre-existing Building .... Y~'''~5~cl garage Location of Property ..................... y~...L~n..e: ..O~.~.en.t. ................................ House No. Street Hamlet Wendell B & Ramona E Tabor 0~er or Owners of Property ............ ' ' 18 5 8 County Tax Map No 1000, Section .............. Block ................ 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...~.e~. ..... Fee Submitted: $..]00.00 ......... ~ ...... _LAC'' ~ ~,_, ~--~ ~-,~.,c. ~00 II. ~' - CONSENT TO [NSI~I!;CTION Wexr:lell B. & Ramona E. Tabor (deceased) , the uridcrsig~,ed, Owner(s) Name(s) do(es) hereby state: That the uuderslgned (is) (are) the owner(s) et thc premises in lhe Town et Southold located at Villaqe tane~ ~i~t , which is shown ami desif(nated on the Suffolk Couuty tax map as District 1000, Section 18 , Block 5 , Lot 8 That the undersigned (has) (have) filed, or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following: pre-~istinq ~ifi~te of ~m~W on one-f~ly ~llinq wi~ de~ch~ garage That the undersigned do(es) hereby give consent to the I3t, ildl,~g Inspectors of the Town et Southold to enter upon the above described property, including any hud all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections [o determine that ~ai(I premises comply with all,of [l~e laws, ordiuances, rules a.d regulatious of the Town of Southold. The m~dersigned, In consenting to such inspections, do(es) so with the knowledge and understanding that any Information obtained hi the conduct et such inspections }nay I)e used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of tlm'roxvn of Soulhold. (signature~ ~r~ ~Yt ~ attorney for ~e<tor mi1 ~ ~ ~1~ 477-0551 for access W~dy R. T~r (i)rh][ nalne)