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Home My WebLink AboutZ-23138FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~TIFICATE OF OC~umANCY No Z-23138 Date AUGUST 2, 1994 THIS CERTIFIES that the building Location of Property. 7755 MAIN BAYVIEW ROAD House No. Street County Tax Map No. 1000 Section 78 Block 9 Subdivision Filed Map No. ONE FAMILY DWELLING SOu'£~OLD, N.Y. Lot 30.2 Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23138 dated AUGUST 2, 1994 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 DW~T~.ING * The certificate is issued to IMOGENE THOMPSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *PT~;%SE SEE ATTA~HKn INSPECTION REPORT. >Bul~din~Inspector Rev. 1/81 BUILDING DEPARI~qENT TONNOF SODTHOLD UOUSING CODE INSPECTION REPORT LOCATION: 7755 HAIN BAYVlEW ROAD (number & street) SUBDIVISION NAI~ OF OI4NER (s) IMOGENE THOMPSON NAP NO. SODI~OLD, N.Y. (municipality) LOT(s) OCCUP/tNCY A-I RES. OWNER (type) (owner-tenant) ADMII'i~ED BY: JEAN TH(~SON ACCOI~ANIED'BY: SAME REY AVAII~LE SUFF.CO. TAX I~ NO. 100~78-09-30.2 SOURCE OF REQUEST: JEAI~ D. THONPSON DA~E: JULY 20, [994 DIdELLING: TYPE OF CONSTRUCTION WOOD FRAM~ FOUNDATION CEMENT BLOCK CELLAR TOTAL ROOMS: ]ST FLR. 4 2ND FLR. BATHROOM (s) ONE FULL BATH TOILET ROOM (s) PORCH TYPE ENCLOSED (NON-HEATED) BREEZEWAY FIREPLACE DOI~ESTIC HOT~ATHR YES TYFE HEATER TYPE HEAT OIL ~AR~AIR OTHER: PANTRY OFF 'l'm~ KITCHEN FOLL 3RD FLR. BECK, I~E NO OFF BOII~R STORIES ONE CRA~L SPACE UTILITY ROOM PATIO GARAGE AIRCONDITIONING HOII4ATER EXITS 2 ACCESSORY STRUCTURES: NONE C~GE, TYPE OF CONST. ~I14MING POOL 01~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. o INSPECTED BY - 'G/~/. FfSH DATE OF INSPECTION JULY 26, 1994 TI]iR START 10:00 AH END 10:15 Form No. 6 TO;~ OF SOUTHOLD BUILDING DEPARTMENT TOI~ HALL 765-1802 zkPPLICATION FOIl CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and !'pre-existing" land uses: 1. Accurat~urvey of pr~ ep_~r_t~ showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a~_consent to inspect s~igned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees i. 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 ~__re-exi_~stin~ Buildin~ - $100.00~ 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15o00 Date .................. i ...................... New Construction ........... Old Or Pre-existing Building...~ ............ Location of Property.. Z?~2~. ...... ~.~./~/0 ~.~.~./~?.~..~.~ ....... ~.~ .7~...~...0. ~.~. ........... House No. Street Hamlet Onwer or Owners of Property ....... .~..~./~;~.~.~z~/ ........................................ County Tax Map No 1000, Section..<~.~.~ ...... ~lock..~P.~. ......... not.~.?.'..~. .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant .......... · ................... Health Dept. Approval.~.~.~../~.g.~ ........... Underwriters ApproVal ......................... Planning Board Approval~~ ~.~../~.~- ........ Request for: Temporary Certificate ........... Final Certicate.~ ........ Fee Submitted: CONSENT TO INSPECTION Ovrner(s) ~ame(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 77,~"/O~]//l~ ~ff~//~/~O 72)- ~o ~'7-~ ~, .7.~d /~_ //efiT/ , which is shoxma and designated on the Suffolk / County tax map as District 1000, Section~, Block tP~2 , Lot ,~b.~ 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: __ ! 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 inspefitions to determine that said premises comply with ali.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: ~ (s i~g~n at~' (Print name) (signature) (print name) "9 :~, - AP~PROVED. DIVISION ~ ENVIRONMENTAL l'taLTH ,,,I DEPT. OF 14EALTH SERVICES, sUFFOLK cOuNTYCq·