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Home My WebLink AboutZ-23101FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~TIFICATE OF OCcuvANCY No Z-23101 Date JULY 14, 1994 THIS CERTIFIES that the buildin~ Location of Property 120 SOuT~ LANE House No. County Tax Map No. 1000 Section 37 Subdivision OWE FAMILY DWELLING EAST MARION, N.Y. Street Block 6 Filed Map No. Lot No. Hamlet Lot 2.1 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23101 dated ~u~ 14, 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 OWE FAMILY SEASONAL DWelLING * The certificate is issued to EDWARD & VIRGINIA 'r~ORP (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *pT.~E SEE ATTAc~D INSPECTION REPORT. Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) 120 SOUTH LANE BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT (number & street) flAP NO. EDWARD & VIRGINIA TIIORP EAST MARION, N.Y. (municipality) LOT(s) OCCUPANCY ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: EDWARD & VIRGINIA THORP A-! RESIDENTIAL SEASONAL OCCUPANCY OWNER (type) (owner-tenant) ACCOMPANIED BY: SUFF.CO. TAX MAP NO. 1000-37-6-2.] DATE: JULY 9, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOTWATER TYPE HEAT NONE CEMENT BLOCK IST FLR. ONE ENCLOSED YES WOOD FRAME ~ STORIES CELLAR CRAWL SPACE ATTIC 5 2ND FLR. 2 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK, TYPE PATIO FIREPLACE REMOVED GARAGE TYPE HEATER PROPANE AIRCONDITIONING WARM AIR HOTWATER I ~ EXITS PARTIAL O'rmiR: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OT~:R: STEP DOWN TO TME BEACH V_I~ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART . SEC . DATE OF INSPECTION JULY 14, 1994 TIME START 9:50 END 10:10 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR 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. 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. 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 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 $15.00 Date ..~..~.~.~. ~,.lq?..~ New Construction ........... Old Or Pre-existing Building.~. .............. Location of Property...i.~.P... 5O.If..T~...O~e (~.R.~V. lpf.$4¥' OAK .~OP~Y~ ~A~- House No. Street Hamlet Onwer or Owners of Property E~.~.R~) .~. ~D ¥~~ 37 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.~ ......... CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town wh~ .n is shox~ and designated on the Suffolk County tax map as District 1000, Section ~7 , Block ~ , Lot ~, I That the undersigned (has) (have) filed, or caused to be filed· !an applica- tion in the Southold Tow'n 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 nece_ssary with respect to the aforesaid application, including inspections to determine that said premises comply with ail 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. (signatu~re) - _ Eb ^R] A, THoRP (print name) ~gnature) Vl Gt tA THoRP (print name) ~AP OF PROPE ~T'Y 5 U P..VEYED FO~ LOIS YNORP EAS1 I'4AEION TOWN OF $OUTHOLD~ N.Y, / / D:MQNU~ENT O: Pt PF__ OAK