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Home My WebLink AboutZ-24172FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~TIFICAT~ OF OCCumANCY No Z-24172 Date FEBRUARY 21~ 1996 THIS CERTIFIES that the building. Location of Property 1655 OLD ORCHARD LANE House No. Street County Tax Map No. 1000 Section 31 Block 15 Subdivision Filed Map No. ONE F~MILY DWELLING EAST MARION ~ N. Y. Lot 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-24172 dated FEBRUARY 21, 1996 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 SEASONAL DW~,ING * Rev. 1/81 The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *P?.~%SE SE~ ATTA~D INSPECTION REPORT. EDWARD Ag & VIRGINIA THORP N/A N/A N/A Building ~spector I.OCATIOfl: l§55 OlD ORCILARD L~ (numbe~ & street] SUBDIVISION NAHE OF OWNER (.q) flu II,I)INU 1)EI'AETHENT TO!dN OF SOUTIll)I.I} IIOUSJNG GOUE INSPECTION REPORT EAST MARION, N.Y. NAP NO. LOT(,) ED~ A. & V~RGINIA ~O~ OCCUPANCY SEASONAL SINGLE FAHILY DWELLING (type) (owner-tenant) AI)MITTED BY: JOHN STULSKY ACCOMPANIED KEY AVAILABLE SUFF.CO. 'FAX HAP NO. 1000-31-15-4 SOIJIICE OF REQUEST: EDWARD & VIRGINIA THORP DATE: JUNE 15, 1995 DWELLING: TYPE OF CONSTRUCTION LOG.WOOD FRAME FOUNDATION CEI~NT BLOCK CELl.AR TOTAl., ROOMS: IST FLR. 4 I~ATDROOH ( .q ) ONE PORCII TYPE SCREENED COVERED FRONT. PORCH 2ND FLR. TOIl.ET ROOH BREEZEWAY FIREPI..ACE DOHESTIC IIOTWATER YES TYPE IlEATER TYPE iIEAT L.P. GAS WARN AlE OTIIER: OUTSIDE SHOWER ~ STORIES FULL CRAWL SPACE 3RU FI.R. UTII,ITY ROOH HECK, TYPE ~ATIO ___NONE __GARAGE L.P. GAS AIRCONDITION1NG CENTEAL Gl{ATE IlO'I3~ATER I ~ EXITS 2 ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWlNHING POOl. OTI1ER: STORAGE, TYPE CONST. , GDEST, TYPE CONST. VIOLATIONS: CIIAPTER r~5 N.Y. STATE UNIFORM FIRE PREVENTION & BDILDING CODE LOCATION DESCRIPTION ART. SEC. REHARKS: BP ~23254-Z - CO Z 24171 ISSUED TO CONVERT TO YEAR ROUND DWELLING. DATE OF INSPECTION AUG. 9, 1995 TINE START 9:30 END I0:00 MAY ~ 19~ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTHENT TOWN IIALL 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 electricaJ installation from Board of Fire Underwriters. 4 Sworn statement from'plumber certifying that the solder used in system contairs less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,~al certificate of Code Compliance from architect or engineer responsible for th~ building. 6. Submit Planning Board Approval of completed site plan requirements. F~r 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.OO' Date New Construction ........... Old Or Pre-existing Building...~. ............ Location of Property .... ~.~....~.~...~.~...~..,A~ ............ ~.~./~..7[.../~.~7~.~' ....... · House No. Street Hamlet ~79~v~.D....p~ T'I~p ~. w~/~/~ Tl~ol~ ................. Onwer or Owners ,.,f Property ......... , ...................... County Ta× Map ,o 1o0o, Section.:,':3.1 ........... U~oek. i5 .Lot.C/. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ lequest for: Temporary Certificate ........... Final Certicate. ~ 'ee S,,~mi_~ted: $..~.0....oo. ................... '%~c.~o~ ~e ....... ~?~.. .................... · the undersigned, Ovmer(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 /~5~ l) £D O~6HA£g) z. hw~- ~/~/- fi~/~/t9 A/ , which is shoxwn and designated on the Suffotk County tax map as District 1000, Section 3/ , Block /fi' , Lot {/ That the undersigned (has) (bare) 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 alt 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 re~malations of the Town of Southold. (signature) (print name) ~nature) V £ ttot -l-HoR? (print name) ),-!