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Home My WebLink AboutZ-23148FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTIN~ ~,~TIFICATE OF O~UFA.qCY No Z-23148 Date AUGUST 9, 1994 THIS CERTIFIES that the buildin~ Location of Property 80 SOu-£uLANE House No. County Tax Map No. 1000 Section 37 Subdivision ONE FAMILY DWELLING EAST MARION, N.Y. Street Hamlet Block 6 Lot 3.1 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-23148 dated AUGUST 9, 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~SE SEE ATTAu~D INSPECTION REPORT. Rev. 1/81 EDWARD A. & VIRGINIA THORP H/A N/A LOCATION: 80 SOu'rBLANE (number & street) SUBDIVISION MAP NO. NAME OF OWNER (s) EHWARD & VIRGINIA THORP BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT EASTMARION, N.Y. (municipality) LOT(s) OCCUPANCY SINGLE FAMILY DWELLING (SEASONAL) (type) (owner-tenant) ADMITTED BY: ELIZABETH TRENCHENY ACCOMPANIE~ BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-37-6-3.1 SOURCE OF REQUEST: EDWARD & VIRGINIA THORP DATE: JULY 9, 1994 DWELLING: TYPE OF CONSTRUCTION F01INDATION TOTAL ROOMS: BATHROOM (s) PORCH TYPE BREEZEWAY DOMESTIC HOT~ATER TYPE HEAT NONE OTHER: WOOD FRANE POST & CEMENT BLOCK CELLAR I ST FLR. 6 2ND FLR. - - ONE TOILET ROOM (s) REAR COVERED SCREEN - SIDE DECK, TYPE COVERED NONE FIREPLACE ONE YES TYPE HEATER L.P. GAS WARM AIR NO [ STORIES ! t EXITS NONE CRAI/L SPACE NONE 3RD FLR. UTILITY ROOM SIDE NOME ~A~IO GARAGE NONE AIRCONDITIONING HOTWATER NO NONE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTk~R: NONE STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY ~f/C.x ~~/~ DATE OF INSPECTION aY 15, 1994 TIME START 9:30 END 9:50 7/, £ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i ~I~,DE~. t LD APPLICATION FOR CERTIFICATE OF OCCUPANCY Ii ti ! 2 199~. 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 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 Pre-existing Buildinm - $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 Iqqq Date d Y~Y..?, ................................ ........... Loeation of Property..@....S. pA .'~.., .~..~ ~, (.~g..m'.t~ ~;I .............. .a-7.~.'"C...M.~?.. House No. Street Hamlet Onwer or Owners of Property..~.P..~..~.. A,..A~.~.~)... VTR.~.~.~...T~P..~.¢ .................. County Tax Map No 1000, Section...~.Z ........ Block ....--.~ .......... Lot..~.°.l ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......... ................. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final CerticateX Fee Submitted: $ /0~ ~ O~ ~A ~ ~'~~ ~ t ~-~ 031 q ~/ ;~4' ' .... CONSENT TO INSPECTION ,4. 'V I R I N h4 -'F/-t'O P · the undersigned, Owner(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 8~ ~O[/-f~ l~fllE 61~t~l'lollSLy O~K ~U~) ~ST ~A~IoN , which is shox~ and desifnated on the Suffolk County tax map as District 1000· Section 37 · mo k , uot t That the undersigned (has) (have) flied, or caused ~o be filed, ~an app!ica- tion in the Sou[hold Tox~ Building Inspector's Office for the follow'g: ~ 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 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: .._..--(signature)v - _ / EbW,4RD t~. THoRI° (print name) (~nature) VIRGIN/,4 77--fo ~1° (print name) MAP 5U ~.VF..¥E D OAK T 4~.44 EAST MAD.!ON TO~/N OF SOUT~OL_i~, N.Y. / ; / ~?MONDMENI'