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Home My WebLink AboutZ-22786FOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22786 Date THIS CERTIFIES that the building. Location of Property 425 KING STR~T House No. County Tax Map No. 1000 Section 26 Subdivision DECEMBER 14~ 1993 ONE FAMILY DWELLING Street Block 1 Filed Map No. ORIENT~ N.Y. Hamlet Lot 28 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-22786 dated DECEMBER 14~ 1993 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 WITHACCESSORYTWO CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 ARTHUR C. TYRRELL N/A N/A BU[LDINC DEPARTMENT TOWN OF SOU'~IOLD tlOUSING CODE INSPECTION REPORT LOCATION: 425 KING STREET (number & street) SUBDIVISION NAME OF OWNER (s) AR'fflOE C. TYRRELL ORIENT, N.Y. MAp NO. LOT (c,) OCCUPANCY A- 1 RES. OWNER (type) ADMIt-IA0 BY:. PAUL HEFFERNAN KEY AVAILABLE SOUKC~ OF REQUEST: PAUL HEFFERNAN (owner-tenant) SAI~ ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000-26-1-28 DATE: NOV. 29, 1993 DWELLING: TYPE OF CONSTRUCTION FOUNDATION STONE TOTAL ROOMS: 1ST FLR. BATqlROOM (s) 2 FULL BATH PORCH TYPE COVERED FRONT BREEZEWAY D0}~STIC HO~gATER YES. TYPE H~AT LILCO GAS O~IER: WOOD FRAM~ 5 2ND FLR. ~ STORIES 2 CELLAR PARTIAL 3RD FLR. ~OILET ROOM (s) DECK, TYPE FIREP~%CE ONE TYPE HEATER LILCO GAS WARHAIR PANTRY OFF KITGlt~N, REAR ENTel wAY 3 EXITS CRAWL SPACE UTILITY ROOM RAISED STONE · PATIO, TYPE GARAGE AIRCONDITIONING HO~ATER ACCESSORY STRUC-roKES: GARAGE, TYPE OF cONST. S~IMHING POOL O~R: 2 CAR WOOD FRAME STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIKE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ,~T. SEC. REHARKS: DATE ON INSPECTION DECEMBER 10~ 1993 TIME START 9:65 EN~J !0:10 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. Certificate of Occupancy on Pre-existing Building - $i00 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 $15.00 Date . .//".4~..'-?J. .......................... New Construction ....... ~ ~l.d Or ~e.-existing~ ~uildin_Bgt ~.~. ....... ~. Location of Property ......... fi./.~...~...~.~..~.~. .... ~.~.(.~7.~...~....~...~...//.?..~J .... House No. Street Hamlet Onwer or Owners of Property..~i~,.~.~o~.....~-,~.~.~,f~ County Tax Map No 1000, Section..:~. ~. ....... Block .... I ........... Lot...-.~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .... ~ - . ....... Underwriters Approval ~ Planning Board Approval ........................ Request for: Temporary Certificate ........... Fina~rticate ........... Fee~OuL,Submitted:~ ~$..../P..0.'..0. 9... Ox~mer(s) Name(s) do(es) hereby state: ~ ~ T CO1NoIzN TO INSPECTION , the undersigned, That the undersigned (is) (~,~"0, the owner(-~-) of tim , which is sho~ and designated on the Suffolk County tax map as District 1000, Section , Block , ~ot . That the undersigned (has) ~)filed, 'or caused to be filed, an applica- tion in the Southold Totem Building Inspector's Office for the ~ollow~g: ~ prcmiscstin the Tovrn ? That the u~dersigned 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 fo the aforesaid application, including inspections to determine that said premises comply with ali of the laws, ordinances, rules . and re.aulations 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 vic- lations of the laws, Ordinances, rules or regulations~lf the Town of Southold. (print nz (si~fiature} " (print'~m~)' k