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HomeMy WebLinkAboutZ-24766FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24766 Date DECEMBER 2, 1996 THIS CERTIFIES that the building Location of Property 10020 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision OWE FAMILY DWELLING EAST MARION, N.Y. Street Block 11 Filed Map No. Lot Lot No. Hamlet 2 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24766 dated DECEMBER 2, 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 DNELLING * The certificate is issued to KENNETH M. VAIL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A *PLEASE SEE ATTACHED INSPECTION REPORT. BUll. DING DEPARTNENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 10020 [~AIN ROAD RTE 25 (number & street) SUBDIVISION NAHE OF ONNER (s) KENNETH VAIL EAST I~tRION. N.Y. (municipality) NAP NO. LOT(s) OCCUPANCY SINGLE FAMILY (type) (o~mer-teuaut) ADHITTED BY: JAYNE BOARDI4AN ACCOHPANIED BY: SAMg KEY AVAILABLE SUFF.CO. TAX NAP NO. 1000-31-]1-2 SOURCE OF REQUEST: WILLIA~ PRIC, JR. A~r¥ DATE: NOV. ]8, 1996 D~ELLING: TYPE OF CONSTRUCTION FOUNDATION STONE TOTAL ROOHS: IST FLR. BATHRO0~ (s) ONE PORCH TYPE BREEZEWAY DONESTIC HOTWATER XX TYPE HEAT GAS OTHER:2nd FLOOR (NO HEAT) FRONT ~,~PAROUI~ NOOD FRA~ { STORIES 2 ~ EXITS CELl. AR PART. CRASH. SPACE 2ND FI, R. 4 3RD FLR. TOILET ROOM (s) UTILITY ROOM YES DECK, TYPE PATIO F I REPLACE GARAGE TYPE HEATER LILCO AIRCONDITIONING WARH AIR HOT~ATER_ XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORH FIRE. PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC . REHARKS: ;ohs M. °m'is DATE OF INSPECTION NOVE~IBER 25, 1996 TIlqE START 9:45 AN END 10:05 AN TOWN OF SOUTIIOLD ~UILDIHG DEPARTHE~T TOWN I~LL 765-[802 · APPLICATION FoR.CERT.I. FICATE OF OCCUPANCY This application' must be filled in by typewriter Og ink'and submitted to the building inspector with the followingl for new building or new use: I. Final survey of p~operty Mi~h accurate location of all buildlngs, propert~lines, ~reets, a~d unusual natural or topographic features. -' 2. Final Approval from l[ealth Dept.' of water supply and sewerage-disposal(S-9 fo~). 3. Approval of electrical installation' from Board of Fire UnderwriCe~s. 4. Sworn stacmkenC from plumber certifying Chat the ~older used in system colltnlns lesm than 2/10 of 1% lead. " 5. Co~ercial building, indus, trial building) mul~{ple residences and s~llar buddings and installations, a 'certificate of Code Compliance from;archi~ec~ or engineer responsible for the building. 6, Submit Planning Board Approval of completed site plan requirements. For existing b~ildings (p~ior to April 9, 1957) non-conforming use~, or build~gs and "pre-existing" land uses~ I. Accurate survey of property showing all property lines, streets, building and .. ,., unusual natural or topographic fea~ure~, 2.' A properly completed application and a consent to inspect signed by' the applicant. If a Ce~tlficata oE Occupancy ia dealed, the Building Inspector shall state tbs reasons therefor in writlng to ~lm applicant. C, Fees 1, Certificate of Occupancy - New dwelling $2§.00, Additions to dwelling $25.00, ' ' Alterations to dwelling $25.00, SWishing pool $25.00, Accessory building $25.00, ~dditions to accessory bu/lding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $1OO.00 3. Copy of Certificate of Occupancy - $5.00'6ver 5 years - $10.00 4. Updated Certificate of Occupancy - $50,00 5, Temporary Certificate of Occupancy - Restdeatial $i5.OO, Commercial $15.00 XX New Construction ........... Old Or Pre-existing Building ................. lOO2O r£an ............ House No. Street liamlet Helen R. · 031,00 County ~ax Hap No tO00, Section,,,&,.,.o..,.,.Block.l~eP~ ..... ,,..Lot,,QO2,~O .......... Request for: .Temporary Certtficate.~,**.,*,,, Final Certlcate,..~,,... APPLICANT CONSENT INSPECTION W. illiam H. Price, Jr., as attorney for Helen,R._ , . .... V%i~e undel~signed' do(es) hereby state: attorney for the That the undersigned (ia) ~x~D the/owner(s) of the premiaea ~ thc ufSouthuld located ut 10020 Main Road, East Marion, New York , which is sllo%~ and designated on the Suffolk Coulity tax map as District 1000, Section 31 , Block 11 , Lot 2 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:__ pre-existinq' certificate of occupancy for a 2 st~ry frsmm dwelling and metal shed That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described proper~yo including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respectto the aforesaidapplica~ion, ~clud~g inspections to determine that said premises comply with ~1l of the laws. etd[nantes, rules and regulations 0f the Town of Southold. The undersigned, in consentin~ to such ~spec[[ons, do(es) so %~h the knowledge and understanding that any ~form~tion obtained In the conduct of such [nspect[ons may be used as evidence ~n subsequent prosecutions for lations of the laws, ordnances, rules or repletions of the Town of Southold. Dated: N6vember 18, 1996 (signature) Willia[~ H. (siRn--~turu) (print name)