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)