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Home My WebLink AboutZ-25765FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25765 Date: 06/09/98 THIS CERTIFIES that the building DWELLING Location of Property 1975 SHIPYARD LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 038 Block 0001 Subdivision 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- 25765 dated JUNE 9, 1998 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 WITH ATTACHED GARAGE & WOOD SHED * EAST MARION (HAMLET) Lot 022 The certificate is issued to ALAN & KRISTINE VIBERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A +~Bu~ d/ing~nspect or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1975 SHIPYARD LA EAST MARION SUBDIVISION: MAP NO.~ __LOT (S) __ NAME OF OWNER (S): ALAN & KRISTINE VIBERT OCCUPANCY: A-1 RESIDENTIAL ALAN & KRISTINE VIBERT ADMITTED BY: ~ VIBERT ACCOMPANIED BY: SANE KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 38.-1-22 SOURCE OF REQUEST: ALAN VIBE~T 6/3/1998 DATE: 06/09/98 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: CEMENT BLOCK TOTAL ROOMS: 1ST FLR.: BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: OIL OTHER: WOOD FRAME YES 2ND FLR.: ~ TOILET ROOM(S): DECK TYPE: FIREPLACE: ONE TYPE HEATER: QIL WARM AIR: ** WASHER & DRYER # STORIES: 1.0 # EXITS: CELLAR: FULL CRAWL SPACE: 3RD FLR.: ~ O,0 UTILITY ROOM(S): ** PATIO TYPE: SLATE WITH ROOF OVER GARAGE: 1 CAR AIRCONDITIONING: XX HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: WOOD FRAME SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRI?T~Q~ ART. SEC, REMARKS: INSPECTED BY: _ G'AR~J.' FI~ DATE ON INSPECTION: 06/05/98 TIME START: 10:lQ ~M END: 10:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING D EPARTME. NT 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: i. 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 sigued 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00 ate ...t ..................................... New Construction ........... Old Or Pre-existing Building .... House No. Street Hamlet Onwer or Owners of Property..~ ....................... County 1000, Section...?. . ....... Bloc Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for~ Temporary Certificate ........... Final Certicate....~...... Fee Submitted: $ ............................. ..................................... CONSI'~NT TO INSPECTION 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 ~~~ , which is shown and designated on the Suffolk Com,l.y tax map as District That the undersigned (has) (have) filed, or caused robe filed, an applica- tion in the Southold To~ Building Inspector's Office for tho following= ~ That the undersigned do(es) hereby give consent to the Building Inspectors of Ihs 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 respectto 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. Tim undersigned, in consenting to snch inspections, do(es) so with the knowledge and understanding that any J.nformation obtained In the conduct of such inspeetlons may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (print name) (signature)