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Home My WebLink AboutZ-26042FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. P~E EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26042 Date: 10/20/98 THIS CERTIFIES that the building DWELLING Location of Property 1195 GOOSE CREEK LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 078 Block 0008 Lot 008 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- 26042 dated OCTOBER 20~ 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 * The certificate is issued to ARTHUR & MARCIA WEINBERG (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 Rev. 1/81 BUILDING DEP~TMENT TOWN OF SOUTEOLD HOUHIN~ CODE INSPECTION REPORT SUBDIVISION: RAP NO.: -- LOT (S) -- NA~ OF OWNER (S): ARTHUR & M3%RCIA WEINBERG DWELLING: TYPE OF CONSTRUCTION: WOOD FP~AME FOUNDATION: BLOCK TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: --0 ~ATHROOM(S): 2.0 TOILET ROOM(S): PORCH TYPE: COIrERED ENCLOSED DECK TYPE: HREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: YES TYPE HEATER: ~ TYPE HEAT: OIL* WAP, M AIR~ EOTWATER: OTHER: *~AHEBOA]~D STORIES: ~.0 # EXITS: ~ CELL~AR: I/4 CRAWL SPACE: .._ 3RD FLR.: -0 0 UTILITY ROOM (S): __ PATIO TYPE: GARAGE: AIRCONDITIONING: STORAGE, TYPE CONST. I GUEST, TYPE CONST,: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PP, EVENTION & BUILDIN~ CODE LOCATION DESCRIPTION SEC. R~S: BP#4302-COZ3549 {PORCH ADD) BP~25246Z'COZ2~043{ADD)~p~25247Z-COZ26044 -- INSPECTED BY: ' , , _ ~ DATE ON INSPECTION* 05/11/9S MICHAEL J. VERITY TIME START: 12:05 PM END: 12:35 PM tOWN OF ~OUT~Ocm : ~ 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: i. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fro~ 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 Vpre-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 acceseory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - = .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~../.~/?.~. ............................. New Construction ........... Old Or Pre-existing Building. ~ .............. Location of Property .... ,...~...$ .~..~.,¥.,.~. .. - .. ~.., ........... ~,'.~.. r. ~,- ................... House No. Street Hamlet Onwer or Owners of Property ~..~. V.~ ~....~w~g% .~.~.'.0~C% ,,,., County Tax Map No 1000, Section .......... Block .............. Lot .......... ~ ........... Subdivision ............ Filed Map ........ Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate .... Fee Submitted: t ,t~, ,1~, ',, ,~'~- ............. ....... Final Certicate ........... APPLICANT CONSI]NT TO INSPLCI iON do(es) hereby state: the undersigned, of Southold located at Coun.y tax map as District 1000, Secttor, '7~' , Block J , hot That the undersigned (has) (have) filed, oP caused tobe filed, That the undersigned (is) (ute) tile owner(s) of the premises In the Town · which if{ shown and designated on the Suffolk an applica- tion in the Southold To~vn Building Inspector's Office for the following: __ That the undersigned do(es) hereby give consent to the t3uilding Inspectors of the Town of Soutiio]d to enter upon the above described property, iuclud]ng any and all buildings located thereon, to conduct such inspections as ttmy may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of $outhold. The undermg ed, in consentin~ to such h~speetions, do(es) so ~vith tile knowledge and understanding that any information obtained In the conduct of such h~speetions may he used as evidence in subsequent prosecutions for vic)- lations of the laws, ordinances{, rules or regulations of tile Town of Southold. (siguature) " ,4-f tca a,.- O. tqqoo (priut name) (signature)