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Home My WebLink AboutZ-23118FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING ~ERTIFI~ATE OF O~U~ANCY NO Z-23118 Date JULY 27, 1994 THIS CERTIFIES that the buildin~ Location of Property. 1535 BAY A~ENUE House No. County Tax Map No. 1000 Section 31 Subdivision ONE FAMILY EAST MARION, N.Y. Street Block 9 Filed Map No. Hamlet Lot 8.2 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-23118 dated JOLY 27, 1994 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 SEASONAL DW~,ING * The certificate is issued to KuKT M. WERBF~ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACWK~ INSPECTION RMPORT. / ~ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOWrltOLD HOUSING CODE INSPECTION REPORT LOCATION: 1535 BAY AV~IflIE (number & street) SUBDIVISION ~ NO. NAME OF OWNER (s) KuRT M. 14EREER & ~IFE EAST HARION~ N.Y. (municipality) LOT(s) OCCUPANCY SEASONAL D~/ELLING (type) ADMITTED BY: MARYELLENI~ERBER KEYAVAILABLE SOURCE OF REQUEST: Ku~T M. 14KRBER VACANT (o~mer-tenant) ACCOMPANIE~ BY: SAME SUFF.CO. TAX MAP NO. 1000-31-9-8.2 DATE: JUNE 20, 1994 D~ELLING: TYPE OF CONSTRUCTION FRAME FOUNDATION CEI~NT BLOCK TOTAL ROOMS: I ST FLR. BATHROOM (s) I PORCH TYPE SCREEHED BREE ZEI~IAY DOI4ESTIC HOTWATER XX TYPE NEAT NONE ~ STORIES CELLAR XX CRAWL SPACE 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOM DECK, TYPE PA.~IO FIREPLACE GARAGE 'I.'I~E NEATER STREET GAS AIRCONDITIONING NARI4 AIR NOT~ATER I # EXITS 2 · OTHER: ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONST. SI4IHI'flNG POOL OTHER: ~ STORAGE, TYPE CONST. · GUEST, TYPE CONST. VJ.0LATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ~RKS: BP ~22207-Z - CO Z-23117 (Alteration & Addition) DATE OF INSPECTION JUNE 27, 1994 TIME START 10:10 END 10:40 Must have smoke detectors in bedroom area Form No. 6 - .. TOWN OF SOUTHOLD TOWN ~LL 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. Conm~ercial 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. rve~ prop~rty__p~owin~ll_~op~t~linep,._streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to ins ep~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. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - ~100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 x '.f. ............ Date ...~/~.~.~.. ~.-' .. · New Construction ......... .. Old Or Pre-existing Building .... ~ ........... ............ Location of Property ................................. House No. Street Hamlet Onwer Owners of Property ~i .~..'. ~~-/~ · · · · · County Tax Map No 1000, Section...3. l ....... Block ..... .~. ......... Lot ..... ,~.,-~- ........... Subdivision. · Filed Map.........Loto....--....--- ..... · .. Permit No Date Of Permit Applicant ..... · Underwriters Approval Health Dept. Approval....................-.-... ..- ............... · ' ' '' '' Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ~" ~~~'~'-~''' j .- ~ ~ ~11~ :' _ APPL_IC___A_NT --- -- CONSENT TO INSPECTION Owner(s) Name(s) do(os) hereby state: That the undersigned (i_s) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section ,.~ ?__, Block C~ , Lot F. ~-- · 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: __ That the undersigned 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 to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and re.~ulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so xvith the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regallation~ of the To~vn of Southold. (print name) (signature) (print name)