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Home My WebLink AboutZ-29768FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 29768 Date: 10/16/03 T~IS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 1435 HOBART RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 064 Block 0002 Filed Map No. __ Lot No. __ Su]m~ivision SOUTHOLD (}L~MLET) I~)t 011 conforms su]~stantlally to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29768 dated OCTOBER 16, 2003 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 SIDE AND REAR SCREENED PORCHES AND COVERED FRONT ENTRY ~uND ACCESSORY TWO CAR GAR3~GE.* The certificate is issued to EMMY LOU STELZER (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF~F~%LT~ti~PPROVAL ELECTRICAL CERTIFICATE NO. PLI~4BERS C~TIFICATIONIA~r~ *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ~Au~~ture hor~ ~ed. ji~nat BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1435 HOBART RD ~ OF O~ (S): EMMY LOU STELZER OCC~/PANCY: SINGLE FAMILY SOUTHOLD MAP NO.: LOT (S) EMMY LOU STELZER DWELLING: ~E OF CONS~UCTION: WOOD FRAME FO~DATION: CONCRETE BLOCK TOIL~ RO~(S): VIOLATIONS: CHAPTER 45 N.Y. STATE I/NIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. 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: 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. 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 c6mpleted 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 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~..25C. A. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date October 6, 2003 X New Construction ........... Old Or Pre-existing Building ....... · ......... 1435 Hobart Road, Southold Location of Property ......................................................................... House No. Street Hamlet Estate of Emmy Lou Stelzer 0nwer or Owners of Property .................................................................. County Tax Map No 1000, Section...64 ....... Block. 2 ...Lot.. 11 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ X Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: .lO0...On ................ , ......... Izi~ (.i~ cl ~5 ~ ~J APPLICANT / CONSENT TO INSPECTION Est. Emmy Lou Stelzer, · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises tn the Town 1435 Hobart Road, Southold of Southold located at · which Is shox~n and designated on the Suffolk County tax map as District 1000, Section 64 , Block 2 , Lot 11 That tim undersigned (bas) (have) filed, 'or caused [o be ftled, an applica- tion in the Soutbold Toxm~ Building Inspector's Office for the followh*g: Pre-Certificate of Occupancy That the undersigned do(es) hereby give consent to the Bulldfl*g 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 thay may deem necessary with respect to the aforesaid appltcatton~ including inspections to determine that said premises comply with all. of the la~/s} ordl*lance~tvules and regulations of the Towu of Southold. The undersigned, h~ consentlng to such Inspections, do(es) so with the knowledge and understanding that any bfformatton obtalned In the conduct or such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations o[.-fl~e.'Town_of~oulhold. Dated: October 6, 2003 (signature) Deniese S. Boggiano (print name) (signature,) "' · '(print name)