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Home My WebLink AboutZ-33395FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33395 Rte: 11/18/08 THIS CERTIFIES that the building DWELLING AND ACCESSORY Lc~ation of Property HEDGE ST (HOUSE NO.) County Tax Map No. 473889 Section 010 subdivision FISHERS ISL/LND (STREET) (HAMLET) Block 0007 Lot 018 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 OC~u~I~NCY N~D~BER Z- 33395 dated NOVEMBER 18, 2008 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 ENCLOSED PORCH AMD ACCESSORY GARAGE.* The certificate is issued to ALFRED GREBE, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELEt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£KU *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ~~ut] or ' ze/d~ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ~ OF O~ (S): ALFRED GREBE, JR OCC~PANfUf: ONE FAMILY RESIDENCE FISHERS ISLAi~D NAP NO.: LOT (S) ALFRED GREBE, JR VIOLATIONS: CFIAPTER 45 N.Y. STATE U~IFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DATE ON INSPECTI(~: 11/18/08 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 S,EP 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY . This applicatiou must be filled m by typewriter or ink and submitted to the Building DephqTfiie}i~ With~[h~ following: A. For oew 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Connnercial building, industrial building, multiple residences and si~nilar buildings and installations, a certificate of Code Compliance from ardhitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. ~g br:!!.t~,,g~ to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ¢,--'T. Accurate smwey of propeT~howing all property lines, streets, building and unusual uatural or topographic '~-~..~_ f. eatures _ ~ 2. A properiy'~ompleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied; the Building Inspector shall state the reasons therefor in writiug to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temperer7 Certificate of Occupancy - Residential $15.00, Co~rm~,ercial $15.00 Date. Sept. 11, 2007 Old or Pre-existing Building: X (check one) New Construction: Location of Property: House No. Street Owner or Owners of Propeliy: A1 fred R. Grebe, Jr. Suftblk County Tax Map No 1000, Section ~t,} 01 0.0 0 Block ~shers Island Hamlet 07.00 Lot 018.000 Subdivision Permit No. Health Dept. Approval: Plam~ing Board Approval: Date of Permit. Filed Map. Applicaut: Underwriters Approval: l,ot: Request for: Temporary Ceiqficate Fee Submitted: $ 1 00.00 Final Certificate: /~'/'~~~X (cl~.eck one) ~//Applicant Signature CONSENT TO INSPECTION Alfred R. Grebe, Jr. Owner(s) Name(s) the undersigned, do(es) hereby state: That the undersigned (is)~gf~j0 the owner(~ of the premises in the Town of Southold, located at NO~ Hedge Street (Lot 1 8) which is shown and designated on the Suffolk County Tax Map as District 1000, Sectionolo_no, Block 07.00, Lot 018.000. That the undersigned (has) (~filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: C_~r~ f~cato_ of Occupancy for Preexistinq Buildinq 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, roles and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: sept. 11 , 2007 (Signature) (Print Name) 11/07/2008 13:09 FAX 631 788 7798 FISHERS ISLAND ~ILITY ~002 LOCATION: (number & street) ~UBDIVISION: i MAP NO.: NAME OF OWNER(S): OCCUPANCY.. (type) (municipality) LOT(S): (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE:I ~ SUFF. CO. TAX MAP SOURCE OF REQUESTf_~.~~ DATE: DWELLING: TYPE oF CON.STRUC, TION:._,_~~ # STORIES: ~-- # Exrrs: FOUNDATION.. C'~#~p.e~r~ .~LLA~: ,~')X-~ CRAWL SPACE: TOTAL ROOMS. 1ST FLR: ~ 2ND FLR: ~ 3RD FLR: ..-- BATHROOM(.S): ~ · TOILET ROOM(S): ---- UTILITY ROOM: --- PORCH TYPE. ~ DECK, TYPE: ~ PATIO, TYPE: BREEZEWAY: ~ -- FIREPLACE: DOMESTIC HOTW~TER: _~_ TYPE HEATER: TYPE HEAT: ~t/'-' WARM AIR: GARAGE: AIRCONDI~]ONING: HO~VA~ER, ACCESSORY STRUCTURES: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: DATE OF INSPECTION://._~,~ TIM£ START: END: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER~DWNER r RES.,,~,/dD LAND AGE NEW STREET N / S / Farm IMP. .~ ? ~ 0 VL. FARM TOTAL DATE BUILDING CONDITIOIx NORMAL Acre BELOW Value Per Acre VILLAGE jw COMM. j IND. DISTRICT SUB. ACREAGE TYPE OF BUILDING LOT CB. [ MISC. ABOVE Value Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushland~ ~., ~,,~ House Plot Tota I M. Bldg. I,~.~i~',.~= 7,~' I 2~ 2//~ Foundation [ Bath ~tension r /~2 ~ Basement ~tensi°n ~/~ ~/¢ 7~ ~ /~ /~'~ ~t. Walls .~ ~~ Interior Finish Extension /~ ~ ~2~/ Fire Place He~ Porch Attic Porch Rooms 1st Flor Breezeway Patio Rooms 2nd Flor Garage ~ ~.~ ;~g /~ ~?~ Driveway O.B. .... ~= ~,~TU nw ~' nW' KAST 41 fi7 FEET TO A POINT AT THE ~STEE= FACE OF A E=AININO WA~ AT THE OURRENT M~ H[O, WATER LINE OF WEST HARBOR, ABU.INF S~TH~STEELY eN ~ / LIBER 11525-PAG~ t48 POINT ~ BEGINNtNG ~ ~ ~ %X / ~%/ ~ ~ Ill /~ d ~~. 8~55'~"~ E ~ ~ .... .. ~ [ ~R~P ~%) DO~HInSURV~ PROP~ x~vm~,?F~y~RED3. 1940R' GREaE; FISHERS IS~D. N.Y.; / / // REN~ ~ J m ~, ' m ~ ~' HEREON ~Y E~ENsmoN OF ~H[ USE e~ONO THE PORPOSKD AGREED TO : 4.) COORDINATE DIST~CES ARE .~RED FROM UrnS. mAST / / // ~ ~ ~ / ~ I 5.) SITE IS IN THE TOWN OF SOUTHOLD, COU~ OF SU~O~ T~ / / ~~ ~ ~ T ~m) DEED ~ = 20,~0 SQ' ~' +/--(LIBER 2329 P~E QUALI~ CONTROL CERTIFICA30N / .~.,' : SF SOUSE F~ FILE F o.~.s, PUBLIC ~DS SU~OR E~INER SHE~: 1 OF 1 O.G.S. MAP NO.