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Home My WebLink AboutZ-33647FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TN~ENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33647 Rte: 04/15/09 THIS U~lC'rIFIBS that the building DWELLING AND ACCESSORY Location of Property 46660 MAIN RD (HOUSE NO.) County Tax Nap NO. 473889 Section 075 Subdivision SOUTHOLD (STREET) (HAMLET) Block 0003 Lot 004 FiledNap 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 NU~ER Z- 33647 dated APRIL 15, 2009 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 COVERED FRONT PORCH AND ACCESSORY TWO CAR GARAGE. * The certificate is issued to ALICE F KEENEY of the aforesaid building. ( OWNER ) SU~I)I~KC~)[~i~fYDEp;hRT~ITOF[IF~%LTHAPPROVAL ELEt-i~ICJ%L ClgRTIFICJ%~ NO. PL~EP-~ ~I(TIFIC2%TIONDA'r~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT ~ OF ~ (S): ALICE F KEENEY O~C~PANCY: SINGLE FAMILY MAP NO.: LOT {S) ALICE F KEENEY DAT~: 04/15/09 VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P.~%~KS: BP4931 BATH ADD COZ4206 · NSP~.-~-~u BY: Gs'-y Fish n~TE (~ I]~SPECTIf~{: 04/07/09 GARY J FISH ~ START: 8LOG. DEPT. APPLICA _ TOWN OF SOUTHOLO Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with aecurate 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. B. 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 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-existing Building - $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 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No: Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: Street ? 5 Bl k Date of Permit. (check one) Hamlet Filed Map. Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant S~nal~re TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~--/ ~;~ ~ ~ O VILLAGE DIST. SUB. [~RMER OWNER (J ~ ~ //~I/ · ~&"~,~r,. S'~ r~ ,j~~j . ~/~,)~, ~f.~ , TYPE ~F BUILDING S~S. VL. FARM CO~. ~B. MI~. Mkt. Value ~ND IMP. TOTAL DATE RE~RKS ~ / / AGE BUILDIN~ CONDITION NEW NORMAL B~bOW *~OVE FARM Acre Value Per Value Acre Tillable FRONTA~ ON WATER Wo~land FRONTAGE ON ROAD Meadowland DEPTH House P~ ~ ~ ~ BULKH~D Totol DOCK M. Bldg. Exten,sion Extension Extension COLOR TRIM Bath Dinette Porch ~c~ £ ~ Floors K. Porch ,~/$/~ . Interior Finish LR. Breezeway Heat DR. Garage Foundation Basement Ext. Walls Fire Place Type Roof !Recreation Room Dormer Patio O, Bo Rooms 1st Floor Rooms 2nd Floor Driveway Total BR. FIN. B CONSENT TO INSPECTION '~-///("' ('~ 7 ~"~/'~ ./'~/~, the undersigned, do(es) hereby state: Owner(s) Name(s) -- That the undersigned (is) (are) the o.wner(~ of the pj~emises.~in the Town of Southold, located at which is shown and~l~si~nated on th~-Suffolk County-T~xx Map as Disthct'1000, ' Section d--r/, Block That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Buitdin~nspector's Office for the following: c.o. That the undersigned do(es) hereby give consent to ihe Building hlspectors 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 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 iu the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Sig~ure~ (Print Name) (Signature) (Print Name) SITUATE: OOUTHOLO TOk"~l: OOUTHOLO 5UFFOLK COUNTY', NY' C"E~'J['ll~) TO: ~.~TATB OF AL~C~ F. ~EN'BY N NOTE5, · 1'4ONUI'~JENT FOUND o PIPE A STAKE 5,ET AREA = 16,624 5j=. O~. O.~816 ACt:~.E ~RAPHIC 5C. ALF: I"= JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF. \\Compaqserveflpros\09\09-119a.pro