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Home My WebLink AboutZ-26155FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26155 Date: 12/09/98 THIS CERTIFIES that the building DWELLING Location of Property 550 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 015 Block 0006 Lot 025 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- 26155 dated DECEMBER 9, 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 WITH PORCH AND ATTACHED GARAGE.* The certificate is issued to ELIZABETH BARDES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A H055385 N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspe~o~ - BUILDING DBPARTMENT TOWN OF SOUTHOLD ~QUSING CODE INSPECTION REPORT LOCATION: $$0 THREE WATERS LA SUBDIVISION: NAME OF OWNER (S): ELIZABETH BARDES OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY: JANE BOARDMAN ORIENT MAP NO.: __LOT (S) -- KEY AVAILABLE: __ SUFF. CO. TAX MAP NO.: 15.-6-25 SOURCE OF REQUEST: J. KEVIN MCLAUGHLIN. ATTY. DATE: 12/09/98 FOUNDATION: CEDAR BLOCK TOTAL ROOMS: 1ST FLR.: --7 2ND FLR.: ~ BATHROOM(S}: 1.0 TOILET ROOM(S): ... PORCH TYPE: SIDE ENCLOSED DECK TYPE: BP, EEZEWAY: FIREPLACE: ~ DOMESTIC EOTWATER: X TYPE HEATER: ELECTRIC TYPE HEAT: OIL & ELEC WARM AIR: ~ EOTWATSR: # STORIES: 1.0 8 EXITS: 4 CELLAR: PANT C~AWL SPACE: __ 3RD FLR.: ~ UTILITY ROOM(S): -- PATIO TYPE: GARAGE, TYPE OF CONST.: SWISE4ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BB#2329 A~COSZ-1893: BP$5685 ADD C0#Z-4636. INSPECTED BY: ~ ~X~ DATE ON INSPECTION: 12/0~/9S 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 Underwziters. 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. 3. 4. 5. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: i. 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 apg If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.( Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2~ Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existinR Buildins - $100.00 Copy of Certificate of Occupancy - ~ .25¢. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ew Construction ........... Old Or Pre-existing Building..~.' ............. i,ocatton of Property .................................. .................... · Mouse No. Street Hamlet _ ~-~ )nwer or Owners of Property .... -~.~..--~..~...~.~-~$.. ~,~.~..L.~<. }~.~... oo0, .... ...... ....... .... ........... to · ermit No ............. ... Date Of Permit ............... . Applicant ............................ · 'lanning Board Approval ........................ ~ .... c ~equest. for: TemporarYlOOCertificate ...... i ii'' Final Cert Submitted: $ ........ :..~ ........ ~c-~ ') - o~ I CONSENT TO . -- IN.~SPECTION tx . ~ Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at '~C) ~-k~__k,_q..~ ~,~._~. I (~r ,~._l~.- which is sho~ and designated on the Suffo~ County tax map as District 1000, Section ~ ~ , Block ~ , Lot ~ . 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 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 as evidence in subsequent prosecutions for rio- (signature) (print name) THE NEW YORK BOARD OF FIRE UNDERWRITERS BI.)N~AI~ OF EL.ECTI~IC;IT'Y IS)OHNSTREET, NEW YORK, NY 1D031 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] ~SULATION [ ~ FINAL ] FIREPLACE & CHIMNEY /? DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY _Mw7"