HomeMy WebLinkAboutZ-26825FORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26825
Date: 12/10/99
THIS CERTIFIES that the building DWELLING
Location of Property 655 TOWN HARBOR LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 063 Block 0004
Subdivision
Filed Map No. -- Lot No. --
SOUTHOLD
(HAMLET)
Lot 008
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26825 dated DECEMBER 10, 1999
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 *
The certificate is issued to JOHN A BRESTER
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION7
Rev. 1/81 ~
N/A
N/A
N/A
Building I~c~
BUILDING DEPARTMENT
TOWN OP SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION~ ~5 TOWN H~OR LA SOUTHOLD
SUBDIVISION: MAP NO.: __ LOT (S) __
NA~ OF OWNER (S): JOHN A BP-ESTER
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: JOE DOTTGAN
KEY AVAIfJ%BLE: HUFF. CO. TAX MAP NO.: 63.-4'8
SOURCE OF KEQUEST! pAUL CAMINITI. ATTY 10/20/99
JOHN A BREHTER
ACCOMPANIED BY: SAME
DATE: 12/10/99
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: C~T BLOCK
TOTAL ROOMS: 1ST FLR.: --A
BATHROOM(S): 1.0
PORCH TYPE:
BKEEZEWAY:
DO~STIC HOTWATER: XX
TYPE HEAT: GAS WARM AIR:
OTHER:
2ND FLR.: 3
TOILET ROOM(S): 1,Q
DECK TYPE:
FIREPLACE:
TYPE HEATER: LIPA GAS
EOTWATER:
# STORIES: 2.0 ~ EXITS: 2
CELLAR: PART. CRAWL SPACE:
3RD FLR.: ~
UTILITY ROOM(S): __
PATIO TYPE: SIDE COVERED {BAD SHAPE}
GARAGE:
AIRCONDITIONING:
C~RAGE, TYPE OF CONST.:
SWI~4ING POOL:
OTHER:
2 STORY WOOD FRAME ~TORAGE, TYPE CONST.: OLD STORAGE SHED
GUEST, TYPE CONST.:
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
BP#7695Z-COZ7573(ADD/ALT) BP#10975Z-COZ26824
(ACCY) BP#11331Z COZll613(2ND STY ADD) BP#15057Z
COZ17011(ALT) BP#17989Z'COZ18483 (ADDS)BP#14403Z
COZ26823(ACCY GARAGE)
IP~INSPECTED 12/09/99)
INSPECTED BY:
SEC.
. BOUFIS TIME ST : : : = AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN I1ALL
765-t802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to tile building
inspector with tile following: for new building or new use:
1. Final survey of property with accurate location of ~11 buildings, property lines,
streets, and unusual natural or topographic features.
2. Fiual Approval from llealth Oept. o[ water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plomber certifying that the su]der used in system contnln8
less than 2/IO of 1% lead.
5. Commercial buildiqg, industrinl bnilding, multiple residences and eimt].~r bu[ld:h~gs
~nd installations, a certlficate of Code Compliaoce [rom 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 nnd
"pre-existing" land uses:
I. Accurste survey of property showing ali p~roperty lilies, streets, building and
uausnal natural or topographic featnres. ·
2. A properly completed application and a consent to inspect signed by tile applicant.
I[ n Certificate of Occupancy is denied, tile Building Inspector shall state Lbs
reasons therefor in writing to the applicant.
C. Fees
|. 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 buildlng $25.00. Businesses.~.
2.Certificate of Occnpaucy on Pre-existing Bnild~n~ ~iOO.O~
3.Copy of Certificate of Occupancy - . .25~
Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $~5.00, Commercial $15.00
Unte .........................................
New Coustructton .......... ~j_Or Pre-existing Bu~-~f~ ..............
Ilouse No. Street Hamlet
co,,,ty .f x No ,000, ection... . ....... Bioe ...... ......... ot...q ..................
S~bdivision .................................... Filed Hap ............ Lot ............
Permit No ................ Date Of Permit ............. · .. Applicant .............................
Uenlth Dept. Approval ........................ · · Underwriters Approval .........................
PJ.~nniug Board Approval ........................
Request for: Temporary Certificate ........... Finml Certicate...~ .......
Fee Submitted: $..../ ...................
fR ~.- ~'7_9.2/ ...... /..-~-'-. · .~-~.~-~ ...... :~_ ..............
CONSENT
TO
INS PECTi~)'~N
Owner(s) Name(s)
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
· which is shown and designated on the Suffolk
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:
/f - '
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 vin-
lahon~ of the laws, ordinances, rules or regulations o Town 9t~Southold.
(print name)
(signature)
(print name)
2 STORY
WOOD F~AM~ RES.
58' 28' 50" W
N/F BRESTER
N/F BURNS
(DEF_.D-26~26') :
SURVEY OF
OESCRIBED PROPERTY
SOU THOLD
TO~ OF SOUTHOLD
SUFFOLK COUNT~, N. K
SUR~YED FOR JOAN BALER
N/~
HUT~ER
GUAR~TEE~ TO
N/T ~oA~ ~
265.91'
SURVEYED BY
STANLEY J. I~'*A~EN, JR.
P.~ BOX ~4 ,. .
N~IC~ ~ '~3 I