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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