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Home My WebLink AboutZ-25866FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~{ENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25866 Date: 07/30/98 THIS CERTIFIES that the building DWELLING Location of Property 2685 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 055 Block 0005 Lot 014 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- 25866 dated JULY 30, 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* The certificate is issued to ERNEST W CASE & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION~O~T. / ! Building Insp Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2685 BOISSEAU AVE SUBDIVISION: NAME OF OWNER (S): EP~gEST W CASE & ORS. OCCUPANCY: SINGLE FAMILY ADMITTED BY: EP/gEST W. CASE SOUTHOLD MAP NO.: __ LOT (S) __ ERNEST W CASE & ORS. ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 55.-5-14 SOURCE OF REQUEST: ERNEST W. CASE JULY 21. 1998 DATE: 07/30/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ~.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ~2 3RD FLR.: ~ BATHROOM(S): 1.0 TOILET ROOM(S): ~.0 UTILITY ROOM(S): -- PORCH TYPE: SIDE DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: LIPA AIRCONDITIONING: TYPE HEAT: LIPA WAI~ AIR: XX HOTWATER: OTHER: BILCO EXIT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWID~4ING POOL: OTHER: WOOD FR3~4E 1-CAR STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~6131Z-C~0 Z-4870 (ACCY GARAGEI BP #2768Z-C0 Z-2358 (ADD.~gD DWNLLI "~ ' ~'[~ t . ~ ~t ,! BUILDING DEPARTMENT TO~N HALL ~ ~ - ~'"'/7,~ 765-1802 BLDG. DEP[ TOWN OF SOUTHOL~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 a 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . ~.~ f/.~.~. .............................. New Construction ........... Old Or Pre-existing Building ..... ~ .......... Location of Property...2~ ................. ~?~.~¥~ ................ ~ ........... House No. Street Hamlet Onwer or Owners of Property. ~F~P~.~:.~QQ~.~Qq~.~§~qq.~a~F~.~FF~. ~.~g~y.~.~qN. County Tax Map No 1000, Section..gP~:~9 ...... Block..q~ ......... Lot. P~:PPP .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval.' ......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~ ....... Fee Submitted: $ ~0'°~ ~~ ~_.~ i ........ ..... ........................... APPLICANT N/F Case N/F Ouod N 08°57'$0" W CULTIVATED FIELD TM//: 1000-55-5- 14 Guarantees ind~ated here on s~all ru~ only to the permn f~ w~c~m the survey is prepared, and on his behalf to the title compeny, Covsrrrentcl Agency, lending i~st~t~ficn, if lis!ed hero-,on, and to the ~ss~gnees of the lending inslitutlon. Guarantees are r~t transfcro~.le to additional institutions or subsequent owrm~ GUARANTEED TO: Robert Go Bohn Coral Ann Bohn Chicago Title /ns. Co. Cendonf Mortgage Corp. SURVEY OF DESCRIBED PROPERTY SITUATE SOUTHOLD, TOWN OF SOUfHOLD SUFFOLK COUNTY, NEW YORK SUR~D FOR: ROBERT G. ~OHN CAROl ANN BOHN U~author~zed alteration or addition to ~ut~e¥ is a violation of Section 7209 of I~e Hew York State Education Law. Copies of this survey map not bearing the Land Sun, eyors embossed :eal shell not be c®nsidered te be a vc~id tru~ ~Opyo N/F Milaski N/F Ou~n SURVEYED: 7 July, 1988 SCALE.. I '=60' AREAS= 94,706.82 S.F or 2. 174 ACRES SURVEYED BY: P.O. Nev~ 'u~follq' ~ /Lice, CONSENT TO INSPECTION Ernest W. Case, Nancy Marschean, Barbara Martin and Margery C. Brem , · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2685 Boisseau Avenue · which is shown and designated on the Suffolk County tax map as District 1000, Section 055.00, Block 05.00 · Lot014.000 · That the undersigned~m~ (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Pre-existing Certificate. of Occupancy 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 tn-the conduct of such inspections may be used as evidence in subsequent prosecutions for rio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) Barbara Martin (signature) Ernest W~ Case (print name) (print name) :/(Signre7</, ( l~ar~er~ C. Brea (pr~nC naae) ( s ~tn atu re ) Nanc}z Marschean (print name)