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Home My WebLink AboutZ-26111 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26111 Date: 11/17/98 THIS CERTIFIES that the building DWELLING Location of Property ALPINE AVS FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 010 Black 0008 Lot 010.003 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- 26111 dated NOVEMBER 17, 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 RICHARD A ERPENBECK (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 REPORT. uild' g Inspector Rev. 1/81 BUILDING DHPARThD3NT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RHPORT LOCATION: ALPINE AVE PISHHRS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OP OWNER (S): OCCUPANCY: RE rpxNTl r. RI nun A ~RPHNBHCR ADMITTED HY: JOHN DOUCETTE ACCOMPANIED BY: SAME REY AVAILABLE: SUPP. CO. TAX MAP NO.: 50.-8-10.3 SOURCE OP REQUEST: JOHN H. DOUCBTTH. 11/14/98 DATE: 11/17/98 DWHLLING: TYPE OP CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXIT6: ~ FOUNDATION: CEMENT BLOCK CELLAR: 896 CRAWL SPACE: 196 TOTAL ROOMS: 1ST PLR.: ~ 2ND FLR.: ~ 3RD FLR.: ~ BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: NONE DECK TYPE: WOOD PATIO TYPE: BREHZHWAY: FIREPLACH: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL PIRHD AIRCONDITIONING: NONE TYPE HEAT: TANRLBSS WARM AIR: HOTWATBR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OP CONST.: NONE STORAGE, TYPH CONST.: SWItM1ING POOL: GUEST, TYPH CONST.: OTHER: VIOLATIONS: CHAPTER 49 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION I DESCRIPTION ! ART. ! SHC. i i i ~ i ~ i i i ~ i i i i i i i i i i i i i i i ~ i ~ i i ~ i ~ nHmnaxS: BP #19192-CO Z-2309 (ADDITION)/ INSP8CT8D BY: ~G DATE ON INSPECTION: 11/14/98 ROBERT L TIME START: END: ^ ~ ~ O U D Form No. 6 `I ~~p ~ TOWN OF SOUTHOLD N~~ ~ s A0~ BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 T WN F S TNOI APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OF, 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 17< 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. 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25s G. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15/00, Com/meUUrcial $15.00 Date l/.1/~~~. I . yew Construction........... Old Or Pre-existing B~ufil/ding...l~........... .ocation of Property ...........................•~.°./.C.<~Y..~-• House No. J J //Street / ~J Hamlet )nwer or Owners of Property...~°~. s G/l.Qm.~~.. /f ~~Y. ,/3. . ;ounty Tax Map No 1000, Section. w........B1ock....~.........Lot..~ Q subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. iealth Dept. Approval ..........................Underwriters Approval......................... Tanning Board Approval ;e quest for: Temporary Certificate........... Final Certicate........... O~ 'ee Submitted: .1.Qf~. Q1ze..5s ~ f.1Gek APPLICANT ~~a/~ ~ EiRO~~ech COA`SENT TO INSPECTION v/ /it a~ ~ ~ ~ ~ `j•F•c 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 ~`,c ~ 8y s ~~~eu ~ d~ 3 q d which is shown and designated on the Suffolk County tax map as District 1000, Section ~~n Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Luilding 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 cf 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~ _ • (signaature) t (print name) . G C Q l' ~ ~ , / ~Ev~ ~/coGG( (signature) (print name)