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Home My WebLink AboutZ-25607FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25607 THIS CERTIFIES that the building ONE FAMILY DWELLING Date: 03/20/98 Location of Property 1455 OLD SHIPYARD RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0005 Lot 028 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- 25607 dated MARCH 20, 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 VIRGINIA M GOHIER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Bu' ding Ins ctor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING OD INSPECTION REPORT LOCATION: 1455 OLD SHIPYARD RD SO HOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): VIRGINIA M GOHTFR OCCUPANCY: OINGLE FAMILY VTR TNIA M COHIER ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 64.-5-28 SOURCE OF REQUEST: CHRISTOPHER WAi H - 3/12/98 DATE: 03/20/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: 804 CRAWL SPACE: 204 TOTAL ROOMS: IST FLR.: 2ND FLR.: 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: ENCLOSED FRONT UNHEATED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: GAS-LILCO AIRCONDITIONING: TYPE HEAT: OIL STEAM WARM AIR: HOTWATER: OTHER: ACCESSORY TR i T RFS• GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: METAL SHED SWIMMING POOL: REMOVED GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION IDESCRIPTION nm REMARKS: BP #24790Z -CO Z-25606 (ACCV GARAGE) gp u 479 ow (ACCY SHED) INSPECTED BY: JDATE ON INSPECTION: 03/18/98 MICHAEL J. VERITY TIME START: 10:10 AM END: 10:56 AM Form No. 6 TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG, DEPT 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 Undefwriters. 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. n. IFor 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date...1/7.0............................ New Construction........... Old Or Pre-existing /B iId tng.... / ad Location of Property ......................... ..{1 House No. �Ieet • Hamlet Onwer or Owners of Property..<L!`,.12� / _ County Tax Map No %1000, Sectio/n. .......Block....s ....... .Lot. / �% Subdivision. ..111 '.X.`.....E??`.?.. >........Filed Map ............ Lot .... 0 J ............... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $...,,;; p 2 S A P CANT U nA C=� � 14PA 6��StD lAgO+` �ro�J �. Lew,00 �Is i . 8$898 Og New v;!► e �1NTHorvy u�/LE _9 dtirvEs�o e P,o.�bx-s/y8 oU>�Yo�a tet/• i� W.= eo uc: A64A fsvo - o wIze-wAoc ^vo, LOCATION:_ SUBDIVISION BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT number street AmunrcipaliEy MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY �ty—pe ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: DWELLING: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. DATE: f TYPE OF CONSTRUCTION _ # STORIES ;Z- # EXITS 7 - FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR._ 3RD FLR. BATHROOM (s) TOILET ROOM (s) l UTILITY ROOM PORCH TYPE DECK, TYPE �— PATIO, TYPE BREEZEWAY FIREPLACEGARAGE DOMESTIC HOTWATER TYPE HEATER 6,00-- i AIRCONDITIONING TYPE HEAT Ow— WARM AIR HOTWATER OTHER: . ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST .ty�f*-f'� STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: 8 9 6 C �, - (t r.Gt a < � K1► a 4 7 9/t CUA -5 & 05 INSPECTED BY: I%�a j��`C4/��+ DATE ON INSPECTION TIME START �(d ,��Q END CONSENT 'TO INSPECTION I Owner(s) Names) do(es) hereby state: , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at F—Is _ 60 SLI.a,j Lo" — U dU , which is Suffolk County and designated on the Suffol � County tax map as District 1000, Section 7 , Block '�:> , Lot That the undersigned (has) (clave) 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 ']'own of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may a 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: O ViI a,}; T (si nature) 1D ja GA 1 e C kdala izkx 4 hQjk 'd ( print name V� (signature) �^�11 JDn. �er�aS a�� ss3s pe� (print name)