HomeMy WebLinkAboutZ-26061 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- 26061 Date: 10/26/98
THIS CERTIFIES that the building DWELLING
Location of Property 245 LIGHTHOUSE LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 070 Block 0006 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- 26061 dated OCTOBER 26, 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 WITH ATTACHED GARAGE
The certificate is issued to KARLIN TRUSTEES OF NY RES.INT
(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.
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Building Insp or
Rev. 1/81 ~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 245 LIGHTHOUSE LA SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) RARLIN TRUSTEES OF NY RES.INT
OCCUPANCY: SINGLE FAMILY RARLIN TRUSTEES OF NY RES.INT
ADMITTED BY: ROBERT LANDHERR ACCOMPANIED BY: SAME
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 70.-6-28
SOURCE OF REQUEST: RONALD C. DAVIS. ATTY 9/14/98 DATE: 10/2fi /98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.6 # EXIT5: ~
FOUNDATION: CEMENT HLOCR CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ~ 3RD FLR.: _Q
BATHROOM(S): 2.0 TOILET ROOM(S): 1.0 UTILITY ROOM(5):
PORCH TYPE: DECK TYPE: ___REAR WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE: TWO CAR
DOMESTIC HOTWATER: XX TYPE HEATER: OFF BOILHR AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: XX
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: BILCO EXZT
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ' DRSCRTPTrON ' RT '
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REMARKS:
INSPECTED BY: ATE ON INSPECTION: 10/26/98
J HN M. BOUFIS TIME START: 10:20 AM END: 10:45 AM
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TOWN OF SOUTHOLD S~'.f
BUILDING DEPARTMENT
TOWN HALL
' 765-1802
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 topcgraphic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 iorm).
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 lz 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.
b. SubmiC Planning Board Approval of completed site plan requirements.
' B. ` For existing buildings (grior 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.
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 $15.00
Date .....SEPTEMBER..14,•1998
New Construction........... Old Or Pre-existing Building...K
Location of Property?54••LIGHTHQjT$~.I~HNB.•SETAUKET,.DTEW.YORx.11971.-.•.••-•.......••••••••••
House No. Street Hamlet
Onwer or Owners of Property......,„ ROBERT•LANDHERR•..••.
County Tax Map No 1000, Section...QZ0.00.....Block....06.00•••••••Lot..42$,Q00...........
Subdivision ....................................Filed Map............Lot....................
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Permit No ................Date Of Permit................Applicant...........................
Health Dept. Approval ..........................Underwriters Approval.......................
Planning Board Approval
Request for: Temporary Certi°icate........... Final Certicate...
Fee Submitted: $,•100:00
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~ > A torney fo APPLI ANT
~ONALD C. DAVIES, ESQ.