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Z-25309
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EBISTING CERTIFICATE OF OCCUPANCY No Z-25309 Date OCTOBER 8, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3085 BAYSHORE RD. GRBENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 6 Lot 6 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-25309 dated OCTOBER 8, 1997 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 ONS FAMILY DWELLING WITH ACCESSORY GARAGE The certificate is issued to WALTER & SHIRLEY RIEFER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SSE ATTACHED INSPECTION REPORT. ~t~/ uilding inspector Rev. 1/81 13UILD[NG DEPAR'fMEN'f 'TOWN OF SOUTIiOLU DOUSING CODE INSPECTION REYOR'1 LOCA'L'ION•_ 3085 BAYSHORE RD. GREENPORT, N.Y. number ~ street municipality SUBDIVISION HAP NO._ LOT(s) NAME OF OWNER (s) WALTER -RIEFER _ OCCUPANCY A-1 RES. OWNER -type owner-tenant ADMITTED BY: WALTER RIEFER ACCOMPANIED BY: SAME _ KEY AVAILABLE SUPF.CO. TAR MAP NO. 1000-53-06-06 SOURCE OF REQUEST: ~TALTER RIEFER _ _ DATE: SEPT. 29, 1997 DWEI.i.ING: 'TYPE OP CONSTRUCTION WOOD FRAME # STORIES 2 E E%I'fS 3 FOUNDATION CEMENT CELLARpARTIAL CRAWI. SPACE 'f0'fAI. ROOMS: 1ST FI.R. 5 2ND FIR. 4 3RD PI.R. _ 1SATIIROOM (s) 2 TOILET ROOH (s) _ UTILITY ROOM PORCH 'T'YPE DECK, TYPE 2 WOOD PATIO. BREEZEWAY FIREPLACE 1-BRIE GARAGE DOMESTIC HO'TWATER YES TYPE UEATER L.P. AIRCONDITIONING TYPE HEAT OIL WARM AIR HO'fWATER ~ _ OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD FRAME STORAGE, 'TYPE CONST. 1 WOOD FRAME SHED SWIMMING POOI, GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP~#6546Z-CO Z-6843 (ADD), BP #13135-Z-COZ-12674 (AGCY), BP #16893 -COZ-25278 (ALT 2ND R) BP #17151-COZ-25279 (DECK) INSPECTED B ~ DATE OF INSPECTION OCT. 6, 1997 Sfl TIME START 10:45 AM END 11:10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 76~1802L ~ ~ 2 9 ~ti97 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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. 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 525.00, Additions to dwelling 525.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residentia~yl $15.00,"C~o7mmercial 515.00 Date ...:L:~(a.`GZ';:'l.l New Construction........... Old Or Pre-existing Building..... . Location of Property..3o~'s.......~J~!~~tN.'e~t~~... p...........~.~'~CY~~..... - House No. Streit ` Hamlet Onwer or Owners of Pro ert ~ ~~:.r~-.e:. ~i ~ ~ , County Tax Map No 1000, Section... S .....Block... Q ~ ~......Lot...~~:b Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate~...... //1~ I O Fee Submitted: S..~Y.~.~' ......YV.'~a~'S~:1~'+: ~ ~ ~ ~ APPLICANT C d ~,~5 U 9 'I'll ~ . , (rT L lht. nntler5if ue:tl, tlu(t:::~) hereby stale; '1'hnl lire nntlt;r:3il;ntal (is) (nru) Lhi: uwnr:r•(:;) ul' the I~rc:urises in lhti 'I'c,wn i,f `;uulhultl lucalc:tl ttl 3©~5 $ FZ ^ . -.1-___-----.,_ p/L~ whir.h l:; :;hewn :ur,l tlr.si),u;tluti un the tiuffnll; _ - _ 2 (;uunly Lax rnnl, n:; Ilislr•icl .IUUII, tir:clinrr Iilucl< ©~(1/, l.ut. Qd~j. 'I'hul lho unrierHll;ur;tl (ha:~) (ha vu) lilt:tl, ur• r-nusi:tl to Ire filed, an al,~~lic:r Lion In Ihe: 5uulhulcl 'I'owa I;ulltliul; lu:;l,ecli,r's L)I'flce fur' lire fulluwinl;: ;q•. 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