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Home My WebLink AboutZ-25898FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25898 Date: 08/17/98 THIS CERTIFIES that the building DWELLING Location of Property 650 SPRING LA PECONIC (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 086 Block 0005 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 OCCUPAMCY NUMBER Z- 25898 dated AUGUST 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 WITH ATTACHED GARAGE* (HAMLET) Lot 006 The certificate is issued to MARLANE MEYER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 LOCATION: 650 SPRING L~ SUBDIVISION: NAME OF OWNER (S) : MARLANE MEYER OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 86.-5-6 SOURCE OF REQUEST: JOHN NICKLES BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RE~ORT UPDATED PECONI~ MAP NO.: __ LOT (S) -- MARLANEMEYER ACCOMPANIED BY: DATE: 08/17/9~ TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CEMENT BLOCK TOTAL ROOMS: 1ST FLR.: ._~ BATHROOM(S): 1.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: YES TYPE HEAT: OIL OTHER: # STORIES: 1.5 # EXITS: CELLAR: PART. CRAWL SPACE: 2ND FLR.: ~ 3RD FLR.: --0 TOILET ROOM(S): Q,Q UTILITY ROOM(S): -- DECK TYPE: PATIO TYPE: FIREPLACE: ONE GARAGE: 2 CAR ATTAC~p TYPE HEATER: PROPANE AIRCONDITIONING: WArM AIR: ~ HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: SHED GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE ~ DESCRIPTION ~ ART. REMARKS: BP#23154 - CO Z24059 ACCESSORY SHEQ INSPECTED BY: /~~"/~ DATE ON INSPECTION: 08/17/9~ TIME START: ~QQ END: 9:30 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 ali 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 ali 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 write--applicant. C. Fees · 1 Certificate of Occupanc n 2 · Y - -' ' g $ 5.00, 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 Buildin¢ - $i00.00 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - ~50100 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-,existing Building ................. Location of Property... ~_ ~mz'~-~ ~ House No. Street Hamlet Onwer or Owners of Property...[.~. ~ L~,_~ .~.. ~ .Bloc . 5-- .Lot .... County Tax Map No 1000, Section ........................... .~.. · Subdivision .................................... Filed Map ............ Lot .............. / ....... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~. ........ ..................... / / t / o ...40 CONSENT TO INSPECTION Doroths Lueckoff Owner(s) Name(s) do(es) hereby state: · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 650 Spring Lane, Pec0nic · which is shown and designated on the Suffolk County tax map as District 1000, Section86 , Block 5 , Lot 6 That the undersigned (has) (have) filed, 'or caused to be filed· an applica- tion in'th~ Southold Town BUllCling lnsp~u~,, .o or.~oo to~, +h~ fallowing: Private one family dwelling 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 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: November 21, 1995 '- (sig ) - Dorol~hy Lueckoff (print name) (signature)