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Home My WebLink AboutZ-28769FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28769 Date: 08/23/02 · ~{IS ~KTIFIES that the building DWELLING Location of Property CRESCENT AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 006 Block 0007 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 NU~BER Z- 28769 dated AUGUST 23, 2002 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 SINGLE FAMILY DWELLING * FISHERS ISLAND (HAMLET) Lot 016.002 The certificate is issued to MARY MEYER of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPARTMENT OF HEALTH ~%PPROVAL ELE~-r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~CATION: CRESCENT AVE NA~E OF OWNER (S): MARY MEYER SOURCE OF R~ST: MARY MEYER FISHERS ISLAND ~ NO.: LOT (S) MA~Y MEYER ACCO~PANI]~) BY: SAME ~3FF. CO. TAX ~ NO.: 6.-7-16.2 07/i7/02 ~ATE: 08/29/02 DWELLING: TYPE OF CONS-i'aUCTION: WOOD FRAME FOUNDATION: CONCRETE BLOCK TOTAL ROO~S: 1ST FI~R.: 9 21{I) FI,R.: 0 BA'r~O(O($): 2.0 TOII~ET ROO~(S): STORIES: 1.0 # ]~XITS: 4 CRIJ~%R: 75% CR~JNL SPACE: 25% 3RD F~.: 0 0 UTILITY ROO~(S): PATIO TYPE: ~ GARAGE: XX PORC~ ~"fPE: SCREENED IN PORCH DEC~PE: BR~ZENAY: FIREPI~%CE: ONE DOMESTIC HOT~AT~: YES TYPE ~EATER: OIL · ~PE HEAT: OIL FIRED ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: S~ORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOI~TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRS PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. R]~%R~KS: BP#1948Z-COZ1658 (DRDD) BP #28676-Z (REPLACES BP #17995Z)COZ-28769 INSPEL-£~3 BY: DATE ON INSPECTION: 08/19/02 TIE START: END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i..,~ This application must be filled in by typewriter OR ink and submi~_e~d~*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 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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-existinK Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date ..... .~.Z....~..~..~ ....~..~-~...,2 ........ New Construction ........... Old Or Pre-existingc .~...~..~.C..~. Building..~..~.. ~../.. Location of Property ..................... ............. ~;~~ '~;A~:..~c.i'.r.'...L.%~.~f~ff~ House No. Street Ha~et Onwer or O~ers of Property...~.~ .... ~.~.~. ~ ........................................ ,o ,000, .......... ........... ........... ...... .................... ..... ......... Perm~ No... ...Applicant ............................ Health Dept. Approval .......................... ~ Hnde~rSrers Approval ..... t~ Planning Board Approval .... .~ ............. Reques~ for: Tomporary Certif~cate..~. .... FSnal CertScate. Fee SubmStted: ,. j.~.'..~ ~ ~ ~7~ ........................... do(es) hereby state: CONSENT TO INSPECTION . the undersigned, That the undersigned (is) (~'~) the owner(~ of the premises in the Town , which is sho,~ and designated on the Suffolk County tax map as District 1000, Section ~ , mo~k ? , not /6- That the undersigned (has) (~) filed, or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g: That the unders~ned do(es) hereby give consent to the Build~g Inspectors of the Town of Southold to enter upon the above described property, including any and ail buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application. ~clud~g 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 ~spections, do(es) so ~th the knowledge and understanding that any ~formation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or re~lations of the Town of Southold. (si~re) ',~' (p nt name)