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Home My WebLink AboutZ-26719FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26719 Date: 10/01/99 THIS CERTIFIES that the building DWELLING AND GARAGE Location of Property 1050 BAY AVE (HOUSE NO,) County Tax Map No. 473889 Section 031 Filed Map No. Subdivision EAST MARION (STREET) (HAMLET) Block 0008 Lot 016 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- 26719 dated OCTOBER 1, 1999 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 ONE CAR GARAGE CONNECTED BY A BREEZEWAY.* The certificate is issued to SARAH RACKETT of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1050 BAY AVE EAST MARION SUBDIVISION: MAP NO.: -- LOT (S) -- NAME OF OWNER (S): SARAH RACKETT OCCUPANCY: SINGLE FAMILY SARAH RACKETT ADMITTED BY: GORDON RACKETT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-8'16 SOURCE OF REQUEST: SARAH RACKETT DATE: 10/01/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ~,O # EXITS: FOUNDATION: QQNCRETE BLO~ CELLAR: FULL CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: _~0 3RD FLR.: --0 BATHROOM(S): 1.0 TOILET ROOM(S): O.O UTILITY ROOM(S): PORCH TYPE: FRONT DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: SEE OTHER DOMESTIC HOTWATER: ~ TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: ~ HOTWATER: REAR CONCRETE OTHER: 1 CAR WOOD FRAME NO ELECTRIC CONNECTED WITH BREEZEWay, ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWI~94ING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. REMARKS: REINSPEC~/21/9~. J M. BOUFIS ~ TIME START: 10:15 AM END: 10:40 AM Ao Form No. 6 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TO\/NOF~: '~r~,OtO J This application must be filled in by typewriter OR ink and submitted to ~e~u~d~ldi'n~-., 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. 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. For ex~sting 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . ~ ~ ~ ~' J~ ~.~ New Construction ........... Old Or Pre-existing Buil~ ................ Location of Property. I O...~D · ~~ L~. a~Z .~.~.~. House No. Street Hamlet Onwer or Owners of Property...~.~7~...~.~.~.K~ .......................................... County Tax Map No 1000, Section..~ ......... Block...~ ........... Lot...!.~. ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $... ! .O..~...~.~. .................. ¢- ................ 0 6~:~ ? "73 '' APPLICANT CONSENT TO INSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (~e) the owner(~) of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section ~l , Block I~ , Lot l{~ · That the undersigned (has) (d~v~ 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 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. - ' (signathr'e) (print name)