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Home My WebLink AboutZ-29228 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- 29228 Date: 01/29/03 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 1490 SMITH DR S SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 076 Block 0003 Lot 006 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- 29228 dated JANUARY 29, 2003 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 REAR HEATED PORCH AND REAR BLOCK PATIO WITH ACCESSORY ONE CAR GARAGE AND GARBAGE BIN.* The certificate is issued to WILLIAM E KISPERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVPaL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION PORT Authorized Signa e Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1490 SMITH DR S SOUTHOLD SUBDIVISION: MAP NO.: IA'P (S) NAMH OF OWNBR (S): WILLIAM E KISPERT OCCUPANCY: SINGLE FAMILY WILLIAM E KISPERT ADMITT® BY: JOAN TYRER ACCOMPANIED BYc SAME KSY AVAILABLH: SUFF. CO. TA% MAP NO.: 76.-3-6 SOURCE OF RHOUHST: WILLIAM E KISPERT DATE: 01/29/03 DWELLING: TYPH OF CONSTRUCTION: WOOD FRAME # STORIHS: 1.2 # H%ZTS: 2 FOUNDATION: CONCRETE BLOCK CHLLAR: CRAWL SPACH: TOTAL ROOMS: 1ST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILHT ROOM(S): 0.0 UTILITY ROOM(S): 1 PORCH TYPH: FRONT DECR TYPH: PATIO TYPH: BLOCK - REAR BRHHZHWAY: FIREPLACH: GARAGE: DOMESTIC HOTWATER: X TYPH HHATHR: OFF BOILER AIRCONDZTIONING: TYPE HEAT: OIL WARM AIR: HOTWATHR: X OTFD3R: UNHEATED ATTIC, REAR HEATED PORCH ACCESSORY STRUCTURES: GARAGH, TYPH OF CONST.: WOOD ONE CAR STORAGH, TYPH COHST.: GARBAGE HIN SWIMMING POOL: GUHST, TYPH CONST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ART ~ SEC. III III RRMARKC: Bp#3623 D C 23206 INSPECTED BY: N INSPECTION: 01/28/03 JO M BOUPIS TIMH START: 9:30AM HND: 10:00AM + Form No. 6 _ ~~Q Q TOWN OF SOUTHOLD BUILDING DEPARTMENT ~1~,,, T~~({(- TOWN HALL ~~ll..~~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercia 15.00 rL Date. v fll p2 J New Construction: Old or Pre-existing Building: ~ ~j (check one) Location of Property: / / 9~ .Z/~~. ~J1 - ..S~tJTF ~ ~w ~T~. House No. S/tr/eet Hamlet Owner or Owners of Property: W', ~ ~ G /1 /S'~~i ~ Suffolk County Ta/x Map No 1000, Section 6 Block 3 Lot Subdivision p,~..¢_ N~ Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ /Q d O ~?~a~ J~ C.~ ~i 33 ~ Applicant Signa CONSENT TO INSPECTION ill ~ ;,nc3~j T ,the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at /1/ 9~ _ vT~ .S' o v which is shown and designated on the Suffolk County Tax Map as District 1000, Section ~J(, ,Block 3 ,Lot ~ That the undersigned (has) (have) filed, or cause to be filed, an ap lication in the Southold Town Building Inspector's Office for the following: C C ~ cw. a,%~ 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ~ ~rcv (Signature (Print ame) (Signature) (Print Name) GUARANTEES lNDlCA7E0 NERE ON SHALL RUN ONLY TO 7!C PERSON FOR NHOM 1HE SURVEY lS^F REPARED, AND ON-HIS BEHALF TO THE DA£ COMPANY, GOVERNMENTAL AGENCY, LENDING INSTiTU DON, IF LISTED HEREON, AND SMITH DRIVE SOUTH TO 7HE A55/CNEES OF 1HE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTICWS OR SUBSEQUENT OWNERS. UNAUTHORlZfO ALTERATION OR ADDITION 70 THIS SM~jH DRI`1E SOUjH S RF~~ u R=150' SURVEY IS A NOLARGN OF SFC170N 7109 Of 9~" POIE A=57.5 7H£ N£W YORK STA7E EDUCATIAV LAW. Fp, ~ COPIES OF THIS SURVEY MAP NOT BEARING IF' iv TH£ LAND SURVEYORS EMBOSSED SEAC SHALL NOT BE LO.NSIDERED TO, BE A VAL/D TRUE _ A \ COPY. SHED = fv N W ~ O -1 N LO W i ~ Or~fip ~ I N A (.rJ ~ ~o z ~ ~,h V ~ ~ ~ ml ~ 2 W W I m r ~ w A \ O ~ O -A PO~ I r0 . ~ I ~ -P A I N 14.1' ~ DROOP FR. 4 E'ER N o ~ o STOOP !v GARAGE B ~2 1g 3 _ ~ c ` I 24.g~ ti ON STO ti B RRESI RY o ~ OENCE ~ / 14.0' -p r ~ Pq ~O ~ y +v 15.1 ' N _ 145 r ti~ 0 Q CONC. W CURB t7.5' I,: Fp. i, i N . M. ~ V 3, WIPE CONC. SIDEINALk/WAGE I ~ S 49'28'55 "W HWL THIS pA _ ~ -1 _ E 1 12.07' FILE MAP LINE CANAL LEADING TO GOOSE CREEK" SURVEYED: 19 DECEMBER 2002 FM// 1663 SURVEY OF SCALE 1"= 30' DATE FILED NOV. 22, 194s LOT 43 AND 1/2 LOT 42 AREA = 17,688.02 s.F. TMJj 1000-076-03-006 IN MAP OF GOOSE NECK 0.406RACRES SITUATE BAYVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED BY GUARANTEED TO: SURVEYED FOR: WILLIAM KRISPERT STANLEY J. ISAKSEN, ;JR. WILLIAM KRISPERT P.O. BOX 294 NEW SUFFOLK. IJ.Y. 11956 631 734-.5835 LICEN D ~PJD EYOR NYS Lic. No. 49 3 02R 1200