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Home My WebLink AboutZ-26177FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26177 Date: 12/17/98 THIS CERTIFIES that the building DWELLING Location of Property 1250 SALT MARSH LA PECONIC (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 068 Block 0003 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- 26177 dated DECEMBER 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* (HAMLET) Lot 004 The certificate is issued to CHARLES SMITHEN (OWNER) of the aforesaid building. 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 ~~spector LOCATION: 1250 SALT MARSH LA SUBDIVISION: NAME OF OWNER (S): ~HARLE$ SMITHEN OCCUPANCY: A- 1 RESIDENTIAL ADMITTED BY: QHRISTA BOYAJIAN KEy AVAILABLE: SUFF. CO. TAX MAP NO.: 68.-3-4 SOURCE OF REQUEST: CHRISTA BOYAJIAN - 10/30/98 BUILDING DEPARTMENT TOWN OF SOUTEOLD HOUSING CODE INSPECTION REPORT PECONIC MAP NO.: __LOT (S) __ CHARLES SMITEEN ACCOMPANIED BY: SAME DATE: 12/17/98 TYPE OF CONSTRUCTION: WOQD FRAME FOUNDATION: CEMENT BLOCK PIERS # STORIES: CELLAR: -- TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: __~ BATHROOM(S): 1.0 TOILET ROOM(S): Q,Q PORCH TYPE: SCREENED PORCH DECK TYPE: BREEZEWAY: FIREPLACE: * DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC TYPE HEAT: ELECTRIC WA~M AIR: HOTWATER: OTHER: *FREE STANDING 1.0 # EXITS: ~ CEAWL SPACE: 3RD FLR.: __~ UTILITY ROOM(S): -- PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIPING POOL: OTHER: STOP, AGE, TYPE CONST.: METAL & PLI~WOOD GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM PIRE PREVENTION & BUILDING CODE ~ DESCRIPTION ART. SEC. , DATE ON INSPECTION: 11/06/~ TIME START: 10:10 AN END: 10:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ail 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 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-existinR Building - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - R~i~entia~ $.~..~.~Of~.C~ercial $15 · 00 New Construction ~ld Or Pre-existing Buil~i~g'''~ '~ ..... ] .................... i . . h . iii. i iiii?. ................. House No. _ Street Hamlet County Taxx Map No 1000, Section...~. ....... Block. 3 ..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 $ .~Q.~2~ ~' "~' ~' '~ ' ' '~I"~ ' CONSENT TO INSPECTION · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at {-~ 4~ ~"x'-~t~ /~ p7 ~ f)~ C0')'~ ;' (,~ , which is shown and designated on the Suffolk County tax map as District 1000, Section , Block ~ , Lot That the undersigned (has) (have) filed, 'or caused to be filed, au 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 SouthoId. 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. (print nhme~ ~J ,SURVEY OF PROPERTY SITUATE AT: PECONIO TO~N OI= _~OUTHOLO CoUFFOLK COUNTY, NEH YORK Long Island Sound __ N-/O°5"/'33"E -/4.15' line o~ opporent 5UI~.VtS¥~=O IO-23-q~, SUFFOLK. COUNT'F TAX HAP IOOO - 08~- 13 - 4 C..EP. TIFItED TO, PIATTHE~ BARNEY FIDELITY NATIONAL TITLt= INE~URANC, F OONIPAN¥ Ot=: NF::I,N N`52 i ~ ~e~Orde~ ') ~ (yell ~°OOeo NOTES: AREA = 22226 5F or O.51 Acres 0 PIP5 FOUND ....... EOOE OF INOOD5 s°Utherll~ S0-7o50,30"N 203 SURVEYOR RIVERHEAD, N.Y. 1190~ 369-8288 Fax 369-6287 _~$'5/ N.Y.S. LIC. NO, 50202 REFERENCE # 97-0257