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Home My WebLink AboutZ-26135FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OFOCuumAN~"f No Z-26135 Date NOVEMBER 30, 1998 THIS CERTIFIES that the buildin~ DW~uLINGS Location of Property 8905 GT. PECONIC BAY BLVD. LAUREL House No. Street Hamlet County Tax Map%473880 Section 126 Block 4 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for One Family Dwellings built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-26135 dated NOVEMBER 30, 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, ACCESSORY GARAGE WITH GUEST SLEEPING AREA, ACCESSORY SHED, INGROUND SWIPING POOL & COTTAGE-(ON LOT 31)* The certificate is issued to RIFAT TABI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT.RASE SEE ATTAC~ED INSPE~TIONREPORT. Rev. 1/81 N/A N/A N/A .U/dignspector LOCATION: SUBDIVISION: NAME OF OWNER (S): RIFAT TABI OCCUPANCY: A-1 RESIDENTIAL ADMITTED BY: RIFAT TABI KEY AVAILABLE: SOURCE OF REQUEST: BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT GREAT PECONIC BAY BLVD LAUREL MAP NO.: LOT (S) __ RIFAT TABI ACCOMPANIED BY: ~AME SUFF. CO. TAX MAP NO.: 126.-4-17.1 DR. RIFAT TABI 10/8/98 DATE: 11/30/98 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: BRICK TOTAL ROOMS: 1ST FLR.: ._~ BATHROOM(S): 2.0 PORCH TYPE: BREEZEWAY: DOMESTIC HOTWATER: YES 2ND FLR.: _.~ TOILET ROOM(S): 1.0 DECK TYPE FIREPLACE: TYPE HEATER: OFF BOILER TYPE HEAT: OTHER: OIL WARM AIR: # STORIES: 1.5 # EXITS: { CELLAR: PART CRAWL SPACE: PART 3RD FLR.: _~ UTILITY ROOM(S): __ PATIO TYPE: RAISED CEMENT PATIO GAP. AGE: AIRCONDITIONING: HOTWATER: STEAM ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME* STORAGE, TYPE CONST.: WOOD FRAME ACCESSORY SHED ** SWIPING POOL: INGROUND POOL GUEST, TYPE CONST.: YES-KITCHEN HEAT&BATH OTHER: *GARAGE EAS GUEST SLEEPING AREA ~NO COOKING FACILITIES) VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP ~125-DWELLING - UPDATED CO Z-26134-BP ~25339-Z-ACCY SEED CO Z-261~ ** ON P/O~LOT 3 ] TIME START: 10:50 AM END: 11:20 AM Form No. ~ TOWN OF SOUTHOLD BUILDING DEPARTI~ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the bull( inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bull 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 existing buildings (prior to April 9, 1957) non-conforming uses, o~ '~uildings Vpre-existtng" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applic~ 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 dwelllng $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.0( Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................................. New Construction ........... Old Or Pre-existing Building .... ~.$ ......... House No. Street Hamlet Onwer or Owners of Property ....... ! r ! County Tax Map No 1000, Section.. /2 g ..Block. 9 ..Lot. /~' / ."~ ..... .............. 2-1 Lot /2 //~ ~" $.~division...~K .~ Z~. f~77. ~i ~ '~' ~ Filed Map ............... ~... ~..... ~.. Permit No ................ Date Of Permit ................ Applicant ................ ,...~ .... Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... ~ ..... Fee Submitted: $.1-~!~. ..................... ~ 5/ ~ .~- ............... .................. [~2 .... ,, -. ~,- .... LOT' ~. ~"'~"'"~ ' · 'PECQNIC BAY BOULEVAED P OF LAND EYED ~O~- LLO "' LA U L ]"OWN OF' $OUTHOLD, N.Y. C,,": P~,OIC, E. IZ'I'y OF A.L. oO'~gN8 ' FILED IN Ti-i~. SUFF'OL, K COUNTY CbEi~.~$ OFFIc~ A[ ,",.iAi,, N',.).MBE~ AND ,SUA~ANTY C,C;t,~PANy AN, D VAN TUYL & SON Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, of Southold located at e. GL. That the undersigned (is) ~ the owner(~-~ of the premises in the Town · which is shown and designated on the Suffolk County tax map as District 1000, Section 121 , Block ~ ,,· Lot ! 7'1 That the undersigned (has) (have) flied, 'or caused to be filed, au applica- tion in the Southold Town Building Inspector's Office for the following:.__ ! ~-co~JT~/~H P£~ ~i'f~Y6 ~ ~ ~ ~s¢ I ~l~e'~,, corr~£ /f 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated' t /rl¢ · (s/ignature) (print name)