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Home My WebLink AboutZ-25716FOPS4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25716 Date: 05/08/98 THIS CERTIFIES that the building Location of Property 460 RUCH LA (HOUSE NO.) County Tax Map No. 473889 Section 052 Subdivision Filed Map No. DWELLING GREENPORT (STREET) (HAMLET) Block 0002 Lot 023 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- 25716 dated MAY 8, 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 * The certificate is issued to ELIZABETH THIBAUT (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 Buflding I~ector LOCATION: 460 RUCH LA SUBDIVISION: NAME OF OWNER (S): ELIZABETH THIBAUT OCCUPANCY: SINGLE FAMILY ADMITTED BY: BARRY NOVICK BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT GREENPORT MAP NO.: -- LOT (S) __ ELIZABETH TEIBAUT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAp NO.: 52.-2-29 SOURCE OF REQUEST: PAUL CAMINITI. ATTY 4/22/1~8 DATE: 05/08/98 DWELLING: TYPE OF CONSTRUCTION: WOOD ~R3LW~E ~ STORIES: 2.0 # EXITS: ~ FOUNDATION: CEMENT CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: __~ 3RD FLR.: __~ BATHROOM(S): 2.0 TOILET ROOM(S): Q,0 UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: ONE CAR DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: BASEbLENT EXIT ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIS~4ING POOL: GUEST, TYPE CONST.: OTHER: REAR YARD ACCESSORY BRICK ~ATIQ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC, REMARKS: INSPECTED BY: BP ~6928Z-CO Z-5812 (GARAGE ADDITION) DATE ON INSPECTION: 05/07/98 TIME START: END: £orm ~o. o TOWN OF SOUTHOLD BUILDING DEPARTMENT TO N 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 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 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. Business~ 2. Cartificate of Occupancy on Pre-existing Buildinm~- $100.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ~.~ .~.~. :. ~.~. ..................... New Construction ........... Old~/z__ ;)~ z//.~.,Or Pre~existing Buildin~g...~....~ .......... Location of Property ........ .~-. ~... ~.L/-~./~?.....~..~. .~. ~.~ ~-~ ~. ............... House No. Street Hamlet Onwer or Owners of Property ..................................................... County Tax Map No 1000, Section...~.~ ....... Block.. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Cert.ificate ........... Final Certi~~~ Fee Submitted: $... /C~. ................ ......... ........... Ovmer (s) Name(s) do(es) hereby state: CONSLN I' TO .NSPL, C I ION , the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at ~ ~V~C~ C~ ~~ , which is shown and designated on the Suffolk CounI,y tax map as District 1000, Section ~ , Block ~ , Lot That the undersigned (has) (have) filed, or caused ~o be filed, an applica- tion in the Southold To~ Building Inspector's Office for the following: ~ That the undersigned do(es) hereby ~ive consent to the Building Inspectors of the Town otSouthold to enter npon the above described property, includin~ any and all buildings located thereon, to conduct ~ueb inspections as they may deem necessary with respect to the aforesaid application, including tnspeetion~ [o determine that said premises comply with all o[ the laws, ordinances, rule~ and regulations of the Town of Southold. The nndersigned, in eon~entin~ to such inspections, do(es) so with the knowledge and understandin~ that any hfformation obtained In the conduct such h]spections may be used as evidence in sub,equent prosecutions for rio- Dated: / / (print name) (print name)