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Home My WebLink AboutZ-25543FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25543 Date FEBRUARY 17, 1998 THIS CERTIFIES that the buildin~ Location of Property 55455 COUNTY ROAD ~48 House No. Street County Tax Map No. 1000 Section 44 Block 1 Subdivision Filed Map No. ONE FAMILY DWELLING GREENPORT, NY Lot Lot No. Hamlet 12 conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25543 dated FEBRUARY 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 * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GENEVIEVE V. THOMPSON N/A H-058676 - FEBRUARY 5, 1998 N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 LOCATION: 55455 CR 48 SUBDIVISION: NAME OF OWNER (S): GENEVIEVE V THOMPSON OCCUPANCY: SINGLE FAMILY ADMITTED BY: GENEVIEVE THOMPSON BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT GREENPORT MAP NO.: __ LOT (S) GENEVIEVE V THOMPSON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 44.-1-12 SOURCE OF REQUEST: GENEVIEVE V. THOMPSON 1/9/1998 DATE: 02/17/98 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: POUP, ED TOTAL ROOMS: 1ET FLR.: ._~ BATHROOM(S): 1.0 PORCH TYPE: BREEZEWAy: DOMESTIC HOTWATER: YES TYPE HEAT: ~ WARM AIR: OTHER: ~ STORIES: 1.5 % EXITS: CELLAR: YES CRAWL SPACE: 2ND FLR.: ._~ 3RD FLR.: __~ TOILET ROOM(S): 1.0 UTILITY ROOM(S): CELLAR DECK TYPE: WOOD PATIO TYPE: FIREPLACE: GARAGE: UNDER HOUSE - 1 CAR TYPE HEATER: ~ AIRCONDITIONING: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STOP, AGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: LOCATION REMARKS: INSPECTED BY: CHAPTER 45 N.Y. STATE UNIFORM FIRE pREVENTION & BUILDING CODE DESCRIPTION ~ ~T, SEC. DATE ON INSPECTION: 01/16/98 feinted 2/13/1998 TIME START: 12:35 PM END: 1:15 PM THE NEW YORK BOARD OF FIRE UNDERWRITERS 80~'69(~?J¢-' BUREAU OF ELECTRICITY F~- 40 FULTON STREET, NEW YORK, NY 10038 Date 3ANUARY 28. 1998 Application No. on file ~'537289'P"/? ~ H THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GENEVIEVO V. I'HT)HPSON, r,~ in the following location; [] Basement was examined on JANUARY 21 , 1998 NORTH ROAD RT. 58, SOUTHOLD, NY [] 1st Fl. [] 2nd FL OUT Section Block and found to be in compliance with the National Electrical Code. Lot FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS FLUORESCENT OTHER FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: ENTIRE PREHISES-l *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated," "No obvious unsatisfactory condition ~,as f. ound. G.V. THOI.tPSON 98~ GRANT AVENUE PELH~d~I HANOR, NY, 108¢3 S E R V I C E NO. OF CC COND. A, W. G. NO. OF HI-LEG PER lB OF CC. COND, A. W.G. NO, A.W. G, OF HI-LEG; OF NEUTRALS OF NEUTRAL GENERAL MANAGER Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~69729 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 Date PE]~-'~.UARY 05,1998 Application No. on file 15426098/9~, P ~!.~' :~ THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premisex of HOWAP, D F. HARRIS, 55485 NORTH ROAD (CR48), SOUTHOLD, h!' in the following location; [] Basement [] 1st Fl. [] 2,d Fl. Section Block Lot was examined on JA~JA.~¥ 29, [ 99~, and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS ' OUTLETS OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS INIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS ' NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: ~N<i, VISUAL DEFECTS: "An electrical survey has been m~de of the exposed elect]~ical equipment in the premises i}~dicate~!." "No obvious unsati s~act, o'~y ~'or~dition was found. S E R V I C E NO, OF CC COND. A. W, G, NO. OF ~11- LEG A.W.G. PER ~ DE CC. COND. OF NEUTRAL OF I~I-LEG NEUTRALE HOWARD F. HARRIS P. O. BOX 490 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 This certificote must not be ottered in any monner; return to the office of the Boord if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao B° 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: i. 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: i. 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 i. 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-existin~ Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date Z .Z. ................. New Construction ........... Old Or Pre-existing Building...P~.. ............ Location of Property ..... ~..~.~, .?.~ ....... .~.0..~.. ~.~.~ ~.~.~. ~ ..... ~.~.~. ............ House No. Street Hamlet Onwer or Owuers of Property...__'.~..¥('~.~f. .................................... County Ta~ ~ap No ~000. Section .... ~-V- ....... Block ...... ~ .......... Lot .... ~.~. ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 5¥0&1 ~ --- ,~PL~CANT CONSENT TO INSPECTION ~~-y3~/~-~ ~' ~f$~'~ , .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 ~'~ //~Orh/'~ ~ - ~~/J' , which is sho~m and designated on the Suffolk County tax map as District 1000, Section , Block , Lot That the undersigned (has) (ha~e) filed, 'or caused to be filed, an applica- tion in the Southold To~ 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. (signature) (print name)