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Home My WebLink AboutZ-25876FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25876 Date: 08/11/98 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1025 NINTH ST GREENPORT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 048 Block 0002 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- 25876 dated AUGUST 11, 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 WITH ACCESSORY 2 CAR GARAGE & SHEDS* (HAMLET) Lot 031.001 The certificate is issued to RICHARD & ALICE VAMBOLT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A H060845 N/A Rev. 1/81 LOCATION: SUBDIVISION: 1025 NINTH ST BUILDING DEPARTMENT TOWN OF SOUTHOLD ~OUSING CODE INSPECTION REPORT GREENPORT MAP NO.: -- LOT (S) -- NAME OF OWNER (S) : RICHARD & ALICE VAN-BOLT OCCUPANCY: SINGLE FAMILY ADMITTED BY: RICHARD VAN BOLT KEY AVAILABLE: SOURCE OF REQUEST: RICHARD & ALICE VANBOLT ACCOMPANIED BY: SAME __ SUFF. CO. TAX MAP NO.: 48.-2-31.1 DATE: 08/11/98 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: CONCRETE (pOURED~ TOTAL ROOMS: lST FLR.: __~ 2ND FLR.: __~ BATHROOM(S): 2.0 TOILET ROOM(S): . . 8 STORIES: 2.0 # EXITS: ~ CELLAR: 75~ CRAWL SPACE: 25% 3RD FLR.: ~ O,0 UTILITY ROOM(S): YES PORCH TYPE: ENCL. COVERED/SCREEN 2FL BREEZEWAY: FIREPLACE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL TYPE HEAT: OIL BASEBD WARM AIR: HOTWATER: OTHER: DECK TYPE: WOOD SIDE ENTRY PATIO TYPE: GARAGE: AIRCONDITIONING: ACCESSORY STRUCTUI{ES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME GARAGE STORAGE, TYPE CONST.: ~* SWI~4ING POOL: GUEST, TYPE CONST.: OTHER: METAL SHED- POOR CONDITION & FRAME SHED- FAIR CONDITION VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: DATE ON INSPECTION: 07/15/98 TIME START: 10:25 END: 11:15 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 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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Ce=tificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......~ ~1.7.. '~' ~" I ~..? ............. Construction ........... Old Or Pre-existing Building ................. .ocation · .... s;Z~g ...................... ,,,.~r o= Ow. ers of ~=ope=ty. ^ ~.*k ~ ¢2... ~.L..~ t ~¢....V..~...¢~ &.~. .................... :OUnty Tax Map No 1000, Section.~.~' ~ .Block. ~,O 0 ..Lot. 0 %/, ~.~ ;~bdivision .................................... Filed Map ............ Lot ...................... 'ermit No ................ Date Of Permit ................ Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ request for: Temporary Certificate ........... Final Certicate ........... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS .UREAU oF E'ECTR,C,TY 40 FULTON STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT only the electHcaI equipment as des'c~bed below and in.educed by the applicant named on the above application number is in the premises of RIC~.D VAN E~,T, 1~25 9TH ST~ET, GR~E~PORT, ~' in the following location; ~ Basement ~ 1st FL ~ 2nd Fl. Section Block Lot was examined on ~* 2~ ~ ~ and found to be in compliance with the Na~onal Electrical Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS OUTLETS FLUORESCENT OTHER DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO. OF CC COND, A, W. O. NO. OF HI-LEG A.W. G. NO, OF NEUTRALS A. w. G. PER ffi OF CC:. COND, OF HI-LEG OF NEUTRAL OTHER APPARATUS: ENTIRE PREHISES-! *NO VISUAL DEFECTS: "b~ electrical survey has been made of the exposed electrical eq,aipment J,n the premises indicated." "No obvious unsatisfac~.o~, condition ~as found. GENERAL MANAGER RICHARD VAN BELT 195 W.~JtREN STREET BROOKLYN, Wf, 112~1 Per I~ This cedificate must not be altered in uny 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.