HomeMy WebLinkAboutZ-40175 . FOt/- Town of Southold 1/17/2019
53095 Main Rd
x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40175 Date: 1/17/2019
THIS CERTIFIES that the structure(s)located at: 280 Champlin PI, Greenport
SCTM#: 473889 See/Block/Lot: 34.-3-42
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40175
dated 1/17/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with covered front porch, accessory garage and accessory shed.*
Note:BP 43385 windows and electric COZ-40174
The certificate is issued to Denny, Leland& Linda
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. I ASA.
VAf
A t ed Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 280 Champlin Pl,Greenport
SUFF.CO.TAX MAP NO.: 34.-3-42 SUBDIVISION:
NAME OF OWNER(S): Denny,Leland&Linda
OCCUPANCY:
ADMITTED BY: L&L Denny
SOURCE OF REQUEST: Denny,Leland DATE: 1/17/2019
DWELLING:
#STORIES: I #EXITS: 2
FOUNDATION: posts CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: covered DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: shed
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/8/2019
TIME START: 2:45am END: 3:15pm
Form No.6 q3
TOWN OF SOUTHOLD —� n
BUILDING DEPARTMENT 0 `'P
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: 1/ (check one)
Location of Property: 30\ CA(kGirtio i,/t C.,re e-nao c
House No. B F Street 4 Hamlet
Owner or Owners of Property: L e-k ck^A 6 n A Lk n AC- >e V
Suffolk County Tax Map No 1000, Section 3 4 Block Lot oz,
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ `�� ►��
Applicant Signature
�`
CONSENT TO INSPECTION
L eAgJ qn d -beP) , the undersigned,-do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are)the owner(s)of the premises in the Town of
Southold, located at 301 P Gr ree ieot, 7
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section %3,jUj Block 2 , Lot— %2 -
That the undersigned(has) (have) filed, or cause to be filed,an application in the
Southold Town Building I^nspector'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 in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: / b►l! C( .
r�'
(Signature)
L e c.-A A . men n�
®(Print Name)
(Signature)
L vAAr, A - -I)e nloLlr
(Print Name)
Sumas k. r e _ 31 i c-h. ,.P 1,,, e„p,,
D .
JAN 1 0 2019
MULLDudIST M& --,
TOWN OF SOUTHOLD
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TOWN OF -SOUTHOW PRaPERT`i �tD
f" OWNERI." "'STREET-- m VILLAGE " ' DIST. SUB. ` - LOT E
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$ r { • WN N!i" TYPE`'OF BUILDING
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SEAS:,': VL— FARM COMM,. CB. MISC. •"Mkt—value
t LA iMP: TOTAL' DATE REMARKS , I"
10
AGE: " ° BUILDING CONDITION>
NEW NORMAL BELOW ABOVE• ;y
FARM Acre Value Per Value':
Acre ;. •^ A
I ,Tillable :.i : . ' . ., - ' •• •,• � . . ,_ ` '' .' _,_ , . ' _�. • ,,. - _g; °"j^ :• .�, '
�-Tillable 2
Tillable 3
Woodland - - ,• s ,., - ,, _�{ ° -, , .:'� ., - :. � � _`;•,� • _ „ • ,;�-- �
Swarn_ pland FRONTAGE ON WATER - :
FRONTAGE ROAD 90
Brushtand- r ON'
House Plot DEPTH
a
x BULKHEAD
Total : . •DOCK
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COLOR
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M. Bldg. �v .�.n - 4v:./ ��, , p t a Foundation O� ' O � Both - j (Dinette
Extension Basement FloorsK.
Extension Ext. Walls rt� a interior FinishLR.
I
Extension Fire Place ;L Hent. FF
c DR.
Type Roof I•Rooms 1st Floor BR.
! Porch Recreation Room Rooms 2nd Floor FIN. B.
j Porch Dormer
Breezeway Driveway
Garage
Patio
O. B. —
f Total
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* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 01 �6&A/o' ORW4A& Ar P~AS_
in
6y) I��no 'a-- &I E*)irlrt ,fid
AswIv"- &* vowett .
V4610c'- f " n&me-- %tv� not
av✓�► 42 � b +
DATE I INSPECTOR
LOCATION:
(number street) (municipality)
SUBDIVISION: MAP ''0.: LOT(S): µ
NAME OF OWNER(S)': h
OCCUPANCY: V�
(type) (owner-
tenant)-ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. 'CO. TAX MAPNO 1000 3
SOURCE OF REQUEST: DATE: el�Inn , �T 1&7
DWELLING
TYPE OF CON'STRUCTI'ON: Wo.1 f-;k STOMS: I # EXITS:
F'OUNDATIO De
J0t tASVM]I ,NT: _K/,, — 'CRAWL SPACE:
# OF BEDROOMS: 1ST FLR: 2ND FLA.: _ 3RD FLA: NT/�
BATHRO"OM(S) TOILET Bi00M(S): UTILITY ROO*M-.
PORCH-TYPE: !/ DE-CK, TYPE: .. W !_�7 _ PATIO;TYPE: b
BREEZEWAY:' FIREPLACE: _ A/0 _ QARAGE:
DOMESTIC HOTWATER:� TYP9 HEATER: '(/ AIRCONDITIONING: _
TYPE HEAT: f WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES I//A . . NO �t
OTHER: 1
ACCESSORY STRUCTURES '
GARAGE; TYPE OF CONST.: � STORAGE, TYPE CONST.: S
SWIMMING P'O'OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 &N.Y. STATE:UNIFORM FARE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
lCi
.o. llrol
REMARKS:
INSPECTED BY:/Johan J. JAv64 DATE OF INSPECTION: AnV
•
' TIME START: V.,q END: