HomeMy WebLinkAboutZ-29819FORM NO. 4
· TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29819
Date: 11/05/03
T~IS CERTIFIES that the building DWELLING & ACCESSORY (aka 300 Knapp Place)
Location of Property 315 KNAPP PL GREENPORT
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 034 Block 0002 Lot 015
Sut)divlslon 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
OCCUPAI~CYNU~BER Z- 29819 dated NOVEMBER 5, 2003
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 COVERED FRONT PORCH ~ ACCESSORY SHED.*
T~e certificate is issued to JOSEPH CREREPOWICH & ORS
(OWNER)
of the aforesaid building.
SUFFOLK COUN~TYDEPARTI~ENTOF~L~J~T~APPROVA~
EnRurKICAL CERTIFICATE NO.
PLL~4B~ C~TIFIC~TION DA'r~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Authorized Sigr~ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
· HOUSING CODE INSPECTION REPORT
( aka. ~3QQ_~Kn~app Place )
LOT {S)
JOSEPH CEEREPOWICH & ORS
SO. CE OF P~ST: SUS~uN CHEREP0WICH DATE: 11/05/03
~l'~: * MUD ROOM; BILCO ENTRY
ACCESSORY STRUCTURES:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
RE-INSPECTED 11/5/03.
DATE ON INSPECTION: ~05/03
Form No. 6
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 Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 lorn0.
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 Pla~ming Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, qtreets, building and dnusual natural or topographic
features.
2. A properly completed applicatioa and consent to inspect sighted by the applicanl. Ifa Certificate of Occnpancy is
denied, Ihe Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Ce~lificatc of Occapancy - New dwellmg $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimnfing pool $2500, Accessory building $25.00, Additions to accesso~T building $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Buihling - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate ofOccapancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commmcial $15.00
Date.
New' Construction: Old or Pre-existing Building: / (check one)
HouseNo. StreW[ - ' '
OwnerorOwnersofProperty: ~os~ph C?.erepow~ch, Susan G. Cherepowich, Barton C.
..... =os~er, ~-~az-~z-e~ G. FO~Lu~, Sunford Julian Lee, ~hirley
~reen ~ee, oonn ~. Skre~ec, 1 Gree S fez
S ffo kCo ty axmp o OOO, S t,on O S.O00
Subdivision Filed Map. Lot:
Permit No.
Health Dept. Approval:
Plarming Board Approval:
Request for:
Temporary Ce~lificate
Fee Submitted: $
Date of Permit. Applicant:
Underwriters Approval:
Final Certificate: x
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
] FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY
~ 4:::) ~ ¢,../-
CONSENT TO INSPECTION
~./~ Barton C. Foster
Margaret G. Foster
Sanford Julian Lee
Shirley Green Lee
Owner(s) Name(s)
, the undersigned, do(es) hereby state:
That the undersigned (is) (are) the j:~vBer(s) of the premises in the Town of
Southold, located at -3t~D_ ~/,~,0 '~C)/~,~_. ~,~'~..,7n~a3'-;, ..l~ ,~.
which is shown and designated on'th~'~uffolk Cou~tv Tax Map*as~Distrlct 1060,
Section 034'00, Block °2'°°,Lot, °x5'°90
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-Certificate of Occupancy
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, roles 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, roles or
regulations of the Town of Southold.
Dated:
SURVEY' OF PROPER'Pr'
51TUATE.' 6PJEENPORT
TOIAIN; Ex~U~LD
~b~T, OLK COUNTY, NY
,SURVE'f'ED oq -2.,5-O3
SUFFOLK COUNT'( TAX ~
IOOO-34-2-15
\
'2
¢
N
S
NOTES:
MONUMENT FOUN[2
LOT NUh'IBER~ REFER TO MAP Of "DIASRAH Of ~lXt'r' LOT~ OF LAND
IN CREENPORT" BELON~IN~ TO ,JOHN 5. CHAMPLIN FILED
OCTOBER 12, I8~-f,~ FILE No. ~3~
AREA = 13,251 sF or 0.30 ocres
®RAPHIC, SC, ALE I"= 20'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N,Y.S. LIC. NO. 50202
R1VERHEAD, N,Y. 11901
369-8288 Fax 369-8287 REF,\~Hp server~d~PROS\03-251.pro