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HomeMy WebLinkAboutZ-29910FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29910 Date: 12/12/03 THIS CERTIFIES that the building DWELLING Location of Property 375 AKA 1111 MAIN ST. GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 034 Block 0001 Lot 016 Subdivision Filed Map No conforms substantially to the Requirements for a built prior to APRIL 9, 1957 pursuant to which Lot No. FAMILY DWELLING OF OCCUPANCY NUMBER Z- 29910 dated DECEMBER 12, 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 ATTACHED TWO CAR GARAGE* The certificate is issued to ANTONE A STRAUSSNER, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 375 AKA 1111 MAIN ST. GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ANTONE A STRAUSSNER, JR. OCCUPANCY: SINGLE FAMILY ANTONE A STRAUSSNER, JR. ADMITTED BY: ANTONE STRAUSSNER JR. ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 34.-1-16 SOURCE OF REQUEST: ANODE A. STRAUSSNER, JR. 12/5/03 DATE: 12/12/03 DWELLING: CHAPTER 45 N.Y. STATE UNIFORM TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # BRITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FI;; CRAWL SPACE: DESCRIPTION TOTAL ROOKS: IST FLR.: 4 2ND PLA.: 2 ART. 3RD PLA.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: SLATE REAR BREEZEWAY: ONE FIREPLACE: ONE GARAGE: 2 CAR DOMESTIC HOTWATER: YES TYPE HEATER: NAT.GAS AIRCONDITIONING: TYPE HEAT: NAT. GAS MARK AIR: HOTWATER: RX OTHER: BILCO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: Y G• STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: / // DATE ON INSPECTION: 12/11/03 OHM M. BOUFIS TIME START: 9:45 AM END: 10:20 AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT _ 5 ?0n TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subtrtted 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 I % 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. CB 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 $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 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. /Z —,`y " ZO O j New Construction: Old or Pre-existing Building: (check one) Location of Property:_ //// 4)t'grLk:r House No. Street Hamlet Owner or Owners of Property: A y Z b A)j 6 I d_,F;Ajr4 )Jo( , J Suffolk County Tax Map No 1000, Section 3 Block I Lot._ 16�_ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: J Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ lot)_ Applicant Signature CC Za77/0 TOWN OF SOUTHOLD PROPERTY RECORD CARD '20 OWNER STREET G) VILLAGE DIST. SUB. LOT li/: �,W'n.'n if�n'V3 ✓' ' f I ,"t e�I. C. K. ..a /Q Y— s - FORMER OWNER N E�, r > ACR. Sia 4 I � � is S f ls.f. �, z l.•rrc2 . -ri W <'°�` ,;t3 � < TYPE OF BUILDING RESP A0 SEAQ. VL. FARE/ COMM. C£B.`" MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS / ?.' h f� o / O 26r o0- © 3 - ,l u u sn scd bac 513 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total '! DOCK CONSENT TO INSPECTION ,I //d / d V Z /�• ,tR-, the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(- Itof the premises in the Town of Southold, located at /%/)~/ . q/�tl S i� �/- -7— which which is shown and designated on the Suffo County Tax Map as District 1000, Section J 4/ , Block / Lot /t That the undersigned (has) (have) filed, or cause to be filed, an application in the II,d// Town Building Inspector's Office for the following: l�t.fLCA-14e. & © dYt, 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: _ LZ ' S "Z 003 'IF (Sign (Print Name) (Signature) (Print Name) SURVEY OF PROPERTY SITUATE: NEAR VILLAGE OF GREETNFORT TONW: SOUTHOLD SUFFOLK GOUNT'(, W SURVEYED 12-01-03 SUFFOLK COUNTY TAX >< 1000 -34 -i -I6 LIDYABVLIO ANY Trill! .. NOTES: MONUMENT FOUND O PIPE FOUND I, AREA = 42A20 S.F. or 0.9853 ACRE GRAPHIC SCALE 1"= 40' N W 4 E 5 Or p 11�OLM � Noy" H po 1.o^G��ur po0o3' � � L• _M �� Ew IAS^"'- ;°"" ...•'� ��A :>...- F�l u Y�� 164X S87e481307,W 15555' HFIC �Xo Op'NAS aI -1 A IAF r ri o� 2a. l 2 p�z Oi 3i pT T 14 A JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. UC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fu 369-8287 REF.-NNHp a erWROSN03-29I.pro LOCATION: �75- WWi N' (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: -iE;, MAP NO.: (municipality) LOT(S): '(type) c (owner -tenant) ADMITTED BY:1,//'��;t/—. 0-*.* W,SivACC ACCOMPANIED BY: '5 KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING: TYPE OF CONSTRUC ON: �FJb d # STORIES: # EXITS: FOUNDATION: ! CELLAR: CRAWL SPACE: �--- TOTAL ROOMS: I T FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): r—""�'` UTILITY ROOM: . PORCH TYPE: �' DECK, TYPE: — PATIO, TYPE: 00 BREEZEWAY: )&19— FIREPLACE: ONO GARAGE: DOMESTIC HOT VAT TYPE HEATER: ^T AIRCONDITIONING: — TYPE HEAT: /✓ _ WARM AIR: HOTWATER: OTHER: il�o ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: G' CV19 94E_) GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIONI ART. FSEU REMARKS: INSPECTED BY:���JDATE ON INSPECTION: ll TIME START: Y i `t END: D